Psychiatry definitions Flashcards

Question

Delusional misidentification | (Capgras syndrome)?

Answer 1

Delusion that a close relative has been replaced by an impersonator (a number of variants possible)

Answer 2

‘’induced psychosis’’ Symptoms of a delusional belief and hallucinations are transmitted from one individual to another. Most commonly diagnosed when the two or more individuals concerned live in proximity and may be socially or physically isolated and have little interaction with other people.

Answer 3

'’delusion of infestation’’ | Patient believes to be infested with e..g bugs but inreality nothing is there

Answer 4

Describes a delusional belief resulting from a perception | Which a person believes that a normal percept has a special meaning for him or her

Answer 5

Disorder of thought. The feeling that ones thoughts are being interfered with in some way (includes thought broadcast, thought insertion, thought withdrawal)

Answer 6

‘’somebody is putting thoughts in my head’’- they are recognised as unfamiliar and not the patients’ own

Answer 7

Somebody/ thing is removing thoughts from my head e.g. stealing their ideas

Answer 8

Own thoughts are made available to others, e.g. through satellites or telepathy

Answer 9

A form of auditory hallucination, associated with schizophrenia, in which the patient hears his/her thoughts spoken aloud.

Answer 10

Have thought then stops, e.g. talking and then stops and cant remember what was talking about Seen in schizophrenia

Answer 11

Lack of abstract thinking, normal in childhood e.g. literal meanings so is unable to think in abstract terms and will give an over-literal interpretation e.g. when asked the meaning of phrase ‘’a rolling stone gathers no moss’’ It is a symptom of schizophrenia

Answer 12

There is a lack of logical association between thoughts giving rise to incoherent speech It is characterized by discourse consisting of a sequence of unrelated or only remotely related ideas. The frame of reference often changes from one sentence to the next. Flit sentence to sentence or topic to topic

Answer 13

Is slow, rambling, convoluted but goal directed thinking, carry on and on and then eventually come to answer the question

Answer 14

Giving a false account to fill a gap in memory, without the conscious intention to deceive e.g. severe chronic alcohol misuse they cant forms memories so makes them up and believes them to be true

Answer 15

The core feature is the belief that one is no longer in control of one's own body, feelings or thoughts. The individual feels that some external agent is controlling them to feel emotions, to desire to do things, to perform actions or to experience bodily sensations.

Answer 16

The belief that sensations are being imposed upon body by an external force

Answer 17

Something else is causing it (e.g. devil is moving my arm= made act) (made act-= made to do something by something else)

Answer 18

Non responsive to external stimulus (e.g. a state of near- unconsciousness or insensibility)= e.g. very drunk (aka akinetic autism)

Answer 19

Movement slow due to mental health (e.g. depression)

Answer 20

Rapid skipping from one thought to distantly related ideas, the relation often being tentative Don’t stop speaking, follows train of thought (Manic phases of bipolar)

Answer 21

Is manifest in a 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 origin al conversation. Continuous rapid flow of speech, hard to interrupt.

Answer 22

Is the inability to experience pleasure from activities usually found enjoyable

Answer 23

Lost motivation/ energy to do things

Answer 24

Mood doesn’t match to events

Answer 25

Blunted affect is a lack of affect more severe than restricted or constricted affect, but less severe than flat or flattened affect .e.g. schizophrenia

Answer 26

no or nearly no emotional expression

Answer 27

A condition in which the person is unconcerned with symptoms caused by a conversion disorder. A naive, inappropriate lack of emotion or concern for the perceptions by others of one's disability, usually seen in persons with conversion disorder

Answer 28

Feeling of being detatched from themselves and not really them- can be seen with personality disorders

Answer 29

You feel the world isn’t real/ detached from them

Answer 30

Feels detached from whats going on (e.g. stress/ trauma)

