Описание

The main purpose of the manual is to develop professional skills in foreign medical
students (fifth-year-students), which are necessary and sufficient for making the primary diagnosis in case of mental health disorders. The pathologies of all mental spheres:
perception, thinking, memory, speech, intelligence, emotions, self-awareness, will, and
attention are described from the modern point of view. The definition and classification
of main psychopathological symptoms and syndromes are given in the manual as well.
The manual helps to train skills at asking patients with mental health disorders necessary
questions.
The manual is designed in accordance with the federal state standard of higher
education in the Russian Federation and is constructed to be used by foreign fifth year
medical students, learning in English in specialist’s programs “General medicine”.

Основная цель учебного пособия — формирование у иностранных студентов 5-го курса профессиональных компетенций, необходимых и достаточных
для первичной диагностики психических расстройств. С современных позиций
рассмотрена патология всех психических сфер: восприятия, мышления, памяти,
речи, интеллекта, эмоций, самосознания, воли, внимания. Даны определение
и классификация основных психопатологических симптомов и синдромов. В пособии формируется умение задавать необходимые вопросы пациенту с психическими расстройствами.
Пособие разработано в соответствии с ФГОС ВО по направлению подготовки
31.05.01 «Лечебное дело» (приказ Министерства образования и науки Российской Федерации от 9 февраля 2016 г. № 95). Предназначено для иностранных
студентов медицинских вузов, обучающихся на английском языке по программам
специалитета «General medicine»

CONTENTS
INTRODUCTION …………………………………………………………….7
PART 1. THE PSYCHIATRIC INTERVIEW ………………………………….8
1.1. Specific features of the psychiatric interview format ………………….8
1.2. Beginning the interview………………………………………………………….9
1.3. Interview proper…………………………………………………………………..10
1.4. Concluding the interview………………………………………………………11
1.5. The basic techniques of interviewing………………………………………12
1.6. Compliance………………………………………………………………………….14
PART 2. THE PSYCHIATRIC HISTORY…………………………………….17
PART 3. COMMON TERMINOLOGY………………………………………..22
3.1. Levels of Mental Disorders …………………………………………………….23
3.2. Productive and Negative Symptoms ……………………………………….23
3.3. Consciousness ……………………………………………………………………..24
3.3.1. Quantitative Changes of Consciousness…………………………..25
3.3.2. Qualitative Changes of Consciousness …………………………….26
3.4.Attention …………………………………………………………………………….27
3.4.1. Disturbances of affect……………………………………………………28
3.4.2. Disturbances of mood ……………………………………………………30
3.4.3. Other emotions …………………………………………………………….33
3.4.4. Physiological Disturbances Associated with Mood ……………34
3.5. Motor behavior…………………………………………………………………….36
3.5.1. Catatonia……………………………………………………………………..36
3.5.2. Hypoactivity…………………………………………………………………38
3.5.3. Overactivity………………………………………………………………….39
3.5.4. Other Disturbances of Motor Behavior…………………………….40
3.6. Thinking ……………………………………………………………………………..41
3.6.1. Specific Disturbances in Form of Thought ……………………….41
3.6.2. Specific Disturbances in Content of Thought……………………44
3.7. Speech…………………………………………………………………………………52
3.7.1. Disturbances in Speech ………………………………………………….53
3.7.2.Aphasic Disturbances …………………………………………………….54
3.8. Perception and Sensation………………………………………………………55
3.8.1. Illusion………………………………………………………………………..55
3.8.2. Hallucination ……………………………………………………………….56
3.8.3. Disturbances Associated with Cognitive Disorder……………..59
3.8.4. Disturbances of Sensation ……………………………………………..59
3.9. Depersonalization and derealization ………………………………………60
3.10. Disturbances of memory ……………………………………………………..62
3.10.1. Quantitative Changes of Memory………………………………….62
3.10.2. Qualitative Changes of Memory ……………………………………62
3.11. Intelligence………………………………………………………………………..63
3.12. Judgment and insight……………………………………………………..67
APPENDIX. SPECIFIC QUESTIONS FOR THE CLINICAL
INTERVIEW…………………………………………………………………………69
1. Data on Orientation ………………………………………………………………..69
2. Data on Somatic Concern…………………………………………………………69
3. Data on Anxiety………………………………………………………………………70
4. Data on Depression …………………………………………………………………70
5. Data on Suicidal Behavior………………………………………………………..70
6. Data on Sleep………………………………………………………………………….71
7. Data on Delusions and Unusual Thought Content……………………….71
8. Data on Suspiciousness/Persecution and Poor Impulse Control ……72
9. Data on Guilt Feelings and Grandiosity ……………………………………..73
10. Data on Hallucinatory Behavior and Associated Delusions…………74
11. Data on Alcohol Use Disorders………………………………………………..74
12. Data on Other Substance Use Disorder…………………………………….75
13. Data on Antisocial Behavior……………………………………………………76
14. Data on Lack of Judgment and Insight……………………………………..76
TESTS…………………………………………………………………………………78
Answer Key………………………………………………………………………………..84
References …………………………………………………………………………………85