Chapter 11 - Schizophrenia
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show | Disorder marked by breakdown in cognitive, emotional and behavioral functions. A rare but devestating illness.
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What are delusions? | show 🗑
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Most common types of delusions | show 🗑
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Thought Disorder | show 🗑
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show | When a person goes on a tangin before getting to the point
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show | When a person goes on a tangin without reaching a point.
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Poverty of Speech | show 🗑
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Thought Blocking | show 🗑
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Neologisms | show 🗑
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show | Repeating things.
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Clanging | show 🗑
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Hallucinations | show 🗑
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What is the most common hallucination? | show 🗑
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show | 3rd person commentary and command hallucinations.
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show | Inability to experience pleasure. No change in mood.
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show | Behavior that doesn't express any change in mood. Voice and expressions usually just stayes flat.
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Inappropriate Affect | show 🗑
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Avolition | show 🗑
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show | Posturing or mannerisms. Example, freezing in a posture for an hour.
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show | Staying at a posture and being very stiff, almost impossible to move.
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Waxy flexibility Catatonia | show 🗑
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Echolalia | show 🗑
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show | Repeating, immitating motormovements.
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show | Added behavior that wasn't present in the person's life before Schizophrenia.
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Negative symptoms | show 🗑
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show | Psychosis: Problems with knowing what is reality and what is not. Schizophrenia: a psychotic disorder because it makes people have difficulties with knowing what's reality and what's not.
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Diagnosis of Schizophrenia | show 🗑
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Paranoid Type | show 🗑
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show | Disorganized speech, disorganized behavior, flator inappropriate affect. Delusions tend to be disorganized (religious or sexual. Often neglect hygiene.
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Catatonic Type | show 🗑
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show | Major symptoms of schizophrenia but doesn't fit in one preticular type. Might fit on none or in many.
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Residual Type | show 🗑
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show | One of more positive symptoms of schizophrenia that lasts less than a month and is caused by trauma orextreme stress.
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show | Delusions due to living with someone else with delusions. Little is known about this condition.
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Genetic factors for Schizophrenia | show 🗑
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show | 3%
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show | If a monozygotic twin has schizophrenia, there is a 48% that the other one will get it. If a fraternal twin has schizophrenia there is only a 17% chance that the other one will get it.
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Environmental factors | show 🗑
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Studies of the Offsrping of twins | show 🗑
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Result of studies of the offspring of twins | show 🗑
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Search for behavioral markers of schizophrenia | show 🗑
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show | Antipsychotic drug. Drugs found to reduce posative symptoms, they blockes action of neurostransmitters. Conclusion: schizophrenia related to too much dopamine activity. Proof: drugs that increase dopamine cab produce schizophrenic symptoms.
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show | 3 of 4 adults with schizophrenia show loss of brain tissue. Evidence: enlarged ventricles and reduced brain tissue volume.
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Hypofrontality in Pre-frontal cortex | show 🗑
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show | Severe flu during 2nd trimester can results in a higher risk of schizophrenia for child.
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show | Stress may activate underlying vulerability and or increase risk of relapse.
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show | Low tolerance and empathy for the ill family member can result in relapse. Living in a hostile and critical household increase relapse. Ex: patient with EE 50% and patient without EE 14%
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show | Diathesis is the predisposition to develop schizophrenia, most often biological. Stess combined with the diathesis can lead to schizophenia
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show | Lobotomy, electroconvulsive therapy, insulin shock therapy (induse seizures and then coma, when the patient wakes up he is supposebly treated.)
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show | Ex. Haldol, Thorazine, Stelazine. They block dopamine receptors in the brain. They primarily help positive symptoms.
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Short term Side effects of antipsychotic medication | show 🗑
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Long term die effects of antipsychotic medication | show 🗑
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show | Focus on stress reduction, social skills, dealing with criticism, and medication compliance
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