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false personal beliefs that are inconsistent w/ the person's intelligence or cultural background. |
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client feels threatened/believes that others intend harm or persection toward them in some way. |
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client has an exaggerated feeling of importance, power, knowledge, or identity. |
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example: client feels that someone is trying to get message to them by newspaper, tv program, or magazine and then need to try to break the code in order to get mess. |
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less rigid that delusions
ex:irrationally thinking that someone is being talked about or laughed at by other people. |
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Delusions of Control of Influence |
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client feels that certain objects or people have control over his/her behavior |
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false idea about the functioning of his/her body |
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client has false idea that the self, part of the self, others, or the world is nonexistent
ex: "The world no longer exists.""I have not heart." |
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excessive demonstration of or obsession w/ religious ideas and behavior
ex: client believes that voice he/she hears is God |
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client believes that his/her thoughts or behaviors have control over specific situations or people |
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speech in which ideas shift from one unrelated subject to another.
*client unaware topics are unconnected |
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Words that an individual makes up that only have meaning for the individual; often pare of the delusional sys. |
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Concreteness, or literal interpretations of the enviornment, represents a regression to an earlier level of congnitive development.
*abstract thinking difficult |
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Repetition of words of phrases thta are similare in sound but in no other way |
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Form of speech in which words or phrases are connected meaninglessly |
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Before getting to the point or answering a ques. the individual gets cought up in countless details and explanations |
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differs form circumstantiality
client never gets to the point of the communication
original topic is lost |
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client repeats same word or idea in response to different ques. |
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false perceptions of sense of touch, often on or under skin |
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sensation that something is crawling on or under the skin |
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false perception of taste
*client may describe as unpleasant taste |
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false perception of the sence of smell |
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misperceptions or misinterpretatoins of real external stimuli |
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clients emotional tone incongruent w/ the situation |
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indifference to or disinterest inthe enviornment |
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client purposelessly imitate movements made by others |
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feelings of unreality
Ex: feeling that one's extrem. have changed in size |
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Having one's arms or legs placed in a certain position and holding that same position for hours. |
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Filling a memory gap w/ detailed fantasy believed by the teller; the purpose of confabulation is to maintain self-esteem; seen in organic conditions such as Korsakoff's psychosis |
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Repeating the speech of another person |
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Repeating the movements of another person |
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inablility to experience pleasure |
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What it the primary defense mech. of Schizophrenia? |
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Definition
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Positive Symptoms of Schizophrenia |
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Definition
Reflect a excess or distortion of nornal functions |
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Neg. symp. of Schizophrenia |
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Definition
Reflect a diminution or loss or normal functions |
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Auditory, visual, olfactory, gustatory, tactile |
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persecution, grandeur, reference, control or influence, somatic |
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Pos. symp.-Disorganized Thinking/Speech |
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Definition
loose assoc, incoherence, clang assoc, word salad, neologisms, concrete thinking, echolalia, tangentiality, circumstantiality |
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Pos. Symp.-Disorganized Behavior |
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Disheveled apprearance, Inappro. sexual behavior, restlessness, agitated behavior, waxy flexibility |
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Neg. Symp-Affective flattening |
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Unchanging facial expression, poor eye contact, reduced body lang, inappro. affect, diminished emotional expression |
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Neg Symp-Alogia(povery of speech) |
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Definition
Brief, empty responses, decreased fluency of speech, decreased content of speech |
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Neg. Symp-Avolition/Apathy |
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Definition
inability to initiate goal-directed activity, little or no interest in wk or soc. activities, impaired grooming/hygiene |
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Definition
Absence of pleasure in soc. activities,diminished intimacy/sexual interest |
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Delusional d/o- Jealous type |
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Definition
client thinks that sexual partner is unfaithful |
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Delusional d/o- persecutory type |
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Definition
*most common type
client feels cheated on, spied on, followed, poison, drugged, harassed |
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Delusion d/o- somatic type |
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Definition
client feels that have a physical defect, disorder, or disease |
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Delusion d/o- granddiose type |
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Definition
client believes they have a special relationship w/ someone famous or assume identiy of a famous person |
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Delsuion d/o- erotomanic type |
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Definition
Client thinks that someone of higher status is in love w/ them |
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Phase I: The Schizoid Personality |
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Definition
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Definition
Soc. WD impairment in role function neglect personal hygiene/grooming blunted or inappro. affect disturbance in communication bizarre ideas unusual perceptiual experiences lack of initiative, interests, energy Peculiar or eccentric behavior |
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*just like Phase II Flat affect and impairment in role funciton being prominent |
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Definition
delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, neg. symptoms |
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Paranoid Schizophrenia
onset: late 20's-30's |
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Definition
delusions of persecution or grandeur auditory hallucinations
client tense, suspicious and guarded and may become argumentative, hostile, and aggressive. |
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Term
Brief psychotic d/o
symp. last at least 1day, but less than 1mo. |
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Definition
Preceded by a severe psychosocial stressor.
s/s: emotional turmoil, overwhelming perplexity or confusion incoherent speech delusions, hallucinaions bizarre behavior disorientaion |
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Disorganized Schizophrenia
onset: prior to 25yrs |
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Definition
contact w/ reality poor flat affect grossly inappro.w/ pds of silliness/giggling facial grimaces/bizarre mannerisms communication incoherent persoanl appearance neglected soc. impairment |
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Residual Schizophrenia
HX: @least 1 espisode of schizophrenia |
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Definition
soc. isolation eccentric behavior impairment in personal hygiene/grooming blunted or inappro. affect poverty of or overly elaborated speech illogical thinking or apathy |
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Catatonic Schizophrenia
Stupor Form or Excitement Form |
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stupor: psychomotor retardation waxy flexibility mutism
excitement: psychomotor agitation incoherent verbalization/shouting destructive/violent to others |
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schizophrent behavior, w/ assoc. of mood disorders (depression and mania) |
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Term
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identical to schizophrenia w/ exception that the duration (prodromal, active, residual phases) is @least 1mo but less than 6mo. |
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Undifferentiated Schizophrenia |
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Definition
Client doesn't meet criteria for any subtype or they may meet the criteria for more than one subtype. |
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