Hallucinatory Telepathic Experiences Induced by Salvia Divinorum
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Thoughts and Delusions of Thought Insertion
On the Architecture of Psychosis: Thoughts and Delusions of Thought Insertion A thesis submitted to the University of Manchester for the degree of Doctor of Philosophy in the Faculty of Humanities 2015 Pablo López Silva School of Social Sciences Contents ABSTRACT 5 DECLARATION 6 COPYRIGHT STATEMENT 7 ACKNOWLEDGMENTS 8 INTRODUCTION: MAPPING THE TERRAIN 10 1. WHAT ARE DELUSIONS? 11 1.1. THE TYPOLOGY PROBLEM 12 1.2. THE AETIOLOGICAL PROBLEM 17 1.2.1. BOTTOM-UP VS. TOP-DOWN APPROACHES 17 1.2.2. ENDORSEMENT VS. EXPLANATIONIST APPROACHES 19 2. ON THE HETEROGENEITY OF DELUSIONS: KEY DISTINCTIONS 20 2.1. FUNCTIONAL-ORGANIC / MOTIVATION-DEFICIT DELUSIONS 21 2.2. MONOTHEMATIC VS. POLYTHEMATIC DELUSIONS 22 2.3. CIRCUMSCRIBED VS. ELABORATED DELUSIONS 22 2.4. PRIMARY VS. SECONDARY DELUSIONS 23 2.5. BIZARRE VS. MUNDANE DELUSIONS 23 3. WHAT IS THOUGHT INSERTION? 24 3.1. THOUGHT INSERTION: MAIN SUBJECTIVE FEATURES 25 3.2. DISAGREEMENTS SURROUNDING THE SUBJECTIVE FEATURES OF THOUGHT INSERTION 29 3.3. THE DIAGNOSTIC ROLE OF THOUGHT INSERTION IN PSYCHIATRY 32 4. THE PHILOSOPHICAL RELEVANCE OF THOUGHT INSERTION: MAKING SENSE OF THE COLLECTION 35 5. REFERENCES 39 CONSCIOUS THOUGHTS AND ATTRIBUTIONS OF MENTAL AGENCY: 45 AN AFFORDANCE MODEL 45 1. FROM SELF-ATTRIBUTIONS OF BODILY MOVEMENTS TO SELF-ATTRIBUTIONS OF THOUGHTS 46 2. EXPERIENCING AND SELF-ATTRIBUTING THOUGHTS: A LAND OF DISAGREEMENTS 49 2.1. THE PHENOMENAL CHARACTER OF THOUGHTS: A LIBERAL STANCE 49 2.2. MODALITIES OF MENTAL-SELF ATTRIBUTION: SUBJECTIVITY, OWNERSHIP, AND AGENCY 50 2.3. THE PHENOMENOLOGICAL PASSIVITY OF THOUGHTS 54 3. EXPLAINING SELF-ATTRIBUTIONS OF MENTAL AGENCY 60 3.1. -
Psychiatric Nursing
PSYCHIATRIC NURSING TYPICAL SIGNS AND SYMPTOMS OF PSYCHIATRIC ILLNESS DEFINED I. CONSCIOUSNESS: State of awareness A. DISTURBANCES OF o Apperception: Perception modified by one’s own emotions & thoughts CONSCIOUSNESS o Sensorium: State of cognitive functioning of the special senses 1. Disorientation Disturbance of orientation in time, place, or person. 2. Clouding of consciousness Incomplete clearmindedness w/ disturbances in perception & attitudes 3. Stupor Lack of reaction to & unawareness of surroundings. 4. Delirium Bewildered, restless, confused, disoriented reaction associated with fear & hallucinations. 5. Coma Profound degree of unconsciousness. 6. Coma Vigil Coma in w/c a px appears to be asleep but ready to be aroused (akinetic mutism) 7. Twilight state Disturbed consciousness w/ hallucinations 8. Dreamlike state Often used as a synonym for complex partial seizure or psychomotor epilepsy 9. Somnolence Abnormal drowsiness 10. Confusion Disturbance of consciousness in w/c reactions to environmental stimuli are inappropriate: manifested by a disordered orientation in relation to TPP 11. Drowsiness A state of impaired awareness associated with a desire or inclination to sleep 12. Sundowning Syndrome in older people that usually occurs at night & is characterized by drowsiness, confusion, ataxia & falling as the result of being overly sedated w/ medications (Sundowner’s Syndrome) B. Disturbances of Attention Is the amount of effort exerted in focusing on certain portions of an experience; Ability to sustain a focus on one activity ; Ability to concentrate 1. Distractibility Inability to concentrate attention; state in w/c attention is drawn to unimportant or irrelevant external stimuli 2. Selective inattention Blocking out only those things that generate anxiety 3. -
Mental Status Exam
MENTAL STATUS EXAM The Mental Status Exam (MSE) is an assessment of the individual’s current state of mind. It assesses the range, quality, and depth of perception, thought processes, feelings, and psychomotor actions. Direct observation of the individual is required for the completion of the MSE. The observation occurs before, during and after the formal clinical interview while the clinician is in direct view of the individual. Specific questions to assess certain domains of the MSE are also required. The following information is included as a guide only. Clinical judgment regarding a MSE is paramount in completing this exam. © 2003 Lakeview Center, Inc. MENTAL STATUS EXAMINATION DEFINITIONS I. LEVEL OF COOPERATION Normal: In rate, tone, volume patient’s