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Psychiatry > Phenomenology > Flashcards

Phenomenology Flashcards

1
Q

What is an extracampine hallucination?

A

Beyond possible sensory field

e.g. I can hear voices talking to me from Australia

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2
Q

When would you get hypopompic hallucination?

A

on waking
hypogogic on falling asleep

these are normal! one third of people experience them

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3
Q

What is a delusion?

A

fixed unshakeable belief based on inadquate grounds and out of keeping with the patient’s educational, cultural or social background.

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4
Q

What is a Fregoli delusion?

A

different people are in fact a single person who changes appearance or is in disguise
(form of misidentification delusion)

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5
Q

What is the Cotard delusion?

A

delusional belief that they are already dead, do not exist, are putrefying. Walking corpse.
A form of nihilistic delusion.

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6
Q

Anne believes people on the radio and television are speaking directly to her. What kind of delusion is this?

A

Self-referential

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7
Q

Patient believes his wife has been replaced by an identical imposter. What kind of delusion is this?

A

Capgras

form of misidentification delusion

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8
Q

Patient believed they are being spied on and their food is being poisoned. What kind of delusion is this?

A

Persecutory

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9
Q

What are delusional perceptions? Give example.

A

Attaching abnormal significance to normal/real perception. Traffic light turns red = I am god.

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10
Q

What is loosening of association in speech? Also known as?

A

a.k.a. Knights move thinking
Lack of logical association between succeeding thoughts. Gives rise to incoherent speech. IMPOSSIBLE to follow patients train of thought.

(schizophrenia)

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11
Q

Irrelevant wandering in conversation. Talking in great length around the point. What is this known as?

A

Circumstantiality of speech

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12
Q

The replacement of a gap in a person’s memory by a falsification that he or she believes to be true. What is this?

A

Confabulation

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13
Q

What are reflex hallucinations?

A

stimulus in one sensory modality produces a hallucination in another
e.g. hearing a voice when the tap is running

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14
Q

Voice says: “You are going to die”. What kind of auditory hallucination is this?

A

2nd person

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15
Q

Voice says (about you): “She’s about to open the door. She’s going through it.” What kind of auditory hallucination is this?

A

3rd person running commentary

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16
Q

Define an illusion

A

misperception of real external stimuli

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17
Q

Define a hallucination

A

perceptions occurring in the absence of an external physical stimulus.

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18
Q

Give me two forms of misidentification delusions

A

Capgras

Fregoli

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19
Q

Grahame believes he has cancer (he doesn’t). What kind of delusion is this?

A

Hypochondriacal

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20
Q

Something is stopping your train of thought.

A

Thought block

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21
Q

Three types of thought alienation?

A

Insertion
Withdrawal
Broadcast

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22
Q

What is ‘perseveration’?

A

repetition of a word, theme or action beyond the point at which it was relevant or appropriate

23
Q

What is catatonia?

A

state of either STUPOROUS or EXCITED motor activity in the absence of neurological disease

24
Q

What is an overvalued idea?

A

a false or exaggerated belief sustained beyond logic or reason
… but with less rigidity than a delusion, also often being less patently unbelievable

25
Q

A type of catatonia where the patient’s limbs when moved feel like wax or lead pipe, and remain in the position in which they are left. Found rarely in (catatonic) schizophrenia and structural brain disease. What’s this called?

A

Waxy Flexibility

26
Q

Catatonia can be stuporous or excited. True or false?

A

True

27
Q

Psychomotor retardation = ?

A

slow in thoughts / movements

28
Q

Lack of abstract thinking, and literal interpretation is known as?

A

Concrete thinking

29
Q

Rapid skipping from one thought to distantly/tentatively related ideas …. is known as?

A

Flight of ideas

mania/hypomania

30
Q

Emotional responses seem grossly out of tune with the subject being discussed. What kind of affect is this ?

A

incongruent

31
Q

What are neologisms?

A

making up new words / putting 2 words together

schizophrenia
(ASD)

32
Q

Very rapid rate of delivery, a wealth of associations which may be quite unusual, (e.g. rhymes and puns) and often wanders off the point of the original conversation. Suggestive of what?

A

Pressure of speech

mania

33
Q

An objective absence of normal emotional responses = what kind of affect?

A

blunted / flattened

34
Q

Knights move thinking and neologisms are characteristic of?

A

Schizophrenia

35
Q

Flight of ideas and pressure of speech are characteristic of ?

A

Mania / hypomania

36
Q

experience where a person may feel disconnected from oneself/ surroundings = ?

A

dissociation

37
Q

What is akathisia?

A

motor restlessness

can be an intolerable SE of medication

38
Q

What are stereotyped behaviours?

A

uniform, repetitive, non-goal directed actions

39
Q

Somatic passivity is the delusional belief that one is a passive recipient of bodily sensations from an external agency. For example?

A

aliens are touching me

40
Q

What is the difference between an obsession and a compulsion?

A

Obsession = recurrent/persistent THOUGHT, IMAGE OR IMPULSE (recognised as being one’s own)

Compulsion = repititive, apparently purposeful BEHAVIOUR, recognised as morbid by pt.

41
Q

A patient who is stringing fragmented words together, to make a ‘word salad’. What is the posh term for this?

A

verbigeration

42
Q

Patients automatically repeats your words. ?

A

Echolalia

43
Q

Patient automatically copies your actions. ?

A

Echopraxia

44
Q

A mechanism in which what is emotionally unacceptable in the self is unconsciously rejected and attributed to others. ?

A

Projection

For example, mother may project their anxiety on their children claiming that they are anxious instead

45
Q

Unconscious tendency of a patient to assign to others in the present environment feelings and attitudes associated with significant persons in one’s earlier life. ?

A

Transference

… especially, the patient’s transfer to the therapist of feelings and attitudes associated with a parent or similar person from childhood. The feelings may be affectionate (positive transference), hostile (negative transference), or ambivalent. Sometimes the transference can be interpreted to help the patient understand childhood attitudes.

46
Q

What is confabulation very common in?

A

Korsakoff’s psychosis

late complication of Wernicke’s encephalopathy

47
Q

What 2 things is Perseveration common in?

A

Wernicke’s encephalopathy

frontal lobe

48
Q

Vivid visual hallucinations. What kind of dementia are you thinking?

A

Lewy body

49
Q

2nd person voices common in?

A

depression

personality disorder

50
Q

What is an obsession?

A

unwanted recurrent thought

51
Q

Thoughts + feelings don’t belong to you.. What’s this?

A

Depersonalisation

52
Q

Looking at yourself from the outside… What’s this called?

A

Derealisation

53
Q

Seemingly purposeful gesture of language / behaviour. What’s this?

A

mannerism

Psychiatry (10 decks)

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