Quiz #3: Schizophrenia Flashcards Preview

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Flashcards in Quiz #3: Schizophrenia Deck (58)
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1

Psychosis

Refers to the mental state of not being in touch with reality. Person does not realize that others are not experiencing the same things and wonders why others are not reacting in same way.

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Schizophrenia

• Serious and persistent neurobiological involvement
• Can severely impair the lives of individuals, their families, and communities
• Is one form of psychotic disorders

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Other forms of Schizophrenia

-Schizophreniform disorder
-Schizhoaffective disorder
-Delusional disorder
-Brief psychotic disorder
-Shared psychotic disorder
-Substance-induced psychotic disorder

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Etiology of Schizophrenia

Occurs when multiple inherited gene abnormalities combine with nongenetic factors (e.g., viral infections, birth injuries, environmental stressors, prenatal malnutrition), altering the structures of the brain, affecting the brain’s neurotransmitter systems, and/or injuring the brain directly

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Assessment of Schizophrenia: Positive Symptoms

Presence of something that is not normally present (e.g., hallucinations, delusions, bizarre behavior, paranoid, abnormal movements)

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Assessment of Schizophrenia: Negative Symptoms

Absence of something that should be present (e.g., interest in hygiene, motivation, ability to experience pleasure)

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Assessment of Schizophrenia: Cognitive Symptoms

Often subtle changes in memory, attention, or thinking

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Assessment of Schizophrenia: Affective Symptoms

Symptoms involving emotions and their expression

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Positive Symptoms of Schizophrenia: Alteration in Thoughts

1. Delusions
2. False, fixed belief, cannot be corrected by reasoning. (Grandiose, religious, nihilistic, somatic, paranoid)
3. Concrete thinking (impaired ability to think abstractly)

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Grandiose

fantastical belief that one is famous, omnipotent, wealthy, or otherwise very powerful (usually supernatural or sci-fi theme)

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Nihilistic Belief

believe that nothing is real, including themselves

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Somatic thinking

thinks body is diseased in some way (infested with parasites)

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Schizophrenia: Alterations in Speech

1. Associative looseness (interrupted and disjointed, illogical)
2. Clang associations (words based on sound than meaning)
3. Word salad (jumbled words)
4. Neologisms (made up words, have meaning for client)
5. Echolalia (repeating of another’s words)

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Schizophrenia: Other disorders of thoughts or speech include

-Religiosity
-Magical Thinking
-Paranoia
-Circumstantiality
-Tangentiality
-Cognitive Retardation
-Alogia
-Rapid pressured speech
-Flights of Ideas
-Thought blocking
-Thought insertion
-Thought deletion
-Illogical or bizarre thinking
-Inability to maintain attention

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Religiosity

Preoccupation of religious themes

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Magical thinking

Thoughts or actions can control others

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Circumstantiality

Unnecessary details in conversation

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Tangentiality

Going around the bush, leaving the main topic

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Cognitive retardation

Slow pace of thinking

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Alogia

Poverty of speech, lack of comments

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Though blocking

Abrupt stopping

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Thought insertion

Ones thought is not ones own and has been inserted

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Thought deletion

Ones thought is taken

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Depersonalization

One’s thoughts/feelings seem unreal or not to belong to oneself

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Derealization

External world seems unreal or change

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Hallucinations

(No external stimuli)
-Auditory
-Command
-Visual
-Olfactory
-Tactile
-Command Hallucination

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Positive Symptoms of Schizophrenia: Alterations in Behavior

• Motor agitation
• Echopraxia
• Meaningless repetition or imitation of the movements of others
• Echolalia (Involuntary parrotlike repitition (echoing) of a word or phrase just spoken by another person; Especially seen in catatonia)
• Impaired impulse control
• Gesturing or posturing – assuming unuasual posture or position
• Boundary impairment

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Negative Symptoms of Schizophrenia

1. Affect (blank, blunted, inappropriate bizarre)
2. Alogia (poverty of speech)
3. Avolition
4. Anhedonia
5. Attentional deficit

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Avolition

Decreased motivation to perform self-directed purposeful activities

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Anhedonia

Inability to feel pleasure