Psychosis Flashcards

1
Q

What is psychosis?

A

Any disorder where the victim loses contact with reality

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2
Q

What the does word schizophrenia mean literally?

A

Split mind

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3
Q

When is schizophrenia usually diagnosed?

A

Early 20s in men

Early 30s in women

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4
Q

How many schizophrenics recover after first episode?

A

20%

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5
Q

How many schizophrenics successfully commit suicide and attempt suicide?

A

10% success

30% attempt

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6
Q

How many people with schizophrenia are employed?

A

19%

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7
Q

Describe the chronic phase of schizophrenia

A

Positive symptoms suppressed
More negative symptoms
May be years before another acute episode

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8
Q

What does lack of insight mean?

A

Patients cannot appreciate that delusions and hallucinations are a manifestation of the disorder
Can lead to problems with drug compliance

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9
Q

What are positive symptoms?

A

Symptoms that people with schizophrenia do not experience

e.g. hallucinations, delusions

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10
Q

What are negative symptoms?

A

Deficits

e.g. social withdrawal, blunted emotions

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11
Q

What are the cognitive deficits seen in Schizophrenia?

A
Sustained attention 
Planning 
Working memory
Language
Learning and memory
Motor processing
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12
Q

Describe the process of social reality testing

A

When young people are trying to make sense of the world, they form theories about how it works and then test it on friends to see if they have the same social understanding

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13
Q

Why do schizophrenics not have a good understanding of social norms?

A

They are socially isolated so have few opportunities to carry out social reality testing
Misconceptions are never addressed and becomes their reality of the situation

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14
Q

Give an example of “ideas of reference”

A

Patient may be watching the news and think that the news reporter is specifically talking to them, not in fact the whole population of viewers

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15
Q

Describe the theory behind auditory hallucinations

A

Individual’s own thoughts are causing the auditory hallucinations, but the individual is unable to distinguish these as coming from an internal source not an external one

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16
Q

Describe the 3 aspects of emotional disorder

A

Inappropriate emotions - e.g. laughing when told bad news
Reactivity - e.g. slight rejection may cause despair
Lack of emotions - blunted, flat, monotone voice

17
Q

Describe catatonic behavioural distribution

A

Patients may freeze in particular position for a very long period of time, then become frenzied in movement

18
Q

Describe disorganised behavioural distribution

A

Movements mimic speech

May start movement and then stop in the middle and move onto another movement

19
Q

Which two institutions have diagnostic tools for schizophrenia?

A

DSM-5

ICD-10

20
Q

How does DSM-5 classify schizophrenia?

A

Domains
Gradients
Dimensions

21
Q

How strong is the genetic link in schizophrenia?

A

Roughly 40% chance if both parents have disease

10-20% if sibling or one parent has disease

22
Q

What is the dopamine hypothesis?

A

Overstimulation of dopamine system causes schizophrenia

Classical anti-psychotics target D2 receptors

23
Q

What may be an anatomical cause of schizophrenia?

A

Hypoxia at birth –> reduced brain volume

Neuronal displacement, abnormal sized neurons

24
Q

What is the diathesis model?

A

Model that states that people that have predispositional vulnerability to disease (e.g. childhood trauma, genetic) will have a high chance of getting the disease if they experience stressful life events

25
Q

What psychological interventions are there for schizophrenia?

A

CBT - challenge delusions
Social skills training
Family intervention

26
Q

How many schizophrenics are independent?

A

30%

27
Q

How many schizophrenics are highly dependent?

A

20%