feelings state (during the interview) Slow: Rate less than average Appropriate: Emotional tone consistent with Pleasant: Agreeable manners, behavior Fast pressured: Rate greater than average content of speech, thought and ideas. Cooperative: Willingness and ability to work Soft: Decreased volume Inappropriate: Emotional tone inconsistent with with others in a common effort. Loud: Increased volume content of speech, thought of ideas Attentive: Ability to sustain focus on one Monotone: No fluctuation in tone Expanded: Excess of joy or sadness, a wide activity. Slurred: omission, reduction or substitution of range Disturbance: difficulty finishing tasks, easily sounds Labile: Rapid, abrupt changes in feeling tone distracted or having difficulty in concentration. Stuttering: Involuntary disruption or blocking of Constricted: impoverished, inhibited, a spectrum speech of feelings not elicited II. GENERAL APPEARANCE Mutism: Inability to speak Blunted: A severe reduction in the intensity of Poverty of Speech: Restricted amount of speech, feeling tone Appears to be Stated Age monosyllables Ambivalence: Contradictory feelings present at General State of Physical Health Logorrhea: copious, logical speech the same time. -
The Acutely Psychotic Patient – Assessment and Initial Management
THEME Psychosis The acutely psychotic patient Assessment and initial management Nicholas Keks BACKGROUND MBBS, MPM, PHD, FRANZCP, Acute psychosis is a medical emergency; apart from distress and behavioural dysfunction, there may be danger to the is Professor, Monash patient and others. Urgent assessment and management is essential. Although involvement of specialist services is University, Delmont Hospital, usual, general practitioners may need to initiate initial treatment and, in more remote areas, provide complete care. and Mental Health Research Institute of Victoria. nicholas. OBJECTIVE [email protected] This article aims to update the GP about the initial management of the acutely psychotic patient. Grant Blashki DISCUSSION MD, FRACGP, is Senior General practitioners will frequently be the initial source of assistance for patients with acute psychosis and their Research Fellow, Department families. The patient with first episode psychosis may pose particular challenges, especially as insight about the of General Practice and need for treatment is often poor. The first step is to establish a therapeutic alliance, enabling history, examination and Program Evaluation Unit, University of Melbourne, and investigations. While it is necessary to establish the presence of psychosis, precise diagnosis is usually a secondary Honorary Senior Lecturer, consideration. Risk assessment must be carried out to decide whether the patient can be managed in the community or Health Services Research, needs inpatient care. Kings College London. Acute psychosis is the presence of the mental state It should be noted that psychosis often occurs only briefly where appreciation of reality is impaired, as evidenced during the course of the disorder, and patients suffering by the presence of psychotic symptoms such as from these disorders may not manifest any psychosis, delusions, hallucinations, mood disturbance, and especially if treated. -
Recent Advances in the Approach to Disorders of Thought
REVIEW ArticLE RECENT AdvancES IN THE APPROach TO DISORDERS OF THOUGHT Sivaprakash B Access this article online Quick Response Code Department of Psychiatry, Email: [email protected] Sri Balaji Vidyapeeth - Mahatma Gandhi Medical College and Research Institute Campus Pillaiyarkuppam, Puducherry - 607403, INDIA INTRODUCTION in his behaviour.6 Assessment of thought is an integral component of the psychiatric assessment. Eliciting, According to Kandel1 and Campbell’s Psychiatric comprehending, documenting and reporting disorders Dictionary2, “the mind is a range of functions carried of thought is often perceived as a challenging and out by the brain. The actions of the brain underlie formidable task, especially by postgraduate residents not only relatively simple motor behaviours, such as starting their career in Psychiatry. This review walking and eating, but all of the complex cognitive explores some of the controversies and difficulties that actions, conscious and unconscious, that we associate postgraduate students typically encounter during the with specifically human behavior, such as thinking, study of symptoms and signs pertaining to thought, speaking, and creating works of literature, music, and and suggests methods to resolve some of these art. As a corollary, behavioral disorders that characterize difficulties. This article can be used as a “study guide” psychiatric illness are disturbances of brain function, or a companion while navigating through the complex even in those cases where the causes of the disturbances territories of thought disorder. The neurobiology are clearly environmental in origin.” In the words of of disorders of thought is beyond the scope of this Satcher,3 “the mind refers to all mental functions related article. -
