COGNITIVE IMPAIRMENTS MH

STUDY
PLAY

Terms in this set (...)

Thought blocking
- sudden stop in speech or train of thought, lasts several seconds to a minute
Derailment
- speech is blocked and then begins again on unrelated topic
Circumstantial speech
- includes many unnecessary, tedious details before arriving at the main idea; usually requires prompting from interviewer to keep client on track
Tangential speech
- thoughts veer from main idea and never get back - irrelevant topics are introduced
Illogical thinking
- expressed ideas are inconsistent, irrational, self contradictory
Confabulation -
unconsciously fills in memory gaps with imagined material - common in alcoholism
Flight of ideas
- racing thoughts with some connection - common in mania
Pressured speech
- rapid, tense, strained, difficult to interrupt - typically present with flight of ideas
Loose associations
- client unaware that there is no apparent relationship between thoughts - "We wanted to take the bus but the airport took all the traffic. Driving is the ticket when you want to get somewhere. No one needs a ticket to heaven. We all have it in our pockets."
Clang associations
- usually rhyming, "Very cold, cold and bold, gold has been sold."
Word salad
- complete disorganization, "Most forward action grows life double plays circle uniform."
Echolalia
- repetition of own words or words of others, sometimes in sing-song fashion
Perseveration
- repetition of own words, phrases, ideas - common in dementia
Neologism
- invents new words not understood by others, "She gave me a ride in her uniphonum."
Poverty of speech
- restricted amount of speech, limited details - common in dementia
Concrete thinking
- literal interpretation of words such as proverbs, or expressions like "climbing the walls."
Absence of abstract thinking
- causes inability to generalize, evaluate consequences