lecture 6 Flashcards
(25 cards)
psychosis
mental state in which the individuals cognitive judgement and contact with reality are disturbed
major disturbances in thought emotion and behaviour
disordered thinking
ideas not logically related , faulty perception and attention
lack of emotional expressiveness
inappropriate / flat emotions
disturbances in movement or behaviour
disheveled appearance eg wearing jumpers in hot weather
withdrawal from there people and from everyday reality
significantly increased rates of suicide and death - disrupt interpersonal relationships , diminish capacity to work or live independently
problem with maintaining
social relationships - difficult to get along with everyone
historical concept
emil kraepelin classified what was previously considered to be a unitary concept of psychosis into 2 distinct forms of manic depression and dementia praecox
manic depression
now seen as comprising a range of mood disorders such as recurrent major depression and bipolar disorder
dementia praecox
nowadays known as schizophrenia
bleaker coined the term
schizophrenia - split mind - loosening of thoughts and feelings
DSM criteria for schizophrenia
two or more of the following at least 1 month of acute episode- delusions , hallucinations, disorganised speech, disorganised behaviour and negative symptoms as well as decreased functioning in work, self care or relationships
3 major clusters of symptoms
positive, negative or disorganised
positive
excess/distortion of nor al functions eg hallucinations and delusion s
negative
normal functioning is limited eg speech poverty and avolition
disorganised
disorganised behaviour and speech
delusions
firmly held beliefs , false contrary to reality and resistant to discomforting evidence
types of delusions
persecutory delusions, grandeur, thought insertion , thought broadcasting and delusion of guilt
hallucinations
when someone sees , hears , smells or tastes things that don’t exist outside our mind
hallucinations are
normally auditory - 74%. hearing voices - increased levels of activity in Brocas area - produce language
negative symptoms example
abolition- lack of interest, asociality , anhedonia- no feeling of pleasure , blunted affect- emotion and logia - reduction in speech
disorganised speech
incoherence - inability to organise ideas, loose associations- derailment- rambles difficultly sticking to one topic
disorganised behaviour
odd / peculiar behaviour - silliness agitation unusual dress
movement symptoms
catatonia state of apparent unresponsiveness to external stimuli
motor abnormalities - repetitive complex gestures
catatonic immobility
maintain unusual posture for long periods of time
