Term
| 4 "A's" of the Diagnosis (according to Bleuler) |
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Definition
Affective disturbance
Association: disordered
Autistic characterization
Ambivalence |
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Term
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Definition
Bizarre behavior, possibly hostile
Affect: blunted, flat, or incongruent
Possibly monotone voice |
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Term
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Definition
All about thought!
No progression to thought: disrupted
Thought blocking- stop in midsentence
Loose associations- no connection, haphazard |
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Term
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Definition
Preoccupied with self and inner experiences
Preoccupied with voices and what they are saying |
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Term
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Definition
Positive and negative feelings all at the same time.
Impossible to make a decision. |
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Term
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Definition
15-25 years old: prime time
Often an earlier diagnosis in males.
Average age: 19 |
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Term
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Definition
Comes on over a period of years.
This often has to do with how well the patient masks or copes with symptoms OR
No one is there to observe the symptoms and see what is happening. |
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Term
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Definition
| Stressor or trigger brings it on quickly and unexpectedly. |
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Term
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Definition
Client may have a history of ADD
May have a history of social maladjustment: doesn't respond to others in a meaningful way. |
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Term
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Definition
Multiple causations:
*Genetic factors
*Neuro-anatomic and neuro-chemical factors: reticular activating system not working properly/increase in number of dopamine receptors.
*Immunologic factors |
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Term
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Definition
| Unusual things or experiences that persons without schizophrenia wouldn't do or have |
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Term
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Definition
| Things that persons with schizophrenia cannot do or neglect to do. Indicate a lessening or flattening of normal behavior and affect. |
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Term
(+) Delusion
Ideas of reference |
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Definition
| Person misconstrues some trivial event or remark and gives is some personal significance |
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Term
(+)
Delusion of Persecution |
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Definition
| One is being singled out for harm by others |
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Term
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Definition
| False belief that one is a very powerful person |
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Term
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Definition
False belief that one's body is changing in an unusual way
Ex. body is rotting from inside |
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Term
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Definition
| False belief that one's mate is unfaithful |
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Term
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Definition
| One's thoughts can be heard by others |
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Term
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Definition
| Belief that thoughts of others are being inserted into your mind |
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Term
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Definition
| Belief that thoughts have been removed from one's mind by someone else or an agency |
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Term
(+)
Delusions of Being Controlled |
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Definition
Belief that one's body or mind is being controlled by an outside agency
Ex: electrical waves or microwaves |
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Term
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Definition
| Person has ability to make new words |
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Term
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Definition
| Implies overemphasis on specific details. No impairment in ability to talk, but no abstract thinking. |
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Term
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Definition
| Pathological repetition of another's words by imitation |
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Term
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Definition
| Meaningless rhyming of words, often in a forceful manner |
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Term
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Definition
| Mixture of phrases that are meaningless to the listener |
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Term
(+)
Hallucinations: Auditory |
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Definition
Most common
Command: patient may say that someone is telling me to do something. |
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Term
(+)
Hallucinations: Visual |
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Definition
| Patient sees something that is not real |
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Term
(+)
Hallucinations: Olfactory |
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Definition
| Patient smells something that others aren't smelling |
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Term
(+)
Hallucinations: Gustatory |
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Definition
| Patient tastes something that isn't really there |
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Term
(+)
Hallucinations: Tactile |
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Definition
| Patient may feel like insects are crawling on his skin |
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Term
(+)
Hallucinations:Somatic |
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Definition
| Patient thinks he has a hole in his body but this is not based in reality. Altered perception of self: may think of self as a doll. |
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Term
(+)
What to do with patient experiencing an hallucination |
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Definition
| Validate THEN present reality! |
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Term
(+)
Loss of ego boundaries |
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Definition
Depersonalization; feeling detached from one's body
Patient doesn't feel as if his body parts belong to him. |
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Term
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Definition
| False perception that environment has changed. |
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Term
(+)
Extreme motor agitation |
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Definition
Walking, pacing all the time
Cannot control impulses: if this patient wants to get up in the middle of group, he will just do it. |
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Term
(+)
Stereotypical behavior |
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Definition
Doing an activity but without the props
Ex: It looks like the patient is sweeping the floor but he has no broom. |
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Term
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Definition
| Ask the client to do something and he will do it exactly and automatically. |
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Term
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Definition
Client will keep the position
He will hold the posture/position for a long protracted period of time. |
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Term
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Definition
| Severe reduction in expression/range and intensity of emotional expressions |
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Term
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Definition
| loss of energy, passivity, lack of persistence at work/school |
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Term
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Definition
loss of pleasurable activities
Any experience that has brought pleasure in the past no longer does. |
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Term
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Definition
| lack of motivation, unable to initiate tasks |
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Term
(-)
Poverty of content of speech |
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Definition
| Speech is adequate in amount, but it conveys little info |
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Term
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Definition
restriction in amount of speech
answers range from brief to monosyllabic |
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Term
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Definition
| May stop in middle of sentence and remain silent |
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Term
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Definition
Excessive consumption of water by psychiatric patients receiving medicines.
Polydipsia: psychosis-induced
May ingest more than 10-15 L of fluid in 24 hours
Can cause cerebral edema or herniation |
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Term
| Antipsychotic medication: Dopamine |
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Definition
| Block post-synaptic dopamine receptors |
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Term
| Antipsychotic medication: Seizures |
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Definition
May lower the seizure threshold.
The patient may be more susceptible to seizures if he has had them in the past. |
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Term
| Antipsychotic medication: Temperatures |
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Definition
Avoid extremes in temperature.
Body cannot adjust to extreme temperatures well when on these meds. |
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Term
| Antipsychotic medication: Anticholinergic effects |
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Definition
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Term
| Antipsychotic medication: Classes |
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Definition
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Term
| Antipsychotic medication: Typical |
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Definition
Older/have been around longer
Act as dopamine antagonists
Target the (+) signs |
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Term
| Antipsychotic medication: Atypical |
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Definition
Newer medications (from 1996 on)
Act as dopamine AND serotonin antagonists
Diminish psychotic symptoms AND also lessen negative symptoms. |
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Term
| Antipsychotic medication: Side Effects of Both Classes |
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Definition
Sedation
Photosensitivity
Anticholinergic symptoms
Orthostatic hypotension |
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