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168.263 > Week three > Flashcards

Week three Flashcards

1
Q

What is neurosis?

A

When mental health patients know they are unwell

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2
Q

What is psychosis?

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

- Problems with interpretation and perception

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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
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4
Q

What is psychological determinism?

A
  • Disagreement about what psychological causes mean
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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

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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

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7
Q

What are functional mental illnesses?

A

Defined as oddities of conduct and spoken thoughts (symptoms)

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8
Q

What are organic mental illnesses?

A

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

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9
Q

What are examples of organic disorders?

A
  • Brain injury
  • Neurological condition
  • Infection
  • Delirium
  • Dementia
  • Substance induced
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10
Q

What are somatoform disorders?

A
  • Amnesia
  • Conversion
  • Hypochondriasis
  • Hysteria
  • Malingering
  • Somatisation
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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
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12
Q

What is perception?

A

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

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13
Q

What are illusions?

A

Misperceives or exaggerate stimuli that actually exist in the external environment

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14
Q

What are hallucinations?

A

Perceptions in the absence of environmental stimuli (5 senses)

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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

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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
Q

What is thought broadcasting?

A

Delusional belief that others can hear or know what the client is thinking

26
Q

What is echolalia?

A

Echoing of other people’s speech e.g. “Can we talk for a few minutes ?”, “Talk for a few minutes”.

27
Q

What is tangential thinking?

A

Wanders off the topic and never provides the information requested

28
Q

What is circumstantial thinking?

A

Question eventually answered after excessive amounts of unnecessary detail is given

29
Q

What are flight ideas?

A

Rapidly and repeatedly changes topics

30
Q

What are positive symptoms of schizophrenia?

A
  • Delusions
  • Hallucinations
  • Disorganised responses
  • Disorganised speech
  • Aggressive, agitated responses
31
Q

What are negative symptoms of schizophrenia?

A
  • Flat/inappropriate affect
  • Poor eye contact
  • Avolition (motivation)
  • Withdrawal
  • Poverty of speech
  • Poor ADLs
  • Severely disturbed relationships with family/friends/peers
32
Q

What does it mean to be solution focused?

A
  • 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
Q

What are characteristics of Phenothiazines or anti-psychotics?

A
  • 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
Q

What are antipsychotic medications?

A
  • 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
Q

What are common typical (older medications)?

A
  • Chlorpromazine
  • Haloperidol
  • Stelazine
  • Fluphenazine
36
Q

What are common atypical (newer medications)?

A
  • Risperidone
  • Clozapine
  • Quetiapine
  • Olanzapine (relprevv)
37
Q

What are the therapeutic effects of anti-psychotic treatment?

A
  • To reduce agitation or anxiety or emotional range related to the symptom
  • Tranquilizing effect
  • Sedating effect
38
Q

What are the potential side effects of anti-psychotic treatment?

A
  • Neurological
  • Drug induced Parkinsonism
  • Neuroleptic malignant syndrome
  • Tardive Dyskinesia
  • Anticholinergic side effects
  • Metabolic syndrome

168.263 (6 decks)

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