Answer 31

A condition where the patient has neurological symptoms such as numbness, blindness, paralysis, or fits, but without any neurological explanation. Conversion of psychological trauma to physical manifestation. E.g. someone with legs mangled and then the person who saw cant walk/

Answer 32

Not necessarily pathological, e.g. always twirling hair when talking

Answer 33

Form action/ movement in certain situations (no direction or form to the movement), e.g. pacing, rocking

Answer 34

Intrusive recurrent thoughts, ongoing (e.g. ive left the gas on at home- something terrible will happen)

Answer 35

Action itself (e.g. repeated hand washing)- don’t necessarily have obsession

Answer 36

Sensation of restlessness, feel need for constant movement

Answer 37

Involuntary sudden, jerky or slow twisting movements of the face/ body caused as an unwanted side effect of medication (mainly antipsychotic drugs)

Answer 38

The predominant clinical features seen in the catatonic subtype of schizophrenia involve disturbances in a person's movement. Affected people may exhibit a dramatic reduction in activity, to the point that voluntary movement stops, as incatatonic stupor.

Answer 39

Disorder of both thought and perception. | The feeling that one’s actions/ thoughts/ feelings are not their own but controlled by an external agency

Answer 40

Egosyntonic is a term referring to behaviors, values, and feelings that are in harmony with or acceptable to the needs and goals of the ego, or consistent with one's ideal self-image.

Answer 41

Egodystonic (or ego alien[1]) is the opposite of egosyntonic and refers to thoughts and behaviors (e.g., dreams, impulses, compulsions, desires, etc.) that are in conflict, or dissonant, with the needs and goals of the ego, or, further, in conflict with a person's ideal self-image.

Answer 42

abnormality of movement and behaviour arising from a disturbed mental state (typically schizophrenia). It may involve repetitive or purposeless overactivity, or catalepsy, resistance to passive movement, and negativism Catatonia is a state of psychogenic motor immobility and behavioral abnormality manifested by stupor.

Answer 43

denoting an abnormality in the regulation of the overall level of consciousness that is mild and less severe than a delirium. The sufferer experiences a subjective sensation of mental clouding described as feeling "foggy".

Answer 44

An inability to switch ideas along with the social context, as evidenced by the repetition of words or gestures after they have ceased to be socially relevant or appropriate. May be caused be brain injury or other organic cause.

Answer 45

Thought disorder (TD) or formal thought disorder (FTD) refers to disorganized thinking as evidenced by disorganized speech. Specific thought disorders include derailment, poverty of speech, tangentiality, illogicality, perseveration, and thought blocking.

Answer 46

derailment (also loosening of association, asyndetic thinking, knight's move thinking) is a thought disorder characterized by discourse consisting of a sequence of unrelated or only remotely related ideas. The frame of reference often changes from one sentence to the next.

Answer 47

or poverty of speech, is a general lack of additional, unprompted content seen in normal speech. As a symptom, it is commonly seen in patients suffering from schizophrenia, and is considered a negative symptom.

Answer 48

Tangentiality as a medical symptom is a physical symptom observed in speech that tends to occur in situations where a person is experiencing high anxiety, as a manifestation of the psychosis known as schizophrenia, in dementia or in states of delirium.

Answer 49

Mood incongruent ''conflicting'' person's belief or action, whether by hallucination or delusion, does not match with his or her mood.

Answer 50

consistent with their mood

Answer 51

Also called alice in wonderland syndrome An hallucination in which things, people, or animals seem smaller than they would be in real life. Seen in delirium tremens and Lewy body dementia.

Answer 52

Gedankenlautwerden is an hallucination where a patient hears voices which anticipate what he or she is about to think, or which state what the patient is thinking as he thinks it.

Answer 53

Echo de la pensee is the phenomenon where a patient hears voices which echo thoughts just after they have occurred to the patient. This symptom is suggestive of schizophrenia.

Answer 54

meaningless repetition of another person's spoken words as a symptom of psychiatric disorder.