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Conditions in OT (4th ed.) - Atchison & Dirette - CH.6_terms

Paranoid schizophrenia characterized by presence of hallucinations or delusions, w/o disorganized thoughts or behavior or socially inappropriate behavior; very suspicious of others; have grand schemes of persecution at the root of their behavior
Disorganized schizophrenia (Hebephrenic) presents w/disorganized behavior, verbally incoherent & may have moods & emotions that aren’t appropriate; hallucinations usually aren’t present
Catatonic schizophrenia (rarest) person is extremely withdrawn, negative & isolated, & has marked psychomotor disturbance (abnormal posture & movement), & minimal speech or echolalia
Residual schizophrenia person is not currently suffering from delusions, or disorganized speech & behavior, but lacks motivation & interest in day-to-day living
Schizoaffective disorder persons have symptoms of schizophrenia as well as mood disorders such as major depression, bipolar mania, or mixed mania
Undifferentiated schizophrenia is given when the individual does not meet criteria for any of the other types while still meeting the general DX criteria for schizophrenia
Affect observable facial expressions of a feeling or emotion; patients may be described as having a flat or blunt affect
Affective flattening a blank, blunted facial expression or less lively facial movements, flat voice, or physical movements
Alogia impoverished speech; difficulty or inability to speak
Anhedonia loss of pleasure in previously enjoyed activities
Antipsychotic medication meds designed to reduce the positive & negative symptoms
Associality decreased interest in socialization & maintenance of relationships
Avolition decreased motivation; reduction, difficulty, or inability to initiate & persist in goal-directed behavior
Catatonic behavior loss of responsiveness to environmental clues; may become rigid or have bizarre postures, resist attempts to reposition; excessive, non-purposeful motor activity may be observed
Cogwheel rigidity stiff movement in one direction in small evenly placed segments; the tension in the muscle gives way in little jerks when the muscle is passively stretched
Cognitive symptoms (cognitive deficit) problems with attention, certain types of memory, & the executive functions that allow us to plan & organize; can be difficult to recognize, but are most disabling in terms of leading a normal life
Delusions atypical & well-organized beliefs not explained by evidence or culture; fixed beliefs that are typically due to misinterpretation of an event/experience; delusions are categorized as bizarre or nonbizarre
Bizarre delusions characterized by beliefs of events that are clearly impossible; ex. A belief that you were impregnated by aliens while you slept
Nonbizarre delusions example: the belief that all coworkers are talking about the person; individual may interpret that all private conversations observed at work to be about oneself
Delusions of grandeur self-inflated views present in conversation
Disorganized behavior unpredictable, socially inappropriate behaviors that interfere with daily activities; example: agitated or angry outburst; sexually acting out in public (masturbation); difficulties in performing goal-directed tasks such as meal prep or grooming
Disorganized thinking person has difficulty organizing thoughts or connecting them logically; speech may be garbled or hard to understand; "thought blocking"; may make up words
Dysphoria depressed mood; can be present during or following a psychotic episode & may require intervention
Extrapyramidal syndrome abnormal movements similar to Parkinson’s caused by antipsychotic meds (by blocking dopamine receptors)
Five types of delusions persecutory, referential, somatic, religious, & grandiose
Fixed ideas an individual holds an unchangeable idea
Flight of ideas accelerated speech with rapid changes in subject; associations are understandable unlike the lack of connections that are associated with looseness of associations
Genotype genetic make-up of humans/ animals
Hallucinations the experience of particular sensations that re not real to others & that are experienced while awake; usually auditory or visual, but can sometimes include other senses
Ideas of reference individuals believe that others are talking about or referring to them
Negative symptoms (refers to reductions in normal emotional & behavioral states) include flattened affect, alogia, avolition, anhedonia, & associality, low energy, lack of emotion
Neurotransmitters chemical transmitters, such as dopamine & glutamate, secreted by neurons that bind receptors on nearby cells
Paranoia persecutory delusions;
Persecutory (paranoid) delusions the most common of all delusions; one believes himself to be victimized, ridiculed, or place under surveillance by known/unknown persons; paranoia is a type of persecutory delusions
Referential delusions (delusions of reference) fairly common; one believes that common cues from the environment hold special meaning or message for them; ex. Person thinks a newspaper story is specifically targeted to the individual
Somatic delusions marked by beliefs that involve the person’s body; ex. Person believes that they are pregnant despite evidence to the contrary
Religious delusions person may believe that they are Jesus or acting out direct orders from God
Grandiose delusions examples include believing that one is all-powerful or important; acting on secret orders from the president of the US; believing that they are a genius, etc.
Phenotype observable physical characteristics
Positive symptoms delusions, hallucinations, disorganized thoughts, & disorders of movement; delusions are the most common type of _____ observed in people with schizophrenia; could be continuous or intermittently, but rarely abate completely
Premorbid functioning the period from birth to the prodromal phase
Prodromal phase phase can range from weeks or months to years before full onset of symptoms
Psychosis the presence of delusions or hallucinations w/out insight; inability to distinguish fantasy from reality
Relapse return of symptoms
Tangential thinking rapid shifting from one thought to a closely related thought
Tardive dyskinesia motor abnormalities such as writhing movements caused by antipsychotics meds (by blocking dopamine receptors)
disorganized speech (frequent derailment or incoherence) "word salads"; ongoing disjointed or rambling monologues in which a person seems to be talking to himself or imagined people or voices
Created by: sheaton
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