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94 Cards in this Set

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  • Back
Schizophrenia affects what % of the population?
1%
What are the positive symptom os Schizophrenia
(must have one of the following for eight months)
Hallucinations, delusions, disorganized speech, motor disturbance
What are the negative symptoms of schizophrenia
Social withdrawl, avolition, emotinal disturbance
What is the genetic contribution to schizophrinia
46% in identical twins
Dopamine hypothesis in schizophrenia says...
Patients have to much dopamine and drugs that decrease dopamine levels help patients with positive symptoms.
(Haldol supresses dopamine @ the synapse)
Schizophrenic patients have a ________ prefrontal cortex...
underactive
Schizophrenic patients also have _____ damage.
Brain damage. Ventricles are larger in their brains than in healthy brains. Brain tissue shrinks and there is a loss of neurons.
Diffuse brain damage in schizophrenic patients leads to .......
negative symptoms
These theories however do not explain what in schizophrenic patients?
two week delay for drug effects to set in
atypical neuroleptics work aswell (do not target dopamine)
developmental delay
What is a possible ultimate cause for schizophrenia other than the three theories?
(MATERNAL INFECTION) 2nd semester pregnancy flu- causes dendrites in the hippocampus to not be parallel like they should be. Instead they are tangled. The Flu causes the molecules that create the normal dendrites to go haywire.
What are the three possible causes that create abnormal dendrites in maternal infection?
flu, fever, cytokines
How can you treat schizophrenia?
antipsychotic drugs- haldol or thorazine
scoial skill therapy
family-oriented aftercare
only 15% show no improvement.
what are other neurotransmitter involved in schizophrenia?
glutamate, gaba and serotonin- atypical neuroleptics help these.
Bipolar disorder is?
when patients show signs of mania and depression. Can be treated with Lithium a good mood stabilizer. Blocks the rapid trasition between mania and depression.
Under the DSM diagnostic what must a patient have to be diagnost with depression?
at least five of the following for two weeks or more and at least have to have numbers 1 or 2.
depressed mood most of the day
diminished interest of pleasure
decrease or increase in appetite
insomnia or hypersomnia
psychomotor agitation or retardation
fatigue or loss of energy
worthlessness or guilt
cannot concentrate or indecisiveness
thoughts of dealth or suicide
the three class of drugs that can help supress depression?
MAOI- interaction problems with types of foods can cause high blood pressure

Tricyclics- overdose problems

SSRIs- target serotonin-reuptake
There is an increased suicide risk in patients who take medication because?
now they actually have the energy to commit suicide when before they were to tired.
Sleep disturbances and depression....
depressed patients have more REM. most anti-depressents reduce REM. Patients who were disturbed during REM for a two week period became less depressed. REM helpts LTP- and REM disturbances might help bad memories from being processed into long term memory.
BUT what about Bupropin and REM?
bupropion=welbutrin which is an atypical antidepressant that targets neuropinephrine and dopamine. Does not reduce REM. But increases dopamine which creates euphoria in pleasure centers.
What about cytokines and depression?
Stress activates immune system which activates cytokines.
Cytokines tell brain that body is sick and brain enters a lethargice illness state
sytokines are enhanced during REM sleep.
But SSRIs block REM which block cytokins whoch allows the brain to conclude that illness is over?
Other types of depression?
mania and bipolar disorder...
bipolar disorder very genetic 80% in identical twins.
Brain shrinkage in elderly
elderly have less brain mass resulting in shrinkage. However, we actually aren't losing neurons. No difference in the number of neurons present they just shrink causing brain mass to shrink.
Brain shrinkage in Alzheimer's
Cellular abnormalities causes the dealth of neurons.
two kinds: neurofibrillary and amyloid
Neurofibrillary tangles?
within cell walls.. abnormal clumping in alzheimer's patients
Amyloid plaque?
found outside the cell. Clumps or junkpiles of cell debri. Starts to kill cells around it.
Disease vs. normal aging?
diseased is gray matter and normal is white.
diseased effects episodic and semantic memory while aging is only effected by difficult episodic retrieval.
