miscellaneous Flashcards
what are the main components of a mental state examination (9)
appearance
behaviour
speech
mood and affect
thought
perception
cognition
insight and judgement
risk
what is flight of ideas
words associated inappropriately because of their meaning or rhyme - patient jumps from topic to topic but with recognisable links
what is loosening of associations
speech is muddled, illogical, difficult to follow and cannot be clarified - jumps from topic to topic with no logical connection
what is neologism
making up new words or phrases or using existing ones in bizarre ways
what would an incongruous affect be
reactions opposite to the content of conversation e.g. smiling when talking about something sad
what is the passivity phenomena
behaviour is experienced as being controlled by an external agency rather than by the individual
what are the 3 main things we focus on when assessing someones cognition in an MSE
orientation to time, place and person
concentration
memory - autobiographical, retrograde and anterograde
what does the AWI section 47 allow
authorises a practitioner to provide reasonable interventions related to the treatment authorised
what is the role of the mental health act
allows treatment of mental disorder (or physical consequences of one) in someone without capacity to consent to treatment
what are the 5 criteria for detention under the MHA
likely mental disorder
significantly impaired decision making
determining treatment required
significant risk
informal/voluntary care is not appropriate
what is an emergency detention order
72 hour assessment
doesn’t authorise treatment
no right to appeal
what is a short term detention order
up to 28 days for assessment and treatment
you can appeal
what is a compulsory treatment order
treatment initially up to 6 months
mandatory tribunal
renewal at 6mths then yearly
what is a CTO
compulsory treatment order
what is a psychological formulation
a provisional explanation of how an individual comes to present with a certain disorder
what is salience in addiction
the persistent feeling of wanting - persists in the absence of liking
what is the moral model of addiction
individual weakness is the cause of addiction
what are the 2 main behaviour models used to explain addiction
operant conditioning
classical conditioning
what is a precipitating factor
something that triggers a behaviour
what is a perpetuating factor
something that keeps a behaviour going
which neurotransmitter is most commonly associated with addiction behaviours
dopamine activity in the mesolimbic pathway
what is the role of the amygdala in memory
important for encoding memories associated with emotion
what is the role of the hippocampus in memory
important for encoding declarative memories - facts, events
what is anterograde amnesia
difficulty in acquiring new material and remembering events since the onset of the illness or injury
what is retrograde amnesia
difficulty in remembering information prior to the onset of illness or injury
