LMSW Practice Test

Schizophrenia, Disorganized Type, commonly called "Hebephrenic", is not marked by:

1. Absence of systematized delusions

2. Blunted, silly or inappropriate affect

3. Echolalia or echopraxia

4. Frequent incoherence or random speech

The correct answer is: Absence of systematized delusions

In the context of Schizophrenia, Disorganized Type, often referred to as Hebephrenic schizophrenia, the defining characteristics include disorganized thinking, disorganized or inappropriate emotional responses, and behavior that can seem nonsensical or chaotic. The correct answer points to the absence of systematized delusions. Individuals diagnosed with Disorganized Type schizophrenia typically exhibit a lack of structured or organized patterns of delusions, meaning their beliefs are often fragmented and not coherent in a way that reflects a consistent paranoid or grandiose system as seen in other forms of schizophrenia. Instead, the delusions, when present, do not have a logical structure and might appear more erratic or bizarre. In contrast, the other features mentioned in the answer choices, such as blunted, silly, or inappropriate affect, echolalia or echopraxia, and frequent incoherence or random speech, are common manifestations of this disorder. These symptoms contribute significantly to the disorganized presentation, illustrating the complexities involved in the cognitive and emotional dimensions of the disorder.