Phenomenology Flashcards

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1
Q

Mannerism

A

Odd purposeful movements that are goal-directed. Seen in chronic schizophrenia.

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2
Q

Stereotypy

A

Non-goal-directed involuntary movements that are carried out repetitively and uniformly. Seen in autism and schizophrenia.

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3
Q

Automatic obedience

A

Patient does whatever is asked despite being told not to.

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4
Q

Ambitendency

A

Alternating cooperation and opposition

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5
Q

Echopraxia

A

Imitates movements of interviewer

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6
Q

Echolalia

A

Imitates words

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7
Q

Perseveration

A

Senseless repetition of previously requested movement.

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8
Q

Palilalia

A

Perseverated word repeated with increasing frequency

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9
Q

Logoclonia

A

Perseveration of last syllable. Also seen in organic disorders.

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10
Q

Forced grasping

A

Offered hand grasped despite being told not to. Seen in frontal lobe lesions.

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11
Q

Mitmachen

A

Body can be put into any posture despite instruction to resist

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12
Q

Mitgehen

A

Extreme form of mitmachen. Slight passive pressure leads to movement. Associated with forced grasping.

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13
Q

Posturing

A

Strange postures adopted habitually

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14
Q

Catalepsy

A

Perseveration of posture. If placed in an awkward position, this position is held.

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15
Q

Waxy flexibility

A

Smooth resistant muscle tone felt to initial movement

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16
Q

Negativism

A

Patient does reverse of what is asked. Disorder of volition.

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17
Q

Gegenhelten

A

Form of negativism. Resistance to passive movement.

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18
Q

Positivism

A

Echopraxia, mitgehen and automatic obedience.

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19
Q

Apraxia

A

Disorder of skilled movement, reflects motor system dysfunction at the cortical level.

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20
Q

Ideomotor apraxia

A

Unable to perform a task to command, even though they are capable of performing the action without prompting.

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21
Q

Limb apraxia

A

Involves movements of arms/legs

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22
Q

Non-verbal-oral/buccofacial apraxia

A

Unable to carry out facial movements on command

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23
Q

Ideational apraxia

A

Difficulty completing a relatively complex motor task, for example, putting toothpaste on a toothbrush.

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24
Q

Limb kinetic apraxia

A

Unable to make fine precise movements with limbs

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25
Q

Verbal apraxia

A

Unable to plan movements for speech

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26
Q

Constructional apraxia

A

Unable to construct pentagons

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27
Q

Oculomotor apraxia

A

Difficulty with eye movements

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28
Q

Dressing apraxia

A

Unable to dress self.
Involves non-dominant parietal lobe.

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29
Q

Gerstmann’s syndrome

A

= dysgraphia/agraphia, dyscalculia/acalculia, finger agnosia, left-right disorientation.
Due to lesion of dominant parietal lobe.

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30
Q

First rank symptoms

A
  1. Delusional perception/autochthonous delusion
  2. Auditory hallucinations - 3rd person AH, running commentary on actions/thoughts, gedankenlautwerden
  3. Delusions of thought interference - insertion, withdrawal, broadcasting
  4. Passivity phenomenon
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31
Q

Oneiroid state

A

Dreamlike state with vivid visual hallucinations.
Can occur in catatonic state in schizophrenia.

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32
Q

Extracampine hallucination

A

Experienced outside of normal sensory field.
Occur in schizophrenia, epilepsy, organic disease, hypnagogic states.

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33
Q

Lilliputian hallucinations

A

Small animals/people/fantasy figures.
Can occur in delirium, schizophrenia, seizures, organic disorders, visual disturbance.

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34
Q

Functional hallucination

A

Generated by an unrelated stimulus in same modality

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35
Q

Reflex hallucination

A

Generated by unrelated stimulus in a different modality

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36
Q

Palinopsia

A

Abnormal persistence or recurrence of an image in time.
Seen in organic disease (Parkinson’s).

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37
Q

Autoscopic/heautoscopic hallucinations

A

Phantom mirror image, can see double of oneself projected into space.
Can occur in depression, schizophrenia, temporal lobe epilepsy, parietal lobe lesions.
Associated with decreased LOC, delirium, narcissism, depersonalisation.

