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29 terms

psy 395 ch 13

ch 13
STUDY
PLAY
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