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A2 - Clinical Psychology

Quick Lesson # 1 – Diagnostic Criteria (ICD-11) of Schizophrenia

AO1 and AO3 covered for quick revision, without any compromise on details, for the first A2 clinical psychology topic, “Diagnostic Criteria (ICD-11) of Schizophrenia”. Prepare for paper 3 and paper 4 using this content.

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AO1 (Description)

DurationSymptoms must last for at least one month.
Positive SymptomsAdded experiences, like hearing voices or having strange beliefs e.g. hallucinations and delusions.
Negative SymptomsA loss of normal functions, like reduced motivation or emotion e.g. avolition and asociality.
HallucinationsHearing, seeing, or sensing things that aren’t real (e.g., hearing critical voices).
DelusionsFixed false beliefs (e.g., grandiosity – “I’m a king”, or persecution – “I’m being spied on”).
AvolitionA severe lack of motivation or drive to do anything.
AsocialityA severe lack of interest in being with other people.

AO3 (Evaluation)

Individual and Situational ExplanationsPoint: A strength is its clear individual focus.
Evidence: It diagnoses based on personal symptoms like avolition.
Explanation: Directly lends to individual treatments like medication.
Link: This improves application to everyday life.
Counterpoint: However, it ignores critical situational factors like higher rates in urban poverty
Idiographic vs NomotheticPoint: A strength is its standardised nomothetic approach.
Evidence: It uses set symptom checklists for all patients.
Explanation: This ensures consistent and fair assessment.
Link: High reliability.
Counterpoint: However, it overlooks the patient’s unique experience of symptoms e.g. delusion types not specified on the ICD-11.
GeneralisationsPoint: A weakness is poor cross-cultural generalisability.
Evidence: e.g. Hearing voices may be a symptom or a spiritual experience.
Explanation: This can lead to misdiagnosis in different cultures.
Link: This reduces validity.
Counterpoint: However, the ICD-11 does recommend considering cultural context.

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