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Schizophrenia and Other Psychotic Disorders

Schizophrenia is a devastating disease of the brain that affects a person's thinking, language, emotions, social behavior, and ability to accurately perceive reality.

AB
Psychosis-induced polydipsiaCompulsive drinking of 4 to 10 liters of water a day
Major neurotransmitter thought to be involved in schizophreniaDopamine
AffectThe outward manifestation of a person's feelings and emotions. May be flat, blunted, inappropriate, or bizarre
Associative loosenessRefers to haphazard and confused thinking that is manifested in jumbled and illogical speech and reasoning
AutismThinking that is not bound to reality but reflects the private perceptual world of the individual
AmbivalenceSimultaneously holding two opposing emotions, attitudes, ideas, or wishes toward the same person, situation, or object.
Predromal symptomsMay occur a month to a year before the first psychotic break, representing a clear deterioration in previous functioning.
Positive symptoms of schizophreniaHallucinations; delusions; disorganized speech; bizarre behavior
Negative symptoms of schizophreniaBlunted affect; poverty of thought; Loss of motivation; Inability to experience pleasure
AlogiaPoverty of thought
AvolitionLoss of motivation
AnhedoniaInability to experience pleasure or joy
Cognitive symptoms of schizophreniaInattention; impaired memory; poor problem-solving and decision-making skills; illogical thinking; impaired judgment
DelusionsFalse fixed beliefs that cannot be corrected by reasoning.
Ideas of referenceMiscontruing trivial events and remarks and giving them personal significance
Delusions of persecutionThe false belief that one is being singled out for harm by others
Delusions of grandeurThe false belief that one is a very powerful and important person
Somatic delusionsThe false belief that the body is changing in an unusual way
JealousyThe false belief that one's mate is unfaithful.
Thought broadcastingThe belief that one's thoughts can be heard by others
Thought insertionThe belief that thoughts of others are being inserted into one's mind
Thought withdrawalThe belief that thoughts have been removed from one's mind by an outside agency
Delusions of being controlledBeliefs that one's body or mind is controlled by an outside agency
Concrete thinkingImplies overemphasis on specific details and an impairment in the ability to use abstract concepts
NeologismsWords a person makes up that have special meaning for the person
EcholaliaThe pathological repeating of another's word by imitation and is often seen in people with catatonia
Clang associationsThe meaningless rhyming of words, often in a forceful manner
Word saladA term used to identify a mixture of phrases that is meaningless to the listerner and perhaps to the speaker as well
HallucinationsSensory perceptions for which no external stimulus exists
Auditory hallucinationsHearing voices or sounds that do not exist in the environment but are projections of inner thoughts or feelings
Visual hallucinationsSeeing a person, object, or animal that does not exist in the environment
Olfactory hallucinationsSmelling odors that are not present in the environment
Gustatory hallucinationsTasting sensations that have no stimulus in reality
Tactile hallucinationsFeeling strange sensations where no external objects stimulate such feelings; common in delirium tremens
Command hallucinationsInternal voices that command the person to hurt himself or others
DepersonalizationA nonspecific feeling that a person has lost his or her identity, that the self is different or unreal
DerealizationThe false perception by a person that the environment has changed
Bizarre behaviorBehaviors that may take the form of a stilted rigid demeanor, eccentric dress or grooming, and rituals
Extreme motor agitationAgitated physical behavior such as running about, in response to inner and outer stimuli
Automatic obedienceClient may perform without hesitation, all simple commands in a robot-like fashion
Waxy flexibilityExcessive maintenance of posture, evidenced when a person's arms or legs can be placed in any position and the position is held for long periods
Flat affectImmobile facial expressions or a blank look
Blunted affectMinimal emotional response
AnergiaLack of energy; passivity, impersistence at work or school
Extrapyramidal side effects (EPS)Anticholinergic side effects related to medication therapy
Acute dystoniaMuscle cramps of the head and neck
AkathisiaInternal and external restless pacing or fidgeting
PseudoparkinsonismStiffening of muscular activity in the face, body, arms, and legs
Tardive dyskinesiaAn EPS that usually appears after prolonged treatment with an antipsychotic medication in which there is involuntary tonic muscular spasms that typically involve the tongue, fingers, toes, neck, trunk, or pelvis
OpisthotonosTetanic heightening of entire body, head and belly up
Oculogyric crisisEyes locked upward
Choreic movementsRapid, purposeless, and irregular movements
AgranulocytosisA serious side effect of certain antipsychotic medications; can be fatal
CatatoniaAbnormal motor behavior; may be extreme motor agitation or extreme psychomotor retardation
BlockingA sudden cessation in the train of thought
PsychosisRefers to behavior that may include delusions, any prominent hallucinations, disorganized speech, or disorganized or catatonic behavior
Milieu therapyA method of psychotherapy that controls the environment of the client to provide interpersonal contacts in order to develop trust, assurance, and personal autonomy
Neuroleptic malignant syndromeA potentially lethal side effect of antipsychotic medication that requires emergency treatment
MutismPerson does not speak
CircumstantialityThe person delays getting to the point of communication because of unnecessary and tedious details


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