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38
Q

Negative autoscopy

A

See nothing when looking at oneself in mirror

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39
Q

Double phenomenon/Doppelganger

A

Subjective phenomenon of doubling

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40
Q

Charles Bonnet syndrome

A

Complex visual hallucinations which are formed, persisting and repetitive.
No demonstratable psychopathology.
More common in elderly, central/peripheral visual loss.
Insight retained, no delusions.

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41
Q

Illusion

A

Distortion of real objects. Involuntary false perception. Often occurs at extremes of emotion and tiredness.

42
Q

Completion illusion

A

Occur during inattention. Banished by attention.

43
Q

Affective illusion

A

Based on mood

44
Q

Pareidolic illusion

A

Vivid mental images occurring without conscious effort when perceiving ill-defined stimuli, eg, shapes in clouds.
More common in children.

45
Q

Pseudohallucinations

A

A form of imagery, experienced as emanating from the mind. Although vivid, they are less substantial than normal perception. Unwilled. Insight retained.
Occur in depression, obsessional states, hysteria, personality disorders, crisis states.

46
Q

Logorrhoea

A

Excessive speech but not pressured.
Pathologically excessive and often incoherent talkativeness or wordiness that is characteristic especially of the manic phase of bipolar disorder.

47
Q

Paraphasia

A

Unintended utterances, a failure of selection at the phonemic level, producing a phonemic (literal) paraphasia (e.g., “I drove home in my lar”) or at a word (lexical) level (e.g., “I drove home in my wagon”), producing a verbal paraphasia.

48
Q

Verbigeration

A

Repetition of words/syllables while searching for correct word. Meaningless and stereotyped repetition of words/phrases.

49
Q

Clang associations

A

Initial syllable in schizophrenia.
Last syllable in mania.

50
Q

Cryptolalia/Cryptographia

A

Private language/script

51
Q

Approximate answers

A

Wrong answer but question has been understood.
Occurs in hebephrenic schizophrenia, organic disease, Ganser syndrome, dissociation.

52
Q

Pseudologia fantastica

A

Frequent plausible lying. Occurs in histrionic and antisocial PD.

53
Q

Ganser syndrome

A

= approximate answers, clouding of consciousness, echolalia/echopraxia, auditory/visual hallucinations, somatic conversion symptoms.
Rare dissociative disorder. High rate in prisoners.

54
Q

Wernicke’s aphasia

A

Sensory or fluent dysphasia but impaired comprehension.
Wernicke’s area is located in dominant temporal lobe.

55
Q

Broca’s aphasia

A

Motor or non-fluent dysphasia, with comprehension intact.
Broca’s area is located in dominant inferior frontal cortex.
Can also be associated with mood as it is in frontal lobe.

56
Q

Conduction aphasia

A

Repetition impaired only.
Also called syntactical/central aphasia.
Due to damage to the arcuate fasciculus.
Tested in MMSE with “ifs ands or buts”.

57
Q

Transcortical sensory aphasia

A

Wernicke’s aphasia but repetition is intact.
Echolalia prominent.

58
Q

Transcortical motor aphasia

A

Broca’s aphasia but repetition intact

59
Q

Paralogia

A

Positive thought disorder.
Adamantly illogical or delusional thinking and oral expression, at times, seen in schizophrenia.

60
Q

Alogia

A

Negative thought disorder.
Poverty of speech or thought content.
A complete lack of speech, as in profound mental retardation or advanced dementia.

61
Q

Desultory thinking

A

Correct syntax/grammar but ideas are juxtaposed inappropriately

62
Q

Made action

A

Passivity phenomena. Motor actions experiences as being caused by an external agent.

63
Q

Delusion

A

Fixed firm false belief, held despite evidence to the contrary, and out of keeping with patient’s social or cultural norms.
Always self-involved or self-referential.
Often bizarre.

64
Q

Primary delusion

A

Autochthonous idea, not understandable in terms of other psychopathology, not connected to previous experiences.

