Psychosis Flashcards
What do we mean by psychosis?
- People lose touch with reality
- Believe in stuff not objectively true
- Believe in events not objectively happening
- Hallucinations
- Delusions
- Bizarre behaviour
- Disorganised speech
Who proposed THE STANDARD MODEL?
-Jaspers (1959)
What was the the Standard Model?
- False judgements
- Extraordinary conviction
- Impervious to counterargument
- Impossible content
What exception needs to be included in psychosis diagnosis?
- Cultural norms
- If a belief is to be culturally widespread we can’t assume they are all deluded
- ie being abducted by aliens
What is the most common theme of Delusion?
- Persecutory
- That someone is trying to harm them ,to kill them or poison them
- Paranoid
What is morbid jealousy?
- Delusion that their lover is cheating on them
- Can be dangerous as they may attack their partner
What is the theme of misidentification?
- They have been taken over by someone else - Capgras
- They believe others have been taken over by someone else - Fregoli
What is grandiose?
-That you are king , queen , prime minister or millionaire
What is the religious theme of delusion?
- That they have religious mission
- That they are Jesus or God
What do guilt/worthlessness, poverty and hypochondriacal.all have in common?
- All have feelings of sadness and depression
- responsible fore natural disasters etc
What delusion is rare?
-Communication of delusion is rare
What is folie a deux?
- Where two individuals who are closely related share same delusion
- If two are separated, one keeps delusion one loses it
What are primary delusions?
-Delusions that are UNunderstandable
- eg patient thinks everyone is chameleon
- nothing in his life to suggest why he would think this
What are secondary delusions?
- Understandable delusions given the information we have about patient mode and life history
- failed pregnancies etc
What are over-valued ideas?
- Ideas shared by a large majority of people
- They are understandable ideas
- But beyond bounds of reason
- Common in people with OCD
eg someone has covid
wash their hands 200 times a day