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24 Cards in this Set

  • Front
  • Back

4 main identifiers of schizophrenia

-Broad Impairments


-Delusions and Hallucinations


-Disorganized Speech and Behavior


-Inappropriate Emotions

When was schizophrenia first considered a disease?

The mid 1800's

What wasschizophrenia's first incarnation?

Dementia praecox


-[deterioration][at a young age]

Who coinedschizophrenia's first incarnation?

Emil Kraeplin

When wasschizophrenia coined as the name of the affliction?

1911, by Eugene Bleuler

What are Bleuler's Four A's?

-Association: thought disorder


-Affect: emotional disturbance


-Ambivalence: inability to make or follow through on descisions


-Autism:idiosyncratic style of egocentric thought and behavior

Stages of schizophrenia

1) Prodromal: deterioration in social and interpersonal functioning


2) Active: Full-blown disorder


3) Residual: continuing indications of distubance

Symptoms ofschizophrenia, Disturbances

+perception (hallucinations)


+delusions (grandeur, persecution)


-thoughts (lack cohesiveness)


-incomprehensible speech


-emotions


-odd and disturbing actions

Auditory hallucinations activate which area of the brain: Broca's (speech) or Wernike's (hearing)

Broca's (speech)

Disorganized symptoms of schizophrenia

-Catatonia


-Disorganized speech

Negative symptoms of schizophrenia

-Flat affect: "the mask"


-Avolition: "no initiative"


-Alogia: "vacant speech"


-Anhedonia: "no pleasure"

Affects ___ out of ____ people




Typical age of onset: ___-___

1 out of 100




Ages 16-30

Men and women affected equally, but _________

more men are affected before 45 and more women are affected after 45

5 subtypes of schizophrenia

-Paranoid


-Disorganized


-Catatonic


-Undifferentiated


-Residual

4 characteristics of paranoid schizophrenia

-Delusions and hallucinations


~grandeur/persecution


-intact cognition and affect


-no disorganized speech


-best prognosis

5 characteristics of disorganized schizophrenia

-Disorganized speech


-disorganized behavior


-flat/inappropriate affect (hebephrenia)


-Hallucinations and delusions


-often chronic

5 characteristics of catatonic schizophrenia

-Unusual motor behavior


-waxy flexibility


-echolalia (imitate speech)


-echopraxia (imitate movements)


-often chronic

4 characteristics of Undifferentiated schizophrenia

-beginnings of breakdown


-major symptoms of schizophrenia


-does not meet other criteria


-"wastebasket" category

3 characteristics of residual schizophrenia

-one episode


-some unusual symptoms


-now mostly symptom free

11 factors associated with a more favorable prognosis

-good premorbid functioning


-acute onset


-later age at onset


-good insight


-being female


-consistent in medication usage


-brief active phase symptoms


-good functioning between episodes


-no structural brain abnormalities


-normal neurological functioning


-no family history

Three features shared by schizophrenia-like disorders

-Serious break with reality


-Not caused by cognitive impairment


-Not primarily affective

Schizophrenia-like disorders (3), chronological

-Schizoaffective Disorder (comorbid), 2+ weeks


-Brief Psychotic Disorder, <1 month


-Schizophreniform Disorder, 1+-6 months

Types of delusional disorders (5)

-Erotomanic: "of course they love me"


-grandeur: "i'm so great"


-Jealous


-Persecutory: "Theyre after me"


-Somatic: "of course i'm dying!"

Social/psychological warning signs of schizophrenia

-early separation from parents


-short attention span


-disruptive or withdrawn behavior


-emotional unpredictability


-poor peer relations/solitary play