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Exam #3
Schizophrenia
25
Psychology
Undergraduate 4
12/14/2011

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Term
Biopsychosocial Model
Definition
Multiple genes involved :shyness, introversion, neurological issues; developmental problems; environmental problems - interpersonal isolation & stress
Term
Prevalence
Definition
1% of US pop affected, 1% of world pop affected; $65 billion spent annually on treatment; complete remission is rare
Term
Schizophrenia Definition
Definition
Spectrum of dysfunctions, delusions, hallucinations, disorganized speech, behavior & affect/emotions
Term
Kraepelin
Definition
Believed all mental illnesses are biologically based; schizophrenia = catastrophic + hysteria + paranoid; believed schizophrenia started early & left people mentally weak & vulnerable; coined term "manic depression" & "dementia"
Term
Wundt
Definition
Hired Kraepelin - focused on introspection, taught empirical research process & how to observe, describe & track disorders
Term
Freud
Definition
Psychoanalysis - dysfunction in relation to norms; influenced everything in psychology up until 1960
Term
Myer
Definition
Believed mental illness is biological & psychological
Term
1960s Treatment to Disorders
Definition
Neuroleptics emerged, disorders began being biologically treated - primarily by meds, behavior therapy took over as main psychological perspective (Skinner)
Term
Murray & Fearon (1999)
Definition
Developmental "risk factor" model of schizophrenia: susceptibility of multiple genes & Early cerebral hazards --> childhood antecedents --> Social adversity + drug abuse = Schizophrenia
Term
Schizophrenia Markers
Definition
Developmental delays, blood problems, physiological issues
Term
Schizophrenia Symptoms
Definition
Different for different patients, patients usually not violent except in cases of paranoid schizophrenia patients
Term
3 Types/Classes of Symptoms (Schizophrenia)
Definition
1. Positive: hallucinations (self talk; 2. Negative: absence of something - abolition (w/o motivation or will to do something), alogia (mute, "w/o words") & flat affect/emotion ("w/o emotion", mono-toned, can't express feelings); 3. Disorganized: speech, inappropriate affect, behavior - catatonia & extreme withdrawal (waxy flexibility, can mold another's posture & they completely maintain & submit
Term
Schizophrenia Criteria for Types (Schizophrenia)
Definition
Paranoid - extreme suspiciousness, preoccupation w/ delusional system; Disorganized - speech, behavior, emotional inappropriateness.flatness; Catatonic - extreme withdrawal, periodic muscle flexibility (waxy or stupor - hold 1 position), echolodia (mimic speech), echopraxia (mimic behavior/actions); Undifferentiated - get some type of every symptom so can't categorize; Residual Type - after treatment, major signs decreased but still evidence of disturbance
Term
Schizophrenia Treatment
Definition
Combination of drugs & psychotherapy; reteach how to interact w/ others
Term
Schizophreniform Disorder
Definition
1 month of classic symptoms, but episodic; prevalent in 0.2% of pop
Term
Schizophrenia Diagnostic Criteria
Definition
2/5 symptoms within past 6 months (1 month where symptoms present day & night): delusions, hallucinations, disorganized/incoherent speech, disorganized behavior
Term
Etiology of Schizophrenia
Definition
Gene action & brain abnormalities - focus research on drugs that help patients; life expectancy is shorter than normal; male onset: decreases w/ age, but increases after 36 years old; female onset: high before age 36, respond better to treatment
Term
Schizoaffective Disorder
Definition
Major depressive or manic episode cycling
Term
Delusional Disorder
Definition
Persistent belief absolutely contrary to reality & eroto-mania - patient believes they are super sexy & that dominates everything
Term
Schizophrenia Development (Course Phases)
Definition
Premorbid: childhood markers; Prodromal: slow deterioration before symptoms become apparent; Chronic/Residual Symptoms; Remission: rare
Term
Genetic Influences (Schizophrenia)
Definition
Family, twins raised together & separately, & adoption studies
Term
Gottesman (1991)
Definition
Risk of developing Schizophrenia data: if environment is solely responsible, there should be little differences between prevalence in identical & fraternal twins; if genes are solely responsible, both identical twins should have schizophrenia; approx 50% genetics vs. 50% environment & other causes
Term
Neurological Influences (Schizophrenia)
Definition
Theory: Dopamine system is "too active"; brain structures: size of ventricles; early intrauterine environment; birth complications; obstetrical complications; fetal exposure to infections, etc
Term
Psychological/Social Influences (Schizophrenia)
Definition
Role of stress, families, relapse
Term
Schizophrenia Treatment
Definition
Insulin shock, psychosurgery, ECT, antipsychotic meds (high variability), psychosocial treatments; Combination Treatment is optimal
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