Week 7 Schizophrenia Flashcards

Question

Treatment for Psychosis

Answer 1

Biological Treatment Family Interventions Psychological Therapies

Answer 2

Typical Psychotics Less Typical Psychotics Atypical Antipsychotics Positives and Negatives of drugs

Answer 3

Learning skills for basic everyday interactions – Conversational skills, appropriate physical gestures, eye contact and positive appropriate facial expressions (Smith et al., 1996) * Role-playing, modelling and positive reinforcement Better social skills, independent living and lower rates of re-hospitalisation (Hogarty, 2002)

Answer 4

Delusional thoughts and beliefs and hallucinations – Generate alternative explanations for delusional beliefs – Challenging interpretations of hallucinations/generating alternative explanations – Incorporating ‘reality’ tests for clients to test out the reality of their beliefs (e.g. Chadwick & Lowe, 1994) Learning to identify signs of relapse and cope with medication regimes Dealing with stressors/negative feedback Identifying inappropriate responses to events

Answer 5

Elements of supportive family management – Education * Diagnosis, prevalence and aetiology of symptoms * Antipsychotic medication * Helping sufferer comply with medication regime * Recognition of signs of relapse – Taught * Social skills to help solve family problems * To share experiences and avoid blaming For high EE families – Family-based programmes in conjunction with medication have been found to be beneficial (Falloon et al., 1999; Schooler et al., 1997)

Answer 6

Socially isolated Exhibiting ‘peculiar behaviour’ Spends most of time daydreaming Often talks to himself Occasionally says things that make little sense 25, single, unemployed, living with sister Contact with mental health services - please sister and husband who was worried about influence on children

Answer 7

Spoke quietly Frequent hesitations Occasionally blinked and shook his head Seemed friendly Shy Uneasy Discussed daily activities Unsuccessful efforts to fit in with family routine Bill believed if he could stop 'daydreaming', problems would be solved Expressed a wish to become better organised

Answer 8

Social Contacts Concern regarding sexual orientation –Had had some limited and fleeting sexual experiences (men and women) 'Scruples' Thoughts (‘daydreaming’)–Frequent and irregular intervals distracted by intrusive and repetitive thoughts alien to his own value system Compulsions –Repetition of sequence of self-statements

Answer 9

Youngest of 4 children Both parents 1st generation Irish Americans Many relatives still living in Ireland Bill’s childhood filled with stories of Irish heritage Much closer to mother Caught in the middle of parents’ frequent arguments Father – firefighter, ‘harsh’ and ‘distant’, had an extended affair Bill came to hate his father ‘A son should respect and admire his father’ Became ill when Bill was 12 Bill remembered wishing he would die – he did

Answer 10

No close friends as a child Not enjoy company or games other children played Described himself as clumsy, effeminate Preferred to be alone or with his mother Good student –Finished near the top of his class

Answer 11

Got his own apartment Work – Bank clerk (2 years, resigned) – not associate with work colleagues – Lift operator (1 year, fired) * Could spend time thinking about what he wanted to do * Gradually became distant and disorganised Moved back in with mother and then to sister’s

Answer 12

– First sexual experience while working at the bank with male – Bill described it as moderately enjoyable, more anxiety provoking – Small number of other sexual encounters with men and with a few women over next 2 years – Only one lasted more than a few days, but remained causal

Answer 13

Not immediately obvious that Bill was psychotic, ambiguity surrounding cog impairment - CBT, delay re: biological intervention Initially therapist adopted a passive, non-directive manner * To establish a trusting relationship with Bill * Help Bill to explore concerns re: sexual experiences, to improve his social and sexual relationships (with women or men) Followed by a more active, directive role * Identified specific problems needed to address * Bill’s routine, mumbling and lack of social contacts with peers

Answer 14

Used a ‘stimulus-control’ procedure * Bill to select one place in the house where he was permitted to ‘daydream’ and talk to himself * Whenever he felt the urge to daydream or repeat his ‘scruples’, he was to go to the specific spot before engaging in these behaviours

Answer 15

Sister to reinforce appropriate behaviour and ignore inappropriate behaviour –Breakfast

Answer 16

*Exposure to anxiety-provoking stimuli through *Rehearsal of phone calls *Practicing conversations to enable Bill to call old friends *Included homework

Answer 17

Delusional beliefs and auditory hallucinations – biological intervention *Referred to psychiatrist –Diagnosis and prescription of Risperidone –Hospitalisation not necessary *Not considered dangerous, sister able to supervise activity closely

Answer 18

Modest effect–Bill kept more regular hours in his routine–Positive results re: self-talk (although not eliminated entirely) and social interactions Continued living with sister required supportive environment Unlikely to resume normal occupational and social roles in near future

Answer 19

Positive effect –Virtual disappearance of intrusive thoughts *Reduced self-talk considerably –Delusions remained intact, although fear of observation and threat of death were less immediate

Week 7 Schizophrenia Flashcards

(43 cards)