Module 6: Schizophrenia and Related Disorders Flashcards

1
Q

The development of _________ symptoms marks the formal onset of the first episode of schizophrenia

A

psychotic symptoms

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2
Q

Many argue that schizophrenia is a…

A

recent disorder

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3
Q

What factors were speculated to have been involved in the sudden and escalating emergence of schizophrenia in modern life?

A

increasing industrialization, the movement of people to cities from towns and countryside, and environmental changes

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4
Q

Other people argue that specific schizophrenia symptoms were not recorded in the earlier times because people viewed…

A

mental disorder differently

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5
Q

Who was the first to put negative symptoms together with positive symptoms?

A

Emil Kraepelin

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6
Q

Positive (psychotic) symptoms include:

A

Exaggerated and distorted adaptations of normal behaviour.

Include the more obvious signs of psychosis: delusions, hallucinations, though & speech disorder, catatonic behaviour

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7
Q

Negative symptoms include:

A

The absence or loss of typical behaviours and experiences
May take the form of sparse speech, and language, social withdrawal, avolition
Anhedonia
Diminished attention/concentration

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8
Q

What is the most common form of hallucinations?

A

Auditory

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9
Q

Persecutory delusions

A

Individuals believe that they are being pursued or targeted for sabotage, ridicule, or deception
** “paranoid” delusions

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10
Q

Referential delusions

A

Belief that common, meaningless occurrences have significant and personal relevance

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11
Q

Somatic delusions

A

Beliefs related to the patient’s body

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12
Q

Religious delusions

A

The belief that biblical or other religious passages or stories offer the way to destroy or save the world

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13
Q

Delusions of grandeur

A

A belief in divine or special powers that can change the course of history or provide a communication channel to God

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14
Q

Research suggests that hallucinations develop from a…

A

misattribution of sensory experience

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15
Q

Avolition

A

The inability to initiate and persevere in activities

Aka ‘apathy’

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16
Q

Anhedonia

A

Denotes a lack of pleasure or reward experiences

17
Q

What are both required to push people into psychosis?

A

Vulnerability (diathesis) and disorder promoting events (stress)

18
Q

For a diagnosis of schizophrenia to be made, symptoms must persist for at least…

A

6 months

19
Q

For a diagnosis of schizophrenia to be made, the individual must demonstrate one core positive symptom

TRUE or FALSE

A

TRUE

20
Q

How does brief psychotic disorder differ from schizophrenia?

A

duration of less than one month

21
Q

How does schizophreniform disorder differ from schizophrenia?

A

duration of at least one to six months

22
Q

Delusional disorder

A

Persistent delusions for one month or more without overtly bizarre behaviour or other schizophrenia symptoms

23
Q

How does schizoaffective disorder differ from schizophrenia?

A

Concurrent with a major depressive or manic episode

24
Q

Meehl’s Theory of Schizotaxia, Schizotypy, and Schizophrenia

A

Proposes a biological diathesis - hypokrisia

A gene - schizogene - interacts with the environment and other genes to cause this diathesis

Hypokrisia produces “cognitive slippage”

Cognitive slippage can give rise to aversive drift

A person experiencing cognitive slippage and aversive drift is termed a “schizotype”

Hypokrisia, cognitive slippage, and aversive drift are modified or intensified by personality, temperament, and cognitive traits, and this takes place within stressful or supportive social

25
Q

Neurodevelopmental Diathesis-Stress Theories

A

Subtle brain injuries that affect normal maturational demands

Biological vulnerability to schizophrenia can make it difficult to cope with surging hormones on brain chemistry

26
Q

All diathesis-stress theories of schizophrenia hypothesize a ___________ vulnerability that is either inherited or acquired very early in life

A

biological

27
Q

Dopamine Hypothesis

A

Surge of dopamine activity that produces psychotic symptoms (drugs can have this effect - but medication can also block dopamine to mediate these symptoms)

28
Q

Social skills training and cognitive remediation are two treatments that are most effective with _________ patients

A

younger

29
Q

Prodrome

A

Refers to the period before the appearance of psychotic symptoms when vulnerable adolescents often become withdrawn and suspicious