Schizophrenia 5.4c Flashcards
(16 cards)
Schizophrenia
The ability to function is impaired by severely disordered beliefs, perceptions, inappropriate emotions, and behaviors
Positive symptoms
Presence of problematic behaviors (delusions, hallucinations, disorganized thought and speech, bizarre behaviors)
Negative symptoms
Absence of healthy behaviors (Reduced social interaction, flat affect, lack of motivation, absence of speech). Severe cases: catatonia
Types of hallucinations
Auditory: Hearing voices
Visual: Seeing things not actually there
Tactile: Feeling skin sensations
Delusions
Grandeur: More important
Persecution: People are out to get you
Sin or Guilt: Responsible for an accident because you forgot to brush your teeth
Influence: False beliefs of being controlled by outside forces
Reference: Stories or events are created especially for you
Disorganized speech
Word Salad: A string of words that vaguely resembles language
Neologisms: Making up words
Clang Speech: Rhyming all the words
Echolalia: Repeating exactly what someone else has said
Echopraxia: Repeating exactly what someone else has done
Disorganized behavior
Perserveration: Repeating the same activity over and over again
Dressing oddly
Doing things in public that are usually done only in private
Disorganized thought
Over-inclusion - jumping from idea to idea
Paralogic - on the surface, seems logical, but is seriously flawed
Disorganized emotions
Flat affect: Lack of any emotion
Inappropriate affect: Laughing then going into crying
Catatonic
Stupor: Unresponsiveness to the environment
Excitement: Restless, agitated, compulsive movements
Acute/Reactive
Develops rapidly, usually after a stressful event. High rate of recovery.
Chronic/Process
Develops slowly, often with negative symptoms, low recovery rate
Causes of schizophrenia
Dopamine hypothesis
Brain abnormalities
Tissue loss
Viral infection theory
Dopamine Hypothesis
Excess receptors for dopamine; hyper respond to dopamine, a potential cause for positive symptoms
Brain abnormalities
Enlarged cerebral ventricles and reduced neural tissue around the ventricles; decreased frontal lobe, increased thalamus, and amygdala
Tissue loss
Once the brain starts pruning, people who have early-onset schizophrenia the brain overdone the pruning
Viral infection theory
Mothers with the flu in the second trimester have very high rates