Schizophrenia Lunacy Madness Schizophrenia Delusions Downward drift theory.

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Presentation transcript:

Schizophrenia

Lunacy Madness

Schizophrenia Delusions Downward drift theory

History of Schizophrenia Emil Kraeplin dementia praecox Eugen Bleuler Associations Affect Ambivalence Autism

History of Schizophrenia Kurt Schneider first-rank symptoms second-rank symptoms

Prevalence of Schizophrenia

Phases of Schizophrenia Prodromal phase Active phase Residual phase

Symptoms of Schizophrenia Positive Symptoms Delusions delusion of persecution delusion of reference delusions of guilt somatic delusions delusions of grandeur delusions of being controlled

Symptoms of Schizophrenia Positive Symptoms Delusions thought broadcasting thought insertion thought withdrawal

Symptoms of Schizophrenia Positive Symptoms Disorganized Thinking and Speech formal thought disorders loose associations or derailment neologisms perseveration clanging blocking

Symptoms of Schizophrenia Heightened Perceptions and Hallucinations Positive Symptoms hypervigilant command hallucinations causes of hallucinations Inappropriate Affect

Symptoms of Schizophrenia Negative Symptoms Poverty of Speech (alogia ) Blunted and Flat Affect Loss of Volition (avolition) Social Withdrawal

Symptoms of Schizophrenia Catatonia catatonic stupor catatonic rigidity catatonic posturing catatonic excitement Psychomotor Symptoms

Diagnosing Schizophrenia Early Descriptions Kraepelin Bleuler paranoid catatonic hebephrenic paranoid catatonic hebephrenic simple

Diagnosing Schizophrenia Criteria Types disorganized catatonic paranoid undifferentiated residual

Types of Schizophrenia Disorganized Type Catatonic Type waxy flexibility mutism Paranoid Type Undifferentiated Type Residual Type

Types of Schizophrenia Type I Type II

Young Man with Schizophrenia

Explanations of Schizophrenia Biological Views Genetic Views Biochemical Abnormalities Abnormal Brain Structure Viral Problems Dopamine hypothesis phenothiazines

Explanations of Schizophrenia Psychological Views The Behavioral Explanation

Explanations of Schizophrenia The Cognitive Explanation

Explanations of Schizophrenia Sociocultural Views Social Labeling Family Dysfunctioning

Treatments for Schizophrenia Institutional Care in the Past Improved Institutional Care milieu therapy the token economy back wards or chronic wards

Treatments for Schizophrenia Antipsychotic Drugs neuroleptic drugs effectiveness unwanted effects extrapyramidal effects Parkinsonian symptoms neuroleptic malignant syndrome Tardive dyskinesia

Treatments for Schizophrenia New Antipsychotic Drugs agranulocytosis Psychotherapy Insight Therapy Family Therapy Social Therapy

Treatments for Schizophrenia The Community Approach Effective Community Care Coordinated Services Short-Term Hospitalization aftercare Partial Hospitalization

Treatments for Schizophrenia The Community Approach Halfway Houses Occupational Training The Inadequacies Poor Coordination of Services Shortage of Services Consequences The Promise of Community Treatment

Briefer Forms of Psychosis Brief Psychotic Disorder Schizophreniform Disorder Schizoaffective Disorder

Briefer Forms of Psychosis Delusional Disorder Erotomanic Type Grandiose Type Jealous Type Persecutory Type Somatic Type Mixed Type

Briefer Forms of Psychosis Shared Psychotic Disorder Psychotic Disorder Due to a General Medical Condition Substance-Induced Psychotic Disorder