Disorders Of Thought Flashcards
Thought disorder
Any disturbance of thinking that affects language, communication or thought content.
Delusion
False belief
Incorrect interference about external reality. No matter what one say (even with prove), they wont believe.
Primary delusion
Arising directly from the pathology of the mental illness
Secondary delusion
Arises from another disordered mental state. EX: patient with severe depression developing secondary decision
Types of primary delusion.
Delusional idea (autochthonus)
Delusional perception
Delusional memory
Delusional mood
Explain autochthonous delusion.
Very out of the blue, arise fully formed in patient’s mind wo explanation.
Explain delusional memory
Occur on recalling a memory from the part → add stuff in a way?
Delusional perception
On seeing a normal percept.Note the percept is a real external object not a hallucinatory experience.
Delusional mood
Patient feels uncomfortable, apprehensive
arising following a period when there is an abnormal mood (anxious) something about to happen.
Delusion of persecution.
False belief of being persecuted
most common delusion.
Delusion of grandeur (grandiosity)f
Exaggerated conception of one’s importance power and identify
Religious delusion
It is common may be Grandiose in nature.
Erotomania
Delusional belief, that someone is deeply in love with them
More common in women than in men
De Clerambault
A form of delusion of love
Patient, usually female, believes that another high status individual is in love with them
delusion of infidelity
False belief that one’s lover is unfaithful Othello syndrome: as a monosymptomatic delusional disorder. Most often affects male.
Delusions of poverty
Common in depression
False belief that one is bereft of all material possessions.
Nihilistic delusion
Depressive delusion that the world & everything related to it have ceased to exist.
Cotard’s syndrome
Psychotic depression in elderly
- nihilistic delusions
- depressed mood with agitation/ retardation
- completely negative attitude.
Delusion of self accusation (guilt)
False feeling of remorse and guilt
They believe that they are bad or evil who have ruined their family
Normally seen in depression with psychotic features
Somatic delusion
Delusion that the person have some physical defect or general medical condition
Capgras syndrome
Illusion of doubles
Familiar person have been replaced by doubles
Fregoli
False identification of familiar people occurs in strangers
Ex : different people who changes their appearance but in fact is a single person
Delusion of control
False belief that a person’s will, thoughts or feelings are being controller by external forces
Explain passivity experiences
Thought broadcasting : feeling that ones thought are being broadcast
Thought withdrawal : delusion that ones thoughts are being removed from ones mind by other people or forces
Thought insertion : delusions that thoughts are being implanted by others or forces
Passivity experience of impulse
Patient experiences s drive that he feels is alien to carry out some motor activity
Somatic passivity
Body influenced from outside
Delusion of reference
False belief that the behavior of others refers to oneself
Delusion of infestation
A false belief that ones skin is infested with multiple tiny mite like animals
Known as ekbom syndrome
Name all 4 paranoid delusions
Persecutory delusion
Delusion of reference
Delusion of control
Delusions of grandeur
Bizarre delusion
False belief that is obviously absurd or fantastic
Common in schizophrenia
Shared psychotic disorder (folie a duex)
Situation where two people with a close relationship a delusional belief
Idea of reference
Misinterpretation of events in the outside world as having direct personal reference to oneself
Overvalued idea
False / unreasonable belief that is sustained beyond the bounds of reasons
Preoccupation
Centering of thought content on a particular idea
Suicidal preoccupation
