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Psychopathology
Psychosis: a cross diagnostic syndrome (T Pierce)
21
Medical
Post-Graduate
01/26/2009

Additional Medical Flashcards

 


 

Cards

Term
Define psychosis
Definition
generic psychiatric term for a mental state often described as involving a "loss of contact with reality" aka loss of reality testing
Term
Define syndrome
Definition
a patterned set of signs/symptoms that reflects a particular disease
Term
define diagnosis
Definition

ID nature of something or the process of identifying a medical condition

 

A PARTICULAR INSTANCE OF THE SYNDROME

Term

Hallmarks of psychosis

Definition
  • hallucination
  • delusion
  • disorganized speech
  • grossly disorganized behavior
  • prominant negative symptoms
  • derealization
  • severe dysregulation of affect
Term

Examples of first rank hallucinations

Definition
  • two voices conversing with one another
  • a voice keeping up a running commentary on the person's thoughts and behavior (characteristic of schizophrenia)
Term
What types of patients can have psychotic presentations?
Definition
  • medical and neurological disorders
  • toxic and withdrawal states
  • psychotic disorders
  • mood/affective disorders
Term
Define bizarre delusion
Definition
  • clearly implausible and not understandable
  • do not derive from ordinary life experiences
Term

Examples of first rank (of Schneider) delusions (usually bizarre)

Definition
  • belief that one's thoughts are taken away by an outside force (thought withdrawl)
  • belief that alien thoughts have been put into one's mind (thought insertion)
  • belief that one's body is being acted upon or manipulated by some outside force (delusion of control)
  • belief that one's thoughts are bein perceived by others (thought broadcasting)
Term
Define non-bizarre delusions
Definition
consistent with cultural beliefs (ex: my wife is cheating on me)
Term

Example of bizarre delusions

Definition
I get messages from mars
Term
Disorganized speech is indicative of what type of disorder?
Definition
  • thought disorder
Term
Examples of negative symptoms
Definition
  • blunt/flattened affect
  • paucity of thought
  • lack of desire for social interaction
  • lack of motivation
Term
Define derealization
Definition
people feel like they are not part of reality or like "they are on the wall watchin the movie of their life"
Term

What are the attenuated signs of psychosis?

Definition
  • illusion
  • overvalued idea
  • constricted, excessive emotionality
  • vague, overelaborate
  • limited interest
  • odd/eccentric
Term
Levels of diagnosis
Definition
  1. ID syndrome
  2. work through causitive agents (VITAMINS) to determine secondary cause = medical differential diagnosis
  3. when all secondary causes exculded, primary psychiatric causes can be diagnosed
Term
How can you tell the difference between primary and seconary psychosis?
Definition
  • medical
  • substance induced
  • affective psychosis
Term
Define neurosis
Definition

any mental imbalance that causes distress, but UNLIKE PSYCHOSIS, does not prevent or affect rational thought

Term
define hallucination
Definition
sensory perception without stimuli
Term
Describe what tangentiality speech is like
Definition
talk without ever getting back to point
Term
define circumstantiality speech
Definition
talk around the point, but they talk the long way around
Term
Overt (strong) signs of psychosis
Definition
  • hallucinations
  • delusions
  • mood- blunted, flat, severely exaggerated
  • language- lose associations, incoherent
  • attachment- paranoid
  • behavior- catatonic, disorganized
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