Week 2: Paranoid Schizophrenia
The DSM-IV outlines the following symptoms for someone to be diagnosed with paranoid schizophrenia:
  • prominent hallucinations
  • prominent delusions around a common theme (normally feelings of persecution)
  • anxiety
  • anger
  • aloofness
  • argumentativeness
  • possesses a superior or patronizing manner
  • extreme intensity in interpersonal interactions
  • feelings of persecution along with other delusions may predispose the person to violence
  • the age that this disorder occurs is around mid-20s for men and late 20s for women although sometimes later for paranoid schizophrenia

OPTIONAL: Listen to a case study that involves paranoid schizophrenia and notice, in particular, the delusions or false beliefs the individual possesses. Read through all the following instructions before proceeding to the taped case study.

This case study gives you a little insight into the complex delusions that paranoid schizophrenics have to deal with.

Next, we get to our reading passage from famed author Anton Checkhov called Ward No. 6. Auditory hallucinations, one of the most common forms of halluciantion, will be the main focus of this reading passage, but it also involves other symptoms as well. Read through all the following instructions before proceeding with your reading.

    1. What four positions did Ivan Dmitritch hold prior to his illness?
    2. What reason does the author give for Ivan never becoming intimate with anyone and having no friends?
    3. Compare the picture the author paints of Ivan compared to how the townspeople thought of him.
    4. What image gave Ivan "a peculiar, strange impression?" What was that impression?
    5. Why was Ivan agonized by people passing by his window or coming into the yard?
    6. What behaviors did Ivan display so as not to arouse suspecion in the police or his landlady?
    7. What happended to Ivan socially and in his feelings toward work?
    8. What was found after the spring thaw in a nearby ravine that Ivan feared he may have done?
    9. Describe Ivan's actions from the time of the spring thaw to being treated by Dr. Andrey Yefimitch.
    10. From the DSM-IV criteria listed above, what elements are present in Ivan's behaviors? Do you think the elements of this story illustrate paranoid schizophrenia?
  • Notice how, in one short passage (bottom of page 6 to top of page 7), Chekhov imparts the feeling of overwhelming dread involved in feelings of persecution: "Dogs raced after him barking, a peasant shouted somewhere behind him, the wind whistled in his ears, and it seemed to Ivan Dmitritch that the force and violence of the whole world was massed together behind his back and was chasing after him." This is an incredibly powerful passage from this reading selection.

    When you've finished paste your work into an e-mail titled "Week 2 Homework." Then e-mail your work to me at aeaptl@gmail.com.

Week 2 homework is to be completed by 3:00 pm
Monday, March 2
for full credit. It will accepted after that date for half credit.

Reminder:
When e-mailing your work, be sure to paste your work INTO your e-mail.
Do NOT include your work as an attachment.

Lesson Copyright ©2009 Clay Sisman