Psychosis I + Ii - Averbach

Front 1

What is psychosis?

Back 1

inability to separate what's external (real world) from what's internal (thoughts)

Front 2

Schizophrenia is usually ____________ with an overall __________ in functioning.

Back 2

episodic; decline

Front 3

Schizophrenia gender distribution; age of onset

Back 3

M = F; most common 18-30 but slightly earlier in men

Front 4

What percent of schizophrenic individuals will attempt suicide?

Back 4

50%

Front 5

What is the "downward drift" philosophy?

Back 5

Schizophrenia leads to a decline in function/inability to hold a job, so as a result their children are born into a low SES - reason why more schizophrenics in low SES

Front 6

What are the 5 character symptoms of schizophrenia?

Back 6

-hallucinations
-delusions
-disorganized speech/thought
-disorganized behavior
-negative symptoms

Front 7

What are the requirements for diagnosis?

Back 7

2/5 character symptoms for 1 month, some attenuated form of symptoms for minimum of 6 months

Front 8

What is a hallucination?

Back 8

a false sensory perception in the absence of an external stimulus

Front 9

What are the most common kind of hallucinations in schizophrenia?

Back 9

auditory

Front 10

What is an illusion?

Back 10

real external stimuli being misperceived (i.e. hear air conditioner as a voice)

Front 11

What kind of auditory hallucination is considered pathognomonic for schizophrenia?

Back 11

running commentary of 2 voices or more

Front 12

What is a delusion? Bizarre vs non-bizzare?

Back 12

-A fixed, false belief that a person is convinced of

-bizzare - not possible
-non-bizzare - possible but not plausible

Front 13

Common themes of delusions?

Back 13

-passivity/control
-paranoia/persecution
-grandiosity
-hyperreligiousity/hypersexual
-hypochondriacal
-Jealousy

Front 14

What is a delusion of reference?

Back 14

Ascribe personal meaning to innocuous stimuli - ie newspaper, tv, radio speaking directly to you

Front 15

"First Rank" delusions

Back 15

thought insertion, thought withdrawal, thought broadcasting, thought control, delusions of reference

Front 16

What is echolalia?

Back 16

involuntary repetition of words, phrases originally produced by an external source

Front 17

What is disorganized speech?

Back 17

Speech lacking in meaning or inappropriate for the context

Front 18

Disorganized speech and behavior is often reflective of disorganized _________.

Back 18

thought

Front 19

What are neologisms?

Back 19

made up words that have unique meaning to the patient

Front 20

What are idiosyncracies?

Back 20

private use of words, language that is illogical and the understanding is unique to the patient

Front 21

Looseness of associations refers to what?

Back 21

ideas are at best obliquely related (can also happen in extreme anxiety)

Front 22

The most extreme form of looseness of associations in which words have no meaningful connection at all is what?

Back 22

word salad

Front 23

An abnormal thought process in which one persistently repeats the same response to different stimuli is called what?

Back 23

perseveration

Front 24

Disrobing in public, urinating on oneself, or dancing are examples of what?

Back 24

disorganized behavior

Front 25

Type of movement disturbance in which patient is unresponsive to environment in any meaningful way is called what?

Back 25

catatonia

Front 26

The absence of any movement and mutism is called what?

Back 26

catatonic stupor

Front 27

Excessive and aimless motor activity is what?

Back 27

catatonic excitement

Front 28

When a doctor tried to pull a schizophrenic patient towards a water fountain, she planted her feet to resist. What is this called?

Back 28

Negativism - automatic resistance to all instructions (catatonic behavior)

Front 29

The 5 A's that are the negative symptoms of schizophrenia

Back 29

-Asociality - withdraw from relationships
-Avolution - loss of initiative
-Affective flattening
-Alogia -poverty of speech, thought
-Anhedonia

Front 30

Excess ____ is thought to be responsible for psychosis.

Back 30

Dopamine

Front 31

What other potential biomolecules are associated with psychosis?

Back 31

serotonin, glutamate

Front 32

Twin studies show _____% concordance in schizophrenia

Back 32

40-50%

Front 33

What are the diagnostic criteria for schizophreniform disorder?

Back 33

Symptoms for at least one month but less than 6

Front 34

Brief psychotic disorder is characterized by at least ____ positive symptom(s) of schizophrenia for ____________, with eventual return to previous functioning?

Back 34

one; 1 day - 1 month

Front 35

Illness in which psychosis and mood disorder are both present for a substantial part of the illness, and psychosis exists at some point in the absence of mood symptoms

Back 35

schizoaffective disorder

Front 36

Two subtypes of schizoaffective disorder

Back 36

-bipolar - mood episodes are manic and depressive
-depressive - only major depressive episodes

Front 37

Rare disorder with later onset, in which individual has normal functioning, except surrounding one delusion (usually persecution or jealousy)

Back 37

delusional disorder

Front 38

Erotomanic delusions are the delusion that what?

Back 38

Someone famous/of high status is in love with you

Front 39

What is a shared psychotic disorder?

Back 39

rare case of simultaneous occurrence of psychotic symptoms in two or more individuals

Front 40

T/F Major depression can present with psychosis

Back 40

True

Front 41

3 causes of psychosis besides schizophrenia and related disorders

Back 41

-underlying medical condition (neurological)
-substance/medication
-other psychiatric disorders