Exam 1 Flashcards
normothetic
norms of large group
dementia
DECLINE in cognitive functioning
Neologism
odd word usage
loosening of association
lack of logical connection between thoughts
thought blocking
stopping mid sentence and never returning
tangentiality
going off topic and never returning
circumstantiality
going off topic and eventually returning
Thought process
loosening of association
thought blocking
tangentiality
circumstantiality
thought content
delusions
obsession
phobia
suicidal and homocidal ideations
delusions
fixed, false
attention
focus on stimuli
concentration
processing thoughts
abstract intelligence
generalize from concrete; obvious answer pear & Lemon: fruit
concrete intelligence
pear & Lemon - edible
hallucinations
false sensory experience
illussions
stimulus is present but is misperceived
3 types of memory
immediate - minutes
recent - weeks
remote/delayed - years
working memory
hold and manipulate in short term memory
ability tests
achievement and aptitude
personality tests
objective
projective
interests
informal tests
observation
rating scales
classification methods
reliability
consistent and reliable
validity
measures what it is supposed to
IQ
mental age / chronological age
2 reasons psych instruments not available to the public
potential harm
validity
idiographic
study of the individual
types of interview
structured
semi-structured
unstructured
provisional diagnosis
used when suspected but cannot yet confirm
other specified disorder
doesn’t fit standard diagnosis with an explanation of why not
unspecified disorder
doesn’t fit standard diagnosis without explanation
4 types of observation
history
interview
observe behavior
administer mental status tasks
Domains in MSE
appearance psychological behaviors social interactions speech perception thinking (thought process and thought content) memory attention/concentration intelligence insight judgment affect mood orientation (person, place, time, situation)
MMSE
orientation immediate recall delayed recall *Most sensitive attention naming repetition 3-step commands reading copying writing language
Parts of the written report
demographics chief complaint family history past medical history/counseling history substance use and abuse educational & vocational history other pertinent info (legal concerns, etc) mental status exam assessment diagnoses summary recommendations
breadth (written report)
all issues; wide net
depth
extent and seriousness of concern
cognition
orientation;
memory
judgment
insight
thought components
delusions hallucinations obsessions coherence tangentiality
3 skills interviewer must have
technical competence
self-awareness
other awareness such as cultural norms
