Neurosis / Disorders Outline

Neurosis/Disorders
Chapter 12
Psychosis
Definitely need meds.
I Manic depressive psychosis (aka bipolar disorder) Extreme mood shifts for a long period of time.
II Schizophrenia (the largest classification of psychosis) Withdrawal from interpersonal relationships. There are disturbances of thought processes as well as emotions and a marked distortion of reality. Cannot function, hold down a job. Harmful to self and others.
A. Process schizophrenia (chronic) is a slow onset of symptoms. May take years. The prognosis or chance of recovery is very poor. Follows the process of learning theory. Hallucinations become reality.
B. Reactive schizophrenia (acute): the onset of symptoms is sudden and the prognosis is good.
C. Subtypes of schizophrenia
1. Simple: usually a process type. Seldom has hallucinations. Is characterized by apathy, and indifference. There is also a reduction in interpersonal relationships.
2. Hebephrenic: (disorganized) Inappropriate affect (emotionality…cry when happy, etc) Silly giggling and childish behavior. Has frequent hallucinations. Usually a process type and the prognosis is poor. The hebephrenic displays behavior which is grossly inappropriate. May break out into laughter for no apparent reason or have a burst of rage without provocation. (never let them turn their back on you. Stay away until you can see their face)
3. Paranoid: frequently reactive. Reasonable chance of recovery. Has delusions of persecution and suspicion of others. Also has delusions of grandeur. Cannot hold down job.
4. Catatonic: rigid withdrawal. Characterized by a waxy flexibility of body limbs, loss of motion, and a tendency to remain motionless for hours or days. (back ward schizo. These patients are left in the back ward.)Can have sudden jerky movements. Process or reactive.