PSYC 3406 Lecture Notes - Lecture 11: Deinstitutionalisation, Antipsychotic, Trifluoperazine
Document Summary
Treatments for schizophrenia and other severe mental disorders. State hospitals: care vs. order vs. warehouse, social breakdown syndrome. Involuntary movements of face, mouth, neck, trunk, or extremities caused by neuroleptics. Can be lethal by effect on production of white blood cells. Increased risk of cardiac death, weight gain, and metabolic disorders. Why: costs, poor follow-up, poor social support, negative side effects, paranoid delusions. Asians and hispanics require lower doses of antipsychotics. African american patients less likely to receive newer generation drugs. Freud acknowledged that psychoanalysis was not suitable for schizophrenia. Help with job training, skills training, and important daily life skills. Teaching family how to relate to patient. Effective community care: community mental health centers, short-term hospitalization, partial hospitalization, supervised residences, occupational training and support. Same symptoms of schizophrenia, lasting more than 1 month, but less than 6 months. Do not need evidence of social and occupational functioning. 1/3 will recover within the 6-month period.