Review
What is psychosis? - ✔✔set of symptoms in which a person's mental capability, affective
response and the capacity to recognize reality, communicate and relate it to others impaired
common symptoms - ✔✔delusions, hallucinations, disorganized speech, disorganized
behavior, gross distortions of reality
perceptual distortions - ✔✔hallucinations: hearing, seeing, touch, test, or odor
reporting that familiar things and people seem changed
motor disturbances - ✔✔rigid posture, signs of tension, inappropriate grins or giggles, peculiar
repetitive gestures, talking or mumbling to oneself, glancing around as if hearing voices
disorders in which psychosis is an associated feature - ✔✔mania, depression, cognitive
disorders, alzheimer's/dementia
paranoid psychosis: paranoid projection - ✔✔preoccupation with delusional beliefs
believing that people talking about oneself
believing that one is being persecuted or conspire against
believing people or external forces control one's actions
paranoid psychosis: hostile belligerence - ✔✔verbal expression of feeling of hostility
expressing an attitude of distain
manifesting a hostile, sullen attitude
manifesting irritability and grouchiness
,tending to blame other for problems
expressing feeling of resentment
expressing suspicion of people
paranoid psychosis: grandiose expression - ✔✔exhibiting an attitude of superiority
hearing voices that praise and extol
believing one has unusual powers, is a well-known personality or has a divine mission
disorganized-excited psychosis: conceptual disorganization - ✔✔giving an answer that is
irrelevant or incoherent
drifting of the subject
using neolgisms
repeating certain words or phrases
disorganized-excited psychosis: disorientation - ✔✔not knowing where one is
not knowing the season of the year
not knowing the calendar year
not knowing one's own age
disorganized-excited psychosis: excitement - ✔✔expressing feeling without restraint
manifesting hurried speech
exhibiting elevated mood or an attitude of superiority
dramatizing oneself or one's symptoms
manifesting loud and boisterous speech
exhibiting overactivity or restlessness
exhibiting excess of speech
, depressive psychosis: retardation and apathy - ✔✔slowed speech
blocking in speech
low and whispered speech
indifferent to one's future
apathy toward oneself and one's problems
fixed facial expression
slovenly appearence
failure to answer questions
slowed movement
deficiencies in recent memory
depressive psychosis: anxious self-punishment and blame - ✔✔tendency to blame or condemn
oneself
anxiety about specific matters
apprehensiveness regarding vague future events
an attitude of self-deprication
manifesting a depressed mood
expressing feeling of guilt and remorse
preoccupation with suicidal thoughts
unwanted ideas, and specific fears
feeling unworthy or sinful
schizophrenia - ✔✔affects 1% of the US population
cost: estimated to be tens of billions annually; 20% of social security benefits used to care for
patients