Study Guides (238,613)
Canada (115,253)
Psychology (1,813)
PSYB32H3 (194)

PSYB32 FINAL CH.11,12,13,16

40 Pages
Unlock Document

University of Toronto Scarborough
Konstantine Zakzanis

Chapter 11 SchizophreniaSchizophrenia psychotic disorder characterized by major disturbances in through emotion and behaviour disordered thinking in which ideas are not logically related faulty perceptions and attention flat or inappropriate affect and bizarre disturbances in motor activityThey withdraw from people and reality often into a fantasy life of delusions and hallucinationsIts one of the most severe psychopathologiesPrevalence of 1Clinical Symptoms of SchizophreniaDisturbances in several major areas thought perceptions and attention motor behaviour affect or emotions and life functioningThere is a lot of heterogeneityPositive SymptomsPositive symptoms comprise excesses or distortions such as disorganized speech hallucinations and delusions an acute episode of schizophreniaIt involve the presence of a behaviour that is not apparent in most peopleDisorganized speechAka formal thought disorderDisorganized speech problems in organizing ideas and in speaking so that a listener can understandThere is incoherence in conversations not connected and hard to understandSpeech may also be disordered as loose associationsderailment difficulty sticking to one topicoThey may drift off in what they are sayingBut disorganized speech is not a discriminator between schizophrenia and other psychoses like some mood disordersDelusionsThinking that others are plotting against youDelusions beliefs held contrary to reality are common positive symptomsPersecutory delusions are found in 65 of themThey may think their thoughts are beings stolen from them or are being broadcastedHallucinations and Other disorders of PerceptionThey may feel depersonalizedHallucinations sensory experiences in the absence of any stimulation from the environment more auditory than visualoThey hear their own thoughts spoken by another voiceoThey hear voices arguingoHere voices commenting on their behaviour1Negative SymptomsNegative symptoms behavioural deficits such as avolition alogia anhedonia flat affect and ascoialityThey tend to endure beyond an acute episode and have profound effects on the lives of patientsFlat affect can be a side effect of antipsychotic medicationAvolitionApathyavolition lack of energy and seeming absence of interest or inability to persist in what are usually routine activitiesInattentive to grooming and personal hygieneDifficulty persistent at work school or household choresAlogiaA negative thought disorderPoverty of speech sheer amount of speech is greatly reducedPoverty in content of speechVague and repetitive speechAnhedoniaAn inability to experience pleasure They are aware of itFlat AffectNo stimulus can elicit an emotional responseStare vacantly muscles of face flaccid and eyes lifelessFlat and toneless voiceAsocialityimpaired social relationshipsfew friends poor social skills and little interest being with peopleSchizophrenia onset is beginning in childhoodIt is also said that they might not be able to recognize the emotions on top of not being able to express itOther SymptomsCatatonia several motor abnormalitiesoGesture repeatedly using peculiar and complex finger sequences of finger hand and arm movementsoSometimes excitement wild flailing of the limbsoCatatonic Immobility patients adopt unusual postures and maintain hem for a very long period of time stand on one legoWaxy flexibility another person can move the patients limb into strange positions that the patient will then maintain for extended periodsInappropriate affect emotional response are out of context laugh at someones deathothey shift rapidly from one state to another for no discernible reason2History of the Concept of SchizophreniaEarly Descriptionsformulated by Kraepelin and Bleulerdementia praecox early term for schizophreniahe divided it into 2 major groups of endogenous or internally caused psychosisomanicdepressive illnessodementia praecoxincluded dementia paranoids catatonia and hebephreniaThe DSMIVTR DiagnosisSchizoaffective disorder comprises a mixture of symptoms of schizophrenia and mood disordersRequires at least 6 months at least 1 month of the active phase the presence of at least 2 of the following delusions hallucinations disorganized speech grossly disorganized or catatonic behaviour and negative symptomsoOnly 1 is required if delusions are bizarre or hallucinations consists of commenting or arguing voicesProdromal before the active phase Residual after the active phaseProblems during prodormal and residualoSocial withdrawal impaired role functioning blunted or inappropriate affect lack of initiative vague and circumstantial speech impaired hygiene groomingoOdd beliefs or magical thinkingand unusual perceptual experiencesSchizophreniform disorder acute schizophrenia DSMIIoSame as those of schizophrenia symptoms but lasts only from 16 monthsBrief psychotic disorder lasts from 1day to 1 months and usually brought on by extreme stressDelusional disorder troubled persistent persecutory delusions or by delusional jealousy the unfounded conviction that a spouse or lover is unfaithfuloSomatic delusions believing some internal organ is malfunctioningoDelusions of erotomania believed that one is loved by some other person usually a complete stranger in higher statusoA person with delusions disorder does not have disorganized speech or hallucinations and delusions are less bizarreoIt is quite rare and begins later in life than schizophreniaCategories of Schizophrenia is DSMIVTR3 types of schizophrenic disorders in the DSM IV TR3
More Less

Related notes for PSYB32H3

Log In


Don't have an account?

Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.