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21 Cards in this Set
- Front
- Back
mildest form of thought impairment; responses are overelaborated
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circumstantality
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train of thought that goes from one thing to another. Thoughts are logical, but they digress
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tangentiality
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repeated, rapid changes from one idea to another
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flight of ideas
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associations are not logical; best way to asses this is to ask them an open ended question
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lose association
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most extreme form of thought disturbance, no lognical association between anything; nonsense and made up words
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word salad
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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
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thought blocking
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repetition of a word, phrase, or idea. There's no inhibition here.
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perseveration
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associations are made based on rhymes
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clang associations
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made up words
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neologism
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pt repeats whatever you say
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echolalia
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Distinguish between phenomological and course
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phenomolgical = how people experience and feel things.
course = how syndrome appears over time. |
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Distinguish between categorical and dimensional
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categorical = clear boundaries
dimensional = part of a continumn we all share. |
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Degree to which the category reflects the disorder that it seeks to describe
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validity
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extent to which different clinicans agree in identifying a disorder
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reliability
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What classification scheme proposes that we estimate resemblence to prototype?
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Prototypal
Prototypal merges elements of categorical and dimensional models. |
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Distinguish between subtypes and specifiers.
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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 |
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When should you use a "NOS" label?
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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. |
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When you want to make multiple diagnoses, what is one of the most important exclusionary criteria to use?
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You must make sure that it is not due to substance use or GMC.
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Describe the components of the multiaxial system.
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I disorders
II personality or mental retardation III gen med IV home, legal troubles V GAF |
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Describe what is meant by Wakefield's term "harmful mental dysfunction"
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harm is determined by social values and dysfunction refers to the "failure of a mental mechanism to preform its natural function."
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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)?
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1. real presentation
2. substance abuse 3. gmc 4. distinguish between adjustment disorder (stressor) and NOS (subthreshold, no stresor) |