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9. Schizophrenia.pdf

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PSYC 3230
James Alcock

9. Schizophrenia Monday, March 18, 2013 9:00 AM SCHIZOPHRENIA Sunday, March 13 article where family loses their son to battle with schizophrenia when he jumps off the Leaside Bridge at 23 years old. Also Pink Floyd- The Wall One end: - Isolated - Other: - Harms people in self defense - Message from God that the demons are coming, have to save the world o In a sense acting rationally in a weird kind of way because they believe what they’re hearing is true - Literally means “split mind” - Relating to mind - Rather, it refers to a split, or break in the mind, emotions and cognitions. - 1 % of the population. - Most of the time occurs around 15 and 25years old - Used to be called dementia preocox. - Not all genetic schizophrenia spectrum - Schizophrenia Society of Canada: Treatable, biochemical brain disease strikes 1 in 100 normal intelligent people, causes 40-60% to commit suicide. Symptoms: Disordered thinking Disordered behavior- mannerisms that are inexplicable Loosely ordered thoughts Delusions – some are grandiose Voices (ie. You raped that woman) - Sometimes tell him to do things, that he has to leave - Distress and scare him History of the diagnosis of schizophrenia - Emil kraeplin was one of the first people to classify schizo as a separate disorder o 1893- called it dementia praecox- early onset dementia o Believed it begins early in life and gradually leads to total disintegration of the personality. o Used to spend time in strait jackets, seems inhumane now but difficult to treat - Thought that recovery is impossible to organic deterioration - Later added subgroups: catatonic - Catatonic: o Waxy flexibility, stupor, odd posturing, excitement, echopraxia, echolalia - Hebephrenic o Grimaces, incoherence, extreme oddities of beh, grossly disorganized beh, flat or grossly inppropriate affect - Paranoid o Delusions, hallucinations, unfocused anxiety, anger o These are the ones who usually end up hurting others - Eugene Bleuler emphasized the psychological aspects of schizophrenia - Gave it the name schizo o Four A’s of schizo: o Affect ,ssociations (loose speech, disorganized thoughts), Autism (self-centered notion, talking in a way apparently only he or she can understand, have a world of their own), Ambivalence (emotions) - Bueler added a fourth type of schizo, simple schizo o Extreme social withdrawal, flattening of affect, impoverishment of language - Kurt Schneirder o Felt Bleuler’s four A’s were too vague o Delusions and hallucinations (“First Rank” symptoms) o Mood disturbance, confused thinking (“Second Rank” symptoms) o But these symptoms can also appear in other disorders- manic disorder, for example - Lecture Notes Page 1 - Positive and negative symptoms - Positive: thinks that are present - Negative: subtracted from the person, ie. Flat affect, poverty of speech, loss of directedness… - Symptoms in DSM - impaired social/work/family functioning - Two or more symptoms present at least a month: o Delusions o Hallucinations- auditory or visual
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