First Rank Symptoms for Schizophrenia (Review)
First rank symptoms for schizophrenia (Review) Soares-Weiser K, Maayan N, Bergman H, Davenport C, Kirkham AJ, Grabowski S, Adams CE This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library 2015, Issue 1 http://www.thecochranelibrary.com First rank symptoms for schizophrenia (Review) Copyright © 2015 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. TABLE OF CONTENTS HEADER....................................... 1 ABSTRACT ...................................... 1 PLAINLANGUAGESUMMARY . 2 BACKGROUND .................................... 2 OBJECTIVES ..................................... 4 METHODS ...................................... 4 RESULTS....................................... 7 Figure1. ..................................... 8 Figure2. ..................................... 11 Figure3. ..................................... 12 Figure4. ..................................... 13 Figure5. ..................................... 14 Figure6. ..................................... 15 DISCUSSION ..................................... 20 AUTHORS’CONCLUSIONS . 22 ACKNOWLEDGEMENTS . 22 REFERENCES ..................................... 23 CHARACTERISTICSOFSTUDIES . 29 DATA ........................................ 90 Test 1. Schizophrenia vs. All other diagnosis. ............. 90 Test 2. Schizophrenia vs. Other psychosis. .......... 91 Test 3. Schizophrenia vs. Non-psychotic disorders. .............. 92 ADDITIONALTABLES. 92 APPENDICES .................................... -
Measuring Thought Insertion
King’s Research Portal DOI: 10.1016/j.cortex.2014.09.012 Document Version Early version, also known as pre-print Link to publication record in King's Research Portal Citation for published version (APA): Walsh, E., Oakley, D. A., Halligan, P. W., Mehta, M. A., & Deeley, Q. (2015). The functional anatomy and connectivity of thought insertion and alien control of movement. Cortex; a journal devoted to the study of the nervous system and behavior, 64, 380-393. https://doi.org/10.1016/j.cortex.2014.09.012 Citing this paper Please note that where the full-text provided on King's Research Portal is the Author Accepted Manuscript or Post-Print version this may differ from the final Published version. If citing, it is advised that you check and use the publisher's definitive version for pagination, volume/issue, and date of publication details. And where the final published version is provided on the Research Portal, if citing you are again advised to check the publisher's website for any subsequent corrections. General rights Copyright and moral rights for the publications made accessible in the Research Portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognize and abide by the legal requirements associated with these rights. •Users may download and print one copy of any publication from the Research Portal for the purpose of private study or research. •You may not further distribute the material or use it for any profit-making activity or commercial gain •You may freely distribute the URL identifying the publication in the Research Portal Take down policy If you believe that this document breaches copyright please contact [email protected] providing details, and we will remove access to the work immediately and investigate your claim. -
Schizophrenia, Acute Psychotic Episode
