Phenomenology

Question 1

What is a delusion

Answer 1

Belief that is firmly held - not affected by rational argument or evidence

Question 2

3 types of paranoid delusions and definition

Answer 2

Persecutory - person or organisation ‘trying to harm’
Grandiose - Inflated self importance, celebrity, supernaturalness
Reference - objects/ events have special significance ‘when they talk about paedos on the TV I know they really mean me’

Question 3

What is nihilistic

Answer 3

Belief that everything is neglected / absent

‘I have no bowels, they’ve been eaten away’

Question 4

Eg of some types of delusion

Answer 4

Religious, hypochondriac, guilt, nihilistic, persecutory, grandiose, reference

Question 5

What is an erotomantic delusion? Other name?

Answer 5

Delusion a man (usually of High social standing is in love with them
De clerambault syndrome

Question 6

What is morbid jealousy delusion? Other name? Risk?

Answer 6

Convinced partner is unfaithful
Othello syndrome
High risk of violence

Question 7

What is it called when a person is convinced a friend/ relative is replaced with an imposter? Syndrome name?

Answer 7

Delusional misidentification

Caprgrass syndome

Question 8

Example of an illusion (that is not a hallucination)

Answer 8

Coat hanging on door is a robber

Question 9

What 2 types of hallucination are normal? What are they?

Answer 9

Hypnogogic - when falling asleep [off to the land of gog]

Hypnopompic - when waking

Question 10

What is it called when you hallucinate seeing yourself ?

Answer 10

Autoscopic

Question 11

What is a reflex hallucination

Answer 11

Stimulation -> hallucination

Eg ‘ I can feel you writing on my stomach’

Question 12

What is an extracampine hallucination

Answer 12

Experienced outside of sensory field

Eg behind / there’s people talking about me miles away

Question 13

Eg of a 2nd person auditory hallucination

Answer 13

YOU are evil / YOU deserve to die

Question 14

Eg of a 3rd person auditory hallucination

Answer 14

‘Now he’s picking up the knife’
Voices discussing patient
Repeating patients thoughts

Question 15

What is passivity phenomena ?

Answer 15

Disorder of THOUGHT & Perception

-> actions / thoughts / feelings controlled by External agency

Question 16

What is thought alienation

Answer 16

Thoughts are being interfered with in some way
-Broadcast, insertion, withdrawal
It is recognised that they’re unfamiliar

Question 17

What is concrete thinking? When is it normal?

Answer 17

Lack of abstract

Childhood

Question 18

What is circumstanceability

Answer 18

Slow random but goal directed thinking

Question 19

What is loosening of association? What does it lead to?

Answer 19

Lack of logical association between thoughts

-> incoherent speech

Question 20

What is confabulation

Answer 20

Giving a false account to fill in a gap of memory

Question 21

What is perseveration?

Answer 21

Repetition of word/theme/action beyond point of relevance

Question 22

What is flight of ideas

Answer 22

Rapid skipping from one thought to distantly related ideas

Question 23

What is pressure of speech ?

Answer 23

Rapid rate of delivery, lots of associations which may be unusual Eg rhymes / puns
- often wanders off point of original conversation

Question 24

What is anhedonia

Answer 24

Unable to experience pleasure from activities previously found enjoyable