Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
MENTAL ILLNESS
Disorder of thought
Disorder of memory
Disorder of mood
Disorder of perception
Disorder of affect
Disorder of motor
activity
Disorder of perception
-False sensory perception in the absence of
external stimulus-Hallucination
-It may affect any of 5 senses
1.
Contd
2. Visual H- [sight], {delirium}
-see things that are not present
3. Tactile H- [touch], {alcoholism}
delirium
-feels insects crawling on the
skin, people touching her
4. Olfactory H- [smell]
-smells something that is not
present
5. Gustatory H [taste]
-tasted something that is not
present
Disorder of perception
Illusion:
An abnormal perception caused by a sensory
misinterpretation of actual stimulus.
e.g. shadows is perceived as ghost
e.g. rope is perceived as snake
( illusion are more common when there is a
reduced level of consciousness, for example in
delirium)
Thinking
Normal human thinking has FOUR charecteristic:
1. Content: what is being thought about.
2.
3.
4.
Disorder of thought
1.
Circumstantiality:
-The patient takes too long to reach goal. He gives too
many unnecessary details but never loses track of the
topic in hand.
Thought blocking:
-An unpleasant experience of having ones flow of
thought is suddenly stopped.
Contd
Flight of ideas:
Characterized by accelerated flow of thoughts
associated with pressure of speech and ideas shift from
one topic to another rapidly.
Derailment:
Slow and progressive digression from original topic.
Incoherence:
Lacks cohesiveness and grammar-meaningless
sentence.
Contd
Tangentiality:
Here reply to a question starts with an irrelevant answer not
related to a question and patient gives the right or relevant
reply at some point and then again moves on to something
unrelated.
Neologism:
Invention of new words.
Perseveration:
Repitition of same word to different question.
Empty speech:
Speech gives no information though speech is normal.
Disorder of content
(Delusions)
A
Contd
Unworthiness
Contd
Persecutory-
Disorders of Possession
Thought
Contd
Obsession:
-Repetitive, persistent ideas, impulses or
images present in mind against his will.
Compulsion:
-An irresistible impulse to act, regardless of
the rationality of the motivation.
-Repetitive, persistent thoughts-activities
done (hand washing repeatedly)
Disorders of affect
Affect
-the external expression of such a feeling
Appropriate affect
-same as the situation of speech/ idea
Inappropriate affect
-crying while reporting feelings of joys
Labile affect
-rapid change in feeling
Blunted affect
-no feeling/ response to external situation (severe reduction)
Flat affect
-lack of emotional response to pleasant external stimuli
Contd
Depression-
sadness
Anxiety- feeling of apprehension without a
cause.
Apathy- dull emotional state (dont care about
surroundings)
Ambivalence-two opposite emotions toward
same person, object or situation.
Hyper activity
-increased motor
activity
Stereotypy
-repeated movements
(no significance)
Contd
Mannerism
Contd
Psychomotor agitation
-restlessness associated with irritability (patient
walk up & down, cant stand still)
Psychomotor retardation
-very slow motor activity (speech
slow, monotonous, sit motionless)
Catatonic (stupor)
-markedly reduced movements
Contd
Posturing
-adoption of unusual bodily postures for an unusually
long time
Waxy flexibility
-patients limbs can be placed in any position, remains
in that position untill asked to change
Echopraxia
-imitation of interviewers movements
Echolalia
-imitation of interviewers speech
Negativism
-automatic resistance to all request (asked to show
tongue, tightly clenching jaw)
Memory disorders
Amnesia:
-a total or partial loss of memory following
physical injury, disease, drug, or psychological
trauma.
Anterograde amnesia:
-loss of memory due to any cause.
e.g. brain trauma.
Retrograde amnesia:
-loss of memory for a period of time prior to any
cause.
Contd
Confabulation
- filling memory gaps with
fantasy story
Dj vu
- the experience of
thinking that a new
situation had occurred
before.
Other Terminologies
Abuse:
Contd
Addiction:
-a maladaptive, compulsive dependence on a
substance (alcohol, other drugs) or behavior
(gambling,spending)
Agnosia:
-loss of comprehension of auditory, visual or
other sensation, although senses are intact.
Anhedonia:
-loss of pleasure and interest in activities
previously enjoyed in life.
Contd
Empathy:
-projecting sensivity and
understanding of
anothers feeling.
Insight:
-the ability tp perceive
oneself realistically and to
understand oneself and
the motives behind ones
behavior.
Contd
Psychosis:
-inability to recognize reality, bizarre behaviors or inability
to deal with lifes demand.
Neurosis:
-group of disorders where the disturbance of mental
functions is mild.
Anorexia nervosa:
-eating disorder
characterized by
excessive dieting and by
exercising.
Bulimia nervosa:
-an obsession with
thinness and a
compulsive cycle of
bingeing (eating much)
and purging (vomit back).