1st rank symptoms hx Flashcards
overall 1st rank symptoms structure
hallucinations (auditory, somatic)
thought abnormalities (blocking, withdrawal, insertion, broadcast/reading)
delusional perception (persecutory, grandiose, ideas of reference)
passivity
Qs for auditory hallucinations
“Do you ever hear noises or voices when there is nobody else there?”
“Can you hear them in your ears, or are they in your mind?”
“How many voices are there?”
“Do you recognise the voices?”
“What do they say?”
“Are they talking between themselves or do they talk to you?”
“Do they tell you to do things and do you obey?”
“Do they tend to comment on what you are doing or thinking?”
“Are the voices present all the time?”
“Does anything make them better or worse?”
“Do you ever find yourself having a conversation with them?”
“Do you smell or see anything at the same time that you hear these voices?”
Qs for somatic hallucinations
“Do you ever feel that someone or something is touching you when there is nobody there?”
“Have you ever felt like you’ve been assaulted despite nobody being present?”
“Have you ever felt like insects are crawling beneath your skin?”
Qs for thought blocking
“Do you feel able to think clearly?”
“Do you ever experience your thoughts suddenly stopping as though there were no
thoughts left?”
“What is it like? How do you explain it?”
Qs about thought withdrawal
“Is there anything like hypnosis or telepathy going on?”
“Is there anyone or anything taking thoughts out of your head?”
Qs about thought insertion
“Are your thoughts your own?”
“Is there anyone/anything putting thoughts into your head that you know are not
your own?”
“How do you know they aren’t yours? Where do they come from?”
Qs about thought broadcasting/reading
“Can anyone hear your thoughts? For example, can I hear what you are thinking
right now?”
“Do you ever hear your own thoughts echoed or repeated?”
“Do you ever hear other people’s thoughts”
Qs on delusional perceptions
“Do you sometimes have thoughts that others tell you are false?”
“Do you have any beliefs that aren’t shared by others you know?”
“Do you ever feel that people are out to do you harm?”
“Do you ever feel that specific events in the world are related to you in some way?”
“When you watch the television/listen to the radio/hear something, do you feel that the stories are referring to you or something that you have done?”
Qs on passivity
“Do you ever feel as though you are being controlled by someone or something?”
“Do you ever think that someone or somebody is controlling you?”
“Are your thoughts/mood/actions under your control or is someone forcing you to
behave in this way?”
