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CORE CONCEPTS ON THE CARE OF THE PSYCHOTIC PATIENT

What are the COMMON BEHAVIORAL SIGNS AND SYMPTOMS?

1. Disturbances in perception:
  • Illusion - misperception of an actual external.
  • Hallucination - false sensory perception in the absence of external stimuli
2. Disturbances in thinking
  • Neologism - pathological coining of new words
  • Circumstantiality - over inclusion of details
  • Word salad - incoherent mixture of words and phrases
  • Verbigeration - meaningless repetition of words or phrases
  • Perseveration - persistence of a response to previous question
  • Echolalia - pathological repetition of words of others
  • Flight of ideas - shifting of one topic from on£ subject to another in a somewhat related way
  • Looseness of association - shifting of a topic from me subject to another in a completely unrelated way
  • Clang association - the sound of the word gives direction to the flow of thought
  • Delusion - false belief which is inconsistent with one's knowledge and culture
3. Disturbances of affect
  • Inappropriate affect - disharmony between the stimuli and the emotional reaction
  • Blunted affect - severe reduction in emotional reaction
  • Flat affect - absence or near absence of emotional reaction
  • Apathy - dulled emotional tone
  • Ambivalence - presence of two opposing feelings
  • Depersonalization - feeling of strangeness towards ones self
  • Derealization - feeling of strangeness towards the environment

4. Disturbances in Motor Activity
  • Echopraxia - the pathological imitation of posture/ action of others
  • Waxy flexibility - maintaining the desired position for long periods of time without discomfort
5. Disturbances in memory
  • Confabulation - filling in of memory gaps
  • Amnesia - Inability to recall past events
  • Anterograde amnesia - loss of memory of the immediate past
  • Retrograde amnesia - loss of memory of the distant past
  • Déjà vu - feeling of having been to place which one has not yet visited
  • Jamais vu - feeling of not having been to a place which one has visited