Week Ten - Psychosis/Schizophrenia Flashcards
Positive symptoms?
ADDED Hallucinations Delusions Bizarre behaviour Positive formal thought disorder
Negative symptoms?
SUBTRACTED Disturbances in the logical process of thoughts - speech and behaviour Alogia Affective flattening Avolition-apathy Anhedonia-asociality Attentional impairment
Disorganisation syndrome?
Includes chaotic speech, thoughts and behaviour
5 key features of psychosis?
- Hallucinations
- Delusions
- Disorganised thinking (speech)
- Grossly disorganised or abnormal behaviour (catatonia)
- Negative symptoms
SCHIZOPHRENIA DSM-5 criteria?
A. Need to have 2 or more of the following - for most of one month - with at least one being one of the top 3 Delusions Halluncinations Disorganised speech Disorganised or atatonic behaviour Negative symptoms
B. Level of functioning in one or more areas (work, self care) is below the level achieved prior to onset
C. Persists for at least 6 months (including one month of symptoms that meet the first point)
D. Schizoaffective disorder and depressive or bipolar disorder have been ruled out (no depressive or manic episodes have occurred)
E. Not attributable to a substance or another medical condition
Delusions?
Strange beliefs that are maintained despite evidence to the contrary
Can people with schizophrenia rationalise their delusions?
Some people, particularly high functioning people, can rationalise their delusional beliefs
BUT it may be a constant struggle because while they can rationally see that their belief is not supported by evidence, it just doesn’t ‘feel’ right
Hallucinations?
Perception in the absence of sensory stimulation
May be: Auditory Visual Somatic/tactile Olfactory
Not just like imagining someones voice - like you are hearing actual voices.
Disorganization symptoms?
Means disturbances in the logical process of thought - apparent in speech and behaviour
Positive thought disorder
Bizzare behaviour
Inappropriate affect
Positive formal thought disorder?
Derailment Tangentiality (go off on tangents) Incoherence Illogicality Circumstantiality Pressure of speech Distractable speech Clang associations (grouping words together)
Bizarre behaviour?
Bizarre clothing and appearance
Bizarre social and sexual behaviour
Aggressive and agitated behaviour
Repetitive or stereotyped behaviour
Alogia? (NS)
Poverty of speech
Affective blunting? (NS)
unchanged facial expressions, poor eye contact
Avolition apathy? (NS)
Poor grooming and hygiene
Anhedonia-asociality? (NS)
Decrease in recreational interests and activities, sex interest, intimacy and closeness