МІНІСТЕРСТВО ОХОРОНИ ЗДОРОВ’Я УКРАЇНИ ХАРКІВСЬКИЙ НАЦІОНАЛЬНИЙ МЕДИЧНИЙ УНІВЕРСИТЕТ Schizophrenia, acute psychotic episode Методичні вказівки для підготовки студентів до практичних занять Затверджено вченою радою ХНМУ. Протокол №4 від 19.04.2018 Харків ХНМУ 2018 1 Schizophrenia, acute psychotic episode: Методичні вказівки для підготовки студентів до практичних занять / упоряд. І.В.Лещина, В.М.Сінайко. – Харків, ХНМУ. – 2018. – 23с. Упорядники: І.В.Лещина В.М.Сінайко 2 Schizophrenia is a chronic mental disease with unclear etiology, which develops on the basis of genetic predisposition and is characterized by changes of the personality in the form of autism, emotional flattening, specific disturbances in thinking, reduced activity, loss of the integrity of mental processes with various productive psychopathological symptoms. The term “schizophrenia” comes from Greek words “schizo”, which means “to split”, and “phren”, which means “soul”. Thus, the term “schizophrenia” explains the main sing of this illness: a disturbance of the integrity, unity of the mind (mentality) and an inadequacy of mental reaction to external stimulus of surroundings. The concept of schizophrenia developed in psychiatry gradually. First of scientist, who investigated of schizophrenia, was E. Kraepelin. In 1894 he named it “dementia praecox”. Kraepelin considered there are mental illnesses, which have the common process with development special disturbance of intellect in the form of dementia. But In the opinion of many scientists, the term “dementia praecox” is not correct, because not in all the cases schizophrenia connected with dementia. In some cases patients with schizophrenia have good memory and intellect. In 1911 a Swiss psychiatrist E. Bleuler suggested the term “schizophrenia”, which was the most correct in describing the essence of this disease: splitting of mind, splitting of mentality. -
Re-Examining Thought Insertion Semi-Structured Literature Review and Conceptual Analysis
BRITISH JOURNAL OF PSYCHIATRY (2003), 182, 293^298 REVIEW ARTICLE Re-examining thought insertion incorporated into occult, parapsychological and religious literatures. Freud (1974) was Semi-structured literature review and conceptual analysis interested in occult phenomena and described ‘thought transference’ similar to telepathy. He observed professional SIMON MULLINS and SEAN A. SPENCE ‘fortune-tellers’ convincing people that they had acquired intimate knowledge of their lives through the transfer of thoughts. Freud’s interpretation was that such infor- mation was conveyed at an unconscious level. However, ‘true’ telepathy continues to be a subject of popular curiosity and, Background Thought insertion is Reliable clinical recording of symptomatol- were it ever authenticated, would almost commonly regarded as diagnostic of ogy and valid pathophysiological research certainly imply thought insertion. Similar require consistent use of terminology. Over beliefs are also contained in certain schizophrenia. Little is known of its time, thought insertion has developed a re- religious writings. For instance, in the aetiology or pathophysiology. liable definition (see Appendix), in contrast Christian New Testament, Mark 13:11 to a comparable first-rank symptom of describes an inspired external control, Aims To examine the definition and schizophrenia, thought broadcast (Pawar affecting thought and speech: application of thought insertion in et aletal, 2002). However, less is known about ‘But when they shall lead you, and deliver you up, psychiatric and alliedliteratures. the validity of though insertion. It is classi- take no thought beforehand what ye shall speak, fied as a delusion, a false belief that the neither do ye premeditate; but whatsoever shall MethodMethod A semi-structuredliteraturesemi-structured literature subject receives inserted, alien thoughts; be given you in that hour, that speak ye: for it is not ye that speak, but the Holy Ghost.’ review and conceptual analysis. -
Training Manual Interdisciplinary Fitness Interview Revised©(1)
Training Manual Interdisciplinary Fitness Interview © Revised (1) Stephen L. Golding Emeritus, Department of Psychology University of Utah Salt Lake City, UT 84112 RATIONALE AND USAGE OF THE IFI-R The Interdisciplinary Fitness Interview - Revised is designed to address competency (fitness) for adjudication in a manner that specifically distinguishes mental health issues and impairment of psycholegal abilities. The IFI-R thus produces a systematic psycholegal inquiry into a defendant's competency to proceed that is more useful to the courts. The IFI-R is designed to be utilized by mental health professionals who are already skilled and experienced in clinical evaluation and assessment of mental disorders, especially those involving