Descriptive Psychopathlolgy

Question 1

Metonymy

Answer 1

new phrase for something that is related to it eg ‘mathscreen’ for computer

Scz

Question 2

La belle indifference is assoc with

Answer 2

conversion disorder

however non specific

Question 3

negativism

Answer 3

resists attempt to move body- equal to strength applied

Question 4

gegenhalten

Answer 4

another word for negativism

Question 5

automatic obedience

Answer 5

exaggerated co-operation with instructions

Question 6

Mitmachen

Answer 6

form of automatic obedience

body can be put in any posture even if told to resist. Returns once force removed

Question 7

Mitgehen

Answer 7

An extreme form of mitmachen in which the examiner is able to move the patient’s body with the slightest touch (anglepoise lamp sign), like in mitmachen, the body part returns to the original position once the force is removed.

Question 8

Ambitendency

Answer 8

The patient alternates between resistance to and cooperation with the examiner’s instructions; for example, when asked to shake hands, the patient repeatedly extends and withdraws the hand.

Question 9

Forced grasping

Answer 9

The patient forcibly and repeatedly grasps the examiner’s hand when offered.

Question 10

Obstruction

Answer 10

The patient stops suddenly in the course of a movement and is generally unable to give a reason. This appears to be the motor counterpart of thought block.

Question 11

Aversion

Answer 11

The patient turns away from the examiner when addressed.

Question 12

diff between mannerisms and sterotypies

Answer 12

mannerisms are goal directed

Question 13

Motor perseveration

Answer 13

The patient persists with a particular movement that has lost its initial relevance.

eg continuing to move to pick up pen when it is already picked up

Question 14

Logoclonia

Answer 14

Meaningless repetition of a syllable, particularly an end syllable of a word.

Question 15

Verbigeration

Answer 15

Meaningless, repetition of words or phrases.

‘It’s raining cats and dogs’ over and over when irrelevant

Question 16

Schneider’s first rank sx

Answer 16

BASIC MEM PW

Running commentary
Thought echo
Voices heard arguing
Thought insertion
Thought withdrawal
Thought broadcast (thoughts are perceived as leaving the subject’s head/mind)
Delusional perception
Somatic passivity
Made affect (belief that feelings are controlled by an outside force)
Made volition (belief that impulses and/or behaviour are controlled by an outside force)

Question 17

The 4 core symptoms of scz in icd-11

Answer 17

delusions
hallucinations
disorganised thinking
experience of influence, passivity or control

Question 18

the other 3 symptoms of scz

Answer 18

-ve sx
disorganised behav
psychomotor disturbance eg catatonia

Question 19

pareidolia

Answer 19

seeing images in clouds, fire etc (illusion)

Question 20

diff between delusional perception and delusions of reference

Answer 20

delusion of reference is a delusional perception that refers to the patient specifically

Question 21

autoscopic hallucination

Answer 21

seeing a hallucination of oneself

associated with epilepsy, lesions of the parieto-occipital region, toxic infective states, scz, dep, anxiety and dissociative disorder

Question 22

katathymic amensia

Answer 22

sup/repression of painful memory

Question 23

Logoclonia is often linked to

Answer 23

alzheimers

Question 24

Palilalia

Answer 24

repetition of an entire word not just syllable

Question 25

what is an elementary hallucination

Answer 25

simple, eg just a flash of light or unstructured noise

Question 26

racing thoughts vs crowded thoughts

Answer 26

racing in mania crowding in depression - more unpleasant

Question 27

Ekbom syndrome is seen in

Answer 27

acute confusion/substance use/withdrawal scz dementia

Question 28

Couvade syndrome

Answer 28

conversion symptom of partners of pregnant women. not delusional

Question 29

literal translation of paranoia

Answer 29

besides mind

Question 30

Automatism

Answer 30

behaviour which appears conscious but occurs in absence of full consciousness eg during temporal lobe seizure eg lip smacking, rubbing abdo last several seconds to minutes

Question 31

Astasia- Abasia

Answer 31

Gait disturbance- wildly ataxic. Rarely fall Conversion disorder

Question 32

Are delusions egosyntonic or dsytonic

Answer 32

in general syntonic but as they develop insight may become dystonic

Question 33

what is concrete thinking

Answer 33

inability to understand abstract concepts - proverb testing scz and dementia

Question 34

average number of voices reported in scz

Answer 34

3 M>F voices

Question 35

autochthonous delusion

Answer 35

arises fully formed in the mind- primary delusion

Question 36

stilted speech

Answer 36

excessively formal

Question 37

gedankenlautwerden

Answer 37

thought echo- hearing thoughts aloud

Question 38

Coenesthetic hallucination

Answer 38

awareness of own body visceral hallucination

Question 39

which type of thought disorder is more common in scz than mania

Answer 39

derailment

Question 40

types of thought disorder described by schneider: derailment

Answer 40

thought slides onto a subsidiary thought

Question 41

types of thought disorder described by schneider: substitution

Answer 41

major thought substituted by a subsidiary one

Question 42

types of thought disorder described by schneider: omission

Answer 42

senseless omission of a thought or part of it

Question 43

types of thought disorder described by schneider: fusion

Answer 43

heterogenous elements of thought are interwoven with each other

Question 44

types of thought disorder described by schneider: drivelling

Answer 44

disordered intermixture of constituent parts of one complex thought

Question 45

parapraxis

Answer 45

freudian slip

Question 46

Kinaesthetic hallucinations associated with

Answer 46

benzo withdrawal

Question 47

Hallucination associated with another real noise eg voices when the tap is running

Answer 47

functional hallucination

Question 48

Input in one sense leads to halalucination in another eg seeing someone writing creates the feeling they are writing on your stomach

Answer 48

reflex hallucination

Question 49

number of different words:number of words

Answer 49

Type-token ratio scz

Question 50

asyndesis

Answer 50

loosening of associations

Question 51

does FTD in acute scz have prognostic value

Answer 51

no

Question 52

thought diffusion is same as

Answer 52

thought broadcasting

Question 53

>50% patients with autoscopy have

Answer 53

depression

Question 54

dereistic thinking

Answer 54

unrealistic thinking, idiosyncratic logic system,doesnt take reality into consideration

Question 55

aphantasia (visual imagery) change with age

Answer 55

increase with age- non existent in adolescents

Question 55

original psychoanalytic interpretation of first rank symptoms

Answer 55

break down of boundary between ego and world

Question 56

Affect illusion

Answer 56

misinterpretation associated with heightened emotion

Question 57

Ecstatsy is associated with _____ ______ of self

Answer 57

altered boundary of self

Question 58

Clear sensorium is seen in alcoholic hallucinosis or in delirium tremens?

Answer 58

alcoholic hallucinosis

Question 59

pure word blindness is aka

Answer 59

alexia without agraphia pure alexia agnostic alexia the only thing they can't do is read

Question 60

eidetic

Answer 60

vivid memory

Question 61

age disorientation how many yrs

Answer 61

5yrs

Question 62

cataplexy or catalepsy is narcolepsy!

Answer 62

Cataplexy

Question 63

paraschemazia

Answer 63

distortion of body image hallucinogens, epileptic aura, migraine

Question 64

what is direct and indirect priming

Answer 64

direct priming is when words that are linked have decreased reaction times when preceded by each other In scz priming effects for indirectly related words (eg cat - cheese (via mouse)) are seen - indirect priming

Question 65

teichopsic hallucination

Answer 65

migraine aura that i get