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Psychiatric Emergencies in Substance Abuse
Published in R. Thara, Lakshmi Vijayakumar, Emergencies in Psychiatry in Low- and Middle-Income Countries, 2017
Hamid Dabholkar, Atul Ambekar, Vivek Benegal
The psychotic disorders occurring during or immediately after substance use are diagnosed as substance-induced psychosis. They are characterized by vivid hallucinations, misidentifications, ideas or delusions of reference or persecution, and psychomotor disturbances in clear sensorium.
A Conceptual History of Anxiety and Depression
Published in Siegfried Kasper, Johan A. den Boer, J. M. Ad Sitsen, Handbook of Depression and Anxiety, 2003
In discussing the symptoms of melancholia, Burton considered fear and sorrow to be two of a whole list of phenomena affecting those suffering from this condition. However, although these emotions were relatively nonspecific, this did not mean that they were unimportant. Burton was acquainted with many of the forms of anxiety known today. He made reference to fear of death, fear of losing those who are most important to us, and paranoid anxiety. He also cited anxiety based on ideas and delusions of reference, fear associated with depersonalization, delusional depersonalization, and hypochondria. Other forms that are mentioned include agoraphobia (!) and many other kinds of specific phobias, such as fear of public speaking, fear of heights, claustrophobia, anticipatory fear, and hyperventilation [56]. The physiology of emotions was strongly emphasized in René Descartes’ Les Passions de I’ Âme (The Passions of the Soul), which was published about a quarter of a century later [57–59]. This emphasis on physiology had a distinctly mechanistic flavor in keeping with the contemporary trend toward a general mechanization of the world view—a trend in medicine that really only took off in the 18th century and is known as iatromechanics [60]. According to Descartes, passions not only prepare the body but also predispose the soul to desire that for which the body is being prepared. The physical manifestations of emotion therefore provide some degree of insight into the function of emotions.
Case-Based Differential Diagnostic Mental Health Evaluation for Adults
Published in Kunsook S. Bernstein, Robert Kaplan, Psychiatric Mental Health Assessment and Diagnosis of Adults for Advanced Practice Mental Health Nurses, 2023
Kunsook S. Bernstein, Robert Kaplan
Additional questions can be asked to address potential risk factors and to find out if there are also nonauditory hallucinations.Do they ever tell you to harm yourself or others? (Important: risk, command hallucinations)Have you had any strange tastes, smells, or visions lately? (Hallucinations in other modalities)Assessment of Thoughts and DelusionsHave you ever felt/do you feel like your thoughts are being interfered with … (pause) … like thoughts are being put into your head? (Thought insertion)Have you ever felt/do you feel like thoughts are being taken out of your head? (Thought withdrawal)Have you ever felt/do you feel like your thoughts are being broadcast to other people so that they know what you are thinking? (Thought broadcasting)Have you ever felt under the control of someone other than yourself?Have you ever felt like your actions, feelings, or urges are being controlled by some external force? (Passivity phenomenon)Have you ever felt any strange sensations in your body? (Somatic passivity)Have you ever felt that people on the radio or TV were talking about you in their reports or giving you special messages? (Ideas or delusions of reference)Do you ever receive any messages from books, radio, or TV that are specifically meant for you? (Paranoid bizarre delusions)Do you ever feel like you are being spied upon or that someone is following you or conspiring against you? (Persecutory delusions)Do you ever feel like you are being watched by cameras or special devices? (Persecutory delusions)
Overlap of obsessive–compulsive personality disorder and autism spectrum disorder traits among OCD outpatients: an exploratory study
Published in International Journal of Psychiatry in Clinical Practice, 2019
W. Gadelkarim, S. Shahper, J. Reid, M. Wikramanayake, S. Kaur, S. Kolli, S. Osman, N. A. Fineberg
The Brown Assessment of Beliefs Scale (BABS), a reliable and valid instrument for assessing delusionality in a number of psychiatric disorders including OCD (Eisen et al., 1998), was used to measure the degree of impairment of insight. The BABS is a clinician-rated scale scored on a four-point Likert scale from 0 to 4 for each of the points covered. The seven dimensions measured include levels of conviction, perception of others’ views of beliefs, explanation of differing views, fixity of ideas, attempts to disprove ideas, insight and ideas or delusions of reference over the past week.
Autism spectrum disorders in adult outpatients with obsessive compulsive disorder in the UK
Published in International Journal of Psychiatry in Clinical Practice, 2018
Waduge Nishani Maheshi Wikramanayake, William Mandy, Sonia Shahper, Sukhwinder Kaur, Sangeetha Kolli, Selma Osman, Jemma Reid, Kiri Jefferies-Sewell, Naomi Anne Fineberg
This clinician-rated scale measures a patient’s insight about their beliefs. It consists of seven dimensions: conviction, perception of others’ views of beliefs, explanation of differing views, fixity of ideas, attempts to disprove ideas, insight and ideas or delusions of reference. All the dimensions are scored on a four-point Likert scale ranging from 0 to 4 (Eisen et al. 1998).