BHECN webinar series The Schizophrenia Spectrum: Part 1-Science · 2020-06-15 · BHECN webinar...
Transcript of BHECN webinar series The Schizophrenia Spectrum: Part 1-Science · 2020-06-15 · BHECN webinar...
BHECN webinar series
The Schizophrenia Spectrum: Part 1-Science
October 2017Will Spaulding, Ph.D.Professor of Psychology, UNL
About This Series: Core Topics for Behavioral Health Providers
Presenter Topic Date
Dr. Will Spaulding Schizophrenia- Part 1 and Part 2 October 19th
Dr. Mario Scalora Forensic Issues and Civil Commitment
November 9th
Dr. Dennis McChargue Addiction TBDDr. Amanda Duffy Randall & Liam Heerten-Rodriguez
Basics of Sexual Health TBD
Dr. Amanda Duffy Randall & Liam Heerten-Rodriguez
Working with Sexual Challenges TBD
Dr. Amanda Duffy Randall & Liam Heerten-Rodriguez
Older Adult Sexualities TBD
Dr. Amanda Duffy Randall & Liam Heerten-Rodriguez
LGBQ Sexualities TBD
Dr. Amanda Duffy Randall & Liam Heerten-Rodriguez
Working with Trans Clients throughout the Lifespan
TBD
• BHECN's webinar series designed to educate behavioral health trainees about practical topics in behavioral health
• Expert presenters provide a mixture of principles and case based application• All webinars are free of charge• Topics include:
The Behavioral Health Education Center of Nebraska (BHECN), pronounced “beacon”, was established in 2009 by a legislative bill to address the shortage of behavioral health professionals in rural and underserved areas of the state. unmc.edu/bhecn
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Dr. Will Spaulding
Dr. Will Spaulding is a professor of Psychology at the University of Nebraska Lincoln. His research interests address various aspects of schizophrenia and other severe disorders. He maintains an active clinical and consulting practice.
Conflict of Interest Statement
The presenter has one conflict of interest to acknowledge: He thinks you should buy his book:
The Schizophrenia Spectrum:Part 1: the Science
The Schizophrenia Spectrum Part 1: the Science
The Schizophrenia Spectrum Part 1: the Science
Schizophrenia in the DSM-5
YOU ARE
HERE
The Schizophrenia Spectrum Part 1: the Science
Schizophrenia in the DSM-5
The Schizophrenia Spectrum Part 1: the Science
Schizophrenia in the DSM-5
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The Schizophrenia Spectrum Part 1: the Science
Schizophrenia in the DSM-5
The Schizophrenia Spectrum Part 1: the Science
Schizophrenia in the DSM-5
The Schizophrenia Spectrum Part 1: the Science
Schizophrenia in the DSM-5
The Schizophrenia Spectrum Part 1: the Science
The Schizophrenia Spectrum Part 1: the Science
The Schizophrenia Spectrum Part 1: the Science
The Schizophrenia Spectrum Part 1: the Science
The Schizophrenia Spectrum Part 1: the Science
mature neurons in cortical layers
new cells in neurogenesis areaimmature neurons migrate to adult locations
The Schizophrenia Spectrum Part 1: the Science
The Schizophrenia Spectrum Part 1: the Science
Seve
rity
Time
“reactive” course
“process” course
Onset or “first episode”
The Schizophrenia Spectrum Part 1: the Science
The biosystemic paradigm: Levels of functioning & impairmentLevel of functioning Abnormality or problem
social environmental Conflicts with family over autonomy and support, legal problems, limited access to social roles other than “mental patient”
behavioral (instrumental and self-regulation skills)
Deficits in interpersonal, occupational and living skills, mood and emotion self-regulation
social cognition Deficits in person perception, emotion recognition, theory of mind, efficient recognition of social situations
neurocognitive Variable impairments in attention, memory, concept formation, executive functioning
neurophysiological Compromised neural networksAbnormal neurotransmitter metabolismStructural receptor abnormalities
Case composites and discussion
The Schizophrenia Spectrum Part 1: the Science
End of Part 1
Case composites and discussion
Case A: 25 year old male• Perinatal complications• Parental hx of ADHD, EtOH• Dx’d ADHD @ age 6• Dx’d ODD @ age 10• Socially isolated adolescence• High school dropout• Institutionalized by age 17• No hx of adult functioning• Insidious onset of psychosis• Continuous episodes• Undifferentiated presentation• Poor medication response• Semi-independent functioning
with extraordinary support
Case B: 25 year old male• Normal birth & neonatal health• Family hx of depression• Normal childhood & pubescence• Emotional instability & heavy
cannabis use by age 16• Psychotic onset in college• Paranoid/affective presentation• Moderate medication benefit
but poor adherence• College dropout• Intense family conflict• Chronic unemployment, drift
into homelessness• Semi-functional “mental
patient” social role & life style
BHECN webinar series
The Schizophrenia Spectrum: Part 1-Science
Questions?
Click the link to view a recording of today's webinar and information on future webinarshttps://www.unmc.edu/bhecn/education/online-training/core-topics-webinars.html
Recording available