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Chapter 10: Schizophrenia
and other psychotic disorders
28
Psychology
Not Applicable
12/08/2012

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Term
psychosis
Definition
a severe medical condition characterized by a loss of contact with reality
Term
schizophrenia
Definition
a severe psychological disorder characterized by disorganization in thought perception, and behavior.
Term
First name for schizo was dementia praecox.
Definition
From German psychiatrist Emil Kraepelin because of dementia like symptoms and early life onset, praecox.
Term
Positive symptoms of schizo
Definition
Unusual thoughts, feelings, and behaviors.
*Persecutory delusions
*delusions of influence
*loose associations
*thought blocking
*clang associations
Term
persecutory delusions (+symptom)
Definition
belief that someone is persecuting them OR the individual is a special agent.
Term
delusions of influence (+ symptom)
Definition
Belief that one's thoughts or actions are being controlled by others.
Term
loose associations (+ symptom)
Definition
thoughts that have little or no logical connection to the next thought.
Term
thought blocking (+ symptom)
Definition
usually long pauses during conversation.
Term
clang association
Definition
speech done by words that sound alike rather than words with meaning.
Term
Negative symptoms of schizo
Definition
behaviors, emotions, or thought processes that exist in peeps without a psychiatric disorder but are ABSENT in people with schizo.
*blunted affect
*anhedonia
*avolition
*alogia
Term
blunted effect (- symptom)
Definition
diminished or immobile facial expressions and a flat, monotonic vocal tone
Term
anhedonia (- symptom)
Definition
lack of capacity for pleasure.
Term
avolition (- symptom)
Definition
an inability to initiate or follow through plans, apathy.
Term
alogia (-symptom)
Definition
decreased quantity/quality of speech
Term
Cognitive impairment
Definition
3rd main symptom of schizo; the others being +/- symptoms.

*impairments in visual and verbal learning and memory, inability to pay attention, decreased speed off info processing, and impaired abstract reasoning.
Term
psychotic-like experiences
Definition
*magical thinking- thinking about something will make it happen.

*ideas of reference- interpret casual events as being directly related to you
Term
brief psychotic disorder
Definition
the sudden onset of any psychotic symptom that may result after one day and does not last for more than one month
Term
schizophreniform disorder
Definition
same with schizophrenia EXCEPT 2 THINGS:
*duration is only 1-6 months
*normal functioning is still possible: occupational/social
Term
schizoaffective disorder
Definition
schizophrenia + a major depressive, manic, or mixed episode disorder.
*a condition mix between the two.
Term
delusional disorder
Definition
no other psychotic symptoms except for delusions/hallucinations.

Can still function normally.
Term
shared psychotic disorder
Definition
when two close people share the same delusional belief (folie รก deux).
Term
dopamine hypothesis
Definition
the theory that schizo is caused by too much dopamine.
Term
Neuroanatomy of schizophrenia
Definition
*larger ventricles
*less gray matter
Term
Expressed Emotion (EE)
Definition
a concept used to describe the level of emotional involvement and critical attitudes that exist within the family of patient with schizophrenia.
*High EE means higher relapse.
Term
antipsychotics
Definition
medication that block dopamine receptors on site.
Term
typical antipsychotics
Definition
reduce + symptoms but may cause
*tardive dyskinesia: abnormal and involuntary movements.
Term
atypical antipsychotics
Definition
less likely to have bad side effects
Term
psychoeducation
Definition
patient and families are educated about the disorder in order to reduce familial distress and equip them to work effectively with the patient.
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