Schizophrenia

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AP Psychology › Schizophrenia

Questions 1 - 10
1

One symptom of schizophrenia caused Margaret to assume awkward and uncomfortable positions for hours. This __________ behavior made it impossible for others to communicate with her.

catatonic

anti-social

disorganized

negative

delusional

Explanation

Catatonia in individuals with schizophrenia causes limited reactivity to the environment and can include stereotyped behaviors such as repetitive movements or assuming bizarre poses for hours or even days.

2

If Lucy believes that every plane flying overhead is trying to bomb her, and every whispering stranger is plotting to kill her, what type of schizophrenic symptom is she having?

delusion of persecution

delusion of grandeur

delusion of reference

blunting

hallucination

Explanation

A delusion of persecution is when a person believes everyone is trying to hurt (persecute) him or her; Lucy's belief about random planes bombing her and strangers plotting to hurt her are two examples of such perceived persecution.

3

Which of the following is not true regarding Schizophrenia?

Schizophrenia impacts 10-20% of the population

Identical twins have a 45-50% chance of also having Schizophrenia

Symptoms can include hallucinations, delusions, and disorganized thinking

Dopamine has been linked to the positive symptoms of Schizophrenia

Treatment includes psychotropic medications and supportive psychotherapy

Explanation

It is incorrect that Schizophrenia impacts 10-20% of the population. Rather, depression has been found to impact 10-20% of the population. Schizophrenia is less common and impacts about 1% of the population. It is most commonly diagnosed in late adolescence and early adulthood. All of the other statements are correct.

4

Which of the following are examples of disorganized speech?

All of these

Tangentiality

Derailment

Neologisms

Clanging (i.e. rhyming)

Explanation

All of the choices represent manifestations of disorganized thoughts in the speech associated with a paranoid schizophrenia. This described as "disorganized speech" and represents a symptom that is characteristic of paranoid schizophrenia. "Tangentiality" is steering away from the topic at hand. For instance:

Q: Have you been nervous or tense lately?

A: No, I got a head of lettuce.

"Derailment" occurs when the topic is constantly being changed. If asked whether or not they like TV, then a paranoid schizophrenic might respond with "My sister likes TV. I dance to what's on the TV. I like to draw and read stories." The patient can also cleverly coin new terms on the spot, which are called "neologisms." Last, excessive rhyming or almost poetic-like speech is calling "clanging."

5

A 26-year-old woman, Ms. Johnson, comes into the office of a psychological professional office. She complains of hearing voices that are encouraging her to do "bad things" like shoplift at her favorite clothing store. Additionally, she has numerous false beliefs that are not grounded in reality. Specifically, she believes the government has implanted a tracking device under her skin while she was sleeping. Which of the following is the best diagnosis for Ms. Johnson?

Schizophrenia

Borderline personality disorder

Schizoid personality disorder

Lethargy

Post-traumatic stress disorder

Explanation

Ms. Johnson presents symptoms characterized by hallucinations and delusions—two hallmark symptoms of "schizophrenia." Schizophrenia is a severe psychiatric illness in which people have trouble distinguishing fantasy from reality. Among women, schizophrenia typically begins in the late 20s.

6

Which of the following is not a negative symptom of schizophrenia?

Diminished appetite

Social withdrawal

Diminished speech

Lack of motivation and pleasure in previously enjoyed activities

Diminished emotional expression

Explanation

Negative symptoms are thoughts, feelings, or behaviors that are present in the average person but diminished in a person with a mental disorder. Diminished appetite is the only option that is not a negative symptom of schizophrenia.

7

Which of the following is the best definition of "delusions" as a symptom of paranoid schizophrenia?

Irrational misconceptions of perceptions of experiences

Lies to oneself to make believe that he or she is sane

Thoughts that make one believe that he or she is an exception to the rules that govern society

Beliefs in a higher power or deity

None of these

Explanation

Delusionsare firmly held erroneous beliefs that are a product of distortions or exaggerations of reasoning and/or misinterpretations of perceptions or experiences. When someone has paranoid schizophrenia, delusions of being followed or watched are common; furthermore, those suffering from this disorder may believe that radio or TV programs are sending them special messages. This is paranoid thinking, which is the identifying pattern of the illness. It creates a world for the affected person where everyone is "out to get them."

Works Cited:

U.S. Department of Health and Human Services. Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 1999. (https://profiles.nlm.nih.gov/ps/access/NNBBHS.pdf).

8

Which of the following is the most common type of sensory hallucination?

Auditory

Visual

Tactile

Olfactory

Gustatory

Explanation

Many people with schizophrenia have hallucinations, which can be defined as sensory experiences without sensory stimulation. Although auditory, visual, tactile (touch), gustatory (taste), and olfactory (smell) hallucinations are all possible, auditory hallucinations, particularly hearing voices that no one else can hear, are by far the most common.

9

What is the average age of onset for schizophrenia?

18-25

13-18

25-34

34-49

50-65

Explanation

Men tend to develop schizophrenia earlier than women, in that the average age of onset of schizophrenia for men is 18 and the average age of onset for women is 25. Many other psychological disorders come to fruition during the "young adult" period, including antisocial personality disorder and various mood disorders.

10

Which of these is a negative symptom of schizophrenia?

Lack of emotion

Hallucinations

Delusions

Disorganized speech and behavior

Explanation

A negative symptom is one that dispells attention from a subject. Alternatively, positive symptoms attract attention to a subject. While a lack of emotion is a negative symptom, hallucinations, delusions, and disorganized speech are all positive symptoms.

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