65
Q

Types of primary delusion

A
  1. Delusional intuition - arise fully formed as sudden intuition, Wahreinfall
  2. Delusion perception - real perception which is interpreted in delusional way (1st rank symptom)
  3. Delusional atmosphere - delusional mood
  4. Delusional memory - retrospective delusion
66
Q

Secondary delusion

A

Emerge understandably from other psychic experiences or preoccupations, eg, affect, fears, stress

67
Q

Ekbom’s syndrome

A

Delusional parasitosis OR restless legs syndrome

68
Q

de Clerambault’s syndrome

A

Erotomania

69
Q

Capgras’ syndrome

A

Delusion that a familiar person has been replaced by a stranger

70
Q

Fregoli sydnrome

A

Delusion that a stranger has been replaced by a familiar person

71
Q

Reduplicative paramnesia

A

Misidentification delusion that surroundings exist in multiple locations

72
Q

Intermetamorphosis

A

Misidentification delusion that people in the environment have swapped places or belief that others can change into one another at will.

73
Q

Balint’s syndrome

A

= simultanagnosia (unable to recognise whole picture but can identify individual parts), optic ataxia, oculomotor ataxia.
Occurs due to lesion of bilateral parietal lobes.

74
Q

Cotard syndrome

A

Psychotic depression with bizarre hypochrondriacal and nihilistic delusions, often tinged with grandiosity. Common in elderly.

75
Q

Depersonalisation

A

Experiences of unreality, detachment or being an outside observer to one’s thoughts, feelings, sensations, body or actions.
Can occur due to lesion of right (non-dominant) dorsolateral prefrontal cortex and anterior cingulate.

76
Q

Derealisation

A

Experience of unreality or detachment with respect to one’s surroundings.

77
Q

Obession

A

Feeling of subjective compulsion, which person resists. Preserved insight.

78
Q

Compulsion

A

Purposeful act, performed in accordance to a set of rules. Act is intended to bring about another state of affairs, but they are disconnected.

79
Q

Echo de la pensee

A

French description of thoughts spoken aloud. Also known as Gedankenlautwerden in German.

80
Q

Cataplexy

A

Abrupt temporary loss of voluntary muscle tone invoked by an emotional event, such as laughing or crying.

81
Q

Flexibilitas cera

A

Waxy flexibility. A characteristic feature of catatonia.

82
Q

Jamais vu

A

Illusion where the familiar is experienced as unfamiliar

83
Q

La belle indifference

A

A relative lack of concern about the nature or implications of the symptom. Characteristic feature of conversion disorder.

84
Q

Marche à petit pas

A

Shuffling gait with upper body having preserved function. Characteristic of diffuse cerebrovascular disease, but also present in Parkinson’s disease.

85
Q

Boufée délirante

A

Brief psychotic disorder

86
Q

Décalage

A
  • Horizontal refers to that once the child learns a certain function, they don’t have the capability to apply it immediately to all problems.
  • Vertical refers to a child using the same cognitive function in different stages across development.

According to Piaget, these occur during the concrete operations stage of development.

87
Q

Délire de negation

A

Cotard syndrome, delusion of non-existence or body part missing.

88
Q

Déjà entendu

A

Illusion that what one is hearing has been heard previously.

89
Q

Déjà pensé

A

A thought never entertained before is incorrectly regarded as a repetition of a previous thought.

90
Q

Déjà vécu

A

Unable to recognise that a situation is new, person believes they are reliving it.

91
Q

Fausse reconnaissance

A

False recognition.

92
Q

Folie circulaire

A

Circular insanity

93
Q

Folie impose

A

Dominant person initially forms a delusional belief, then imposes it another person.

94
Q

Folie simultanée

A

Two people suffering independently from psychosis influence the content of the others delusions.

95
Q

Abulia

A

Absence of volition

96
Q

Dysgraphaesthesia

A

Inability, without looking, to perceive, recognise and identify numbers of letters traced on the palm of the hand, or on the palmar surface of the fingertips, by tactile sensation.
Used as a test of parietal lobe.

97
Q

Myerson sign

A

Patient continues to blink with repeated glabellar taps.
Often an early sign of Parkinson’s but occurs in dementia as well.
Indicates frontal release.

98
Q

Passage hallucinations

A

Visual hallucinations, which occur in the peripheral visual field. They are usually shadows or cats or dogs passing by, but when the person looks at them, the images disappear.
Tend to be an early sign of Parkinson’s.

99
Q

Couvade syndrome

A

Man develops extreme anxiety and various physical symptoms, as of pregnancy, when women is pregnant.

100
Q

Anton’s Syndrome

A

Due to a lesion of occipital lobe(s).
Presents with denial of visual disability and confabulation of visual detail.