major impairment in cognitive, affective and social functioning. While the manual that accompanies the IFI-R contains an essential summary of the jurisprudential doctrines, case law, statutory authority, and professional ethical principles and standards that shape the contours of most competency to proceed evaluations and communications to the courts, it is not a substitute for the broader specialty training and supervised experience required to practice competently as a forensic mental health professional. This training manual is divided into two major sections. Section I ("The construct of competency for adjudication") provides an historical, jurisprudential and psycholegal overview of the construct of competency and its range of applications. Section II ("The Interdisciplinary Fitness Interview - Revised") -
Sense of Agency and Higher-Order Cognition: Levels of Explanation for Schizophrenia1
Gallagher, S. 2007. Sense of agency and higher-order cognition: Levels of explanation for schizophrenia. Cognitive Semiotics 0: 32-48. Sense of Agency and Higher-Order Cognition: Levels of explanation for schizophrenia1 Shaun Gallagher Abstract: I contrast two general approaches to the explanation of certain symptoms of schizophrenia: a top-down model that emphasizes the role of introspection, and a bottom-up model that takes both neurological and phenomenological aspects into account. Top-down accounts look to higher-order cognitive attributions as disrupting a sense of self-agency; bottom-up accounts suggest that the phenomenal sense of agency is generated by specific neuronal mechanisms, and that these mechanisms are disrupted in cases of schizophrenia. The bottom-up view is supported by both clinical reports and experimental science, and is consistent with a phenomenological approach to psychopathology. Philosophers and cognitive neuroscientists are interested in psychopathologies primarily for theoretical reasons. They often appeal to what goes wrong in pathological cognition to illuminate how things work in "normal" cognition. While psychiatrists are primarily concerned with treatment and therapy, theoreticians can learn from their clinical accounts, and especially from the patient's own narratives about their experience. Phenomenological approaches are characterized as starting with experience rather than with pre-established theories. Phenomenological psychiatrists and philosophers take the patient's first-person narratives seriously. That is, they regard them as reflective of the patient's actual experiences. Experience, itself, however, is complex. One can distinguish between (1) first-order phenomenal experience, that is, the immediately, pre-reflective, lived-through experience of the world, and (2) higher-order cognition, a reflective experience which supports the ability to make attributive judgments about one's own first-order experience. -
Mental Status Examination Rapid Record Form Number
Mental Status Examination Rapid Record Form Number © 2000 Jeff Patrick. Those studying, researching or practicing psychology or psychiatry, and those organizations that support them may freely duplicate, modify, distribute, and use this form. Name Circumstance of presentation Date of birth Gender M F 5 Tick where appropriate General Description Catatonia Mood and Affect Perception Appearance Catalepsy Mood Hallucinations Exited Weight Ecstatic Hypnagogic Stupor Obese Euphoric Hypnopompic Rigidity Over-weight Expansive Auditory Posturing Under-weight Elevated Visual Cerea Flexibilitas Emaciated Euthymic Olfactory Negativism Hair Dysphoric Gustatory Bizarre style Speech Anhedonic Tactile Unnatural color Speech Rate Depressed Somatic Unshaven Rapid Alexithymic Lilliputian Other Features Slow Grieving Mood-congruent Wounds Intelligibility Other Emotions Mood-incongruent Scars Slurred Panicked Hallucinosis Tattoos Mumbled Fearful Synesthesia Jewelry Stutters Anxious Trailing Glasses Accented Tense Disassociation Volume Dental braces Agitated Hysterical anesthesia Loud Grooming Apathetic Macropsia Whispered Disheveled Irritable Micropsia Soiled Speech Quality Angry Depersonalization Hesitant Body odor Other Signs Derealization Emotional Halitosis Ambivalence Fugue Monotonous Dress Mood Swings Multiple personality Stereotypical Undressed Neuro-Vegetative Agnosia Underdressed Unspontaneous Anorexia Anosognosia Overdressed Echolalia Insomnia Autotopagnosia Bizarre