In brain imaging what is the dif. between alzheimers and natural aging
a= medial temporal lobe, its genetic and it moves fast... looks like swiss cheese.
na= frontal and the progression is slow
possible cures for Alzheimer's?
encephilis= works with the immune system. Finds abnormal cells and terminates them. but causes inflamation in some patients. But it did reduce plaque.
Causes of natural aging
telomeres: long strands at the end of genes. telomreers shorten with each replication. Once the telomreres become too short replication is inhibited.
LIKE A NATUAL AGE CLOCK COUNTDOWN
RHEUMATOID ARTHRITIS IS CAUSED BY?
the attack of t-cells on the joints.
Werner's syndrom is when
you age twice as fast
Therapeutic effects of Telomerase
activation of telomerase immortalizes human cells, which for cells means the capacity for unlimited replication... no clock counts down then? - can increase cancer though.
What are the three stages for clinical studies?
1. screening for safety 2. establishing a testing protocal 3. final testing
orphan drugs
treat rare disorders
effective placebo
a placebo that shows common side effects so that the patients in the study will not know if they have the placebo or the real drug
In Sack's the man who fell out of bed...
the man had left hemiplegia or paralysis only effecting half the body. Anosagnsia. The man throws himself out of bed because he thinks another mns severed leg is in the bed with him. He does not believe that they leg attached to his body is his.
On the level by sacks is about
Mr. MacGregor who has parkinson's. Walks slanted and does not notice until he is video taped. Because he was a carpentor he knows that his level of gravity is off (in his ears) invented level glasses that helped patients realize if they are slanting or not
The presidents speech
patients were laughing at the speech. some have aphasia, but emily has tone agnosia she knows what the pres is saying but not in what tone. Cannot sense emotion.
Whitty ticcy ray
ray is 24 and has severe tourettes syndrom. He has a wife and comp. all of school, but has problems holding jobs. He is good at impulsive things like ping-pong. went on Hadol and hated it because he had his tics since age four.
Cupids disease
Natasha K is 88 and sud. she is frisky, impulsive and feels alive finally. Instead of before when she was shy. Come in because she knows she has cupids disease... aka syphilis. Finds out she ahs neurosyphilis even though she has had a 70 year safe period. She wants to stop it from getting worse but wants to keep her new personality. so he gives her penicillin.
addiction
to continue use of substance despite the efforts to quit.
dopamine hypothesis for addiction
drugs and alcohol work by releasing dopamine into the brain. The dopamin causes euphoria, which is causes a pleasents sensation. Repeated use of the drug causes desensitization to the dopamine system. Therefore, the person needs more of the drug to achieve the same high- a tolerance
Tolerance
means that the neurons in the CNS respond progressively less and less to the presense of the drug
Homeostasis and addiction
drugs can increase neurotransmiters, which in return throw off our natural homeostasis which then affects our mood, emotions, and motivations.
physical dependence
Means that CNS neurons now require the presense of the drug to function normally
Withdrawl
The constellation of symptoms that are experience shortly after the person stps takin ga drug after heavy or prolonged use.
Physiological dependence
a feeling of satisfaction and a spychic drive tha requres periodic or continuous administration of the drug to produce pleasure or avoid discomfort; for example, conditioned tolerance and conditioned withdrawl
conditioned tolerance and withdrawl
The same drug effects are shown only when the drug is administered in the same previous situation; many overdose if they do the drug in a new context.

Drig associated cues; for example, if you used to use in a motel room.. staying in one can cause relapse.
Research suggests that tolerance only develops to drug effects that are experienced? T or F
True contingent tolerance
70% that experiment with smoking become addicted T or F
true
What are the withdrawl symptoms of caffiene?
headache, fatigue, depressed mood, hard to concentrate, flu like, vomiting, pain and stiffness, decreased energy, decreased alertness, drowsiness, irritablility, foggy not clear headed etc.
What are withdrawl symptoms of nicotine?
irritable, anxiety, concentration, restlessness, hunger, cravings.
What does caffiene overdose symptoms look like?
