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Flashcards in Psych Deck (32):
1

Pseudohypersomnia

– stay in bed w/o sleeping (psychiatric) 

2

components of folstein MMSE

Orientation, Registration (memory), attention & calculation, recall, language

3

components of complete MSE

 

  • Orientation
  • Recent and remote memory
  • Attention and concentration
  • Language
  • Fund of knowledge
  • Mood and affect

 

4

lethargic vs obtunded

lethargic: drowsy but open eyes to look at you, respond to questions, fall back asleep

obtunded: open eyes to look at you but respond slowly & are confused

5

Can a person w/aphasia write a correct sentence?

No

6

circumstantiality

speech characterize by indirection and delya in reaching the point b/c of unnecessary detail, although parts may be meaningful. Many people w/o mental d/os speak circumstantially. 

occurs in people w/obsessions

7

derailment/loosening of associations

shift from one subjust to unrelated w/o realizing the subjects are not meaningfully connected 

schizophrenia, manic episodes, other psychotic d/os

8

flight of ideas

almost continuous flow of accelerated speech, topic to topic. Usually based in understandable associations, plays on words, or distracting stimuli but not sensible

manic episodes

9

neologisms

invented or distorted, highly idiosyncratic meanings

schizophrenia, psychotic d/os, aphasia

10

incoherence

largely incomprehensible speech d/t illogic, lack of meaningful connections, abrupt changes in topic, or d/oed grammar or word use. Shifts in meaning occur w/in clauses. Severe flight of ideas may produce incoherence.

severe psychotic disturbances (usually schizophrenia)

11

blocking

sudden interruption of speech in midsentence before completion of idea. Lost the thought. Occurs in "normal people"

may be striking in schizophrenia

12

confabulation

fabrication of facts/events in response to questions. To fill in gaps in an impaired memory. 

Korsakoff's syndrome from alcoholism

13

perseveration

persistent repetition of words and phrases of others

schizophrenia and other psychotic d/os

14

echolalia

repetition of words/phrases of others

manic episodes, schizophrenia

15

clanging

speech in which person chooses word on basis of sound instead of meaning. E.g., "Look at my eyes and nose, wise eyes and rosy nose. Two to one, the ayes have it!" 

schizophrenia & manic episodes

16

compulsions

repetitive behaviors or mental acts feel driven to do to produce or prevent future state of affairs, although unrealistic

neurotic d/os

17

obsessions

recurrent uncontrollable thoughts, images, or impulses that a person considers unacceptable and alien

neurotic d/os

18

phobias

persistent, irrational fears, accompanied by a compelling desire to avoid the stimulus

neurotic d/os

19

anxieties

apprehensions, fears, tensions, or uneasiness that may be focused (phobia) or free-floating (general sense of ill-defined dread or impending doom)

neurotic d/os

20

feelings of unreality

sense that things in environment are strange, unreal, remote

21

feelings of depersonalization

sense that one's self is different, changed, or unreal, or has lost identity or become detached from one's mind or body

22

delusions

false, fixed personal beliefs that are not shared by other members of person's culture. Examples:

  • delusions of...
    • persecution,
    • grandeur,
    • jealousy,
    • reference,
    • being controlled,
  • somatic delusions,
  • systematized delusion

23

delusions of reference

person believes that external events, objects, or poeple have a particulr and unusual personal significance (e.g. radio giving instructions)

24

somatic delusions

have dz, d/o, physical defect

25

systematized delusions

single delusion w/many elaborations or a cluster of related delusions around a single theme - all systematized into a complex network

26

illusions

 

  • an abnormality of perception rather than thought content
  • misinterpretations of real external stimuli
  • may occur in grief reactions, delirium, acute and PTSD, schizophrenia

27

Hallucinations

  • an abnormality of perception rather than thought content
  • subjective sensory perceptions in absence of relevant external stimuli - auditory, visual, olfactory, gustatory, tactile, somatic
  • may occur in delirium, dementia (less common), PTSD, schizophrenia, alcoholism

28

false perceptions assoc w/dreaming, falling asleep, and wakening- hallucinations?

No.

29

utility of information and vocabulary in assessing higher cognitive functions

relatively unaffected by any but most severe psychiatric d/os.

helpful in distinguishing mental retardation (limited info/vocab) from mild to moderate dementia (preserved info/vocab)

30

constructional ability

copy figures, draw a clock face

31

if vision and motor ability are intact, what does poor constructional ability suggest?

dementia or parietal lobe damage. Possibly mental retardation.

32

Screening scale for ETOH abuse

CAGE questionnaire