psy 395 ch 13

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cowusu12  on May 2, 2012

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ch 13

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psy 395 ch 13

Psychosis
based on Hallucinations and Delusions
1/29

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Terms

Definitions

Psychosis based on Hallucinations and Delusions
Clinical Description of Schizo Delusions
Hallucinations
Disorganized speech
grossly disorganized
negative symptoms
positive symptoms added to normal behavior
-exaggeration or excesses

Delusions
Hallucination
Delusions - Gross misrepresentation of reality
- Disorder of thought content
- Grandeur
- Persecution
- Capgras and Cotard's symptoms
- Comes from your mind
Hallucinations perceive things that are not there
-> comes from your senses
most common - auditory
Negative Sympotoms absence or insufficiency of normal behavior
Symptom Cluster
- Avolition
- Alogia
- Anhedonia
- Affective flattening

Disorganized speech
Avolition inability to initiate and participate in activities
Alogia relative absence of speech
Anhedonia presumed lack of pleasure
affective flattening they do not show emotion at all , they speak in a flat and toneless manner
Disorganized Symptoms Disorganizing thinking
- Catatonia
Inappropriate affect
Catatonia disorder of movement involving immobility or excited agitation
Inappropriate affect laughing and crying at inapproripate times
Schizophrenia duration to diagnose a person must display 2 or more positive, negative and or disorganized symptoms for a major portion of at least one month
catatonic immobility disturbance of motor behavior in which the person remains motionless sometimes in an awkward posture for extended periods
Schizophrenia Subtypes Paranoid Delusions and hallucination
- cognitive skills are intact
- little to no disorganized behavior

Best prognosis
Schizophrenia Subtypes Disorganized Marked disruptions
- speech
- behavior

Flat or inappropriate affect
Hallucinations and delusions
Chronic
Develops early
Few remissions
Schizophrenia Subtypes Catatonic Unusual motor responses
Odd mannerisms
- echolalia
- echopraxia
echolalia repeat or mimic the words of others
echopraxia repeat or mimic the movements of others
Schizophrenia Subtypes Undifferentiated Type do not fit into other subtypes
major symptoms
fail to meet criteria
Schizophrenia Subtypes Residual One or more past episodes
No more major symptoms
Persistent, less extreme symptoms
Schizophreniform Disorder symptoms similar to schizo
1 month minimum but less then 6 month duration
Most resume normal lives
Schizoaffective Disorder schizo plus a mood disorder
- disorders are independent
- delusions for 2 weeks in absence of mood
Prognosis - similar to schizo
persistent
no improvement without treatment
Delusional disorder contrary to reality
lack other positive and negative symptoms

Types
erotomanic- one that is believed to be loved by someone of higher status
grandiose- type of delusion involves famous ppl
jealous - unfaithful
persecutory- malevolently
somatic - medical condition or physical defect
brief psychotic disorder one or more positive symptoms
last 1 month or less
usually precipitated
- extreme stress
- trauma
Typically return to premorbid baseline
Shared pyschotic disorder delusions from relationship with delusional person
- 50 % female
- Cognitive impairment in secondary member
Schizotypical personality related to psychotic disorder
less severe
genetic relationship to schizo
viral infections influenza

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