PSY285 Chapter 14

11

Developed by Joseph A. Davis, Ph.D.Developed by Joseph A. Davis, Ph.D.

Abnormal Psychology Ninth Edition 9/eAbnormal Psychology Ninth Edition 9/e

McGraw-Hill Copyright © 2005. This McGraw-Hill multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission over any network; preparation of any derivative work, including the extraction, in whole or part, of any images; any rental, lease, or lending of the program.

McGraw-Hill Copyright © 2005. This McGraw-Hill multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission over any network; preparation of any derivative work, including the extraction, in whole or part, of any images; any rental, lease, or lending of the program.

A PowerPoint™ Slide Presentation forA PowerPoint™ Slide Presentation for

Lauren B. Alloy, Ph.D.John H. Riskind, Ph.D.Margaret B. Manos

Lauren B. Alloy, Ph.D.John H. Riskind, Ph.D.Margaret B. Manos

22

Chapter 14Chapter 14

Schizophrenia and

Delusional Disorder

Schizophrenia and

Delusional Disorder

33

Chapter Main PointsChapter Main Points

Schizophrenia Delusional Disorder Problems in the Study of Schizophrenia Schizophrenia: Theory and Therapy


44

SchizophreniaSchizophrenia

Schizophrenia: A group of psychoses in which deterioration of

functioning is marked by severe distortion of thought, perception, and mood, by bizarre behavior

Schizophrenia: A group of psychoses in which deterioration of

functioning is marked by severe distortion of thought, perception, and mood, by bizarre behavior

55

Schizophrenia: Disorders of Thought and Language


Delusions: Delusions of Persecution Delusions of Control (Delusions of influence) Delusions of Reference

Delusions: Delusions of Persecution Delusions of Control (Delusions of influence) Delusions of Reference

66



Delusions: Delusions of Grandeur Delusions of Sin and Guilt Hypochondriacal Delusions Nihilistic Delusions (non-existence)

Delusions: Delusions of Grandeur Delusions of Sin and Guilt Hypochondriacal Delusions Nihilistic Delusions (non-existence)

77



Delusions: Thought broadcasting Thought insertion Thought withdrawal

Delusions: Thought broadcasting Thought insertion Thought withdrawal

88



Loosening of Associations (loose associations): Ideas jump from one to another, with the

result that the person wanders further and further away from the topic

Loosening of Associations (loose associations): Ideas jump from one to another, with the

result that the person wanders further and further away from the topic

99



Poverty of Content: Poor communication despite correct grammar

and adequate vocabulary Neologisms:

The use of new words and phrases, often formed by combining parts of two or more regular words that have little if any translation

Poverty of Content: Poor communication despite correct grammar

and adequate vocabulary Neologisms:

The use of new words and phrases, often formed by combining parts of two or more regular words that have little if any translation

1010



Clanging (clang association): The pairing of words that have no relation to

one another beyond the fact that they rhyme or sound alike

Word Salad: Words and phrases are combined in what

appears to be a completely disorganized fashion

Clanging (clang association): The pairing of words that have no relation to

one another beyond the fact that they rhyme or sound alike

Word Salad: Words and phrases are combined in what

appears to be a completely disorganized fashion

1111

Symptoms of Schizophrenia: Disorders of Perception

Symptoms of Schizophrenia: Disorders of Perception

Breakdown of Selective Attention: Inability to confine extraneous data to the

edge of consciousness Hallucinations:

Perceptions that occur in the absence of any appropriate external stimuli

Breakdown of Selective Attention: Inability to confine extraneous data to the

edge of consciousness Hallucinations:

Perceptions that occur in the absence of any appropriate external stimuli

1212

Symptoms of Schizophrenia: Disorders of Mood

Symptoms of Schizophrenia: Disorders of Mood

Blunted Affect: Patient shows little emotion

Flat Affect: Patient shows no emotion

Inappropriate Affect: The expression of emotions unsuitable to the

situation

Blunted Affect: Patient shows little emotion

Flat Affect: Patient shows no emotion

Inappropriate Affect: The expression of emotions unsuitable to the

situation

1313

Symptoms of Schizophrenia: Disorders of Motor BehaviorSymptoms of Schizophrenia: Disorders of Motor Behavior

Stereotypy: The act of engaging in purposeless behaviors

repetitively over long periods of time Social Withdrawal:

The lack of attention to or interest in the goings-on of the external world

Stereotypy: The act of engaging in purposeless behaviors

repetitively over long periods of time Social Withdrawal:

