AMDP def Flashcards

1
Q

Neologisms (O)

A

formation of new words or usage of words which disregard normal convention and/or not easily understandable

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2
Q

Incoherence/Derailment (O)

A

(O) unable to establish connection between pt thinking and verbal output

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3
Q

Thought blocking/Disruption of thought (SO)

A

sudden disruption of an otherwise normal flow of thought or speech for no obvious reason

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4
Q

Tangential Thinking (O)

A

pt seems to understand contents of Q adressed to them but provides A which are completely out of context

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5
Q

Flight of ideas (O)

A

increasing multitude of thoughts and ideas which are no longer guided by goal-directed thinking. As a result of diverse associations, thinking goals change frequently or become lost.

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6
Q

Pressured thinking (S)

A

Pt feels helplessly exposed to the pressures of floods of different ideas or thoughts.

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7
Q

Rumination (S)

A

Endless mental preocupation with, or excessive concern over, mostly unpleasant thoughts

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8
Q

Perserverative thinking (O)

A

persistent repetition of previously used words, phrases or deetail to the point where they become meaningless in the context of the current stage of the interview

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9
Q

Restricted thinking (O)

A

Limited range of thought content, fixation on one particular topic or a small nb of topics only. Fixation on a small nb of objectives only. Stereotypical pattern of thinking

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10
Q

Circunstantial thinking (O)

A

inability to seperate the esssential from the non essential during a conversation without rendering the conversation incoherent

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11
Q

Retarded thinking (O)

A

flow of thought process is slowed down and sluggish

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12
Q

inhibited thinking (S)

A

the thinking process is subjectively experienced by the patient as being slowed down or blocked (as in inner wall of resistance)

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13
Q

Suspiciousness

A

(SO) behaviour of others is viewed with anxiety , mistrust and hostility and perceived as directed to one’s own person

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14
Q

hypochondria

A

(S) anxious, fearful perception of one’s own body (physical sensations of discomfort felt, accompanied by objectively unfounded fear of falling ill). Normal bodily functions are attributed disproportionately large significance.

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15
Q

Phobia

A

(S) overwhelming fear/anxiety of particular situations or objects, generally resulting in active avoidance of stimulus

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16
Q

Obsessive thoughts

A

(S) persistent, recurring self-generted thoughts that are experienced as unreasonable or exaggerated, and which the patient tries to resist or dismiss

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17
Q

Compulsive impulses

A

(S) persistently recurring impulses to perform certain actions (which may be physical or mental), which are experienced as senseless or exaggerated, and which reduces the anxiety generated by obsessions

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18
Q

compulsive actions

A

(S) persistently and repeatedly carried out actions which are experienced as futile or exaggerated, and which may reduce the anxiety generated by obsessions

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19
Q

Delusional mood

A

(S) unusual, often confused, and tense emotional state of mind preceding manifestation of delusion. Consists of attributing significance and making connections between unsubstantial guesses, suppositions and expectations, which to the healthy person, has no meaning or relevance.

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20
Q

Delusional perception

A

(S) abnormal significant/meaning, ususally related to one’s self, is attribured to a real perception. This happens without the presence of rationally or emotionally understandable underlying cause. This symptom represents a delusional misinterpretation of an accurate perception of an external stimulus.

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21
Q

Sudden delusional ideas

A

(S) purely mentally conceived, newly emerged delusional ideas and convictions

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22
Q

Delusional ideas

A

(S) persistent or enduring delusional thoughts and convictions

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23
Q

Systematical delusions

A

(S) “Degree of interconnectedness” (logical or paralogical) amoung individual delusional symptoms and other delusional phenomena, hallucinations, ego-disorders or also nonpathological, changed observations or experiences

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24
Q

Delusional dynamics

A

(SO) the extent or intensity of affect emerging from the delusions

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25
Q

Delusions of reference

A

(S) delusional conviction that environmental events or objects are intended to be of special significance to the patient. Delusional attribution of events to one’s self

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26
Q

delusions of persecution

A

(S) pt experiences themself as target of hostilities or monitoring. They have delusions that they aree threatened, offended, insulted, mocked, under surveillance or derided by others who are after their money and belongings or our to destroy their health or even their life.

27
Q

delusions of jealousy

A

(S) delusional conviction of being deceived or betrayed by theur partner, that their partner is unfaithful

28
Q

delusions of guilty

A

(S) delusional conviction of having failed in one’s duty, committed a crime or sin, or having wronged others

29
Q

delusionns of impoverishement

A

(S) delusional conviction of not having enough financial means to live on and make ends meet.

