CLP4143 Exam 4 - Psychotic Disorders
questions and answers
psychosis - correct answer ✔✔inability to tell difference between what's real and unreal
psychotic disorder - correct answer ✔✔when inability is distressing and impairing
schizophrenia - correct answer ✔✔the most common psychotic disorder
psychotic symptoms: - correct answer ✔✔1. positive symptoms characterized by presence of symptoms
that weren't there before onset of disorder (delusions, hallucinations)
2. negative symptoms characterized by loss of thought & behavior that WAS present before
3. disorganized symptoms characterized by disorganized speech, thought & behaviors
delusions - correct answer ✔✔ideas that an individual believes are true but are highly unlikely or simply
impossible (ex: FBI out to get me bc I have special knowledge, I can control other ppls thoughts)
types of delusions (6) - correct answer ✔✔1. *persecutory*: most common. being persecuted/watched
(ex: teacher watching me bc wants me to fail class)
2. *reference*: random events are directed at oneself (news anchor blinking a lot to tell me to do
something)
3. *grandiose*: great power, knowledge, talent or famous (when I look at ppl they feel calm, I'm a god)
4. *guilt or sin*: committed terrible act or responsible for terrible event (responsible for elementary
shooting)
5. *somatic*: appearance or body part is diseased/altered when it isn't
6. *being controlled*: thoughts, feelings, behaviors being controlled (thought insertion)
delusions vs. normal self-deception - correct answer ✔✔delusions are different from thoughts we tell
ourselves in 3 ways:
, 1. *bizarreness*: self-deceptions are at least possible whereas delusions aren't
2. *preoccupation*: normal self-deception think about occasionally, delusions are preoccupied & search
for evidence/try to convince ppl
3. *resistance*: normal self-deception beliefs ppl typically acknowledge beliefs may be wrong, delusions
hold on to beliefs even if aren't true
more points about delusions - correct answer ✔✔1. usually multiple types of delusions together in
*complex belief system* (ex: FBU out to get me bc know that aliens controlling my thoughts)
2. specific *content* of delusions differs across cultures & cohorts (ex: delusion of being slandered
normal in Japan but not US)
3. *cultural relativism* important when diagnosing (ex: some religions believe people can talk to
animals)
-in schizophrenia are *bizarre* and *distressing & impairing*
types of hallucinations (4) - correct answer ✔✔1. *auditory*: most common. more common in women
2. *visual*: second most common. often accompanied by auditory
3. *tactile*: ex bugs crawling on them
4. *somatic*: inside body, ex worms eating intestines
3 types of negative symptoms: - correct answer ✔✔1. *affective flattening*: severe reduction of overt
emotional responses
2. *alogia*: reduction in speaking
3. *avolition*: has trouble completing tasks, careless, unmotivated
positive vs negative symptoms: - correct answer ✔✔-negative symptoms LESS obvious
-negative symptoms associated with MORE impairment (one reason is negative symptoms LESS
responsive to medication)
diagnosing schizophrenia - correct answer ✔✔-symptoms must be present for 6 months & include at
least one month of active symptoms
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