Psychosis and Schizophrenia Flashcards Preview

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Flashcards in Psychosis and Schizophrenia Deck (22):
1

What is psychosis?

mental disorder
inability to distinguish between subjective experience and reality

2

What is affected in psychosis?

thoughts
affective response
ability to recognise reality ability to communicate and relate to others

3

What are the classic characteristics of psychosis?

lack of insight
hallucinations
delusions
disordered thought

4

What is a hallucination?

a perception which occurs in the absence of external stimulus
experienced as originating in real space (not just in thoughts)

5

What are the different types of hallucination?

olfactory
gustatory
somatic e.g. insects crawling on skin
visual (simple - light flashes, complex - face or figure)
auditory (2nd or 3rd person)

6

What is the most common type of hallucination?

auditory

7

What is passivity phenomenon?

behaviour experienced as being controlled by external agency

8

What can passivity phenomenon affect?

thoughts - e.g. thought broadcasting, withdrawal or insertion
actions and feelings

9

What is thought broadcasting?

the belief that others can hear or are aware of your thoughts
e.g. someone refusing to explain their problem 'I know you know what I'm thinking'

10

What is thought insertion?

experiencing your own thoughts as someone else's e.g. someone complaining of violent thoughts 'put there by satan'

11

What is thought withdrawal?

the belief that thoughts have been taken out of your mind
e.g. belief that a government agency is stealing your thoughts

12

What are some common delusional themes in schizophrenia?

persecution
grandiose
nihilistic
religious
self referential experiences

13

What are common auditory hallucinations in schizophrenia?

command
derogatory
conversing
running commentaries

14

What are self referential experiences?

the belief that external events are related to oneself
can vary in intensity
e.g. people are talking about me, radio transmitting message for me, car reg plate containing hidden messages

15

What are some differentials for psychotic symptoms?

dementia
delirium
depression
mania
psycho-active substance use
schizophrenia

16

What core psychotic symptoms are present in schizophrenia?

delusions
hallucinations
passivity phenomena

17

What are some positive symptoms in schizophrenia?

hallucinations
delusions
passivity phenomena
disorder of form of thought

18

What are some negative symptoms in schizophrenia?

restricted range of affect
decreased social interaction
decreased motivation and interest
decreased speech

19

What is the biggest risk factor for developing schizophrenia?

positive family history

20

What is the speech like in schizophrenia?

pressurised
distractible

21

How is schizophrenia diagnosed?

clinical diagnosis

22

How is schizophrenia treated?

CBT
antipsychotics