Week three Flashcards

1
Q

What is neurosis?

A

When mental health patients know they are unwell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is psychosis?

A
  • When mental health patients are not aware they are unwell

- Problems with interpretation and perception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is bio-determinism?

A
  • That mental illness is genetically predisposed and a disease of the brain
  • Eugenics → “well born” “good, well” a set of belief and practices that aims at improving the genetic quality of a group of individuals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is psychological determinism?

A
  • Disagreement about what psychological causes mean
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is social determinism?

A

Suggest that people may have a susceptibility to a disorder but that social factors precipitate and maintain it. Susceptibility can be derived from bio/psycho/social factors of the past

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is biopsychosocial determinism?

A

Does not challenge the basic validity of psychiatric diagnosis but argues that the patient’s particular biographical picture should be privileged. Multi-factorial aetiology and patient- centeredness. Integrated view of biology-psychology- social factors of a human experience

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are functional mental illnesses?

A

Defined as oddities of conduct and spoken thoughts (symptoms)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are organic mental illnesses?

A

Defined as observable or measurable bodily abnormalities (signs) in addition to symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are examples of organic disorders?

A
  • Brain injury
  • Neurological condition
  • Infection
  • Delirium
  • Dementia
  • Substance induced
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are somatoform disorders?

A
  • Amnesia
  • Conversion
  • Hypochondriasis
  • Hysteria
  • Malingering
  • Somatisation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are symptoms of psychosis?

A
A person experiencing psychosis is out of touch with reality
One or more of five types of symptoms:
- Delusions
- Hallucinations
- Disorganised speech
- Disorganised behaviour
- Negative symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is perception?

A

Awareness of events and sensations and the ability to make distinctions between them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are illusions?

A

Misperceives or exaggerate stimuli that actually exist in the external environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are hallucinations?

A

Perceptions in the absence of environmental stimuli (5 senses)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are delusions?

A

Fixed, false beliefs that usually involves a misinterpretation of perception or experience. Cannot persuade the person that the belief is incorrect, despite evidence to the contrary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is loose association?

A

Absence of the normal connection of thoughts, ideas, and topics - sudden shifts without apparent relationship to preceding topics

17
Q

What is pressure of speech?

A

An increase in the amount of spontaneous speech compared to what is considered customary

18
Q

What is clanging?

A

Sounds rather than meaningful relationships appear to govern words. e.g. “I will take a pill if I go up the hill but not if my name is Jill, I don’t want to kill.”

19
Q

What are neologisms?

A

New word invented by the client

20
Q

What is pressure of thought?

A

When ideas arise in unusual variety and abundance and pass through the mind rapidly

21
Q

What is poverty of thought?

A

When the client has only a few thoughts, which lack variety and richness, and seem to move through the mind slowly

22
Q

What is pressure vs poverty?

A
  • Pressure occurs in mania

- Poverty occurs in depressive orders

23
Q

What is thought blocking?

A

Client stops abruptly in middle of a sentence or train of thought, sometimes unable to continue the idea

24
Q

What is thought insertion?

A

Delusional belief that others are putting ideas or thoughts in the client head

25
What is thought broadcasting?
Delusional belief that others can hear or know what the client is thinking
26
What is echolalia?
Echoing of other people's speech e.g. "Can we talk for a few minutes ?", "Talk for a few minutes".
27
What is tangential thinking?
Wanders off the topic and never provides the information requested
28
What is circumstantial thinking?
Question eventually answered after excessive amounts of unnecessary detail is given
29
What are flight ideas?
Rapidly and repeatedly changes topics
30
What are positive symptoms of schizophrenia?
- Delusions - Hallucinations - Disorganised responses - Disorganised speech - Aggressive, agitated responses
31
What are negative symptoms of schizophrenia?
- Flat/inappropriate affect - Poor eye contact - Avolition (motivation) - Withdrawal - Poverty of speech - Poor ADLs - Severely disturbed relationships with family/friends/peers
32
What does it mean to be solution focused?
- Solution building rather than problem solving - The cause of the problem need not be associated with the resolving of it - What clients say works for them matters more than what clinicians think should work
33
What are characteristics of Phenothiazines or anti-psychotics?
- Higher doses stabilise symptoms - Lower doses sustain effect over time - Rebound effect when stopped suddenly - Should be seen as a means of stabilising the symptoms so the person is able to ‘work’ on the issues
34
What are antipsychotic medications?
- Also known as neuroleptics - Used to treat symptoms of psychosis - Primarily dopamine blockers - Categories include old ‘typical antipsychotics’ and new ‘atypical’ - Come in tablet, wafer syrup, injection (short and long acting forms)
35
What are common typical (older medications)?
- Chlorpromazine - Haloperidol - Stelazine - Fluphenazine
36
What are common atypical (newer medications)?
- Risperidone - Clozapine - Quetiapine - Olanzapine (relprevv)
37
What are the therapeutic effects of anti-psychotic treatment?
- To reduce agitation or anxiety or emotional range related to the symptom - Tranquilizing effect - Sedating effect
38
What are the potential side effects of anti-psychotic treatment?
- Neurological - Drug induced Parkinsonism - Neuroleptic malignant syndrome - Tardive Dyskinesia - Anticholinergic side effects - Metabolic syndrome