Delusions and Hallucinations AP Psychology

Delusions and Hallucinations

  • Delusions:
      - Defined as false beliefs that are strongly held despite evidence to the contrary.
      - They involve thoughts and can manifest as feeling more important or influential than one truly is.
      - Examples of delusions include:
        - Believing oneself to be a celebrity.
        - Believing one is destined to save the world or cure everyone.
        - Such delusional beliefs can be associated with narcissistic personality disorder.

  • Hallucinations:
      - Defined as false sensory experiences, such as hearing voices that are not present.
      - Hallucinations can span across different senses:
        - Auditory: Hearing voices.
        - Visual: Seeing things that aren't there.
        - Other types may include tasting or smelling nonexistent events.
      - The sensory experience of a hallucination is fundamentally unreal, diverging from reality.

Positive Symptoms

  • Positive Symptoms:
      - Refers to the presence of inappropriate behaviors and dysfunctional thoughts.
      - Examples include:
        - Hallucinations
        - Delusions
        - Disorganized Speech:
          - Characterized by a "word salad" where words are thrown together without coherent meaning.
          - Speech may also be fragmented and difficult to follow.
        - Inappropriate Emotions:
          - Display of emotions that are mismatched with the context of the situation (e.g., laughing at tragic events).

Negative Symptoms

  • Negative Symptoms:
      - Refers to the absence of behaviors that are normally present.
      - Examples include:
        - Flat Affect: Lack of emotional expression (emotionless).
        - Withdrawal from Social Situations: Avoidance of social interactions, leading to isolation.
        - Diminished ability to experience pleasure, often termed as anhedonia.
        - Catatonia: Possible motionlessness for long periods or short spurts, potentially leading to impaired function in daily activities.

Cognitive Symptoms

  • Cognitive Symptoms:
      - Include impaired attention, which may result in scattered thoughts that disrupt focus.
      - Example: Difficulty in employing selective attention due to cognitive disorganization.
      - The ability to understand one’s own emotions and theory of mind (understanding the emotions of others) may also be affected.

Types of Schizophrenia

  • Chronic Schizophrenia:
      - Typically develops in late adolescence or early adulthood (late teens to early twenties).
      - Associated with more negative symptoms and social withdrawal.
      - Possible indicators include:
        - Longer duration of symptoms and possible negative emotional states.

  • Acute Schizophrenia:
      - Often triggered by trauma, can onset at any age, with previously well-adjusted individuals taking on symptoms after stress.
      - Reflected in positive symptoms with a better chance of recovery than chronic forms.

Neurotransmitters and Brain Function

  • Two important neurotransmitters associated with schizophrenia:
      - Dopamine:
        - Often found in excess in individuals suffering from schizophrenia; excessive dopamine can lead to positive symptoms.
      - Glutamate:
        - A deficiency is correlated with negative symptoms.
      - Frontal Lobe Function:
        - The frontal lobe is critical for personality, decision making, and problem-solving abilities.
        - Reduced activity in the frontal lobe may contribute to symptoms of schizophrenia.