Student Name:
Diagnosing Randy:
1. Go to the DSM-IV checklist for schizophrenia and list each of Randy's behaviors that satisfy the symptom criteria for schizophrenia. Which of Randy's symptoms meet any of the criteria? (Be sure to match specific symptoms with specific criteria.)
Randy has cognitive symptoms that include trouble focusing, distress, and difficulty paying attention. His positive symptoms include hallucinations as well as delusions. His negative symptoms are his lack of hygiene and flat effect.
2. How long has Randy been experiencing symptoms that meet the criteria for schizophrenia?
Randy has experienced his symptoms since he was 22 or ten years.
3. What type of schizophrenia does Randy display?
Paranoid Schizophrenia
4. What phase of schizophrenia was Randy in during the days before the diner incident?
Before the dinner incident Randy was in the Prodromal Phase because of his withdrawal from society and preferred to spend his time alone.
5. What phase was he in at the time of the diner incident that led to his arrest?
Because of the disturbing thoughts, delusions and hallucinations Randy was in the active phase at the time he was arrested.
Explaining Randy’s Schizophrenia:
1. What genetic factors may have played a part in Randy’s schizophrenia?
His brother’s depression and suicide as well as his father also showed signs of schizophrenia. He may have inherited abnormal biochemical functioning as well as an abnormal brain structure.
2. What biochemical abnormalities might account for Randy’s symptoms?
Increase in dopamine levels would explain Randy’s psychotic symptoms; his positive symptoms can be explained by increases in serotonin levels, and increases in Norepinephirine causes decreased pleasure in people with schizophrenia.
3. What might have been the role of family stress in Randy’s disorder?
Family stress including his father being critical, communication issues, and conflict are