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Schizophrenia

Chapter 14

Schizophrenia

Schizophrenia

“Split mind”

Schizophrenia

“Split mind”

Psychotic

Schizophrenia

“Split mind”

Psychotic

Prevalence: about 1%, men=women, more common in low SES

Schizophrenia

“Split mind”

Psychotic

Prevalence: about 1%, men=women, more common in low SES

Types: disorganized, catatonic, paranoid, undifferentiated, residual

Schizophrenia

Symptoms: At least 2 for the better part of a month

Schizophrenia

Symptoms

Positive symptoms

Schizophrenia

Symptoms

Positive symptoms: delusions, disorganized thought and speech, sensory disturbances, inappropriate affect

Schizophrenia

Symptoms

Positive symptoms: delusions, disorganized thought and speech, sensory disturbances, inappropriate affect

Negative symptoms:

Schizophrenia

Symptoms

Positive symptoms: delusions, disorganized thought and speech, sensory disturbances, inappropriate affect

Negative symptoms: loss of speech (alogia), flat affect, loss of volition (avolition), social withdrawal

Schizophrenia

Symptoms

Positive symptoms: delusions, disorganized thought and speech, sensory disturbances, inappropriate affect

Negative symptoms: loss of speech (alogia), flat affect, loss of volition (avolition), social withdrawal

Psychomotor symptoms: catatonia

Schizophrenia

Schizophrenia

Schizophrenia

Symptoms

Positive symptoms: delusions, disorganized thought and speech, sensory disturbances, inappropriate affect

Negative symptoms: loss of speech (alogia), flat affect, loss of volition (avolition), social withdrawal

Psychomotor symptoms: catatonia

Course

Schizophrenia

Symptoms

Positive symptoms: delusions, disorganized thought and speech, sensory disturbances, inappropriate affect

Negative symptoms: loss of speech (alogia), flat affect, loss of volition (avolition), social withdrawal

Psychomotor symptoms: catatonia

Course

Onset late teens or 20s

Schizophrenia

Symptoms

Positive symptoms: delusions, disorganized thought and speech, sensory disturbances, inappropriate affect

Negative symptoms: loss of speech (alogia), flat affect, loss of volition (avolition), social withdrawal

Psychomotor symptoms: catatonia

Course

Onset late teens or 20s

Prodromal, active, residual stages

Etiology

Etiology

Biological view: biochemical (too much dopamine) and/or structural (enlarged ventricles, smaller frontal lobes, abnormal blood flow) abnormalities inherited or caused by viral exposure

Etiology

Etiology

Biological view: biochemical (too much dopamine) and/or structural (enlarged ventricles, smaller frontal lobes, abnormal blood flow) abnormalities inherited or caused by viral exposure

Diathesis-stress model

Etiology

Biological view: biochemical (too much dopamine) and/or structural (enlarged ventricles, smaller frontal lobes, abnormal blood flow) abnormalities inherited or caused by viral exposure

Diathesis-stress model

Psychodynamic view: regress to id in response to harsh or cold parenting (schizophrenogenic parents)

Etiology

Biological view: biochemical (too much dopamine) and/or structural (enlarged ventricles, smaller frontal lobes, abnormal blood flow) abnormalities inherited or caused by viral exposure

Diathesis-stress model

Psychodynamic view: regress to id in response to harsh or cold parenting (schizophrenogenic parents)

Behavioral view: attention to odd behaviors reinforces them

Etiology

Biological view: biochemical (too much dopamine) and/or structural (enlarged ventricles, smaller frontal lobes, abnormal blood flow) abnormalities inherited or caused by viral exposure

Diathesis-stress model

Psychodynamic view: regress to id in response to harsh or cold parenting (schizophrenogenic parents)

Behavioral view: attention to odd behaviors reinforces them

Cognitive view: misinterpret sensory experiences

Etiology

Sociocultural view: cultural issues; labeling issues; family dysfunction; search for meaning

Etiology

Treatment

Treatment

Historical treatment

Treatment

Historical treatment

More recent institutional treatment: milieu therapy, token economy

Treatment

Historical treatment

More recent institutional treatment: milieu therapy, token economy

Biological view: antipsychotic medications

Treatment

Treatment

Historical treatment

More recent institutional treatment: milieu therapy, token economy

Biological view: antipsychotic medications

Cognitive-behavioral view: challenge, reinterpret, and cope with hallucinations; acceptance; reinforce appropriate behaviors

Treatment

Historical treatment

More recent institutional treatment: milieu therapy, token economy

Biological view: antipsychotic medications

Cognitive-behavioral view: challenge, reinterpret, and cope with hallucinations; acceptance; reinforce appropriate behaviors

Sociocultural interventions:

Family therapy

Social therapy

Community approach