PSYA02H3 Chapter Notes - Chapter 17: Paranoid Schizophrenia, Paranoid Personality Disorder, Hallucination

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13 Nov 2011
Monday, March 22, 2010
Lecture 31
Chapter 17 – Nature and Causes of Psychological Disorders
Mr. Amitay showed us two films
A schizophrenic patient is talking to a psychologist/psychiatrist and he said “I feel
like I was called here to be electrocuted, killed tortured for my sins and it’s scary
because that picture over there has a headache.”
Psychologist: Can you describe what you see the picture?
Patient: Sperm and egg make a baby and only one sperm. When they touch, it’s
nuclear fusion instead of formation of a human being.
When you look at him, you can tell right away that the patient is engaging in this
repetitive behaviour by twirling his hair. You can tell there’s something odd about
him and as soon as he speaks. He’s delusional, odd behaviours, his thoughts are all
over the place. When he talks, you realize, the thigns he’s saying don’t go together.
These are the OBVIOUS symptoms of schizophrenia. Many POSITIVE signs of
Betty is another schizophrenic patient. She’s been suffering from it for 20 years.
Just by looking at her, you can’t tell there’s anything wrong with her. But as soon as
she starts talking, then you know that there is something wrong with her. She looks
fine, not engaging in any weird behaviours. She has hard days because of demons
(not personal demons. She meant evil spirit demons)gripping her. They look like
monks, but they can’t think and they follow her around and tells her she’s stupid
and embarrassing and that she shouldn’t talk about schizophrenia. They’re in the
room, lined up across the wall and standing there chanting ,” You’re worthless, no
good!” she calls up the psychologist for a reality check and then the psychologist
reassures her there are no demons. Words go around her head and people could
read them so that they can read what’s on her mind, but the psychologist reassures
her that he cannot read her thoughts. She sees bloody faces and says it’s terrifying
not to be in control of your own mind. She knows none of these are real, but it feels
like they are real.
In schizophrenics, the voices that they hear in their heads always say negative
The difference between hallucination and delusion*
Hallucination: false perception. You see, hear, taste, smell, hear things that
aren’t real or aren’t there, like seeing bloody faces
Most common form of hallucination is auditory, hearing voices
If someone has visual hallucinations, it’s a worse prognosis. It’s associated
with more severe symptoms
A delusion is not a false perception, it’s a false belief. Ex: If you think
you’re perfect, that’s delusional
Someone who believes they’re God or that they’re being persecuted, that’s
Betty’s delusion is that people can read her mind.
Betty had both auditory and visual hallucinations.
The man had delusions
Religious delusions are the more common ones. When people start losing
their minds, religion seems to be the path they go down. Religion doesn’t
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