A chronic psychotic disorder characterized by disturbed behavior, thinking, emotions, and perceptions. delusions hallucinations illogical thinking incoherent speech bizarre behavior flat tone flat affect
period of decline in functioning that precedes the first acute psychotic episode
follows an acute phase, characterized by a return to the level of functioning of the prodromal phase
Flagrant symptoms of schizophrenia, such as hallucinations, delusions, bizarre behavior, and thought disorder
Behavioral deficiencies associated with schizophrenia, such as social skills deficits, social withdrawal, flattened affect, poverty of speech and thought, psychomotor retardation, and failure to experience pleasure
?The CIA is out to get me?
Delusions of persecution
?People on the bus are talking about me,? or ?People on TV are making fun of me,? or ?The neighbors hear everything I say. They?ve put bugs in the walls of my house?
Delusions of reference
believing that one?s thoughts, feelings, impulses, or actions are controlled by external forces, such as agents of the devil
Delusions of being controlled
believing oneself to be Jesus or believing one is on a special mission, or having grand but illogical plans for saving the world
Delusions of grandeur
A disturbance in thinking characterized by the breakdown of logical associations between thoughts
Perceptions occurring in the absence of external stimuli that become confused with reality
seeing things that are not there
tasting things that are not present
sensing odors that are not present) are rarer
?hearing voices?) are most common, affecting about three of four schizophrenia patients
(such as tingling, electrical, or burning sensations)
(such as feeling like snakes are crawling inside one?s belly).
inferred from the absence of emotional expression in the face and voice
The subtype of schizophrenia characterized by disorganized behavior, bizarre delusions, and vivid hallucinations
grossly inappropriate affect, as shown by this patient, who continually giggles and laughs for no apparent reason
The subtype of schizophrenia characterized by gross disturbances in motor activity, such as catatonic stupor
The subtype of schizophrenia characterized by hallucinations and systematized delusions, commonly involving themes of persecution
positive symptoms of schizophrenia hallucinations delusions looseness of associations abrupt onset preserved intellectual ability favorable response to antipsychotic medication
Type I Schizophrenia
negative symptoms of schizophrenia lack of emotional expression low or absent levels of motivation loss of ability to experience pleasure social withdrawal poverty of speech gradual onset intellectual impairment poorer response to antipsychotic drugs
Type II Schizophrenia
posits that schizophrenia involves an overreactivity of dopamine transmission in the brain
a pattern of unclear, vague, disruptive, or fragmented communication that is often found among parents and family members of schizophrenia patients
Communication deviance (CD)
a pattern of responding to the schizophrenic family member in hostile, critical, and unsupportive ways
expressed emotion (EE)
A disorder characterized by involuntary movements of the face, mouth, neck, trunk, or extremities and caused by long-term use of antipsychotic medication
Tardive dyskinesia (TD)
providing attention for appropriate behavior and extinguishing bizarre verbalizations through withdrawal of attention
Selective reinforcement of behavior
individuals on inpatient units are rewarded for appropriate behavior with tokens, such as plastic chips, that can be exchanged for tangible reinforcers such as desirable goods or privileges
clients are taught conversational skills and other appropriate social behaviors through coaching, modeling, behavior rehearsal, and feedback
Social skills training
A psychotic disorder lasting from a day to a month that often follows exposure to a major stressor
Brief psychotic disorder
A psychotic disorder lasting less than 6 months in duration, with features that resemble schizophrenia
A type of psychosis characterized by persistent delusions, often of a paranoid nature, that do not have the bizarre quality of the type found in paranoid schizophrenia.
A delusional disorder characterized by the belief that one is loved by someone of high social status
A type of psychotic disorder in which individuals experience both severe mood disturbance and features associated with schizophrenia.
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