PSYC 3140 Lecture Notes - Social Cognition, Telepathy, Cognitive Psychology

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Published on 18 Apr 2013
School
York University
Department
Psychology
Course
PSYC 3140
Professor
Page:
of 8
ABNORMAL PSYCHOLOGY
LECTURE: MARCH 5TH, 2013
TOPIC: SCHIZOPHRENIA
Handout given named “Diagnosis of Common Attention Impairments” and “Coping with
Cognitive Impairments”
Final Exam April 15th 2 hours Rexall Centre (cumulative)
Demonstration
Wisconsin Card Sorting Test
Presented are cards with different shapes and colours
Cards keep changing and you have to match the cards with the ones that were there
originally
What does this test demand and evaluate?
First it was based on matching the shape, then the colour, and then the number of
shapes → measuring whether the person can understand and realize the sudden
changes in concept. (example: match the triangles with triangles, match the yellow
circle with the yellow star, match the 4 circles with the 4 triangles).
Response inhibition
Mental Flexibility – identify perseveration errors (when you are mentally stuck) → if
you show mental rigidity by not changing with the concepts (inflexible)
Approaches to Cognitive Rehabilitation
Adjustment to Loss – example, student who cannot see the blackboard from far is asked to
move closer to the board (did not change actual vision)
Strategy Building – check eyes and give them eye glasses (coping aid)
Train the Brain – you put a patch over the strong eye which gives a chance for the weak eye
muscle to exercise and build strength → restoring function (training) → least evidence for
this approach
Refer to handout “Coping with Cognitive Impairments” for examples to adjustment to
loss approaches
Case Study: Rose
Diagnosed with schizo, treated with 2nd generation anti-psychotic medication, psychotic
symptoms in remission
Underwent neuropsychological testing
Found to have strengths in mental arithmetic and working memory, normal verbal skills,
average intellect
Participated in IPS (Individual Placement and Supports) vocational program – subsidize
wages – three month supports
Job placement: variety store
Match person with career → good at math so they matched her with a career as a
cashier
She did not do well at all at this job → they needed more info
If it was just cashier demands she would have been fine but because she had to do
other duties like dry cleaning and stocking shelves she struggled → had trouble with
mental flexibility (going from one duty to another)
Intervention – tell employer that she has to stay as a cashier and then slowly
introduce the other duties into her routine
They have trouble adjusting to changes in their routine
Three Brief Videos – Schizophrenia (example of adjustment to loss)
Created by David Dartsch
HPSTalent Show – HPS Idol (Health __________ Schizophrenia Talent Show)
Took cartoonist course and learned to make films with clay figures – did not want to
perform with the others but he did play these 3 video clips
1st one – social apprehensions shown
A drawn out figure dancing
Then tomatoes are thrown at the figure and people are booing
The figure dances faster
People continue to boo
The figure dances faster again
The figure is sweating and confused and then starts flapping its arms flying around, an
egg appears and the crowd cheers
2nd one – he was treated with 2nd generation medication (advantage of not having side
effects with motor functions but they have a different side effect which is a terrible weight
gain. People become pathologically obese. So they try to get them involved in different
exercises.
This figure runs away from tough guys with bats
A random comes down by parachute
You see construction workers, a dog, the figure is running throughout the
neighborhood
The figure runs home and a guy comes and delivers him a treadmill so he can start to
exercise
3rd one – psychological testing – he wants them to be sensitive to him
Gorilla figure beating its chest, eating a banana
A guy figure complaining the gorilla is a slob
The gorilla starts to beat up the guy
the gorilla plays music while he makes the human dance
The guy takes his face off and call for the marines
The gorilla beats up all the marines as they try to fight him
They start shooting at the gorilla who tries to run and throwing bombs at him
The bombs are thrown back at the marines and they run away
Then the gorilla views a survey test that says things like do you always feel under attack
etc
The therapist looks disappointed and the gorilla gets mad and is thrown into anger
management therapy
He is being diagnosed as violent and yet the context is that he feels threatened and he
responds defensively and is sent to treatment but he feels like it is jail and that he has
been betrayed and that no one is showing empathy
Example: it is easy for an average person to walk down the street but this individual
always feel threatened walking down the street even by pregnant ladies
This is how he spoke to people because cartoons were his strength
Strategy Building example
If someone has the skills they do not need the support but in this case they do not have
the skills so they need the support
Example: living in an apartment alone (they know how to cook but not on their own –
cannot apply)
Collective Kitchen Supportive Meal program – plan meals, do shopping, then next week
you cook 8-10 meals
There is an organizer (peer leader) there to help – different work stations
Some could only chop vegetables others could do more
They put the food in containers and take it home so all they have to do is put it in a non
fancy microwave – food and microwaves donated (push 1 number and then hit start –
very simple)
Trouble generalizing skills – problem
Room is paid for, food is paid for. Other aspects needed – they can only spend up to
$120.00 a month
Therapy room – desk, white board
Strategy building approach and how a case worker deals with this
Client Planing for Change – Personal Criteria such as: affordable rent, close to bus
stop etc and whether a group home, the YMCA and subsidized housing has these
aspects
Need to develop personal criteria first, then get a real estate agent to help to look
at the best approaches (need to look at what you can afford along with all the other
personal criteria – example: close to friends, far away from mother-in-law etc)
Researching Alternative Environments – process set out on a worksheet
Helps with goal planning
Case workers working with people with schizo
They all have different needs
Every worker has between 30-50 cases, people come less frequently
Not as intensive in terms of care
Other places: case workers with have 10 clients and see them a few times a day
and sometimes drive around to see them (this is all a type of support)
Validated approach – successful
Helping people remain in the community
More expensive
Personal Strengths Approach – less medical care, more peer type of support
while Rehabilitation Model – skills training
Impairment Schizophrenia – helping them back in the community (just like
helping the student with an eye impairment)
Case Workers/Managers
Helping individuals to plan, organize, to manage depends on them to be flexible
(motivation)
Case worker is like surrogate dorso - lateral pre - frontal cortex
Train the Brain example

Document Summary

Handout given named diagnosis of common attention impairments and coping with. Final exam april 15th 2 hours rexall centre (cumulative) Response inhibition: mental flexibility identify perseveration errors (when you are mentally stuck) if you show mental rigidity by not changing with the concepts (inflexible) She did not do well at all at this job they needed more info. If it was just cashier demands she would have been fine but because she had to do other duties like dry cleaning and stocking shelves she struggled had trouble with mental flexibility (going from one duty to another) Intervention tell employer that she has to stay as a cashier and then slowly introduce the other duties into her routine. They have trouble adjusting to changes in their routine. Three brief videos schizophrenia (example of adjustment to loss) Other aspects needed they can only spend up to. . 00 a month: therapy room desk, white board.