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10 Cards in this Set

  • Front
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Descriptive psychopathology

One of the most important principles of descriptive psychopathology is not to make assumptions about the causes or consequences of signs and symptoms of mental disorder, but merely to define, differentiate, and inter - relate them.

Theorized by Jaspers and later Husserl

The psychiatric history: 10 fields to examine

1. Introductory information


2. Presenting complaint and history of presenting complaint


3. Past psychiatric history


4. Past medical history


5. Drug history/current treatments


6. Substance use


7. Family history


8. Social history


9. Personal history


10. Informant history

7 fields to examine in MSE

1- Appearance and behavior


2- Speech


3- Mood, anxiety, risk assessment


4- Thoughts


5- Perception


6- Cognition


7- Insight

Appearance and Behavior

Level of consciousness


Appearance: body build, posture, general physical condition, grooming, dressing, physical stigmata


Behavior: facial expression, degree of eye contact, quality of rapport


Motor activity / disorders of movement

Speech

Amount, rate, volume, tone


Form of speech

Mood

Subjective & Objective mood


Affect (expansive, normal, constricted, flat, labile, inappropriate)


Self-harm and suicide


Harm to others


Anxiety

Thought

Stream of thought


Form of thought


Content: Phobias, preoccupations, ruminations, obsessions, compulsive acts


Delusions

Perception

Sensory distorsions


Illusions and hallucinations


Depersonalization and derealization

Cognition

Orientation in time, place and person


Attention and concentration


Memory


Minimental score

Insight

Perception of the problem?