PSY285 Chapter 14

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Abnormal Psychology Ninth Edition 9/eAbnormal Psychology Ninth Edition 9/e

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Lauren B. Alloy, Ph.D.John H. Riskind, Ph.D.Margaret B. Manos

Lauren B. Alloy, Ph.D.John H. Riskind, Ph.D.Margaret B. Manos

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Chapter 14Chapter 14

Schizophrenia and

Delusional Disorder

Schizophrenia and

Delusional Disorder

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Chapter Main PointsChapter Main Points

Schizophrenia Delusional Disorder Problems in the Study of Schizophrenia Schizophrenia: Theory and Therapy


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SchizophreniaSchizophrenia

Schizophrenia: A group of psychoses in which deterioration of

functioning is marked by severe distortion of thought, perception, and mood, by bizarre behavior

Schizophrenia: A group of psychoses in which deterioration of

functioning is marked by severe distortion of thought, perception, and mood, by bizarre behavior

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Schizophrenia: Disorders of Thought and Language


Delusions: Delusions of Persecution Delusions of Control (Delusions of influence) Delusions of Reference

Delusions: Delusions of Persecution Delusions of Control (Delusions of influence) Delusions of Reference

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Delusions: Delusions of Grandeur Delusions of Sin and Guilt Hypochondriacal Delusions Nihilistic Delusions (non-existence)

Delusions: Delusions of Grandeur Delusions of Sin and Guilt Hypochondriacal Delusions Nihilistic Delusions (non-existence)

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Delusions: Thought broadcasting Thought insertion Thought withdrawal

Delusions: Thought broadcasting Thought insertion Thought withdrawal

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Loosening of Associations (loose associations): Ideas jump from one to another, with the

result that the person wanders further and further away from the topic

Loosening of Associations (loose associations): Ideas jump from one to another, with the

result that the person wanders further and further away from the topic

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Poverty of Content: Poor communication despite correct grammar

and adequate vocabulary Neologisms:

The use of new words and phrases, often formed by combining parts of two or more regular words that have little if any translation

Poverty of Content: Poor communication despite correct grammar

and adequate vocabulary Neologisms:

The use of new words and phrases, often formed by combining parts of two or more regular words that have little if any translation

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Clanging (clang association): The pairing of words that have no relation to

one another beyond the fact that they rhyme or sound alike

Word Salad: Words and phrases are combined in what

appears to be a completely disorganized fashion

Clanging (clang association): The pairing of words that have no relation to

one another beyond the fact that they rhyme or sound alike

Word Salad: Words and phrases are combined in what

appears to be a completely disorganized fashion

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Symptoms of Schizophrenia: Disorders of Perception

Symptoms of Schizophrenia: Disorders of Perception

Breakdown of Selective Attention: Inability to confine extraneous data to the

edge of consciousness Hallucinations:

Perceptions that occur in the absence of any appropriate external stimuli

Breakdown of Selective Attention: Inability to confine extraneous data to the

edge of consciousness Hallucinations:

Perceptions that occur in the absence of any appropriate external stimuli

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Symptoms of Schizophrenia: Disorders of Mood

Symptoms of Schizophrenia: Disorders of Mood

Blunted Affect: Patient shows little emotion

Flat Affect: Patient shows no emotion

Inappropriate Affect: The expression of emotions unsuitable to the

situation

Blunted Affect: Patient shows little emotion

Flat Affect: Patient shows no emotion

Inappropriate Affect: The expression of emotions unsuitable to the

situation

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Symptoms of Schizophrenia: Disorders of Motor BehaviorSymptoms of Schizophrenia: Disorders of Motor Behavior

Stereotypy: The act of engaging in purposeless behaviors

repetitively over long periods of time Social Withdrawal:

The lack of attention to or interest in the goings-on of the external world

Stereotypy: The act of engaging in purposeless behaviors

repetitively over long periods of time Social Withdrawal:

The lack of attention to or interest in the goings-on of the external world

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The Course of SchizophreniaThe Course of Schizophrenia

The Prodromal Phase: The gradual deterioration of functioning

before any clearly psychotic symptoms appear

The Active Phase: Patient begins showing prominent psychotic

symptoms

The Prodromal Phase: The gradual deterioration of functioning

before any clearly psychotic symptoms appear

The Active Phase: Patient begins showing prominent psychotic

symptoms

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The Course of SchizophreniaThe Course of Schizophrenia

