Schizophrenia (abnormal, test 3) Crossword
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Down:
2) reflect DEFECTS of DEFICITS in normal functioning (the absence of a behavior normally present); FLAT or BLUNTED affect (reduced expressiveness), poverty of speech (ALOGIA), avolition, anhedonia, social withdrawal3) beliefs that are contrary to reality and asserted with inappropriate justification ("fixed false beliefs"); delusions can be of: persecution, disease (somatic); gradiosity; jealousy; love (erotomania); religion; being poisoned, possessed, impoverished, dead, etc.5) 50% comorbid substance abuse or dependence (dual diagnosis); 50% suicide attempt rate (10-15% eventually complete suicide; risk is highest during the early years of the illness); poor INSIGHT into their condition; (desperately lonely, but terrified of connecting with someone)6) discovered by Eugen BLEULER; syndromes resembling our modren conception of the illness have been described since ancient Mesopotamia 8) persecution, disease (somatic); gradiosity; jealousy; love (erotomania); religion; being poisoned, possessed, impoverished, dead, etc.12) course is variable: 50% chronic, severely impaired functioning; 25% recurrent, continued moderate symptoms; 25% "recover completely" after one episode (i.e. are eventually able to live independently and/or maintain a job); for most, after each relapse, there is a FURTHER REDUCTION IN BASELINE FUNCTIONING (post psychotic depression is common)14) inability to organize behavior and have it conform to standards; bouts of agitation, dressing in unusual clothes, hoarding food, collecting garbage, etc.; catatonic rigidity, waxy flexibility15) former name for schizophrenia 21) NOTE: only one criterion A symptom is required if delusions are bizarre or hallucinations consist of a voice keeping up a running commentary on the person's behavior or thoughts, or two or more voices conversing with each other |
Across:
1) RARE (lowest type of hallucinations, obviously)4) 66-88% prevalence rate (highest)7) false or distorted perceptions that seem vividly real to the person experiencing them; makes it difficult to ATTEND to other stimuli; neither NECESSARY nor SUFFICIENT to meet diagnostic criteria9) incoherence -- speech may have theme, but seems fragmented, repeated, not connected, difficult to understand; LOOSE ASSOCIATIONS, DERAILMENT, or THOUGHT BLOCKING -- difficulty staying on topic; CLANG ASSOCIATIONS; NEOLOGISMS 10) paranoid; catatonic; disorganized; undifferentiated; residual11) 24-54% prevalence rate13) disorganized speech; altered sense of self; bizarre behavior16) (bleuler, 1911); term used to connote the SPLITTING or TEARING of the patient's MIND and emotional stability; NOT "split personality"; formerly called DEMENTIA PRAECOX17) males = 15-25; females = 25-3518) clinical syndrome dominated by postural and/or movement abnormalities, mutism, or echolalia; near total unresponsiveness to the environment 19) sever psychotic disorder involving disturbance of thought, emotion, and behavior20) associated with poorer prognosis: male; gradual (not acute) onset; early age of onset; poor premorbid functioning; family history of schizophrenia; predominance of negative symptoms; living in a western nation (versus an underdeveloped nation)22) preoccupation with delusions or hallucinations but no disorganized speech, disorganized or catatonic behavior, or flat or inappropriate affect; premorid personality is relatively intact; the subtype with the BEST PROGNOSIS23) "everyone should have a good laugh. don't cry over it. don't tell someone. appreciate it without criticism. a word like MILK shouldn't be mentioned"; "i don't break the law. that's an old saw. who's that lumberjack with the long grey beard? santa claus. hold your paws."24) depersonalization; derealization 25) auditory, visual, tactile, olfactory, gustatory; (almost two-thirds of patients report hallucinations in more than one modality)26) patient does not meet criteria for the previous subtypes, yet does meet general criteria for schizophrenia 27) reflect EXCESSES or DISTORTIONS of normal functioning (the presence of aberrant behaviors); hallucinations, delusions, disorganized speech or thinking, disorganized behavior28) A/H are usually intermittent, not continuous; will usually diminish if patient engages in activity; voices can be male/female, familiar/unfamiliar; they are usually clear, not "vague"; usually resembles patient's own syntax (not "stilted"); commands are not rare and are often complied with; brain areas related to hearing are activated during hallucinations (but the frontal regions that usually locate the source of sounds are inactive); so, person "hears" but cannot detect source (i.e. inside own brain) -- difficulty discriminating between self-generated and externally-generated data |
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