-
diagnostic criteria
-
delusions
- grandeur
- persecution
- control
- somatic delusions
- ideas of reference
- thought broadcasting
- hallucinations
- disorganized or catonic behavior
-
disorganized speech (loosening of associations)
- tangential
- flight of ideas
- clang associations
- word salad
- negative symptoms
-
subtypes
- paranoid
- disorganized
- catatonic
- undifferentiated
-
history
- emil kraepelin, "dementia praecox"
-
eugen bleuler, "schizophrenia"
-
4 A's
- associations
- affect
- autism
- ambivalence
- kurt schneider, "first rank"
-
differential
- substance abuse
-
associated features
- substance abuse
- inc. suicide risk
- aggression
-
epidemiology
- 1% pop
- low SES, "downward drift"
- homeless b/c deinstituionalization
-
inc. risk due to:
- "seasonality effect"
- "latitude effect"
- "urbanicity effect"
-
onset
- typical
- late
- childhood
-
etiology
-
"stress-diathesis"
- genetics
- pre/perinatal complications
- environmental/biological stressor
-
biological abnormalities
-
neurochemical (dopamine (DA) hypothesis)
- over-activity of mesolimbic DA (+ symptoms)
- under-activity of mesocortical DA ( - symptoms)
-
neurostructural
- enlarged ventricles, "ventriculomegaly"
- cortical atrophy, "wasting"
- small size & disorganization of temporal lobe
-
neurofunctional
- "hypofrontality"
-
neuropsychological
- attention
- memory
- verbal fluency
- "executive" functions
-
treatment
-
antipsychotics (neuroleptics)
-
traditional
- thorazine (chorpromazine)
- haldol (haloperidol)
-
atypical
- clozaril (clozapine)
- risperdal (risperidone)
- zyprexa (olanzapine)
- abilitat (ariprptazole)
- psychotherapy
- ect
- psychosurgery (prefrontal lobatomy)