Psychopathology Flashcards
Psychopathology
Definition
Approaches
Classification of psychiatric symptoms
Disorder of perception
Define perception, sensory distortion, illusions, hallucinations
Hallucination vs pseudohallucination
Contexts in which hallucinations are not regarded as pathological
Classification of hallucinations
Auditory hallucination
Types
Clinical relevance
First-rank symptoms of schizophrenia
Visual hallucinations
Types
Associated conditions
Predictors of commanding hallucinations
Somatic, olfactory and gustatory hallucinations
Types
Disorder of thought
Classification
Definition of delusion
Differentiate partial delusion, over-valued ideas and obsessions
Partial delusion: False belief held with less conviction/ shakeable
Overvalued ideas: Plausible but unreasonably pre-occupied
Obsession: Ego-dystonic and actively resisted
Primary delusions
Forms
Secondary delusions
Cause
Effect
Classification of delusions
Delusion content
Types
- Persecutory
- Reference
- Grandiose
- Religious
- Sexual, amorous, erotomania, De Clerambault syndrome
- Jealousy
- Guilt
- Nihilistic
- Somatic (hypochondriacal)
- Infestation (Fkbom’s syndrome)
- Mis-identification: Capgras syndrome, Fregoli syndrome
- Control/ External control
- Thought possession: Insertion, withdrawal, broadcasting
Persecutory, Reference, Grandiose delusion
Content
Associated disease
Religious, Sexual/ amorous delusions
Content
Associated diseases
Jealousy, Guilt, Nihilistic delusion
Content
Associated diseases
Somatic, infestation delusion
Content
Associated disease
Mis-identification, Control, Thought possession delusion
Content
Associated diseases
Obsession and compulsion
Definition
Differentiating types of repetitive or intrusive thoughts
Common themes of obsession and compulsions
Formal thought disorder
Definition
Types of presentation
Types
- Direction: Circumstantiality or Tangentiality
- Tempo: Retardation or flight of ideas
- Amount: Poverty of thought or pressure of thought
- Continuity: Perservation or thought block
- Form: Loosening of association
- Neologism
Thought disorder: abnormal direction of thought
Content
Associated conditions
Thought disorder: Abnormal tempo
Content
Associated disease
Thought disorder: Abnormal amount
Content
Associated conditions
Thought disorder: Abnormal continuity
Content
Associated conditions
Thought disorder: Abnormal form
Content
Associated conditions
Disorder of emotions
Define mood and affect
Mood disorders
Types
Psychological, biological and motor components
Mood disorder: abnormal range and congruity
Types of presentation
Disorders of cognition
Types of abnormal congition/ cognitive defect
Memory
Types of memory
Types of explicit memory
Disorders of consciousness
Disorders of attention, memory and recognition
Abnormal Executive function, praxis, perception, language
Types of presentation
Associated conditions
Abnormal dissociation
Types of presentations
Associated conditions
Disorders of involuntary and voluntary movement
Disorders of involuntary movement:
□ Tremor, eg. fine tremor (anxiety), Parkinsonian (EPS), coarse tremor (poisoning, Li overdose)
□ Dyskinesia
□ Dystonia
Disorders of voluntary movement:
Tics
Catatonia
Catatonia:
- Waxy flexibility
- Rigidity
- Negativism
- Excitement
- Stupor
- Echopraxia
- Echolalia
- Mannerism
- Sterotypes
- Ambitendency
- Automatic obedience
Catatonia
Types of catatonia
