schizophrenia clinical Flashcards

(33 cards)

1
Q

what was the original name for schizophrenia

A

dementia praecox

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2
Q

what does term schizophrenia refer to

A

splitting different psychological functions within a single personality

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3
Q

what were the main symptoms of dementia praecox

A

reduced congitive function
blunting of affect
apathy and impaired goal orientated behaviour

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4
Q

what are the negative symptoms of schizophrenia (4)

A

impaired coherence of thought content /flight of ideas
blunting affect and interference
autism

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5
Q

what are some of the positive symtpoms of schizophrenia

A

delusion
acoustic hallucinations
influence of will

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6
Q

what are 5 symptoms from DSM5

A
delusions
hallucinations
disorganised speech
disorganised behaviour
negative symptoms
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7
Q

what are 4 delusion types

A

grandeur- being a famous person
persecution- others against them
reference- radio or television is speaking to them
control- thoughts controlled by external forces

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8
Q

what do hallucinations affect

A

visual
auditory
olfactory
somatosensory domain

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9
Q

what is a hallucination

A

perception in the absence of external stimulation or sensory input that has the properties of a real perception

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10
Q

what are four negative symptoms

A

affective flattening
anhedonia
avolition
asociality

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11
Q

what is affective flattening

A

limited range and intesity of emotional expression

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12
Q

what is anhedonia

A

inability to react to enjoyable or pleasurable events

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13
Q

what is avolition

A

inability to carry out normal day to day goal orientated activities

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14
Q

what is asociality

A

withdrawal into an inner world

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15
Q

what are the three difference disease onsets

A

acute onset
sub acute onset
slow or chronic onset

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16
Q

describe acute onset

A

prodromal stage shorter than 3 months

starts directly with positive symptoms

17
Q

describe sub acute onset

A

early stage between 1 month and a year

18
Q

describe slow or chronic onsey

A

slow progression

19
Q

how are twin studies used to show schizophrenia

A

high risk adoption stats= lead to dopamine hypothesis

20
Q

what is the dopamine hypothesis

A

amphetamine is dopamine agonist that elevates dopamine by inhibiting reuptake

21
Q

what does amphetamine do

A

produces positive symptoms and worstens symptoms in schizophrenics

22
Q

what are three psychological theories

A

double bind
expressed emotions
camberwell family interview

23
Q

describe double bind theory

A

paradoxically u cannot do what sign asks and implies simultaneously

24
Q

describe expressed emotions theory

A

anecdotal observation;

social group after ischarge from hospital had influence on relapse rate

25
what is a critique of camberwell family interview
expression of contempt and anger towards the patient verbally and non verbally
26
what is milieu therapy
used to counter social breakdown
27
what is token economy
based on operant conditioning
28
what are antipsychotics
class of psychiatric medication used to treat schizophrenia
29
what do antipsychotics and atypical antipsychotics do
block receptors in brains dopamine pathways but atypical also act on serotonin receptors
30
what is a long term side effect of antipsychotics
tardive dyskinesia
31
why is social skills training required
negative symptoms impair social interactions with others and prevent learning of vital social skills
32
what are three examples of social skills in training
role playing modelling eye contact
33
why is family therapy a priority
expressed emotion research highlights importance of appropriate and functional social interaction within the family stressful family interaction increases relapse rate