What are the 3 phases of schizophrenia?
Prodromal phase
Active phase
Residual phase
Prodromal phase of Schizophrenia
Symptoms are not yet showing in this phase but the individual begins to deterioate
Active phase Of Schizophrenia
During this phase symptoms become apparent
This phase is triggered by stress in the person's life
Residual Phase of Schiziophrenia
a return to a prodromal like level of functioning
The striking symptoms of the active phase lessen, but some negative symptoms such s blunted emotions may remain
Under what conditions are individuals more likely to recover from schizophrenia?
A full recovery from schizophrenia is more liekly in persons who had good PREMORBID functioning or whose disorder was initially triggered by stress, came on abruptly, or developed during middle age
what is schizoaffective disorders? what are the major symptoms and proposed causes?
Marked by both symptoms of both schizophrenia and mood disorders
How did Freud explain the symptoms of schizophrenia?
P471 Freud believed that schizophrenia develops from two psychological processes (1) regression to a pre- ego stage. (2) effects to reestablish ego control etc.....
What does the term schizophrenogenic mother refer to?
a type of mother supposedly cold, domineering, and uninterested in the needs of others who was once thought to cause schizophrenia in her child
What is the concordance rate of schizophrenia in identical twins? Fraternal twins?
If genetic factors are at work in schizophrenia identical twins who share all their genes should have a higher concordance rate for this disorder than fraternal twins who share only some genes
� How is maternal illness or oxygen deprivation related to the development of schizophrenia? (the viral theory)
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How is dopamine related to schizophrenia? How did we make the discovery that schizophrenia was related to dopamine
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What recent research challenges the dopamine theory of schizophrenia?
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� What are the important social factors that must be considered in treating schizophrenia?
multicultural factors
social labeling
and family dysfunctioning
What is meant by double bind family communication? How do these dynamics relate to schizophrenia?
Double blind: a theory that some parents repeatedly communicate pairs of messages that are mutually contradictory, helping to produce schizophrenia in their children .
How do families with high levels of expressed emotion interact with one another?
expressed emotion members frequently express criticism disapproval and hostility towards each other and intrude on one's privacy
What was the traditional method of dealing with or treating individuals with schizophrenia prior to the advent of medication
Institutionalization
What is milieu therapy and why does it have relevance for those with schizophrenia?
a humanistic approach to institutional treatment based on the belief that institutions can help patients recover by creating a climate that promotes self respect, responsible behavior, and meaningful activity
what is the token economy system that is used by many institutions and treatment centers
Token economic: a behavioral program in which a person's desirable behaviors are reinforced systematically throughout the day by the awarding of tokens that can be exchanged for goods or privileges.
What schizophrenic symptoms is most likely to be helped by drug therapy and what are least
likely to be helped by medication?
Psychotic symptoms pg 488
What was the first antipsychotic medication introduced in the 1950s?
antihistamine
What is tardive dyskinesia?
Extrapyramidal effects that appear in some patients after they have taken conventional antipsychotic drugs for an extend time.
What are the advantages of the atypical antipsychotics??
487
What is the revolving door syndrome in the treatment of mental illness?
People come in and out of treatment centers due to ineffective and incomplete care
What might the goal of family therapy be for the schizophrenic patient?
Support and understanding
What does MICA stand for?
Mentally Ill Chemical Abuser