Thursday, August 9, 2012

Psychotic Symptoms: Hallucinations & Delusions


Hallucinations & Delusions
As a practitioner, it is imperative to develop the ability to distinguish between various psychotic symptoms.  Common examples of such considerations are hallucinations and delusions.  A hallucination refers to an individual’s perception of things which seemingly exist, however in reality the incident or object is merely a figment of their imagination.  These events occur while the subject is conscious.  Various types of hallucinations include bodily sensations, hearing sounds or voices, smelling odors, or seeing patterns, lights, or objects (Berger, 2012).  The practitioner may identify someone experiencing hallucinations from noticing the symptoms associated within inclusive of one’s inability to differentiate reality from an illusion coinciding with bluish tint on the lips or fingernails, experiencing chest pain, variance in skin temperature or texture, high fever, mystification, constant vomiting, breathing complications, seizures, abdominal pain, or illogical, suicidal behavior (Klasco, 2011).  On the other hand, delusions are a form of hallucinations which refer to one experiencing irrational, fixated notions or false beliefs although reality undoubtedly contradicts the perception.  In the subject’s mind, they believe the imaginable.  Furthermore, this experience solely pertains to the subject, excluding others.  Typically, delusions include the belief that the individual’s cognition or behavior is directed or affected by a foreign source or the belief that bodily functions are altered or compromised (Butcher, Mineka, & Hooley, 2010).
Other disorders which the practitioner must distinguish upon are disorganized speech, disorganized and catatonic behavior, and positive and negative symptoms.  If the subject is speaking irrationally while maintaining effective communication, they are generally suffering from disorganized speech.  Disorganized and catatonic behavior involves one’s inability to function properly or maintain normalcy within their daily interactions and practices.  Additionally, positive and negative symptoms refer to an overindulgence or lack of psychotic symptoms or regular activity accordingly (Butcher et al., 2010).  Noticing the characteristics of such symptoms is critical to proper diagnosis and treatment.  The practitioner must determine the specific psychotic symptom as well as the extent to which the subject is afflicted.

References:
Berger, F.K. (2012). Hallucinations. Retrieved from                                              
Butcher, J.N., Mineka, S., & Hooley, J.M. (2010). Abnormal psychology (14th ed.).
Boston: Allyn & Bacon.
Klasco, R. (2011). Hallucinations: Symptoms, causes, treatments. Retrieved from,