Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
1. _Flow of thought_: Give sample of spontaneous expression or
productivity, if possible. If not, give reaction to questioning.
Show any disturbance of train of thought (retardation, confusion,
incoherence, poverty of ideas, volubility, flight of ideas,
distractibility, rhyming, desultoriness, circumstantiality,
perseveration, fabrication, coinage of words, verbigeration, echolalia).
2. _Abnormalities in the motor reactions_: Negativism, catalepsy,
echopraxia, stereotypy, automatism, mutism, etc. Show loss of
initiative, lack of spontaneity or slowness in action, etc.
III. _EMOTIONAL TONE_:
Moods and affects. Show the presence of cheerfulness, laughter,
mischievousness, excitement, exaltation, depression, anxiety, fear,
perplexity, tendency to be startled, irritability, constraint,
confusion, indifference or apathy. Show sensitiveness, seclusiveness,
suspicion, emotional instability or suggestibility.
IV. _MENTAL CONTENT_:
1. Hallucinations; hearing, vision, taste, smell, sensation, etc.
2. Delusions; persecution, suspicion, infidelity, poisoning,
electricity, hypnotism, mind-reading, self-accusation, grandeur, etc.
Show whether permanent or transitory, systematized or unsystematized.
3. Illusions.
4. Obsessions, phobias, etc.
5. Nature of sleep, dreams, etc.
V. _ORIENTATION_:
Time, place and person.
VI. _MEMORY AND MENTAL GRASP_:
1. Recent past.
2. Remote past.
3. Retention of school knowledge.
4. Fund of general information.
5. Data of personal identification.
6. Counting and calculation.
7. Reading and writing.
VII. _INSIGHT AND JUDGMENT_:
The judgment concerning the situation, insight concerning physical
and mental health and efficiency, financial status, plans in case of
discharge? In discussion of abstract and complicated topics? To what
extent is he sensitive to his own errors and to comments?
VIII. _SUMMARY_: Physical and mental.
IX. _DIFFERENTIAL AND PROVISIONAL DIAGNOSIS_.
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