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Psychiatry, Psychology and the Mind > Psychosis > Flashcards

Psychosis Flashcards

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1
Q

What do we mean by psychosis?

A
  • People lose touch with reality
  • Believe in stuff not objectively true
  • Believe in events not objectively happening
  • Hallucinations
  • Delusions
  • Bizarre behaviour
  • Disorganised speech
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2
Q

Who proposed THE STANDARD MODEL?

A

-Jaspers (1959)

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3
Q

What was the the Standard Model?

A
  • False judgements
  • Extraordinary conviction
  • Impervious to counterargument
  • Impossible content
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4
Q

What exception needs to be included in psychosis diagnosis?

A
  • Cultural norms
  • If a belief is to be culturally widespread we can’t assume they are all deluded
  • ie being abducted by aliens
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5
Q

What is the most common theme of Delusion?

A
  • Persecutory
  • That someone is trying to harm them ,to kill them or poison them
  • Paranoid
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6
Q

What is morbid jealousy?

A
  • Delusion that their lover is cheating on them

- Can be dangerous as they may attack their partner

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7
Q

What is the theme of misidentification?

A
  • They have been taken over by someone else - Capgras

- They believe others have been taken over by someone else - Fregoli

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8
Q

What is grandiose?

A

-That you are king , queen , prime minister or millionaire

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9
Q

What is the religious theme of delusion?

A
  • That they have religious mission

- That they are Jesus or God

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10
Q

What do guilt/worthlessness, poverty and hypochondriacal.all have in common?

A
  • All have feelings of sadness and depression

- responsible fore natural disasters etc

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11
Q

What delusion is rare?

A

-Communication of delusion is rare

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12
Q

What is folie a deux?

A
  • Where two individuals who are closely related share same delusion
  • If two are separated, one keeps delusion one loses it
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13
Q

What are primary delusions?

A

-Delusions that are UNunderstandable

  • eg patient thinks everyone is chameleon
  • nothing in his life to suggest why he would think this
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14
Q

What are secondary delusions?

A
  • Understandable delusions given the information we have about patient mode and life history
  • failed pregnancies etc
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15
Q

What are over-valued ideas?

A
  • 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

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16
Q

What is definition for hallucinations?

A

-False perception without an external stimulus

eg hearing voice or seeing things

17
Q

What are examples of auditory hallucinations?

A
  • running commentary
  • discussing person in third person
  • hearings ones thoughts out loud
18
Q

What are visual hallucinations and why may this occur?

A
  • Seeing things

- May suggest organic brain disease

19
Q

What is example of olfactory hallucinations?

A

-Smelling things

20
Q

What is example of gustatory hallucinations?

A

-Can taste “poison” in food

21
Q

What is example of tactile hallucinations?

A
  • insects crawling upon skin, sexual sensations
  • mainly in drug addicts
  • those in withdrawal
22
Q

What are pseudo hallucinations?

A
  • Lack in quality of hallucinations
  • Take place inside their head
  • Patient is aware that hallucination is not real
23
Q

What is waxy flexibility?

A
  • Move arm above head and it stays there

- Cannot be moved

24
Q

What is psychological pillow?

A
  • Catatonic state

- Freeze for many hours

25
Q

What is a positive with treatment of disorganised speech?

A
  • Chat mad shit

- But with medication they can talk sense

26
Q

What is the passivity phenomena?

A
  • Rare thought disorder
  • Idea that their thoughts have been taken over by someone else-

Withdrawal
Broadcast
Insertion

27
Q

What is a key feature of psychosis?

A
  • Lack insight

- Refuse to accept they are ill

28
Q

What are the two argued approaches to psychosis?

A

-categorical vs dimensional

29
Q

What is meant by categorical psychosis?

A
  • you either have psychosis or you don’t
  • some born with certain disorders will most likely get it
  • schizophrenia
30
Q

What is meant by dimensional psychosis?

A
  • everyone is on spectrum of psychosis

- some are more psychotic than others

31
Q

What percentage of population here voices?

A

-5-8

32
Q

What percentage of population see delusions?

A

-10-15

33
Q

What is ganser syndrome?

A
  • people pretend to have psychosis when they dont

- prison inmates

Psychiatry, Psychology and the Mind (32 decks)

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