Friday 22 June 2012

68.NEGATIVISM.HALLUCINATION,FLUCTUATING CONCIOUSNESS,PSYCHOSIS SEEN IN

A.SCHIZOPRENIA
B.LEARNING DISORDER
C.AFFECTIVE DISORDER
D.COGNITIVE DISORDER

ANS:SCHIZOPRENIA


Characteristic symptoms: Two or more of the following, each present for much of the time during a one-month period (or less, if symptoms remitted with treatment).

  • Delusions
  • Hallucinations
  • Disorganized speech, which is a manifestation of formal thought disorder
  • Grossly disorganized behavior (e.g. dressing inappropriately, crying frequently) or catatonic behavior
  • Negative symptoms: Blunted affect (lack or decline in emotional response), alogia (lack or decline in speech), or avolition (lack or decline in motivation)

If the delusions are judged to be bizarre, or hallucinations consist of hearing one voice participating in a running commentary of the patient's actions or of hearing two or more voices conversing with each other, only that symptom is required above. The speech disorganization criterion is only met if it is severe enough to substantially impair communication.

Social or occupational dysfunction: For a significant portion of the time since the onset of the disturbance, one or more major areas of functioning such as work, interpersonal relations, or self-care, are markedly below the level achieved prior to the onset.

Significant duration: Continuous signs of the disturbance persist for at least six months. This six-month period must include at least one month of symptoms (or less, if symptoms remitted with treatment).

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