PSYC 1030H Lecture Notes - Lecture 10: Systematic Review, Deinstitutionalisation, Thalamus

• School: Trent University
• Department: Psychology
• Course: PSYC 1030H
• Professor: Brenda Smith- Chant

Document Summary

Theoretical outlook is a major factor in treatment approach: neuropsychological/medical, psychodynamic, behavioural/cognitive, humanistic. Progression: onset can be sudden or gradual, course is variable. Difficult to treat: males more impacted than females (1, 4:1) Dopamine receptors implicated, but may be a bunch of different disorders lumped together. Schizophrenia is a poor ego defense mechanism". No more effective than no treatments or treatment as usual: early neurobiological/medical. 1930"s moniz developed the prefrontal leucotomy (nobel prize 1949: the icepick method. Nerve fibres connecting the frontal cortex and thalamus severed. Consent of person and/or family was not always obtained: anti-psychotic drugs. Reduce psychotic symptoms (hyperactivity, mental confusion, hallucinations, delusions. Works in 70% of patients, but gradual. Tardive dyskinesia (30% of cases) marked by involuntary writhing, tics: there is no cure, permanent side effect, humanist (anti-medical model) treatments. Equal effective as medication in first and second episode schizophrenia. Aversion therapy: reduce arousal and attraction to certain stimuli i. e. drug antibuse," induced vomiting.