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BY CHITRA DEVI
HISTORY COLLECTION
PRESENTING CHIEF
COMPLAINTS:
Informant says:
• Muttering to self
• Irritable
• Laughing to self
• Not sleeping well
Patient says:
• Unable to sleep, because
while sleeping he is
hearing a sound.
 The word „schizophrenia‟ was coined in 1908
by the swiss psychiatrist eugen bleuler.
 It is derived from the greek word
skhizo(split)and phren(mind).
“It is a psychotic condition characterized by a
disturbance in thinking,emotions,volitions and
faculties in the presence of clear
consciousness,which usually lead to social
withdrawal”
CAUSES
Biological
theories
Biochemical
theories
Excess of
dopamine
Abnormalities in
neuro
transmittersNeurostructural
theories
Genetic theories
Psychodyna
mic theories
Regressed id
behaviour
Over protective
and
domineering
parents
Dysfunctional
family
Vulnarability
stress model
Stressful life
event
•TYPES OF SCHIZOPHRENIA:
PARANOID
UNDIFFERENTIATED
HEBEPHRENIC
CATATONIC
RESIDUAL
SIMPLE
THOUGT
DISTURBANCE
INCOHERENCE
SEVERE
LOOSENING OF
ASSIOCIATION
EXTREME
SOCIAL
IMPAIRMENT
SENCELESS
GIGGLING
INCREASE IN SPEECH
PRODUCTION
LOOSENING OF
ASSOCIATION
MUTISM , ECHOLALIA
RIGIDITY , ECHOPRAXIA
NEGATIVISM ,
WAXYFLEXIBILITY
POSTURING
•INCREASE IN
PSYCHOMOTOR ACTIVITY
•AMBITENDENCY
•STUPOR
Emotional blunting
Eccentric behaviour
Illogical thinking
Social withdrawal
Loosening of association
PAST EXPERIENCE
Prenatal exposure to viral infection
GENETIC INFLUENCE
Family history of schizophrenia Possible birth defect
PRECIPITATING EVENT
Stressful to threaten Already weak ego
Defence mechanism used are DENIAL,
INDICATION,RELIGIOUSITY, RECURRECTION
SECONDARY
Unable to use coping mechanism Weak ego strength
COGNITIVE APPRAISAL(PRIMARY)
Perceived threat to self concept
EXISTING CONDITION
Abnormal brain structure , Epilepsy,
Hallucination , delusion, social isolation, violence, autism ,
apathy, bizzare , behaviour &inappropriate affect
Initial psychotic episode, exacerbation of schizophrenic
symptoms
QUALITY OF RESPONSE
AdaptiveMaladaptive
Chitra presentation on schizophrenia

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