Chapter Fifteen: Treatments for Schizophrenia and Other Severe Mental Disorders

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21 Terms

1

social breakdown syndrome

extreme withdrawal, anger, physical aggressiveness, and loss of interest in personal appearance and functioning

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2

Milieu Therapy

a humanistic approach to institutional treatment based on the premise that institutions can help patients recover by creating a climate that promotes self-respect, responsible behavior, and meaningful activity

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3

The Token Economy

a behavior-focused program in which a persons desirable behaviors are reinforced systematically by the awarding of tokens that can be exchanged for goods or privileges

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4

Antipsychotic Drugs

drugs that help correct grossly confused or distorted thinking

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5

first-generation / neuroleptic drugs

drugs that often produce undesired effects similar to the symptoms of neurological disorders

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6

extrapyramidal effects

unwanted movements, such as severe shaking, bizarre-looking grimaces, twisting of the body, and extreme restlessness, sometimes produced by antipsychotic drugs

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7

Neuroleptic Malignant Syndrome

a severe, potentially fatal reaction consisting of muscle rigidity, fever, altered consciousness, and improper functioning of the autonomic nervous system

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8

Tardive Dyskinesia

extrapyramidal effects involving involuntary movements that some patients have after they have taken antipsychotic drugs for an extended time

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9

agranulocytosis

a life-threatening drop in white blood cells sometimes produced by clozapine

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10

cognitive remediation

an approach that focuses on the cognitive impairments that often characterize people with schizophrenia

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11

Community Mental Health Act

patients with psychological disorders were to receive a range of mental health services in their communities rather than being transported to institutions far from home

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12

deinstitutionalization

the discharge of large numbers of patients from long-term institutional care

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13

community mental health centers

a treatment facility that provides medication, psychotherapy, and emergency care for psychological problems and coordinates treatment in the community

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14

mentally ill chemical abusers

patients with psychotic disorders as well as substance use disorders

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15

aftercare

a program of posthospitalization care and treatment in the community

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16

day center

a program that offers hospital-like treatment during the day only

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17

semihospital / residential crisis center

houses in the community that provide 24-hr nursing care for people with severe mental disorders

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18

paraprofessionals

people who receive training and ongoing supervision from outside mental health professionals

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19

sheltered workshop

a supervised workplace for employees who are not ready for competitive or complicated jobs

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20

supported employment

vocational agencies and counselors help clients find competitive jobs in the community and provide psychological support while the clients are employed

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21

case manager

a community therapist who offers and coordinates a full range of services for people with schizophrenia or other severe disorders

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