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DSM-IV-TR Schizophrenia and Other Psychotic Disorders
DSM-IV-TR Schizophrenia and Other Psychotic Disorders
28
Psychology
Graduate
12/05/2010

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Term
Schizophrenia
Definition
lasts for at least 6 months and includes at least 1 month of active-phase symptoms (two [or more] delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms).
Term
Positive Symptoms
Definition
Excess or distortion of normal functions including
• in thought content (delusions)
• in perception (hallucinations)
• in language and thought process (disorganized speech)
• and self-monitoring of behavior (grossly disorganized or catatonic behavior)
Term
Negative Symptoms
Definition
A diminution or loss of normal functions includes
• loss in the range and intensity of emotional expression (affective flattening = person’s face appearing immobile and unresponsive, with poor eye contact and reduced body language. Range of emotional expressiveness s clearly diminished most of the time.)
• decline in the fluency and productivity of thought and speech (alogia = poverty of speech. Brief, laconic, empty replies. Appears to have a diminution of thoughts that is reflected in decreased fluency and production of speech.)
• inability in the initiation of goal-directed behavior (avolition = may sit for long periods of time and show little interest in participating in work or social activities)
Term
Delusions
Definition
Erroneous beliefs that usually involve a misinterpretation of perceptions or experiences.
o Persecutory delusions: the person believes he or she is being tormented, followed, tricked, spied on, or ridiculed.
o Referential delusions: the person believes that certain gestures, comments, passages from books, newspapers, song lyrics, or other environmental cues are specifically directed at him or her.
o Somatic
o Religious
o Grandiose
Term
Thought Insertion
Definition
That alien thoughts have been put into their mind
Term
Thought Withdrawal
Definition
Belief that their thoughts have been taken away by some outside force.
Term
Hallucinations
Definition
o Auditory: voices that are perceived as distinct from the person’s own thoughts
o Visual
o Olfactory
o Gustatory
o Tactile
Term
Disorganized Speech
Definition
o Derailment
o Loose associations
o Tangentiality
o Incoherence
o Word salad
Term
Disorganized Behavior
Definition
o Childlike silliness to unpredictable agitation
o Problems with goal-orientated behavior, such as personal hygiene
Term
Catatonic Motor Behaviors
Definition
o Decrease in reactivity to the environment, complete unawareness (catatonic stupor)
o Maintaining a rigid posture and resisting efforts to be moved (catatonic negativism)
o The assumption of inappropriate or bizarre postures (catatonic excitement)
Term
Paranoid Type
Definition
A type of Schizophrenia in which the following criteria are met:
A) Preoccupation with one or more delusions or frequent auditory hallucinations.
B) None of the following is prominent: disorganized speech, disorganized or catatonic behavior, or flat or inappropriate affect.
Term
Disorganized Type
Definition
A type of Schizophrenia in which the following criteria are met:
A) All of the following are prominent:
1 - disorganized speech
2 - disorganized behavior
3 - flat or inappropriate affect
B) The criteria are not met for Catatonic Type
Term
Catatonic Type
Definition
Dominated by at least two of the following:
1 - motoric immobility as evidenced by catalepsy (including waxy flexibility) or stupor
2 - excessive motor activity (that is apparently purposeless and not influenced by external stimuli)
3 - extreme negativism (an apparently motiveless resistance to all instructions or maintenance of a rigid posture against attempts to be moved) or mutism
4 - peculiarities of voluntary movement as evidenced by posturing (voluntary assumption of inappropriate or bizarre postures), stereotyped movements, prominent mannerisms, or prominent grimacing
5 - echolalia or echopraxia
Term
Undifferentiated Type
Definition
A type of Schizophrenia in which symptoms that meet Criterion A are present, but the criteria are not met for the Paranoid, Disorganized, or Catatonic Type.
Term
Residual Type
Definition
A type of Schizophrenia in which the following criteria are met:
A) Absence of prominent delusions, hallucinations, disorganized speech, and grossly disorganized or catatonic behavior.
B) There is continuing evidence of the disturbance, as indicated by the presence of negative symptoms or two or more symptoms listed in Criterion A for Schizophrenia, present in an attenuated form (odd beliefs, unusual perceptual experiences).
Term
Shared Psychotic Disorder
Definition
A) A delusion develops in an individual in the context of a close relationship with another person(s), who has an already-established delusion.
B) The delusion is similar in content to that of the person who already has the established delusion.
C) The disturbance is not better accounted for by another Psychotic Disorder (Schizophrenia) or a Mood Disorder With Psychotic Features and is not due to the direct physiological effects of a substance or a general medical condition.
Term
Psychotic Disorder due to a general medical condition
Definition
With Delusions: if delusions are the predominant symptom
With Hallcinations: if hallucinations are the predominant symptom
Term
Schizophreniform Disorder
Definition
a symptomatic presentation that is equivalent to Schizophrenia except for its duration. The disturbance lasts from 1-6 months. There is no social/occupational dysfunction or decline in functioning.
Term
Schizoaffective Disorder
Definition
(1 month) a mood episode and the active phase symptoms of schizophrenia occur together and were preceded or are followed by at least 2 weeks of delusions or hallucinations without prominent mood symptoms.
- Uninterrupted period of illness with manic depressive, manic, or mixed episode concurrent at some point
o Bipolar Type
o Depressive Type
Term
Delusion Disorder
Definition
1 month of nonbizarre delusions without other active-phase symptoms of schizophrenia.
- psychosocial functioning is not markedly impaired
- Behavior is not odd or bizarre

Types: Erotomanic, Grandiose, Jealous Type, Persecutory, Somatic, Mixed, Unspecified.
Term
Delusional Disorder: Erotomanic Type
Definition
central theme of the delusions is that another person is in love with the individual. The delusion often concerns idealized romantic love and spiritual union rather than sexual attraction
Term
Delusional Disorder: Grandiose Type
Definition
central theme is the conviction of having some great but unrecognized talent or insight or having the delusion of having a special relationship with a prominent person or being a prominent person. May have a religious content
Term
Delusional Disorder: Jealous Type
Definition
the central theme is believing that their spouse or lover is unfaithful. This belief is arrived at without due cause and is based on incorrect inferences supported by small bits of “evidence”
Term
Persecutory Type
Definition
the delusion involves the person’s belief that he or she is being conspired against, cheated, spied on, followed, poisoned or drugged, maliciously maligned, harassed, or obstructed in the pursuit of long-term goals.
Term
Delusional Disorder: Somatic Type
Definition
involves bodily functions or sensations, and can occur in several forms. Most common are the person’s conviction that he or she emits a fould odor from the skin, mouth, rectum, or vagina; that there is an infestation of insects on or in the skin; there is an internal parisite; certain parts of the body are misshaped
Term
Brief Psychotic Disorder
Definition
lasts more than 1 day and remits by one month.
- involves the sudden onset of at least one of the following positive psychotic symptoms: delusions, hallucinations, disorganized speech, or grossly disorganized or catatonic behavior.
o With or without marked stressors
o With postpartum depression
Term
Shared Psychotic Disorder
Definition
the presence of a delusion in an individual who is influenced by someone else who has a longer-standing delusion with similar content.
Term
Substance-Induced Psychotic Disorder
Definition
the psychotic symptoms are judged to be a direct physiological consequence of a drug of abuse, a medication or toxin exposure.
- With delusions or hallucinations
- With onset during intoxication or withdrawal
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