aetiology of schizophrenia
genetics, drug use, stress, obs complications
diagnosis of schizophrenia
1) rule out organic cause
2) 1 month of:
- 3rd person auditory hallucinations (or thought echo)
- thought interference Sx
- passivity
- a persistent bizarre delusion
OR TWO OF: 2nd person - AH/hallucinations in other modalities - formal thought disorder - negative Sx - catatonic Sx
what are negative Sx
Blunted AFFECT - a restricted emotional response
AMBIVALENCE - holding conflicting attitudes, lack of motivation
AUTISM -social withdrawal
loose ASSOCIATIONS - Formal thought disorder
what is schneider’s first rank Sx
Hallucinations
1) thought echo
2) running commentary AH
Though interference 3) - though insertion - thought broadcasting - their thinking is heard by other people thought withdrawal
passivity
- made Actions
Made affect
made impulses
factors ass w poor prognosis for schizo
strong family history gradual onset low IQ prodromal phase of social withdrawal lack of obvious precipitant