UBC Psych 207 non-cumulative Final Notes.pdf

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University of British Columbia
PSYC 207
Michael De Souza

Lecture 30 Schizophrenia -its not multiple personalities disorder -affects more men than women Symptoms: -positive symptoms: (is there but it should NOT be, excess) -delusions and hallucinations: bizarre irrational thinking; very real to a person with schizophrenia but not to normal people. Experience things in the environment thats not really there. Hear things as well; more common than see things. Often the things they see or hear its something bad. -disorganized speech: communicate with them its hard because they always change topics -disorganized behavior: do things that are inappropriate socially. -negative symptoms: like depressions (things should be present that are absent) -hedonic: if I am hedonic I am seeking pleasure things, but people that are anhedonic they dont. -Cognitive symptoms: -too much dopamine in the frontal lobe -have executive dysfunction -have problems with frontal lobe; ex: working memory Schizophrenia: subtypes -paranoid type: delusions and hallucinations. Excess of positive symptoms -disorgnaized type: have trouble focusing on goals and carrying them out. Damage to the frontal lobe. -catatonic type: stop moving completely. Extreme in movements -undifferentiated type: people with schizophrenia but dont fit into any subtype above Schizophrenia: onset and course -diathesis stress model of psychological illness -genetic predisposition -combination the genetic predisposition and amount of stress -rarely happens in children. -prodromal phase: somewhere between normal and schizophrenia. If you will get schizophrenia or not. -drugs that helped -25% completely recover -25% much improved, relatively independent -25% improved but require extensive support -15% hospitalized, unimproved -10% dead (mostly suicide) -schizophrenia patients are likely to hurt themselves Schizophrenia: treatment -anti-psychotic medication -clozaril, risperdal, abilify, seroquel -less dopamine but cannot have too low because it will be like parkinson's disease -Behavioral therapy -social skills training (schizophrenia patients have trouble communicating with people) -behavioral family therapy (help the family) -electroconvulsive therapy (ECT) -last resort (this damage the brain, memory loss) because of the hippocampus. -tend to lift the negative symptoms and suppress the positive symptoms Mood disorders -major depressive disorder - Major depressive Disorder (aka unipolar depression) -sadness (very sad and for a long period of time) -anhedonia (do not seek out pleasure) -change in sleep (sleep too much or not enough) -change in appetite (eat too much or too little) -psychomotor agitation/retardation -fatigue, loss of energy -feelings of worthlessness, excessive guilt -decreased ability to think, concentrate -indecisivness -suicidality Dysthymia (last longer and less sadness) -chronically depressed mood for 2+ years -less severe but last longer Major depression and dysthymia: onset and course -major depression -mid 20s -lifetime risk: 10 to 25% (female) 5 to 12% (male -Dysthymia -more likely to develop major depression - Bipolar disorder (I and II) -BPD-I: Mania -inflated self esteem: grandiosity (better than anyone, greater than anyone) -decreased need for sleep
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