Neuroleptic drugs (Antipsychotic drugs)
Often effective in treating people with schizophrenia are dopamine antagonists, partially blocking the brain’s use of dopamine
Tardive Dyskinesia
Involuntary movements of the tongue, puffing of the cheeks, puckering of the mouth, and chewing movements
Results from long-term use of high doses of antipsychotic medication
Often irreversible
Schizophrenia
Disrupts perception of the world, thought, speech, movement, and almost every other aspect of daily functioning
Chronic with a high relapse rate; complete recovery is rsare
Positive Symptoms of Schizophrenia (obvious signs)
Delusions (disorder of thought content)
Hallucinations (experience of sensory events without any input from the surrounding environment)
Negative Symptoms of Schizophrenia (absence of normal behavior)
Avolition/Apathy (inability to initiate + persist in activities)
Alogia (relative absence of speech)
Anhedonia ( presumed lack of pleasure)
Asociality ( lack of interest in social interactions)
Affective Flattering (Emotionless demeanor when a reaction is to be expected)
Disorganized Speech (Specific style of talking in people with schizophrenia- incoherence and a lack of typical logic patterns)
Neurodevelopmental Disorder
Neurologically based disorders that are revealed in a clinically significant way during a child’s development years
Specific Learning Disorder
Neurodevelopment disorder characterized by academic performance that is substantially below what would be expected given the person’s age, intelligence quotient (IQ) score, and education
Restricted Behavior Pattern
More striking characteristics of ASD
Ex: Amy liked things to stay the same and became extremely upset even of small changes such as moving her toys in her room
Ritualistic Behavior within Autism
Spent hours in these behaviors
Ex: spinning around in circles, waving their hands in front of their eyes with their heads cocked to one side, or biting their hands
Intellectual Disability Levels
Mild (IQ 50-55) and 70
Moderate (IQ 30-40) to (50-55)
Severe (IQ 20-25) to (35-40)
Profound (IQ below 20-25)
Possible Causes of Dementia
Several Medical Conditions such as infection or depression
Abuse of drugs or alcohol that produce negative changes in cognitive functioning
Agnosia
Inability to recognize and name objects
Alexia
.
Affects a person's ability to read and comprehend written language
Apraxia
Impaired motor functioning
Case of O’Connor v. Donaldson
The case of O'Connor v. Donaldson was a landmark decision by the United States Supreme Court in 1975. The case involved a man named Kenneth Donaldson who had been involuntarily committed to a mental institution in Florida for 15 years. The Court ruled that a state cannot constitutionally confine a non-dangerous individual who is capable of surviving safely in freedom by themselves or with the help of willing and responsible family members or friends. This decision established that involuntary commitment to a mental institution is a deprivation of liberty that requires due process protections under the Fourteenth Amendment.
“Sexual Psychopath Laws”
Provided hospitalization instead of incarceration, but for an infinite period
Civil vs. Criminal Court
Civil court: deals with disputes between individuals or organizations, such as contract disputes, property disputes, and personal injury claims
Purpose: to provide a remedy for the harm caused
Criminal court: deals with cases where a person is accused of committing a crime, such as theft, assault, or murder.
Purpose: punish the offender for their actions.
Parens Patriae
“State or “country “ as the parent power
Mens Rea
Having a “guilty mind”
Diminished Capacity
A legal defense that argues a defendant's mental capacity was significantly impaired at the time of the crime, which prevented them from fully understanding the nature of their actions or distinguishing right from wrong
NGRI
Not guilty by reason of insanity
Differences between NGRI and GBMI
NGRI stands for "not guilty by reason of insanity"
Defendant was not responsible for their actions due to a mental illness at the time of the crime and is committed to a mental health facility
GBMI stands for "guilty but mentally ill"
Defendant was responsible for their actions but had a mental illness that may have contributed to the crime and is serving their sentence in a prison with access to mental health treatment
Competent to Stand trial
The ability of legal defendants to participate in their own defense and understand the charges and the roles of the trial participants
Tarasoff v Regents of the University of California
Case Name: Tarasoff v Regents of the University of California
Year: 1976
Facts: A therapist at the University of California, Berkeley, had a patient who expressed an intention to kill a specific person. The therapist informed the campus police, but they did not detain the patient. The patient later killed the intended victim's girlfriend. The victim's parents sued the university for failing to warn their son of the danger.
Issue: Does a therapist have a duty to warn a potential victim of a patient's violent intentions?
Ruling: The California Supreme Court held that a therapist has a duty to protect a potential victim from a patient's violent behavior. This duty may require the therapist to warn the potential victim or to take other steps to prevent harm.
Significance: The Tarasoff case established the principle that mental health professionals have a duty to protect potential victims from their patients. This duty is now known as the Tarasoff duty or Tarasoff warning. It has been adopted in some form by many states and has had a significant impact on the practice of psychotherapy.
