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Test #5
schizophrenia
64
Health Care
Undergraduate 2
07/13/2007

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Cards

Term
Delusions
Definition
false personal beliefs that are inconsistent w/ the person's intelligence or cultural background.
Term
Delusion of Persecution
Definition
client feels threatened/believes that others intend harm or persection toward them in some way.
Term
Delusion of Grandeur
Definition
client has an exaggerated feeling of importance, power, knowledge, or identity.
Term
Delusion of Reference
Definition
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.
Term
Ideas of reference
Definition
less rigid that delusions

ex:irrationally thinking that someone is being talked about or laughed at by other people.
Term
Delusions of Control of Influence
Definition
client feels that certain objects or people have control over his/her behavior
Term
Somatic Delusion
Definition
false idea about the functioning of his/her body
Term
Nilhilistic Delusion
Definition
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."
Term
Religiosity
Definition
excessive demonstration of or obsession w/ religious ideas and behavior

ex: client believes that voice he/she hears is God
Term
Paranoia
Definition
suspiciousness of others
Term
Magical Thinking
Definition
client believes that his/her thoughts or behaviors have control over specific situations or people
Term
Associative Looseness
Definition
speech in which ideas shift from one unrelated subject to another.

*client unaware topics are unconnected
Term
Neologisms
Definition
Words that an individual makes up that only have meaning for the individual; often pare of the delusional sys.
Term
Concrete Thinking
Definition
Concreteness, or literal interpretations of the enviornment, represents a regression to an earlier level of congnitive development.

*abstract thinking difficult
Term
Clang Associations
Definition
Repetition of words of phrases thta are similare in sound but in no other way
Term
Word Salad
Definition
Form of speech in which words or phrases are connected meaninglessly
Term
Circumstantiality
Definition
Before getting to the point or answering a ques. the individual gets cought up in countless details and explanations
Term
Tangentiality
Definition
differs form circumstantiality

client never gets to the point of the communication

original topic is lost
Term
Perseveration
Definition
client repeats same word or idea in response to different ques.
Term
Tactile Hallucinatons
Definition
false perceptions of sense of touch, often on or under skin
Term
Formication
Definition
sensation that something is crawling on or under the skin
Term
Gustatory
Definition
false perception of taste

*client may describe as unpleasant taste
Term
Olfactory Hallucination
Definition
false perception of the sence of smell
Term
Illusions
Definition
misperceptions or misinterpretatoins of real external stimuli
Term
Inappropriate Affect
Definition
clients emotional tone incongruent w/ the situation
Term
Bland or Flat Affect
Definition
emotinal tone weak
Term
Apathy
Definition
indifference to or disinterest inthe enviornment
Term
Echolalia
Definition
repeated words
Term
Echopraxia
Definition
client purposelessly imitate movements made by others
Term
Depersonalization
Definition
feelings of unreality

Ex: feeling that one's extrem. have changed in size
Term
Anergia
Definition
deficiency of energy
Term
Waxy Flexibility
Definition
Having one's arms or legs placed in a certain position and holding that same position for hours.
Term
Confabulation
Definition
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
Term
Echolalia
Definition
Repeating the speech of another person
Term
Echopraxia
Definition
Repeating the movements of another person
Term
Anhedonia
Definition
inablility to experience pleasure
Term
What it the primary defense mech. of Schizophrenia?
Definition
Regression
Term
Positive Symptoms of Schizophrenia
Definition
Reflect a excess or distortion of nornal functions
Term
Neg. symp. of Schizophrenia
Definition
Reflect a diminution or loss or normal functions
Term
Pos symp- Hallucinations
Definition
Auditory, visual, olfactory, gustatory, tactile
Term
Pos. symp- Delusions
Definition
persecution, grandeur, reference, control or influence, somatic
Term
Pos. symp.-Disorganized Thinking/Speech
Definition
loose assoc, incoherence, clang assoc, word salad, neologisms, concrete thinking, echolalia, tangentiality, circumstantiality
Term
Pos. Symp.-Disorganized Behavior
Definition
Disheveled apprearance, Inappro. sexual behavior, restlessness, agitated behavior, waxy flexibility
Term
Neg. Symp-Affective flattening
Definition
Unchanging facial expression, poor eye contact, reduced body lang, inappro. affect, diminished emotional expression
Term
Neg Symp-Alogia(povery of speech)
Definition
Brief, empty responses, decreased fluency of speech, decreased content of speech
Term
Neg. Symp-Avolition/Apathy
Definition
inability to initiate goal-directed activity, little or no interest in wk or soc. activities, impaired grooming/hygiene
Term
Neg Symp-Anhedonia
Definition
Absence of pleasure in soc. activities,diminished intimacy/sexual interest
Term
Delusional d/o- Jealous type
Definition
client thinks that sexual partner is unfaithful
Term
Delusional d/o- persecutory type
Definition
*most common type

client feels cheated on, spied on, followed, poison, drugged, harassed
Term
Delusion d/o- somatic type
Definition
client feels that have a physical defect, disorder, or disease
Term
Delusion d/o- granddiose type
Definition
client believes they have a special relationship w/ someone famous or assume identiy of a famous person
Term
Delsuion d/o- erotomanic type
Definition
Client thinks that someone of higher status is in love w/ them
Term
Phase I: The Schizoid Personality
Definition
"loners"
cold, aloof
Term
Phase II:Prodromal Phase
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
Term
Phase IV: Residual Phase
Definition
*just like Phase II
Flat affect and impairment in role funciton being prominent
Term
Phase III: Schizophrenia
Definition
delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, neg. symptoms
Term
Paranoid Schizophrenia

onset: late 20's-30's
Definition
delusions of persecution or grandeur
auditory hallucinations

client tense, suspicious and guarded and may become argumentative, hostile, and aggressive.
Term
Brief psychotic d/o

symp. last at least 1day, but less than 1mo.
Definition
Preceded by a severe psychosocial stressor.

s/s: emotional turmoil, overwhelming perplexity or confusion
incoherent speech
delusions, hallucinaions
bizarre behavior
disorientaion
Term
Disorganized Schizophrenia

onset: prior to 25yrs
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
Term
Residual Schizophrenia

HX: @least 1 espisode of schizophrenia
Definition
soc. isolation
eccentric behavior
impairment in personal hygiene/grooming
blunted or inappro. affect
poverty of or overly elaborated speech
illogical thinking or apathy
Term
Catatonic Schizophrenia

Stupor Form or Excitement Form
Definition
stupor: psychomotor retardation
waxy flexibility
mutism

excitement: psychomotor agitation
incoherent verbalization/shouting
destructive/violent to others
Term
Schizoaffective d/o
Definition
schizophrent behavior, w/ assoc. of mood disorders (depression and mania)
Term
Schisophreniform d/o
Definition
identical to schizophrenia w/ exception that the duration (prodromal, active, residual phases) is @least 1mo but less than 6mo.
Term
Undifferentiated Schizophrenia
Definition
Client doesn't meet criteria for any subtype or they may meet the criteria for more than one subtype.
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