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Published in David Browne, Brenda Wright, Guy Molyneux, Mohamed Ahmed, Ijaz Hussain, Bangaru Raju, Michael Reilly, MRCPsych Paper I One-Best-Item MCQs, 2017
David Browne, Brenda Wright, Guy Molyneux, Mohamed Ahmed, Ijaz Hussain, Bangaru Raju, Michael Reilly
Answer: C. Ambitendence occurs when the patient begins to make a movement but, before completing it, starts the opposite movement; for example, bending up and down over a chair without sitting on it. A mannerism is a normal purposeful movement that appears to have social significance but is unusual in appearance. A stereotypy is a repeated purposeless movement. Waxy flexibility occurs when the patient allows himself to be placed in an awkward posture which he then maintains without distress for much longer than most people could achieve without significant discomfort. [AG. pp. 249–50]
100 MCQs from Dr. Brenda Wright and Colleagues
Published in David Browne, Selena Morgan Pillay, Guy Molyneaux, Brenda Wright, Bangaru Raju, Ijaz Hussein, Mohamed Ali Ahmed, Michael Reilly, MCQs for the New MRCPsych Paper A, 2017
Dr Olivia Gibbons, Dr Marie Naughton, Dr Selena Morgan Pillay
Ambitendence occurs when the patient begins to make a movement but, before completing it starts the opposite movement, for example bending up and down over a chair without sitting on it. A mannerism is a normal, purposeful movement that appears to have social significance but is unusual in appearance. A stereotypy is a repeated purposeless movement. Waxy flexibility occurs when the patient allows himself to be placed in an awkward posture which he then maintains without distress for much longer than most people could achieve without significant discomfort. (13, pp 249–50)
MRCPsych Paper A1 Mock Examination 5: Answers
Published in Melvyn WB Zhang, Cyrus SH Ho, Roger Ho, Ian H Treasaden, Basant K Puri, Get Through, 2016
Melvyn WB Zhang, Cyrus SH Ho, Roger CM Ho, Ian H Treasaden, Basant K Puri
Explanation: The psychopathology that the patient has is waxy flexibility. There is a feeling of plastic resistance resembling the bending of a soft wax rod as the examiner moves part of the person’s body, and that body part remains ‘moulded’ by the examiner in the new position.
Catatonia revived: a unique syndrome updated
Published in International Review of Psychiatry, 2020
Charles Mormando, Andrew Francis
Although formerly subsumed within schizophrenia, data confirms catatonia mostly co-occurs with other psychiatric, neurological and systemic medical disorders (Fink & Taylor, 2003). Contemporary authors view catatonia as a syndrome of motor signs associated with disorders of mood, behaviour or thought. Some motor features are classic but infrequent (e.g. echopraxia, waxy flexibility), whereas others are common in psychiatric patients (e.g. agitation, withdrawal) and become significant because of their duration, severity and context. Two subtypes of the syndrome have been identified. The retarded or stuporous form is characterized by withdrawal, catalepsy, mutism and staring, while the excited form is marked by incessant and usually purposeless motor movement along with hyperverbal or repetitive speech. The following excerpt describes a patient presenting to an inpatient psychiatric unit with catatonia.
Clinical features and predictors of non-response in severe catatonic patients treated with electroconvulsive therapy
Published in International Journal of Psychiatry in Clinical Practice, 2021
Beniamino Tripodi, Margherita Barbuti, Martina Novi, Gianluca Salarpi, Giuseppe Fazzari, Pierpaolo Medda, Giulio Perugi
Considering catatonic features at baseline evaluation, according to the 14 screening items of the BFCRS, we found that ‘withdrawal’ was more represented in responders than in non-responders (respectively, 98% versus 80%) (Table 5). Conversely, ‘echopraxia/echolalia’ and ‘waxy flexibility’ were significantly more frequent in patients who did not respond to ECT compared to the others (respectively, 70% versus 28.6% and 50% versus 16.3%). In the binary logistic regression analysis, ‘echopraxia/echolalia’ (Table 6) was found to be the only predictor of non-response.
Location of Power within Psychiatry: A Fifty-Year Journey as Represented in Film
Published in Issues in Mental Health Nursing, 2020
Lois Biggin Moylan, Ian Needham, Kevin McKenna, Jeanne Kimpel
Shock Corridor was released for wide distribution in Europe (IMDb, Release Info, Shock Corridor, n.d.). It has been used as a teaching tool in the United Kingdom where students described it as effective in portraying symptoms such as waxy flexibility (Gorring et al., 2014)