Delusional Disorder
Persistent belief contrary to reality(delusion) but no other symptoms of schizophrenia
Erotomanic Type (Delusional order type)
Another person is in love with the individual
Grandiose Type (Delusional order type)
The conviction of having some great (but unrecognized) talent or insight or having made some important discovery
Jealous Type (Delusional order type)
Individual’s delusion is that his or her spouse or lover is unfaithful
Persecutory Type (Delusional order type)
He or she is being conspired against, cheated, spied on , followed, poisoned or drugged, maliciously, maligned, harassed, or obstructed in the pursuit of long-term goals
Somatic Type (Delusional order type)
Bodily functions or sensations (central theme for delusions)
Mixed Type (Delusional order type)
No delusional theme predominated
Unspecified Type (Delusional order type)
The dominant delusional belief cannot be clearly determined or is not described in the specific types
Auditory Hallucinations
Hearing things that are not there
Schizophrenirorm Disorder
Psychotic disorder that involves symptoms of schizophrenia but lasting less than 6 months
Schizoaffective Disorder
Psychotic disorder featuring symptoms of both schizophrenia and major mood disorder
Shared Psychotic Disorder
An individual develops delusions simply as a result of a close relationship with a delusional individual
Brief Psychotic Disorder
The presence of one or more positive symptoms such as delusions, hallucinations, or disorganized speech or behavior lasting 1 month or less
Attenuated Psychosis Syndrome
Onset of psychotic symptoms such as hallucinations and delusions, which puts a person at high risk for schizophrenia
Attention-deficit/hyperactivity disorder (ADHD)
Developmental disorder featuring maladaptive levels of inattention, excessive activity, and impulsiveness
Childhood-Onset Fluency Disorder
Repetitions of words or parts of words, as well as prolongations of speech sounds
Language Disorder
Combination of expressive language disorder and receptive language disorder
ELD( getting one’s meaning or message across to others)
RLD ( understanding the message coming from others)
Social (Pragmatic) Communication Disorder
Difficulties with the social aspects of verbal and nonverbal communication ( verbosity, prosody, excessive switching of topics, and dominating conversations)
Tourette’s Disorder
Involuntary motor movements(tics), such as head twitching, or vocalizations, such as grunts, that often occur in rapid succession, come on suddenly, and happen in idiosyncratic or stereotyped ways. Vocal tics often include the involuntary repetition of obscenities.
Autism Spectrum Disorder
The child shows significant impairment in social communication and has restricted patterns of behavior, interest, and activities
Asperger’s Disorder
A neurodevelopmental disorder that affects an individual's ability to socialize and communicate effectively with others. People with Asperger's Disorder may also have difficulty with nonverbal communication, such as making eye contact or understanding facial expressions.
Childhood Disintegrative Disorder
Severe regression in language, adaptive behavior, and motor skills after a 2-to 4-year period of normal development
Rett Disorder
Progressive neurodevelopment disorder featuring constant hand-writing, intellectual disability, and impaired motor skills
Pervasive Developmental Disorder
Wide-ranging, significant, and long-lasting dysfunctions that appear before the age of 18
Intellectual Developmental Disorder (ID)
When one achieves a significantly below-average score on a test of intelligence and by limitations in the ability to function in areas of daily life
Phenylketonuria
Recessive disorder involving the inability to break down a food chemical whose buildup causes intellectual disability, seizures, and behavior problems
Lesch-Nyhan Syndrome
X-linked disorder characterized by intellectual disability, signs of cerebral palsy, and self-injurious behavior
Down syndrome
Intellectual disability caused by a chromosomal aberration(chromosome 21) and involving characteristic physical appearance. (trisomy 21)
Fragile X syndrome
Pattern of abnormality caused by a defect in the X chromosome resulting in intellectual disability, learning problems, and unusual physical characteristics
Cultural-familial Intellectual Disability
Mild intellectual disability that may be caused largely by environmental disorders
Delirium
Rapid-onset reduced clarity of consciousness and cognition, with confusion, disorientation, and deficits in memory and language
Major Neurocognitive Disorder (Dementia)
Gradual deterioration of brain functioning that affects memory, judgement, language, and other advanced cognitive processes
Mild Neurocognitive Disorder
Modest impairment in cognitive abilities that can be overcome with accommodations such as extensive lists or elaborative schedules
Alzheimer’s Disease
“Strange disease of the cerebral cortex” that causes an “atypical form of senile dementia” discovered in 1906 by German psychiatrist Alois Alzheimer
Neurocognitive Disorder due to Alzheimer’s Disease
Increasing memory impairment and other multiple behavioral and cognitive deficits, affecting language, motor-functioning, ability to recognize people or things, and/or planning
Substance/Medication-Induced Neurocognitive Disorder
Brain damage caused by prolonged use of drugs, often in combination with a poor diet
Vascular Neurocognitive Disorder
Permanent deterioration due to blocked or damaged blood vessels in the brain(stroke)
Symptoms: declines in the speed of information processing and executive functioning; problems with walking and weakness of limbs
Neurocognitive Disorders Due to Other Medical Conditions
Similar in effect to other cognitive disorders
Caused by head trauma, Lewy bodies, HIV etc.