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FSU - CLP 4143 - Study Guide for Test 3 - Study Guide

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FSU - CLP 4143 - Study Guide for Test 3 - Study Guide

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background image Regina Carson
CLP 4143
Chapter 8  Schizophrenia Spectrum and Other Psychotic Disorders Chapter Outline Symptoms, diagnosis, and course Biological theories Psychosocial perspectives Treatment Psychosis      (break from reality) o Inability to differentiate between what is real and what is unreal
o
Schizophrenia: Severe form of psychosis where individuals alternate between following 
phases:
o Clear thinking  and communication with an accurate view of reality, and proper  functioning of daily life  o Active phase of illness  ­ Thinking and speech are disorganized, people lose touch  with reality, and have difficulty caring for themselves Schizophrenia spectrum o Refers to five domains of symptoms that define psychotic disorders o Include four kinds of positive symptoms and negative symptoms o Number, severity, and duration of symptoms distinguish psychotic disorders from  each other All or just some psychotic symptoms manifest in individuals suffering 
from schizophrenia and the disorder differs across individuals
Positive symptoms      (positive because they shouldn’t be there) o Overt expressions of unusual perceptions, thoughts, and behaviors
o
Delusions:  Ideas that an individual believes to be true but that are highly unlikely or  impossible o Hallucinations:  Unreal perceptual experiences o Auditory and tactile Positive symptoms      (are there that shouldn’t be there) o Formal thought disorder:  Tendency to slip from one topic to an unrelated topic with  little coherent transition o Referred to as loose associations or derailment o Disorganized or catatonic behavior:  Display unpredictable and apparently untriggered  agitation o Catatonia: Disorganized behavior that reflects unresponsiveness to the 
environment
background image Regina Carson
CLP 4143
Chapter 8  Negative Symptoms      (key word is lost) o Involve the loss of certain qualities of the person, rather than behaviors or thoughts that  the person expresses overtly o Restricted affect : Severe reduction in or absence of emotional expression o Avolition:  Inability to initiate or persist at common, goal­directed activities o Cognitive deficits ­ Deficits in basic cognitive processes, including attention, memory  and processing speed Diagnosis o DSM­5 ­ Individual must  show two or more  symptoms of psychosis, one must be  delusions or disorganized speech o Acute phase ­ Presence of symptoms, consistently and acutely for at least one 
month
o Prodromal symptoms: Before the acute phase o Residual symptoms: After the acute phase Prognosis Rehospitalization rates between 50 to 80 percent Stabilize after the first episode within 5 to 10 years  Gender and age factors o Women develop the disorder later, milder symptoms, and have a more favorable  course than men. (Estrogen may effect with dopamine) Functioning improves with age Sociocultural factors Cultural factors Gender differences Social response and treatment availability Psychosocial Perspectives o Social drift: Tendency to drift downward in social class compared to the class of one’s 
family of origin
o Caused by schizophrenic symptoms that interfere with the ability to complete an  education or job o Birth in a large city o Stress increases risk and is linked to relapse o Families stump the growth of the autonomous sense of self o Expressed emotion: Shown by family members are associated with multiple 
episodes and relapse
background image Regina Carson
CLP 4143
Chapter 8  Other Psychotic Disorders (more severe to less severe) o Schizoaffective Disorder (deals with mood) o Mix of schizophrenia and mood disorder (least severe). 2 or more weeks o Schizophreniform Disorder o Meets criteria A,D,E with symptoms that  last only 1­6 months If you’re between the 1­6, and not sure if it will go past after 6, then you 
are called provisional. 
o A. 2 or more symptoms o D. Cant be bipolar or schizoaffective  o E. not physiological o Brief Psychotic Disorder o Sudden onset of delusions, hallucinations, disorganized, speech, and/or  disorganized behavior between  1 day and 1 month o Delusion Disorder  Delusions lasting at least  1 month regarding situations that occur in real life NO other psychotic symptom other than Delusions Affect females more and onset is later in life o Schizotypal Personality Disorder o Lifelong pattern of significant oddities to self­concept, ways of relating to others,  and thinking and behavior Most severe (extreme) Biological Theories o Genetic Transmission o Family studies­biological relative with schizophrenia increases an individual’s 
risk.
o Adoption studies­schizophrenic parent creates stressful environment for children o Twin studies­genetic predispositions plus biological and environmental factors 
influence manifestation of the disorder
o Structural and functional abnormalities in specific areas of the brain o Reduction in the grey matter. People at risk have abnormal activity in the pre­ frontal cortex. k o Birth complication or prenatal exposure to viruses affect brain development.  o During the 2 nd  trimester, the virus comes in but isn’t shown until age 18 in the  baby. Positive symptoms are biochemical o Neurotransmitter theories­excess levels of dopamine contribute to schizophrenia  o Phenothiazines or neuroleptics: block the reuptake of dopamine, reducing the 
functional level in the brain
o Drugs that increase the functional level of dopamine increase the incidience of the positive symptoms

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School: Florida State University
Department: OTHER
Course: Abnormal Psychology
Professor: Natalie Sachs-Ericsson
Term: Spring 2017
Tags:
Name: Study Guide for Test 3
Description: The test covers chapter 8,9 and some of 11.
Uploaded: 03/28/2017
9 Pages 34 Views 27 Unlocks
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