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Schizophrenia
abnormal psychology-schizophrenia ch 11
76
Psychology
Undergraduate 1
11/06/2008

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Term
schizophrenia
Definition
a psychotic disorder consisting of unreal or disorganized thoughts and perceptions as well as verbal, cognitive, and behavioral deficits. at least 1 month of acute sympsoms of elusions, hallucinations, disorganized thought, and speech, disorganized behavior, and negative symptoms and at least six months of some symptoms of disorder
Term
psychosis
Definition
when you are unable to tell the difference between what is real and what is unreal
Term
percent of us population that will develop schizophrenia
Definition
1 to 2%
Term
Ethnic group with highest rates of schizophrenia
Definition
African American, then european american, then hispanic americans.
Term
most common gender to be diagnosed with schizophrenia
Definition
men
Term
what happens prenatally that can cause schizophrenia
Definition
exposure to a wide variety of toxins and illnesses in utero increases the risk for abnormal brain development and the development of schizophrenia.
Term
schizophreniform disorder
Definition
same symptoms as schizophremia lasting more than one month but less than six months
Term
schizoaffective disorder
Definition
symptoms of schizophrenia coinciding with symptoms of depression or mania, but at least a two-week period when only symptoms of schizophrenia are present
Term
delusional disorder
Definition
evidence only of nonbizarre delusions of at least one months duration; functioning at relatively high level
Term
brief psychotic disorder
Definition
presence of delusions hallucinations, disorganized speech or behavior for atleast one day but less than one month
Term
shared psychotic disorder
Definition
the individual in a close relationship with someone who is delusional with similar delusions (aka folie a deux)
Term
substance induced psychotic disorder
Definition
hallucinations or delusions caused by the direct physiological effects of a substance
Term
positive/type I symptoms
Definition
in schizophrenia, hallucinations, delusions, and disorganization in thought and behavior.
Term
negative/type II symptoms
Definition
in schizophrenia, deficits in functioning that indicate the absence of a capacity present in normal people, such as affective flattening (also called Type II symptoms). they are called negative symptoms because they involve the absence of behaviors, rather than the presence of behaviors.
Term
delusion
Definition
fixed beliefs that hold no basis in reality
Term
persecutory delusion
Definition
false, persistent belief that one is being pursued by other people
Term
delusion of reference
Definition
false belief that external events, such as people's actions or natural disasters, relate somehow to oneself
Term
grandiose delusions
Definition
elevated thinking about the self, ideas of omnipotence, and the taking of credit for occurrences not personally facilitated
Term
delusion of thought insertion
Definition
the belief that one's thoughts are being controlled by outside forces
Term
hallucinations
Definition
unreal perceptual experiences
Term
auditory hallucination
Definition
hearing voices, music, etc.
Term
visual hallucination
Definition
visual perception of something that is not actually present
Term
tacitile hallucination
Definition
involve the perception that something is happening to the outside of one's body, eg buts crawling up their arm
Term
somatic hallucinations
Definition
involve the perception that something is happening inside ones body, eg worms eating one's intestines
Term
formal thought disorder
Definition
state of highly disorganized thinking (also known as loosening of associations)
Term
word salad
Definition
speech that is so disorganized that a listener cannot comprehend it
Term
smooth pursuit eye movement
Definition
task in which individuals are asked to keep their head still and track a moving object (sometimes referred to as eye tracking); some people with schizophrenia show deficits on this task
Term
working memory
Definition
the capacity to hold information in memory and manipulat it. people with schizophrenia have deficits in this area
Term
catatonia
Definition
a group of disorganized behaviors that reflect an extreme lack of responsiveness to the outside world
Term
catatonic excitement
Definition
a person becomes wildly agitated for no apparent reason and is difficult to subdue
Term
affective flattening
Definition
severe reduction in, or even the complete absence of, emotional responses to the environment. aka blunted affect
Term
alogia
Definition
severe reduction, or complete absence of speech
Term
avolition
Definition
inability to persist at common, goal-oriented tasks. person has great trouble completing tasks and is disorganized and careless, apparently completely unmotivated
Term
inappropriate affect
Definition
inappropriate emotional responses
Term
anhedonia
Definition
a loss of interest in everything in life. a complete inability to experience emotion
Term
dementia praecox
Definition
historical name for schizophrenia
Term
prodromal symptoms
Definition
symptoms present before people go into the acute phase of schizophrenia
Term
residual symptoms
Definition
symproms present after people come out of the acute phase of schizophrenia
Term
paranoid schizophrenia
Definition
delusions and hallucinations with themes of persecution and grandiosity
Term
disorganized schizophrenia
Definition
incoherence in cognition, speech, and behatior and flat or inappropriate affect
Term
catatonic schizophrenia
Definition
nearly total unresponsiveness to the environment, as well as motor and verbal abnormalities
Term
undifferentiated schizophrenia
Definition
diagnosed when a person experiences schizophrenic symptoms but does not meet the criteria for paranoid, disorganized, or catatonic schizophrenia
Term
residual schizophrenia
Definition
history of at least one episode of acute positive symptoms but currently no prominent positive symptoms
Term
which social environment better facilitates rehabilitation in people with schizophrenia, developeing countries or developed countries
Definition
developing countries because their are broader and closer family networks around the person.
