Psychopathology Flashcards
Psychopathology
Systemic study of abnormal experiences, cognition and behaviour
Phenomenology
Observation and categorisation of abnormal psychic events, the internal experience of the patient and consequent behaviour
Form
Structure or type of phenomenon
Content
What the patient is more concerned about.
Delusion
A fixed, (usually) false, unshakeable belief which is out of keeping with patients educational, cultural, and social background
Persecutory delusion
A delusional belief that one’s life is being interfered with in a harmful way
Delusion of reference
External events or situations have been arranged so that a message is conveyed to the individual, or there is some other special significance
Grandiose delusions
Patients has special powers
Delusional perception
A real percept leads immediately to a delusional belief- the traffic light tuned red and I knew I was the king of England
De Clerambault’s syndrome
Patients believes another individual is in love with them
Cotard syndrome
Psychotic depressive presentation with nihilistic delusions
Capgras syndrome
A person well-known to the patient is replaced by an indention ‘double’ who is not the ‘real person’
Fregoli syndrome
Single person is impersonating multiple familiar people
Othello syndrome
Sexual partner is unfaithful
Ekbom’s syndrome
Skin is infested with parasites causing itching
Auditory hallucinations
More common in schizophrenia. The simpler the hallucinations, the more likely the cause is organic.
Visual hallucinations
More seen in organic conditions
Depersonalisation
an unpleasant subjective report that the patient feels they are ‘unreal’
Derealisation
an unpleasant subjective report that the patient feels the world has become
‘unreal’.
Overvalued ideas
ideas that are understandable and reasonable in themselves come to dominate the patient’s life
MSE
Appearance Behaviour Speech Mood Perception Thought Risk and suicidal ideation Cognition Insight
Subjective quickening of thoughts so most are not carried to completion before being overtaken
Flight of ideas
Slowing of thinking
Retardation of thinking
Quickening of thinking
Pressure of speech