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Psychiatry · Psychopathology: passivity phenomena
Sample itemA patient states that thoughts which are not his own are being placed in his head by a radio transmitter. This symptom is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Thought insertion
Thought insertion is a delusion of passivity in which the patient believes an outside agency places thoughts in his mind. It is a Schneiderian first rank symptom of schizophrenia.
Option by option
A. Thought block
Thought block is a sudden interruption of the flow of thought with an empty mind.
B. Flight of ideas
Flight of ideas is rapid, connected speech in mania.
C. Obsession
An obsession is recognised as the patient's own thought, however unwanted.
D. Thought insertion (correct)
Correct. Thoughts experienced as implanted by an outside force are thought insertion.
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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