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PSY285 Chapter 14

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  • 1. 1
    A PowerPoint™ Slide Presentation for
    Abnormal Psychology Ninth Edition 9/e
    Lauren B. Alloy, Ph.D.
    John H. Riskind, Ph.D.
    Margaret B. Manos
    Developed by Joseph A. Davis, Ph.D.
    McGraw-Hill Copyright © 2005. This McGraw-Hill multimedia product and its contents are protected under copyright law.  The following are prohibited by law: any public performance or display, including transmission over any network; preparation of any derivative work, including the extraction, in whole or part, of any images; any rental, lease, or lending of the program.
  • 2. 2
    Chapter 14
    Schizophrenia and
    Delusional Disorder
  • 3. 3
    Chapter Main Points
    Schizophrenia
    Delusional Disorder
    Problems in the Study of Schizophrenia
    Schizophrenia: Theory and Therapy
  • 4. 4
    Schizophrenia
    Schizophrenia:
    A group of psychoses in which deterioration of functioning is marked by severe distortion of thought, perception, and mood, by bizarre behavior
  • 5. 5
    Schizophrenia: Disorders of Thought and Language
    Delusions:
    Delusions of Persecution
    Delusions of Control (Delusions of influence)
    Delusions of Reference
  • 6. 6
    Schizophrenia: Disorders of Thought and Language
    Delusions:
    Delusions of Grandeur
    Delusions of Sin and Guilt
    Hypochondriacal Delusions
    Nihilistic Delusions (non-existence)
  • 7. 7
    Schizophrenia: Disorders of Thought and Language
    Delusions:
    Thought broadcasting
    Thought insertion
    Thought withdrawal
  • 8. 8
    Schizophrenia: Disorders of Thought and Language
    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
  • 9. 9
    Schizophrenia: Disorders of Thought and Language
    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
  • 10. 10
    Schizophrenia: Disorders of Thought and Language
    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
  • 11. 11
    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
  • 12. 12
    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
  • 13. 13
    Symptoms 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
  • 14. 14
    The 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
  • 15. 15
    The Course of Schizophrenia
    The Residual Phase:
    Gradual recovery
    Behavior is similar to that of the prodromal phase
  • 16. 16
    The Subtypes of Schizophrenia
    Disorganized Schizophrenia:
    Pronounced incoherence of speech
    Mood disturbance
    Disorganized behavior, or lack of goal orientation
  • 17. 17
    The Subtypes of Schizophrenia
    Catatonic Schizophrenia:
    Marked disturbance in motor behavior
    Catatonic stupor
    complete immobility, usually accompanied by mutism
  • 18. 18
    The Subtypes of Schizophrenia
    Paranoid Schizophrenia:
    Delusions and/or hallucinations of a relatively consistent nature, often related to the themes of persecution and grandeur
  • 19. 19
    Dimensions 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
  • 20. 20
    Dimensions of Schizophrenia
    Positive-negative Symptoms Dimension:
    Positive Symptoms:
    The presence of something that is normally absent
    Negative Symptoms:
    The absence of something that is normally present
  • 21. 21
    Dimensions of Schizophrenia
    Paranoid-nonparanoid:
    The criterion of classification is the presence (paranoid) or absence (nonparanoid) of delusions of persecution and/or grandeur
  • 22. 22
    Delusional Disorder
    The Symptoms of Delusional Disorder:
    Persecutory type
    Grandiose type
    Jealous type
    Erotomanic type
    Somatic type
  • 23. 23
    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
  • 24. 24
    Schizophrenia: Theory and Therapy
  • 25. 25
    Schizophrenia: Theory and Therapy
    The Neuroscience Perspective:
    Brain imaging studies
    Prenatal brain injury
  • 26. 26
    Schizophrenia: Theory and Therapy
    Biochemical Research:
    The Dopamine Hypothesis:
    schizophrenia is associated with excess activity in the parts of the brain that use dopamine as a neurotransmitter
  • 27. 27
    Schizophrenia: Theory and Therapy
    The Cognitive Perspective:
    Overattention
    Underattention
    Vulnerability
    Cognitive therapy
  • 28. 28
    Schizophrenia: Theory and Therapy
    The Interpersonal Perspective:
    Expressed emotion
    Communication deviance
    Treatment for families
  • 29. 29
    Schizophrenia: Theory and Therapy
    The Behavioral Perspective:
    Learned nonresponsiveness
    Relearning normal behavior
    Direct reinforcement
    The token economy
    Social-skills training
  • 30. 30
    Schizophrenia: Theory and Therapy
    The Sociocultural Perspective:
    Assertive Community Treatment (ACT)
    Personal Therapy
    Unitary Theories:
    diathesis stress model
  • 31. 31
    Recapping the Main Points
    Schizophrenia
    Delusional Disorder
    Problems in the Study of Schizophrenia
    Schizophrenia: Theory and Therapy
  • 32. 32
    End of Chapter 14
    Schizophrenia and
    Delusional Disorder

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