psychoses Flashcards

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1
Q

what are some psychotic experiences

A

-hallucinations
-ideas of reference
-delusions
-formal thought of disorder
-thought interference
-passivity phenomena
-loss of insight

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2
Q

what is a hallucination

A

a perception which occurs in the absence of an external stimulus

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3
Q

what are ideas of reference

A

innocuous or coincidental events will be ascribed significant meaning by the person
e.g. thinking that there really are messages in the newspaper about them

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4
Q

what are self-referential experiences

A

the belief that external events are related to oneself
-can vary in intensity from a brief thought, to frequent and intrusive thoughts to delusional intensity

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5
Q

what is a delusion

A

a fixed, falsely held belief
-held with unshakeable conviction
-impervious to logical argument or evidence to the contrary

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6
Q

what is a primary delusion

A

arrive fully formed in the consciousness without need for an explanation

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7
Q

what is a secondary delusion

A

often attempts to explain anomalous experiences e.g. hallucinations, passivity experiences, depression

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8
Q

thought disorder

A

-thoughts cannot be directly observed, must be inferred from patterns of speech
-clanging and punning
-loosening of associations
-knight’s move thinking
-neologisms
-circumstantiality/tangentiality
-word salad

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9
Q

thought insertion

A

“there are thoughts being put into my head that don’t belong to me - i haven’t thought them”

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10
Q

drug induced psychosis

A

-may be florid acute symptoms or more insidious and chronic
-tend to be short lasting if access to the psychoactive substance is removed

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11
Q

depressive psychosis

A

typified by mood congruent content of psychotic symptoms
-delusions of worthlessness/guilt/hypochondriasis/poverty
-hallucinations/insulting/threatening voices
-Cottard’s syndrome

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12
Q

mania with psychosis

A

-mood congruent content of psychotic symptoms
-delusions of grandeur/special ability/persecution/religiosity
-hallucinations
-flight of ideas

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13
Q

what is delirium

A

acute transient disturbance from the persons normal cognitive function
-clouding of consciousness
-worse at night
-impaired concentration/memory
-visual hallucinations/illusions
-presecutory delusions
-psychomotor disturbance
-irritability
-insomnia

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14
Q

what is persistent delusional disorder

A

systematised, fixed delusions the major or only feature

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15
Q

what is schizotypical disorder

A

A disorder chracterised by eccentric behaviour and anomalies of thinking and affect which resemble those seen in SZ, though no definate and characteristic SZ anomalies occur at any stage

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16
Q

what is acute and transient psychotic disorder

A

schizophrenia like symptoms lasting less than one month

17
Q

what is schizoaffective disorder

A

first rank symptoms + depression or mania

18
Q

what are the positive symptoms

A

-hallucinations
-delusions
-passivity phenomena
-disorder of the form of thought

19
Q

what are the negative symptoms

A

-reduced amount of speech
-reduced motivation/drive
-reduced interest/pleasure
-reduced social interaction
-blunting of affect

20
Q

what can cause psychotic symptoms

A

-organic
-substance misuse
-paranoid psychoses
-mood disorders
-anxiety disorders
-behavioural syndromes
-disorders of adult personality

21
Q

what does 3rd person auditory hallucinations suggest

A

schizophrenia

22
Q

what can cause delirium

A

-insult to brain
-infection
-medical/surgical inpatients
-septicaemia
-organ failure
-hypoglycaemia
-post op hypoxia
-encephalitis
-stroke
-space occupying lesion
-drug intoxication
-drug withdrawal

23
Q

what are the symptoms of schizotypal disorder

A

The symptoms may include a cold or inappropriate affect, anhedonia, odd or eccentric bhaviour, a tendency to social withdrawal, paranoid or bizarre ideas not amounting to true delisions, obsessive episodes which intense illusios, auditory or other hallucinaions and delusion-like ideas, usually occuring without external provocation

24
Q

what are the other types of paranoid psychoses

A

-persistent delusional disorder
-schizotypal disorder
-acute and transient psychotic disorder
-increased delusional disorder
-schizoaffective disorder