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21 Cards in this Set

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mildest form of thought impairment; responses are overelaborated
circumstantality
train of thought that goes from one thing to another. Thoughts are logical, but they digress
tangentiality
repeated, rapid changes from one idea to another
flight of ideas
associations are not logical; best way to asses this is to ask them an open ended question
lose association
most extreme form of thought disturbance, no lognical association between anything; nonsense and made up words
word salad
lose track of thought before it's expressed. Difference from normal is that they switch topics (and don't remember what they were talking about previously) when they continue to talk
thought blocking
repetition of a word, phrase, or idea. There's no inhibition here.
perseveration
associations are made based on rhymes
clang associations
made up words
neologism
pt repeats whatever you say
echolalia
Distinguish between phenomological and course
phenomolgical = how people experience and feel things.

course = how syndrome appears over time.
Distinguish between categorical and dimensional
categorical = clear boundaries
dimensional = part of a continumn we all share.
Degree to which the category reflects the disorder that it seeks to describe
validity
extent to which different clinicans agree in identifying a disorder
reliability
What classification scheme proposes that we estimate resemblence to prototype?
Prototypal

Prototypal merges elements of categorical and dimensional models.
Distinguish between subtypes and specifiers.
Subtypes: paranoid schiz, atypical depression, indicated by "specify type"

Specifier: indicate severity (mild, mod, severe); partial remission/partial relapse; indicated by "specify if"
*FULL CRITERIA MUST BE MET BEFORE YOU CAN USE A SPECIFIER
When should you use a "NOS" label?
Subthreshold presentations are a good time to use NOS.

Other times include: if you unsure whether the disorder is primary, substance-induced, or due to GMC, or if you have insufficient information.
When you want to make multiple diagnoses, what is one of the most important exclusionary criteria to use?
You must make sure that it is not due to substance use or GMC.
Describe the components of the multiaxial system.
I disorders
II personality or mental retardation
III gen med
IV home, legal troubles
V GAF
Describe what is meant by Wakefield's term "harmful mental dysfunction"
harm is determined by social values and dysfunction refers to the "failure of a mental mechanism to preform its natural function."
When order should be used when determining the probability of one disease vs. others that may account for a pts illness (i.e., making diff diagnosis)?
1. real presentation
2. substance abuse
3. gmc
4. distinguish between adjustment disorder (stressor) and NOS (subthreshold, no stresor)