Term
echopraxia
Definition
repetetive imitation of another person's movements
Term
genetic theory of schizophrenia
Definition
disordered genes cause schizophrenia, or at least a vulnerability to schizophrenia
Term
structural brain abnormality theory of schizophrenia
Definition
enlarged ventricles may indicate deterioration of a number of brain areas, leading to cognitive and emotional deficits. reduced volume and neuron density in the frontal cortex and the temporal and limbic areas cause widespread cognitive and emotional deficits.
Term
birth complication theory of schizophrenia
Definition
delivery complications, particularly those involvint a loss of oxygen could damage the brain and cause schizophrenia
Term
prenatal viral exposure
Definition
exposure to viruses during the prenatal period might damage the brain
Term
neurotransmitter theories of schizophrenia
Definition
imbalances in levels of our receptors for dopamine cause symptoms: serotonin, GABA, and glutamate may also play roles
Term
perinatal hypoxia
Definition
a birth complication in which the baby is deprived of oxygen during delivery. as many as 30% of people with schizophrenai have a history of perinatal hypoxia
Term
integrated thory of schizophrenia
Definition
abnormal dopamine levels in prefrontal cortex lead to deficits in working memory, which make it difficult to attend to relevant information, leading to difficulties in reasoning, communication, and problem solving.
Term
dopamine and schizophrenia
Definition
original dopamine theory was that symptoms of schizophrenia were caused by excess levels of dopamine in the brain, particularly en the frontal lobe and limbic system. This theory is now believed to be too simple to fully explain schizophrenia.
Term
phenotiazines and schizophrenia
Definition
phenotiazines reduce the functional level in the brain, some people who take phenotiazines see an improvement in their psychotic symptoms but experience motor movement problems similar to those in parkinsons patients
Term
mesolimbic pathway and schizophrenia
Definition
meolimbic pathway is a part of the brain involved in cognition and emotion. it is rich with certain types of receptors for dopamine. high dopamine activity n the mesolimbic pathway may lead to positive symptoms of schizophrenia.
Term
atypical antipsychotics and schizophrenia
Definition
may work to reduce symptoms of schizophrenia by binding D4 receptors in the mesolimbic pathway, blocking the action of dopamine in this system
Term
prefrontal cortex and schizophrenia
Definition
low dopamine activity here is believed to cause negative symptoms of schizophrenia
Term
social drift and urban birth
Definition
schizophrenia impairs functioning, leading an individual to lose social status; also people born in poor urban settings are at increased risk for the perinatal diseases and injuries that may contribute to schizophrenia
Term
psychodynamic theories of schizophrenia
Definition
overwhelming rejection by an infant's mother causes the child to lose the ability to distinguish reality from unrelality.
Term
communication patterns and schizophrenia
Definition
oddities in communication by a caregiver to a child at risk for schizophrenia increase stress and impair the development of the child's abilities ot communicate with others
Term
expressed emotion
Definition
families that are overinvolved with and hostile toward their member with schizophrenia increase stress, which leads to relapse
Term
cognitive theories of schizophrenia
Definition
the sympttoms of schizophrenia arise from an individual's attempts to understand and manage cognitive deficits
Term
behavioral theories of schizophrenia
Definition
people with schizophrenia attend to irrelevant stimuli in the environment and don't know socially acceptable responses to others
Term
insulin coma therapy
Definition
used in the 1930s to treat schizophrenics by giving them a massive dose of insulin which put them into a coma. dangerous and did not work
Term
ECT for schizophrenia
Definition
attempted to treat schizophrenia, did not work for schizophrenia, but found it did help depression
Term
chlorpromazine
Definition
a phenotiazine used to treat schizophrenia. calms agitation and reduces hallucinations and delusions work by blocking receptors for dopamine, reducing dopamines action in the brain
Term
neuroleptics
Definition
antipsychotic drugs introduced after phenotiazines used to treat schizophrenia. dont work for everyone with schizophenia. bad side effects including grogginess, dry mouth, blurred vision, drooling, sexual dysfunction
Term
akinesia
Definition
bad side-effect of neuroleptics characterized by slowed motor activity, monotonouse speech, and an expressionless face.
Term
akatheisis
Definition
side-effect of neuroleptics characterized by an agitation that causes people to pace and be unable to sit
Term
tardive dyskinesia
Definition
serious side-effect of neuroleptics where people experience an involuntary tick
Term
atypical antipsychotics
Definition
drugs more effective in treating schizophrenia than neuroleptics, without inducing the negative side effects. side effects include dizziness, nausea, sedation, seizuers, hypersalivation, weight gain, and irregular heartbeat.
Term
agranulocytosis
Definition
side effect of clozapine(atypical andipsychotic) a disease characterized by a deficiency of granulocytes which are substances produced by bone marrow to fight infections
Term
behavioral, cognitive, and social interventions for schizophrenia
Definition
experts argue for a comprehensive approach to schizophrenia that addresses the wide array of behavioral, cognitive, and social deficits in schizophrenia. These treatmens are given in addition to medication and increase everyday functioning and can reduce the risk of relapse
Term
family therapy for schizophrenia
Definition
family therapies for people with schizophrenia combine basic education on schizophrenia with the training of family members in coping with their loved one's inappropriate behaviros and with the disorder's impact on their lives.
Term
assertive community treatment programs
Definition
provide comprehensive services to people with schizophrenia, using the expertise of medical professionals, social workers, and psychologists to meet the variety of patients' needs 24 hours a day.
Term
traditional healers and schizophrenia
Definition
use the structural model, social support model, persuasive model, and clinical model
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