The Residual Phase: Gradual recovery Behavior is similar to that of the prodromal

phase

The Residual Phase: Gradual recovery Behavior is similar to that of the prodromal

phase

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The Subtypes of SchizophreniaThe Subtypes of Schizophrenia

Disorganized Schizophrenia: Pronounced incoherence of speech Mood disturbance Disorganized behavior, or lack of goal

orientation

Disorganized Schizophrenia: Pronounced incoherence of speech Mood disturbance Disorganized behavior, or lack of goal

orientation

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Catatonic Schizophrenia: Marked disturbance in motor behavior Catatonic stupor

complete immobility, usually accompanied by mutism

Catatonic Schizophrenia: Marked disturbance in motor behavior Catatonic stupor

complete immobility, usually accompanied by mutism

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Paranoid Schizophrenia: Delusions and/or hallucinations of a relatively

consistent nature, often related to the themes of persecution and grandeur

Paranoid Schizophrenia: Delusions and/or hallucinations of a relatively

consistent nature, often related to the themes of persecution and grandeur

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Dimensions of SchizophreniaDimensions of Schizophrenia

Process-reactive Dimension: Variation in onset of schizophrenia

Good-poor Premorbid Dimension: How well the patient was functioning before

the onset of the active phase

Process-reactive Dimension: Variation in onset of schizophrenia

Good-poor Premorbid Dimension: How well the patient was functioning before

the onset of the active phase

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Positive-negative Symptoms Dimension: Positive Symptoms:

The presence of something that is normally absent Negative Symptoms:

The absence of something that is normally present

Positive-negative Symptoms Dimension: Positive Symptoms:

The presence of something that is normally absent Negative Symptoms:

The absence of something that is normally present

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Paranoid-nonparanoid: The criterion of classification is the presence

(paranoid) or absence (nonparanoid) of delusions of persecution and/or grandeur

Paranoid-nonparanoid: The criterion of classification is the presence

(paranoid) or absence (nonparanoid) of delusions of persecution and/or grandeur

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Delusional DisorderDelusional Disorder

The Symptoms of Delusional Disorder: Persecutory type Grandiose type Jealous type Erotomanic type Somatic type

The Symptoms of Delusional Disorder: Persecutory type Grandiose type Jealous type Erotomanic type Somatic type

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Schizophrenia: Theory and Therapy


The Neuroscience Perspective: Genetic studies:

Family studies Twin studies Adoption studies Mode of transmission Genetic high-risk studies Behavioral high-risk studies

The Neuroscience Perspective: Genetic studies:

Family studies Twin studies Adoption studies Mode of transmission Genetic high-risk studies Behavioral high-risk studies

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The Neuroscience Perspective: Brain imaging studies Prenatal brain injury

The Neuroscience Perspective: Brain imaging studies Prenatal brain injury

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Biochemical Research: The Dopamine Hypothesis:

schizophrenia is associated with excess activity in the parts of the brain that use dopamine as a neurotransmitter

Biochemical Research: The Dopamine Hypothesis:

schizophrenia is associated with excess activity in the parts of the brain that use dopamine as a neurotransmitter

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The Cognitive Perspective: Overattention Underattention Vulnerability Cognitive therapy

The Cognitive Perspective: Overattention Underattention Vulnerability Cognitive therapy

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The Interpersonal Perspective: Expressed emotion Communication deviance Treatment for families

The Interpersonal Perspective: Expressed emotion Communication deviance Treatment for families

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The Behavioral Perspective: Learned nonresponsiveness Relearning normal behavior

Direct reinforcement The token economy Social-skills training

The Behavioral Perspective: Learned nonresponsiveness Relearning normal behavior

Direct reinforcement The token economy Social-skills training

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The Sociocultural Perspective: Assertive Community Treatment (ACT) Personal Therapy

Unitary Theories: diathesis stress model

The Sociocultural Perspective: Assertive Community Treatment (ACT) Personal Therapy

Unitary Theories: diathesis stress model

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Recapping the Main PointsRecapping the Main Points



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End of Chapter 14End of Chapter 14

Schizophrenia and

Delusional Disorder

Schizophrenia and

Delusional Disorder

PSY285 Chapter 14

Health & Medicine

disorders of thought

symptoms of schizophrenia

severe distortion of

prominent psychotic

delusions of grandeurdelusions

pairing of words

regular words

emotioninappropriate