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Psychiatry · Psychotic disorders: thought withdrawal
Sample itemA patient says, 'My thoughts are suddenly taken out of my head by someone, leaving it empty.' This experience is
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Thought withdrawal
In thought withdrawal the patient believes thoughts are removed by an outside agency, a first-rank symptom. Thought block is a sudden interruption of thinking without any external attribution. The delusional explanation distinguishes the two.
Option by option
A. Thought block
Thought block is an abrupt halt in thinking, usually without attribution to an outside agent.
B. Flight of ideas
Flight of ideas is rapid thinking with understandable links.
C. Poverty of thought
Poverty of thought is reduced amount of thinking.
D. Thought withdrawal (correct)
Correct. External removal of thoughts is thought withdrawal.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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