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What are you saying?
Sociations
Thought Disorders
Thought Content
What are you thinking?
100
This is the type of speech described when normal pauses seen with speech disappear. “speech sans punctuation.”
What is pressured speech? The type of speech often seen in mania, agitated psychotic states, or during extreme anxiety or anger.
100
The relationship between ideas or emotions by contiguity, by continuity, or by similarities.
What is Association?
100
When the patient repeats words or phrases or keeps returning to the same point.
What is Perseverations?
100
This is when a patient is preoccupied with worries and feelings of guilt, constantly turning the thoughts over in their mind.
What is rumination? The thinking process itself does not appear strange to these patients, and they do not generally try to stop it. Frequently seen in a variety of anxiety states and are particularly common in depressed patients.
100
A patients who thinks that through their own will, they were able to cause an accident, even though they were not directly involved in any way.
What is ideas of influence?
200
A new word or a new use for an old word, or the act of making up new words.
What is neologism? A new word or condensed combination of several words that is not a true word and is not readily understandable, although sometimes the intended meaning or partial meaning may be apparent. “I got so angry I picked up a dish and threw it at the geshinker” or “So I sort of bawked the whole thing up” are examples.
200
Associations that are governed by rhyming sounds, rather than meaning, e.g., "This what I thought, bought, knot, caught, rot, sought."
What is Clang associations?
200
A characteristic of conversation that proceeds indirectly to its goal idea, with many tedious details and parenthetical and irrelevant additions.
What is Circumstantial?
200
A recurrent idea, thought, fantasy, or image that intrusively enters the mind of the patient and is hard to stop thinking about.
What is an Obsession Unlike the case with ruminations, patients generally find these obsessive thought processes to be both odd and painful.
200
A nearly continuous flow of rapid speech that jumps from topic to topic, usually based on discernible associations, distractions, or plays on words, but in severe cases so rapid as to be disorganized and incoherent.
What is flight of ideas? For this to occur the patient must demonstrate tangential thought or a loosening of associations in conjunction with a significantly pressured speech and usually speeded up speech.
300
A patient who answers too briefly or who sits speechless because of a mental deficiency; as seen with patients with dementia.
What is alogia (Poverty of speech)?
300
“I haven’t felt good recently. My mood is shot, would you like a waterfall that’s black, back home I felt much better, cherry tarts and Mom’s hot breath keeps you going and rolling along life’s highways.” This is an example of what type of thought process?
What is loose association? DSM V calls this "derailment" and if it becomes extremely severe, so as to become essentially incoherent, it is sometimes referred to as a “word salad.” In mild forms, derailment may represent severe anxiety or evidence of a schizotypal character structure. In moderate or severe degrees, unless the loosening is a product of malingering, it is an indicator of psychosis.
300
These patients appear as if something had abruptly interrupted their train of thought and, indeed, usually something has, such as a hallucination or confusing ideation.
What is thought blocking? Usually a sign of psychosis. Different than taking a long time to think.
300
The frequent need to either do a specific action or perform a mental act, compensatory actions or mental acts.
What is a Compulsion? The patient often recognizes as silly, odd, abnormal, or unnecessary.
300
The more or less unconscious, defensive "filling in" of actual experiences, often complex, that is recounted in a detailed and plausible way as though they were factual. Often seen in alcoholics.
What is confabulation?
400
This describes the interval between your question and the patient’s answers.
What is speech latency?
400
An unconscious defensive process, psychological separation or splitting off; in which emotional significance and affect are separated and detached from an idea, situation, or object.
What is dissociation? A form of defense against trauma; the individual “splits off” the memory of the traumatic event, emotions, thoughts, or behaviors, which then exist on a “parallel” level of awareness. Unconscious defense mechanism involving the segregation of any group of mental or behavioral processes from the rest of the person’s psychic activity; may entail the separation of an idea from its accompanying emotional tone, as seen in dissociative and conversion disorders.
400
Pt has occasional lapses in organization such that the patient suddenly changes the subject and never returns to it; In response to a question, the patient gives a reply that is appropriate to the general topic without actually answering the question.
What is tangential?
400
This involves somehow experiencing one’s own thoughts as someone else’s.
What is thought insertion?
400
This refers to the capacity of the patient to understand that he or she has a problem or illness and to be able to review its probable causes and arrive at tenable solutions
What is insight?
500
Without obvious purpose, the patient may continues to repeat words or phrases. “It was deathly still. Deathly. Deathly still. Deathly. Still deathly.”
What is Verbigeration?
500
Dissociative disorder characterized by a period of almost complete amnesia, during which a person actually flees from an immediate life situation and begins a different life pattern.
What is fugue?
500
A break down in both the logical connection between ideas and the overall sense of goal directness. The words make sentences but the sentences do not make sense.
What is Derailment (synonymous with loose associations)?
500
Grandiose, religious, nihilistic, thought broadcasting, thought withdrawal, Thought insertion are all types of this.
What is Delusions? Strongly held beliefs that are not correct or not held to be true by the vast majority of people in the patient’s culture.
500
Delusion of the nonexistence of the self or part of the self; also refers to an attitude of total rejection of established values or extreme skepticism regarding moral and value judgments.
What is nihilism?