HLTHAGE 3N03 Lecture Notes - Lecture 11: Emil Kraepelin, Schizoaffective Disorder, Catatonia

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Understand what schizophrenia is from a clinical diagnosis standpoint. Describe state of knowledge of late onset. Identify and describe two cohorts of elders with schizophrenia. Two or more of the following symptoms for at least one month; one must be 1, 2, or 3: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behaviour, negative symptoms. Can"t be attributed to substance or other medical condition. Must rule out schizoaffective disorder and bipolar/depressive disorder with psychotic features. No depressive or manic episodes occur concurrently with active phase symptoms. If mood episodes have occurred, they must have been present for a minority of the total duration of the active phase symptoms and residual phases of the illness. No subtypes of schizophrenia - dsm-iv had poor description, low diagnostic reliability and didn"t exhibit patterns of treatments, therefore subtypes were removed (ex. schizoaffective) Kraepelinian notion (myth): schizophrenia is a progressive condition which increases in severity as aging continues.

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