The lack of attention to or interest in the goings-on of the external world

1414

The Course of SchizophreniaThe Course of Schizophrenia

The Prodromal Phase: The gradual deterioration of functioning

before any clearly psychotic symptoms appear

The Active Phase: Patient begins showing prominent psychotic

symptoms

The Prodromal Phase: The gradual deterioration of functioning

before any clearly psychotic symptoms appear

The Active Phase: Patient begins showing prominent psychotic

symptoms

1515

The Course of SchizophreniaThe Course of Schizophrenia

The Residual Phase: Gradual recovery Behavior is similar to that of the prodromal

phase

The Residual Phase: Gradual recovery Behavior is similar to that of the prodromal

phase

1616

The Subtypes of SchizophreniaThe Subtypes of Schizophrenia

Disorganized Schizophrenia: Pronounced incoherence of speech Mood disturbance Disorganized behavior, or lack of goal

orientation

Disorganized Schizophrenia: Pronounced incoherence of speech Mood disturbance Disorganized behavior, or lack of goal

orientation

1717


Catatonic Schizophrenia: Marked disturbance in motor behavior Catatonic stupor

complete immobility, usually accompanied by mutism

Catatonic Schizophrenia: Marked disturbance in motor behavior Catatonic stupor

complete immobility, usually accompanied by mutism

1818


Paranoid Schizophrenia: Delusions and/or hallucinations of a relatively

consistent nature, often related to the themes of persecution and grandeur

Paranoid Schizophrenia: Delusions and/or hallucinations of a relatively

consistent nature, often related to the themes of persecution and grandeur

1919

Dimensions of SchizophreniaDimensions of Schizophrenia

Process-reactive Dimension: Variation in onset of schizophrenia

Good-poor Premorbid Dimension: How well the patient was functioning before

the onset of the active phase

Process-reactive Dimension: Variation in onset of schizophrenia

Good-poor Premorbid Dimension: How well the patient was functioning before

the onset of the active phase

2020


Positive-negative Symptoms Dimension: Positive Symptoms:

The presence of something that is normally absent Negative Symptoms:

The absence of something that is normally present

Positive-negative Symptoms Dimension: Positive Symptoms:

The presence of something that is normally absent Negative Symptoms:

The absence of something that is normally present

2121


Paranoid-nonparanoid: The criterion of classification is the presence

(paranoid) or absence (nonparanoid) of delusions of persecution and/or grandeur

Paranoid-nonparanoid: The criterion of classification is the presence

(paranoid) or absence (nonparanoid) of delusions of persecution and/or grandeur

2222

Delusional DisorderDelusional Disorder

The Symptoms of Delusional Disorder: Persecutory type Grandiose type Jealous type Erotomanic type Somatic type

The Symptoms of Delusional Disorder: Persecutory type Grandiose type Jealous type Erotomanic type Somatic type

2323

Schizophrenia: Theory and Therapy


The Neuroscience Perspective: Genetic studies:

Family studies Twin studies Adoption studies Mode of transmission Genetic high-risk studies Behavioral high-risk studies

The Neuroscience Perspective: Genetic studies:

Family studies Twin studies Adoption studies Mode of transmission Genetic high-risk studies Behavioral high-risk studies

2424



2525



The Neuroscience Perspective: Brain imaging studies Prenatal brain injury

The Neuroscience Perspective: Brain imaging studies Prenatal brain injury

2626



Biochemical Research: The Dopamine Hypothesis:

schizophrenia is associated with excess activity in the parts of the brain that use dopamine as a neurotransmitter

Biochemical Research: The Dopamine Hypothesis:

schizophrenia is associated with excess activity in the parts of the brain that use dopamine as a neurotransmitter

2727



The Cognitive Perspective: Overattention Underattention Vulnerability Cognitive therapy

The Cognitive Perspective: Overattention Underattention Vulnerability Cognitive therapy

2828



The Interpersonal Perspective: Expressed emotion Communication deviance Treatment for families

The Interpersonal Perspective: Expressed emotion Communication deviance Treatment for families

2929



The Behavioral Perspective: Learned nonresponsiveness Relearning normal behavior

Direct reinforcement The token economy Social-skills training

The Behavioral Perspective: Learned nonresponsiveness Relearning normal behavior

Direct reinforcement The token economy Social-skills training

3030



The Sociocultural Perspective: Assertive Community Treatment (ACT) Personal Therapy

Unitary Theories: diathesis stress model

The Sociocultural Perspective: Assertive Community Treatment (ACT) Personal Therapy

Unitary Theories: diathesis stress model

3131

Recapping the Main PointsRecapping the Main Points



3232

End of Chapter 14End of Chapter 14

Schizophrenia and

Delusional Disorder

Schizophrenia and

Delusional Disorder

PSY285 Chapter 14

Health & Medicine

Transcript of PSY285 Chapter 14