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Chapter 10. Schizophrenia

Michael J. Minzenberg, M.D.; Jong H. Yoon, M.D.; Cameron S. Carter, M.D.
DOI: 10.1176/appi.books.9781585623402.329882

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Excerpt

Schizophrenia is a serious and lifelong mental disorder that affects 1% of the population worldwide. It is characterized by a range of striking disturbances in mental functioning that are conceptualized as signs and symptoms that can be grouped into discrete categories. These include symptoms of disruption in the experience of reality, such as hallucinations and delusions, which are grouped as positive symptoms. In addition, many patients with schizophrenia show signs of impoverishment in thinking, emotional experience, and social engagement, which are grouped as negative symptoms. A wide range of other signs and symptoms are also observed in this illness, including disorganized thoughts and behaviors, negative mood states, and behavioral impulsivity.

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Sample questions:
1.
A number of physicians in the eighteenth and nineteenth centuries made important contributions to the understanding of schizophrenia. Which of the following individuals outlined a set of "first-rank" symptoms in an attempt to establish a discrete criteria set for the diagnosis?
2.
Eugen Bleuler exerted great influence on modern notions of schizophrenia, defining the primary features of schizophrenia as the "four As." Which of the following is not one of Bleuler's "four As"?
3.
DSM-IV-TR (American Psychiatric Association 2000) recognizes five subtypes of schizophrenia: paranoid, disorganized, catatonic, undifferentiated, and residual. Which of these subtypes is associated with better premorbid functioning, older age at onset, and higher social and occupational function after illness onset?
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