Quiz #1

Question 1

Consensual Reality

Answer 1

Beliefs and experiences that are considered valid according to society or group

Question 2

Psychotic experience

Answer 2

anomalous experience that causes significant distress/limitation

Question 3

Anomalous experience

Answer 3

A subjective experience (typically belief or sensory experience [sound, vision, smell, tactile sensation]) considered invalid within framework of consensus reality according to individuals society or group

Question 4

2 important points about the significant stress associated with anomalous experiences during a psychotic experience

Answer 4

1) Distress is subjective- only the individual experiencing distress is capable of determining what is and is not distressing to them
2) Such distress may either arise directly from the anomalous experiences itself, for example, fear occurring as a direct result of auditory hallucinations OR arise from behavior that was a direct result of the anomalous experience

Question 5

Paris’s Long-term psychosis

Answer 5

a psychotic episode that lasts for 1 month or longer or series of psychotic episodes which last a least 1 month (time is related to diagnosis)

Question 6

Paris’s Recovery

Answer 6

a general diminishment of the distressing and / or limiting aspects of one’s anomalous experiences

Question 7

Paris’s Full recovery

Answer 7

achieving a hemodynamic balance in which the distress of one’s subjective experiences is the same or less that which preceded the psychosis (adjusted)

Question 8

Positive symptoms

Answer 8

adds a behavior, thought, or feeling to
your experience (voices, delusions, etc.).

Question 9

Negative symptoms

Answer 9

takes away a thought,feeling,or

behavior (diminishment)

Question 10

Diminished emotional expression

Answer 10

includes reductions in the expression of emotions in the face, eye contact, intonation of speech and movements of the hand, head, and face that normally give an emotional emphasis to speech.

Question 11

Avolition

Answer 11

is a decrease in motivated self-initiated purposeful activities. The individual may sit for long periods of time and show little interest in participating in work or social activities (this is not depression - but might look like it)

Question 12

What are the five characteristic symptoms of schizophrenia?

Answer 12

1) Delusions
2) Hallucinations
3) Speech
4) Grossly disorganized or catatonic behaviour
5) Negative symptoms: affective flattening, logia, avolition etc.

Question 13

Disorganized speech:

Answer 13

-individual switching from one topic to another (derailment or
loose associations)

-answers to questions may be obliquely related or completely unrelated

Question 14

Catatonic behavior

Answer 14

(visible decreased reactivity to the environment) could be resistance to instructions, maintaining rigid, inappropriate or bizarre posture, complete lack of verbal and motor responses or the reverse excessive motor behaviour without obvious cause

Question 15

Alogia

Answer 15

is manifested by diminished speech output

Question 16

Anhedonia

Answer 16

is the decreased ability to experience pleasure from positive stimuli or a degradation in the recollection of pleasure previously experienced (common experience of addicted sufferers)

Question 17

Asociality

Answer 17

refers to the apparent lack of interest in social interactions and may be associated with avolition, but it can also be a manifestation of limited opportunities for social interactions.

Question 18

8 key points/questions in “What is what?”

Answer 18

1) Is your client speaking so rapidly that you have to interrupt them to ask questions, as is often seen in people who are manic, hypomanic, or under the effects of cocaine, other stimulants, and some hallucinogens.

2) Do the person’s thoughts flow one to the next in logical
sequence?

3) Do conversations contain a natural back and forth, or do you struggle to understand what the person has just said?
4) How does the person describe his/ her own thinking?
5) Do they experience their thoughts as going too slow or as racing?
6) Do they get stuck on particular topics and can’t let go (ruminative thinking)?

7) Thought content: What are they most concerned with?
- Is the person largely concerned with realistic stresses in his/ her life?
- Do they repeat the same material over and over (perseverate)?