non affective psychosis

Question 1

biggest differences between disorders in this section relate to the: (4)`

Answer 1

1. number of symptoms
2. severity of symptoms
3. course of illness
4. presumed cause

Question 2

other unspecified schizophrenia spectrum and other psychotic disorder diagnosed when:

Answer 2

symptoms of psychosis cause clinically significant distress and do not meet full criteria for any of the disorders in schizophrenia spectrum and there is insufficient info to evaluate course of symptoms

Question 3

other specified schizophrenia and other psychotic disorder diagnosed when there are these designations: (4)

Answer 3

1. persistent auditory hallucinations
2. delusions with significant overlapping and mood episodes
3. attenuated psychosis syndrome
4. delusional symptoms in partner of individual with delusional disorder

Question 4

folie a deux includes several syndromes in which symptoms:

Answer 4

are transmitted from one person to one or more other with whom the apparent instigator is intimately associated

Question 4

attenuated psychosis syndrome:

Answer 4

psychotic like symptoms that are below a threshold for full psychosis

Question 5

brief psychotic disorder diagnostic criteria:

Answer 5

1. presence of one or more symptoms and at least 1 must be delusions, hallucinated or disorganized speech
2. duration of an episode being at least 1 day but less than one month with eventual full return to premorbid level of functioning

Question 6

delusional disorder diagnostic criteria:

Answer 6

1. presence of one or more delusion with a duration of 1 month or longer
2. functioning not markedly impaired
3. if mood episodes occurred, these have ben brief relative to other delusional periods

Question 7

catatonia 12 symptoms:

Answer 7

1. stupor
2. catalepsy
3. waxy flexibility
4. mutism
5. negativism
6. posturing
7. mannerism
8. stereotypy
9. agitation
10. grimacing
11. echolalia
12. echopraxia

Question 8

stupor:

Answer 8

no psychomotor activity and not actively relating to environment

Question 9

catalepsy:

Answer 9

passive induction of a posture held against graver

Question 10

negativism:

Answer 10

no response to instruction of external stimuli

Question 11

posturing:

Answer 11

spontaneous and active maintenance of a posture against gravity

Question 12

stereotypy:

Answer 12

repetitive, abnormally frequent, non goal directed movements

Question 13

echolalia:

Answer 13

mimicking another’s speech

Question 14

echopraxia:

Answer 14

mimicking another’s movements

Question 15

who introduced the term schizotype to represent a schizophrenic phenotype?

Answer 15

Sandor rado

Question 16

who really drove the field of schizophrenic genetic causes?

Answer 16

Paul meehl and presented his theory that made a departure from the held belief that schizophrenia was due to childhood environments

Question 17

what did Meehl posit?

Answer 17

that a schizogene led to an aberration in synaptic signal selectivity

Question 18

what did meehl call the aberration in synaptic signal selectivity?

Answer 18

hypokrisia

Question 19

schizotaxia

Answer 19

disruption of neural functioning due to hypokrisia and disrupted the way that the brain integrated info at a neural level

Question 20

in the presence of genetic potentiators and disrupted social environments, hypokrisia and schizotaxia also led to:

Answer 20

the development of schizotypy

Question 21

Meehls definition of schizotypy:

Answer 21

a personality showing ambivalence, aversive drift, deism, autism, cognitive slippage

Question 22

ambivalence:

Answer 22

tendency to experience divergent emotions towards situations, objects or people simultaneously

Question 23

dereism:

Answer 23

thinking illogically or away from reality

Question 24

autism:

Answer 24

lack of or awkward communication

Question 25

cognitive slippage:

Answer 25

inability to control associations made within context of things such as dreams, creative thoughts and free association

Question 26

Quasi dimensional view and who by?

Answer 26

dimensional in only. subset of population made me meehl. he said only 10 percent of population has schizotypy

Question 27

fully dimensional view and who by?

Answer 27

dimensional across entire population and is in psychotic disorders too which is the modern view made by Claridge

Question 28

why was scizotypical personality disorder designed?

Answer 28

to describe the attenuated schizo symptoms often observed in biological relatives of individuals with schizophrenia

Question 29

in the dsm, personalty disorders represent:

Answer 29

variants of personality traits that merge imperceptibly into normality and into one another

Question 30

does the dsm recognize schizotypal personality disorder in schizophrenia spectrum category?

Answer 30

yes

Question 31

schizotypal personality disorder diagnostic criteria:

Answer 31

pattern or social and interpersonal deficits marked by discomfort with and reduced capacity for close relationships as well by eccentricities and perceptual distortions of behavior and 5 or more of the following

Question 32

schizotypal distortions and eccentricities: (9)

Answer 32

1. ideas of reference
2. odd beliefs of magical thinking that influences behavior and is inconsistent with subcultural norms
3. unusual perceptual experiences
4. odd thinking and speech (vague, metaphorical, overelaborate)
5. suspiciousness or paranoia ideation
6. lack of close friends
7. inappropriate or constricted affect
   8.excessive social anxiety that doesn’t diminish with familiarity and tends to be associated with paranoid fears rather than negative judgments

Question 33

treatment for schizotypal disorder:

Answer 33

CBT and low dose antipsychotic meds may be used

Question 34

what is shizophreniform disorder:

Answer 34

time limited diagnosis that can be a precursor to developing schizophrenia and is often given when someone is experiencing their “first episode” of psychosis

Question 35

schizophrenum disorder criteria:

Answer 35

1. two or more of the following, each present for significant portion of time during a 1 month period.
2. episode of disorder lasts at least 1 month but less than 6 months
3. diagnosis must be made without waiting for recovery, should be qualified as provisional

Question 36

prototypical psychotic disorder:

Answer 36

tends to involve abnormalities in all 5 of the psychotic domains and tends to begin during late adolescence and early adulthood

Question 37

schizophrenia diagnostic criteria:

Answer 37

1. two or more of following and each present for a significant portion of time during 1 month period.
2. for significant portion of time, level of functioning in one or more major areas is markedly below level achieved prior to onset
3. continuous signs of disturbance persist for at least 6 months and this 6 month period must include at least 1 month of symptoms that meet criterion A and may include periods of prodromal and residual periods as well but only may be presented as negative symptoms