30
Q

hypochondriacal delusions

A

(S) delusional conviction of having fallen ill with a serious illness

31
Q

delusions of grandiosity

A

(S) delusional exaggerated self-esteem or self-aggrandisement, or the belief of having special powers and skills.

32
Q

Illusions

A

(S) misjudgements or misinterpretations of real objects, noises or persons

33
Q

hearing voices

A

(S) Perception of voices (phenemes) without someone speaking

34
Q

Other auditory hallucinations

A

(S) Perception of nonverbal hallucinatory sounds or noises (acouasm)

35
Q

Visual hallucinations

A

(S) Visual percceptions without corresponding external stimuli

36
Q

bodily hallucinations

A

(S) Tactile perception without corresponding stimuli, or altered bodily percceptions (coenesthesia).

37
Q

Olfactory and gustatory hallucinations

A

(S) Perceptions of particcular tastes and smells without the presence of corresponding external stimuli

38
Q

Derealisation

A

(S) Pt experiences surroundings or time as if they are unreal and changed; all feelings of familiarity with and trust in the environment are lost

39
Q

Depersonalisation

A

(S) The pt perceives themself as alien, unreal, changed or as a stranger

40
Q

Thought insertion

A

(S) Pt experience their thoughts and ideas as being externally influenced, made externally, controlled, directed, entered/or externally imposed

41
Q

Thought broadcasting

A

(S) The pt’s personal thoughts are experienced as no longer belonging to the patient alone but accessible by others who will know what the patient is thinking (mind reading). This can be a passive experience with the pt believing their thoughts are accessible to others, without someone else actively attempting to read their mind.

42
Q

Thought withdrawal

A

(S) Pt’s thoughts are being removed or “stripped from them”

43
Q

Perplexity

A

pt appears in the state of mind of someone that is completely lost and no longer capable of assessing their situation, surroundings or future. The pt can no longer understand what is happenning to them and appears stunned and perplexed.

44
Q

feeling of loss of feeling

A

Pt reports reduction in or loss of affective experience and subjectively felt emotional emptiness. The pt experiences themselves as deprived of feelings, inwards empty and numb, both in terms of positive feeling and negative emotional states

45
Q

blunted affect

A

The nb (spectrum) of affective states displayed is diminished

46
Q

felt loss of vitality

A

A reduction in the overall feeling of strength, energy and vitality

47
Q

depressed mood

A

Negatively tinged affective state characterised by low mood, sadness and dejection

48
Q

hopelessness

A

Diminished hopes, pessimistic frame of mind, lack of future perspective. Little or no belief/trustin a positive future (afatalistic attitude of impeding doom and gloom)

49
Q

anxiety

A

PT reports feeling anxious and fearful, sometimes without being able to indicate why, or what of.

50
Q

euphoria

A

Experiencing a state of excessive well-being, of comfort and contentment, of cheerffulness, confidence and enhanced levels of vitality

51
Q

dsphoria

A

Discontented ill-humouredness. The patient is in a dissatisfied mood displaying a sullen, crabby, discordant, unhappy, angry attitude

52
Q

irritability

A

The pt reacts in an inappropriately swift or fierce manner with anger and/or aggression

53
Q

inner restlessness

A

The pt senses inner excitability/agitation, tension or nervousness

54
Q

complaintiveness

A

pain, grief and anxiety are explicitly communicated through words, facial expressions and physical gestures (waiting/lamenting)

55
Q

feelings of inadequacy

A

Trust and confidence in one’s own achievement potential or one’s self-worth is diminished or lost.

56
Q

exaggerated self-esteem

A

A opostively experienced feeling of heightened self-esteem, strength or potential for achievement

57
Q

feelings of guilt

A

The patient feels guilty because of their actions, thoughts or desires. They are under the impression of having done wrong and acted in contravention of a given set of norms.

58
Q

feelings of impoverishment

A

The pt worries about not having the necessary finanial means to meet the cost of living and make ends meet and believe they are impoverished

59
Q

ambivalence

A

The co-existence of contradictory feelings or impulses (ambitendency) in a patient, which they perceive as simultaneously present and distressing.

60
Q

parathymia (incogruent affect)

A

nonverbal expressions of feelings and the contents of reported experiences do not correspond

61
Q

affective lability

A

A rapid change of affects/emotions that occurs spontaneously or as as result of external stimuli (emotional instability)

62
Q

affective incontinence

A

Affective reactions/expressions may become overbearing at the slightest impulse, remain beyond the control of the patient and at times assume an exaggerated level of intensity (lack of affective self-control)

63
Q

affective rigidity

A

Reduction or loss of emotional modulation with reduc range of levels of affective expressiveness (amplitude)