1. 1 A PowerPoint™ Slide Presentation for Abnormal Psychology Ninth Edition 9/e Lauren B. Alloy, Ph.D. John H. Riskind, Ph.D. Margaret B. Manos Developed by Joseph A. Davis, Ph.D. 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.

2. 2 Chapter 14 Schizophrenia and Delusional Disorder

3. 3 Chapter Main Points Schizophrenia Delusional Disorder Problems in the Study of Schizophrenia Schizophrenia: Theory and Therapy

4. 4 Schizophrenia Schizophrenia: A group of psychoses in which deterioration of functioning is marked by severe distortion of thought, perception, and mood, by bizarre behavior

5. 5 Schizophrenia: Disorders of Thought and Language Delusions: Delusions of Persecution Delusions of Control (Delusions of influence) Delusions of Reference

6. 6 Schizophrenia: Disorders of Thought and Language Delusions: Delusions of Grandeur Delusions of Sin and Guilt Hypochondriacal Delusions Nihilistic Delusions (non-existence)

7. 7 Schizophrenia: Disorders of Thought and Language Delusions: Thought broadcasting Thought insertion Thought withdrawal

8. 8 Schizophrenia: Disorders of Thought and Language 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

9. 9 Schizophrenia: Disorders of Thought and Language 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

10. 10 Schizophrenia: Disorders of Thought and Language 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

11. 11 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

12. 12 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

13. 13 Symptoms 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

14. 14 The 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

15. 15 The Course of Schizophrenia The Residual Phase: Gradual recovery Behavior is similar to that of the prodromal phase

16. 16 The Subtypes of Schizophrenia Disorganized Schizophrenia: Pronounced incoherence of speech Mood disturbance Disorganized behavior, or lack of goal orientation

17. 17 The Subtypes of Schizophrenia Catatonic Schizophrenia: Marked disturbance in motor behavior Catatonic stupor complete immobility, usually accompanied by mutism

18. 18 The Subtypes of Schizophrenia Paranoid Schizophrenia: Delusions and/or hallucinations of a relatively consistent nature, often related to the themes of persecution and grandeur

19. 19 Dimensions 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

20. 20 Dimensions of Schizophrenia Positive-negative Symptoms Dimension: Positive Symptoms: The presence of something that is normally absent Negative Symptoms: The absence of something that is normally present

21. 21 Dimensions of Schizophrenia Paranoid-nonparanoid: The criterion of classification is the presence (paranoid) or absence (nonparanoid) of delusions of persecution and/or grandeur

22. 22 Delusional Disorder The Symptoms of Delusional Disorder: Persecutory type Grandiose type Jealous type Erotomanic type Somatic type

23. 23 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

24. 24 Schizophrenia: Theory and Therapy

25. 25 Schizophrenia: Theory and Therapy The Neuroscience Perspective: Brain imaging studies Prenatal brain injury

26. 26 Schizophrenia: Theory and Therapy Biochemical Research: The Dopamine Hypothesis: schizophrenia is associated with excess activity in the parts of the brain that use dopamine as a neurotransmitter

27. 27 Schizophrenia: Theory and Therapy The Cognitive Perspective: Overattention Underattention Vulnerability Cognitive therapy

28. 28 Schizophrenia: Theory and Therapy The Interpersonal Perspective: Expressed emotion Communication deviance Treatment for families

29. 29 Schizophrenia: Theory and Therapy The Behavioral Perspective: Learned nonresponsiveness Relearning normal behavior Direct reinforcement The token economy Social-skills training

30. 30 Schizophrenia: Theory and Therapy The Sociocultural Perspective: Assertive Community Treatment (ACT) Personal Therapy Unitary Theories: diathesis stress model

31. 31 Recapping the Main Points Schizophrenia Delusional Disorder Problems in the Study of Schizophrenia Schizophrenia: Theory and Therapy

32. 32 End of Chapter 14 Schizophrenia and Delusional Disorder