SCHIZOPHRENIA Flashcards

1
Q

It encompasses a group of psychotic reactions that affect multiple areas of the individual’s functioning, including thinking and communicating, perceiving and interpreting reality, feeling and demonstrating emotion, and behaving in socially acceptable manner.

A

Schizophrenia

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2
Q

It is characterized by withdrawal from reality, illogical patterns of thinking, delusions, and hallucinations, and accompanied in varying degrees by other emotional, behavioral, or intellectual disturbances.

A

Schizophrenia

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3
Q

Who coined schizophrenia

A

Eugene Bleuler (Swiss Psychiatrist)

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4
Q

A greek word of schizophrenia which means that there is a disconnection or splitting of the psychic functions.

A

Split presonality

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5
Q

Shcizo is a severe mental disorder that is characterized by 5 A

A

Affect
Association
Autism
Ambivalence
Auditory Hallucination

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6
Q

a person’s mood, feeling tone or emotions.

A

Affect - It is usually blunted, inappropriate, or flat

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7
Q

Association

A

Loose or distorted

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8
Q

a thought process in which the person retreats from reality.

A

Autism

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9
Q

contradictory or opposing emotions, attitudes, ideas and desires for the same person, thing or situation

A

Ambivalence

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10
Q

Nodal onset for men

A

18 to 25

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11
Q

Nodal onset for women

A

25 and mid- 30’s

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12
Q

Causes of Schizo

A

*Genetic predisposition
*Neuro developmental abn
*Brain structural abn and chem imbalances
*Psychosocial and environmental factors

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13
Q

One affected parent

A

12% to 15%

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14
Q

Both parents

A

35% to 39%

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15
Q

Sibling

A

8 to 10%

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16
Q

Dizygotic twin

A

15%

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17
Q

Monozygotic twin

A

50%

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18
Q

Distant relative

A

3 to 5%

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19
Q

2Neuro developmental abnormalities

A

Minor fetal malformation during early gestation
-influenza infection (2nd tri)
-trauma at birth (hypoxia or o2 depri)
-abuse during infancy or early childhood

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20
Q

Brain structural abnormalities and chemical imbalances

A

*enlarged ventricles
*dec. cortical bld flow (pre-frontal cortex)
*dec. metabolic act
*cerebral atrophy
*excess prod. of dopamine in brain

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21
Q

What neurotransmitters plays an important role in dev’ of schizo

A

Serotonin, nor epinephrine, glutamate, GABA

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22
Q

Psychosocial and environmental factors

A

*lack of warm, nurturing attention
*Families who have highly expressed emotions
*consistent low-socio-economic
*Biologically vulnerable (exposed to stressors)

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23
Q

reflect the symptoms of overt psychotic or distorted behavior

A

Positive Symptoms

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24
Q

Positive symptoms

A

*Excess or distortion of normal functions
*Bizarre or disorganized behavior
*Hallucinations
*Illusion
*delusions
*Excitement and agitation
*Hostility or aggressive behavior
*Suspiciousness
*Pressured speech
*Possible suicidal tendencies
*Loose association

25
Q

everything occurring in environment has a direct significance to oneself

A

delusion of reference

26
Q

people or institutions are plotting against or attacking him

A

delusion of persecution

27
Q

one is controlled by others or outside forces

A

delusion of external control

28
Q

appearance or functioning of one’s body is altered. A person with this type of delusional disorder believes that he or she has a physical defect or medical problem.

A

somatic delusion

29
Q

Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon.

A

Erotomanic

30
Q

A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery.

A

Grandiose

31
Q

People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them. It is not uncommon for people with this type of delusional disorder to make repeated complaints to legal authorities.

A

Persecutory

32
Q

creating new words

A

neologism

33
Q

words in a sentence that may seem connected but do not compose coherent thought

A

Word salad

34
Q

senseless repetition of the words of another person

A

echolalia

35
Q

senseless copying of another person’s behavior or action

A

echopraxia

36
Q

words that rhyme are put together for their sound association, without coherent thought

A

clang association

37
Q

continuous flow of verbalization in which the person jumps from one topic to another

A

flight of ideas

38
Q

Negative symptoms

A

*Anergia
*Anhedonia
*Emotional withdrawal
*Poor eye contact
*Blunted affect
*Ambivalence
*Avolition
*Difficulty to abstract thinking
*Alogia
*Dysfunctional relationship with others

39
Q

lack of energy

A

Anergia

40
Q

lack of pleasure in activities and things that the individual would normally perceive as pleasurable or enjoyable

A

Anhedonia

41
Q

lack of motivation to persist a goal- oriented activity

A

Avolition

42
Q

refers to decreased speech pattern or poverty of speech

A

Alogia

43
Q

Types of Shcizo

A

Paranoid
Disorganized
Catatonic
Undifferentiated
Residual

44
Q

systematized delusions or auditory hallucinations; maybe suspicious, argumentative, hostile and aggressive. Prognosis is better

A

Paranoid

45
Q

Paranoid behavior

A

Less regressive and not socially impaired

46
Q

disorganized speech and behaviors. flat or inappropriate affect. odd mannerisms, extreme social withdrawal, neglect hygiene and appearance. before 25

A

Disorganized

47
Q

Disorganized behavior

A

Regressive, poor social interaction, poor reality contact

48
Q

marked psychomotor disturbances, which may involve immobility or excessive activity

A

Catatonic

49
Q

may exhibit inactivity, negativism, and waxy flexibility

A

Catatonic stupor

50
Q

involves extreme agitation and may be accompanied by echolalia and echopraxia

A

Catatonic excitement

51
Q

There is a current absence of acute symptoms, but a history of past episodes but marked social isolation, withdrawal, and impaired role functioning maybe present

A

Residual

52
Q

Other psychotic disorders

A

Schizoaffective
Brief reactive psychosis
Schizophreniform
Delusional
Shared Psychotic Disorder (folie a deux)

53
Q

refers to behavior characteristic of schizophrenia in addition to those indicative of disorders of mood such as depression or elation

A

Schizoaffective disorder

54
Q

the essential features include a sudden onset of psychotic symptoms in response to a severe psychosocial stressors.

A

Brief reactive psychosis or brief psychotic disorder

55
Q

When does Brief reactive psychosis or brief psychotic disorder lasts

A

few hours to one month with a virtual return

56
Q

The essential features are identical to those of schizophrenia with the exception that the duration is less than 6 months but more than 4 weeks.

A

Schizophreniform disorder

57
Q

The client has one or more non bizarre delusions. That are believable ideas.

A

Delusional disorders

58
Q

Psychosocial functioning is not markedly impaired and behavior is not obviously odd or bizarre

A

Delusional Disorder

59
Q

A similar delusion is shared by two people. The person with this diagnosis develops this delusion in the context of a close relationship with someone who has a psychotic delusions

A

Shared psychotic disorder (folie a deux