tommyk
05-20-2006, 05:06 AM
Hy 2222
An emergency room intern, YOU, are attempting to evaluate a 25-year-old Caucasian male patient with a long history of schizophrenia, disorganized type. In obtaining the history, your team asks the patient to describe any auditory hallucinations he hears and the patient responds by saying "killin, chillin, and thrillin." Which of the following most accurately describes this type of response?
1-Tangential thoughts
2-Clanging
3-He is a rapper to be like Eminem
4-Flight of ideas
5-Neologism
6-Thought blocking
7-Ideas of influence
a) ans is #2. When a patient associates words similar in sound but not in meaning, this is known as a clang association. In this case the words have no logical connections but sometimes rhyme or have similar phonetic phrasing. Flight of ideas is a rapid verbalization of a constant shifting of ideas which tend to be connected; it is often found in a patient in a stateLooseness of associations is the flow of thoughts and ideas that shift from one topic to another in completely unrelated ways; this is found most often in paranoid schizophrenics who are not actively thought blocking. A neologism is a new word created by a patient by combining the syllables of other words, and is usually idiosyncratic in its origin. Thought blocking is the abrupt interruption of thought before a thought or idea is finished in being expressed. Usually it is indicated by the patient's not being able to recall what was previously said or what was going to be said, and usually is accompanied by pauses in conversation.
An emergency room intern, YOU, are attempting to evaluate a 25-year-old Caucasian male patient with a long history of schizophrenia, disorganized type. In obtaining the history, your team asks the patient to describe any auditory hallucinations he hears and the patient responds by saying "killin, chillin, and thrillin." Which of the following most accurately describes this type of response?
1-Tangential thoughts
2-Clanging
3-He is a rapper to be like Eminem
4-Flight of ideas
5-Neologism
6-Thought blocking
7-Ideas of influence
a) ans is #2. When a patient associates words similar in sound but not in meaning, this is known as a clang association. In this case the words have no logical connections but sometimes rhyme or have similar phonetic phrasing. Flight of ideas is a rapid verbalization of a constant shifting of ideas which tend to be connected; it is often found in a patient in a stateLooseness of associations is the flow of thoughts and ideas that shift from one topic to another in completely unrelated ways; this is found most often in paranoid schizophrenics who are not actively thought blocking. A neologism is a new word created by a patient by combining the syllables of other words, and is usually idiosyncratic in its origin. Thought blocking is the abrupt interruption of thought before a thought or idea is finished in being expressed. Usually it is indicated by the patient's not being able to recall what was previously said or what was going to be said, and usually is accompanied by pauses in conversation.