Lecture 15 & Reading Flashcards
(17 cards)
What is the most common treatment for schizophrenia?
Antipsychotics
Which disorder has the most inhumane treatment history?
Schizophrenia
Who is Philippe Pinel?
He started moral treatment movement for schizophrenic patients. This led to the creation of state hospitals
What were the use of back wards for?
In state hospitals, used for difficult patients and were held in isolation
Which syndrome consists of extreme withdrawal, anger, aggressiveness, no interest in hygiene, appearance, functioning?
Social breakdown syndrome
What are the two types of lobotomies?
- Prefrontal leukotomy
- Trans orbital lobotomy
Who created the first lobotomy?
1935- Egas Moniz
Who developed the second lobotomy?
1940s- Walter Freeman and James Watts
Which two institutional approaches were developed by clinicians in the 1950s for patients who lived in institutions for years?
- Milieu therapy (based on humanistic principles)
- Token economy program (behavioral principles)
A humanistic approach to institutional treatment based on the premise that institutions can help patients recover by creating a climate that promotes self respect, responsible behavior, and meaningful activity
Milieu therapy
A behavioral program in which a person’s desirable behaviors are reinforced systematically throughout the day by the awarding of tokens that can be exchanged for goods or privileges
Token economy program
How effective are token economy programs?
After 4 and a half years 98% of chronic schizophrenia patients had been released, mostly to sheltered care facilities compared with 71% of patients treated in milieu program
What are the limitations of token economies?
- Uncontrolled
- Questionable quality improvements
- Difficult for patients to make a satisfactory transition from hospital token economy programs to community living
Drugs that he’ll correct grossly confused or distorted thinking
Antipsychotic drugs
Conventional antipsychotic drugs, so called because they often produce undesired effects similar to the symptoms of neurological disorders
Neuroleptic drugs
How effective are antipsychotic drugs?
At least 65% of patients diagnosed with schizophrenia have reduced symptoms
Unwanted movements such as severe shaking, bizarre looking grimaces, twisting of the body, and extreme restlessness, sometimes produced by conventional antipsychotic drugs
Extrapyramidal effects
