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PSYC 3140 - Final Exam Notes (Fall 2011)

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York University
PSYC 3140
Michael Luther

PSYC 3140Final Exam Notes DSMIVTR Classification Axis I Clinical Syndromes diagnosis in infancy childhood or adolescencedelirium dementia amnestic and other cognitive substancerelated schizophrenia and other psychotic mood anxiety somatoform factitious dissociative sexual and gender identity eating sleep unclassified impulse control adjustment Axis II Personality disorders paranoid schizoid schizotypal antisocial borderline histrionic narcissistic avoidant dependent obsessivecompulsive Axis III General Medical Conditions infectious and parasitic diseases neoplasms endocrinenutritionalmetabolic diseases diseases of the blood and blood forming organs diseases of the nervous system and sensory organs diseases of the circulatory system diseases of the respiratory system diseases of the digestive system diseases of the genitourinary system Axis IV Psychosocial and Environmental Problems Liferelated and social problems Axis V Global Assessment of Functioning ScaleGAF Scale 0 to 100 scale of assessment Chapter 9 Schizophrenia Historical Perspective and Typical CharacteristicsSchizophrenia is a complex condition characterized by heterogeneity The disorder was misinterpreted as split personality disorderPositive symptoms Type I refer to exaggerated distorted adaptations of normal behavior such as psychosis delusions hallucinations thought and speech disorderNegative symptoms refer to absence or loss of typical behaviors and experiences such as sparse speech and langauge social withdrawal avolition apathyloss of motivation and anhedonia inability to feel pleasure emotion attention and concentration Type IIEmil Kraepelin described schizophrenic patients who claim to hear the roars of Satan as well as persecutory delusions irrational paranoid fear of being pursued targeted etcDelusion of grandeur entails a belief in divine or special powers are granted for tasksLogical thinking also shifts quickly from one topic to another in an irrational fashionOther notable negative symptoms include alogia poverty of speech Subtypes of SchizophreniaParanoid type prominent persecutory or grandiose delusions auditory hallucinations and impaired cognitive function without disorganized speechbehavior and catatoniaDisorganized type disorganized speech flatinappropriate affect inappropriate mood absence of goal orientation and impaired daily functioning Early onsetCatatonic type acute psychomotor disturbance extreme negativism and rigidity odd postures purposeless and excessive movements Echopraxia repetitive imitation and echolalia senseless verbal repetition are other symptoms foundUndifferentiated type meets criterion A of the DSMIV two or more of the following delusions hallucination disorganized speechfunctioning catatonia and negative symptoms without meeting the other subtypes criterionResidual type diagnosed for a patient with at least one prior episode of schizophrenia with negative or positive symptoms but is not experiencing them prominently EtiologyKraepelins dementia praecox mental insanity and Bleulers dissociated thinking contributed to the discovery of schizophrenia Carl Jung and Sigmund Freud who worked alongside Bleuler discovered psychosis as the collective unconscious of a severely rejecting mother creating the conditions for a weak primitive ego in children
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