1000+ mg/day anxiety, insomnia, muscle contractions, felling doomed, panic
Nicotine resource model?
smoking provides mood control.
deprivation reversal model
smoking reverses withdrawl symptoms. After cessation you fell increased levels of stress so in order to go back to baseline you smoke
How caffiene works....
chemical reaction, blocks adensosine, which is the brains natural way of slowing you down= lethargy
how nicotine works...
enters lungs to the bloodstream. easily moves from there to the brain. Feel an almost instant kick. mimics acetylcholine which is in the nervous system. It causes dopamine release, which acts as a stimulant, creates natural high.
cross tolerance
when ome drug tolerances can make you have a high tolerance for other drugs.
Tolerance to drugs is largely functional T or F
T
Broca's aphasia
individuals speak in short choppy sentences, but they are meaningful.
example: walk dog, could mean i walked the dog, she walked the dog, the dog needs to be walked etc.
Syntax lesion so they do not understand grammar.
Werncike's aphasia
"fluent aphasia" individuals speak in long sentences that have no meaning and unneccessary words. Difficulty recalling names of objects and impaired comprehension of language.
Semantic lesion
The three levels of reading are?
Lexicon- the identification of letters and the grouping of them into words
Semantics- retrieval of meaning for stimuli
Syntax- the arrangement of words as elementsin a sentence to show their relationship to one another.
Clever hans
conditioned to stomp hoof to do easy math problems.
characteristics of language
arbitrariness, displacement, productivity
Kanzi and alex
were different cases. Did trials were it would be ext. difficult for the trainer in the room to create cues for him to get the right answer.
What are the five kinds of anxiety?
generalized, phobias, panic disorder, ocd, and post traumatic stress
TREATMENT: benzo's and SSRIs
Tourette's syndrome
7% of population. 3 x more likely in males. 55% in id. twins. strongly c. with ocd and adhd/add
Frontal lobes control
impulse, judgement, sexual behavior, socialization, spontaneity, and plays a major tole in initiation and ihibition, planning, coordination, controlling and executing behaviors.
Kluver-Bucky syndrome
consumption of almost anything edible, increased sexual behavior, nd increased investigation of objects without fear.
There are 6 general facial expression according to Darwin? T or F
T
Facial expressions can be universally recognized T or F
T
When the boyd is exposed to harm or threat, the result is a cluster of physiological canges that is generally ref to as a
stress response
the adrenal medulla releases norepinephrine and epinephrine as part of the stress response
T
testosterone increases social aggression
T
The effects of stress on the hippocampus tend to be greater in males
T
The limbic stystem is les involved in the role of emotion than once believed.
T
Fear or stress before a surgery has been found with slower postsurgical recovery including delays in wound healing T or F
T
Stress has long been linked to gastric ulcers, which are painful lesions to the lining of the stomach. They are also caused by...
bacteria or asprin
Acute brief stress such as public speaking, athletic comp, musical perf. etc. can help inprove the immune system
T
Chronic long lasting stress such as living with a handicap, or being unemployed can affect the immune system
T
Vulnerable periods
There are critical periods that are crucial fo normal development. Alcohol disrupts them causing defects.
Fetal Alcohol Syndrome
Retarded physical development, small head, narrow eyes, cardiac defects, cognitive impairment.
How much is to much (alcohol) during preg.
Study showed that even a little can do damage because the brain is always developing. Even the first few weeks are crucial when the parent might not even know she is preg yet.
Fetal alcohol effects
Decreased IQ, impulsive behavior, hyper and show lower scores in word attack and arithmetic.
Optic chiasm
splits the visual field. What you see in your left travels to your right and what you see with your left travels to your right. Basically it's a pathway.
Corpus Callosum
attaches the two hemispheres. White matter. Passes information across.
Lateralization of function
specialization of a hemisphere for exaple the left is with language
Hemispheric Dominance
when one hemisphere dominates when either side could perform the task, for example, handedness.
Lateralized functions (left hemisphere)
verbal communication, objects, local, interpreter, positive/approach
Lateralized functions (right hemisphere)
non-verbal communication, faces, global, anomaly detector, negative/withdrawl
LH-verbal words and grammar
RH- nonverbal, prosody, voice tone and emphasis on words.
T
LH= object agnosia- objects
RH= prosopagnosia- faces
LH= detailed perceptions
RH= general perceptions
RH damage cannot sense a joke but get the detail and info.
Cross-cuing is when
one hemisphere sends cutes to another