My favorite proverb interpretation

[UnderGrad]

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First, the warm up proverb. I asked a florid manic woman today to tell me what it means when people say "The grass is greener on the other side."

Answer: "It means that the grass is so, so beautiful like your eyes."

So I ask, "And what about when people say 'people in glass houses shouldn't throw stones'?"

Her face twisted into an angry glare. "Oh, that lady? I KNOW the lady who said that, and she was a f*cking B!TCH!!!"

Ah, I love my job. Even if it is intern year.

 

[i61164]

Psych is cool.

 

[MBK2003]

Psych is cool.

My favorite:

Me: "What do an apple and orange have in common?"

Pt: "From a tree, vitamin C, like a tangerine, nectarine, listerine, submarine."

The whole interview went on like that with the rhyming associations. Never have I had more fun putting direct quotes in my written ER evaluation.

MBK2003

 

[Anasazi23]

My favorite:

Me: "What do an apple and orange have in common?"

Pt: "From a tree, vitamin C, like a tangerine, nectarine, listerine, submarine."

The whole interview went on like that with the rhyming associations. Never have I had more fun putting direct quotes in my written ER evaluation.

MBK2003

Kraepelin's classic description of derailment manifested in clang. The so-called "clang associations." He would more than likely describe the obvious entrance of the clang which surprisingly, started from a logical source of derailment. i.e. Apple/orange are from trees....oranges give vitamin C....derailed into an unrelated fruit - tangerine. The rhyme continues to derail into a rhymed listerine, which is fluid...the submarine is both a rhyming clang and also related to fluid.

 

[sdn1977]

Kraepelin's classic description of derailment manifested in clang. The so-called "clang associations." He would more than likely describe the obvious entrance of the clang which surprisingly, started from a logical source of derailment. i.e. Apple/orange are from trees....oranges give vitamin C....derailed into an unrelated fruit - tangerine. The rhyme continues to derail into a rhymed listerine, which is fluid...the submarine is both a rhyming clang and also related to fluid.

I just saw this thread & I'm amazed? Can people really do this without having to think about it first (like pre-rehearsed)? I'd have to think really hard to get words linked together like this and I know I could never do it on the spot.....but then I was never very good at parlor games 🙁 ( - and I don't say that to demean those who are ill!)

I'm just curious.....is this a symptom of an illness, an illness itself or is this just the difference between people which becomes a bit out of control?

 

[Anasazi23]

It's a classic sign of thought disorder seen in schizophrenics.

Read Bleuler's work for information on descriptive psychopathology and what he terms "the schizophrenias."

 

[tatabox80]

While on call the other night, I asked a patient in the ER to tell me what "The grass is always greener on the other side" means.

The patient stares at the ceiling for a while then responds...."Lucifer thought that the grass would be greener in the world!"

She also told me that her name was lucifer and that hell was sending her messages through the tv... 😱 😱 😱

 

[Hurricane]

Today my patient looked at me like I was asking the world's stupidest question and replied, "Well first you have to GET the grass!"

 

[Solideliquid]

While on call the other night, I asked a patient in the ER to tell me what "The grass is always greener on the other side" means.

The patient stares at the ceiling for a while then responds...."Lucifer thought that the grass would be greener in the world!"

She also told me that her name was lucifer and that hell was sending her messages through the tv... 😱 😱 😱

What specifically do we write in the H&P if the patient can't understand the abstract questions?

Thanks!

 

[Anasazi23]

What specifically do we write in the H&P if the patient can't understand the abstract questions?

Thanks!

"Bizarre interpretation of proverbs."
"Concrete interpretation of proverb."
etc.

It would go in the mental status, not HPI.

 

[Anasazi23]

"Bizarre interpretation of proverbs."
"Concrete interpretation of proverb."
etc.

It would go in the mental status, not HPI.

Some also ask "reverse proverbs," for various reasons.

The point is to detect if a patient attempts to make sense of a nonsensical statement.

i.e. "The crazy chicken swam across the lake."

 

[Poety]

Some also ask "reverse proverbs," for various reasons.

The point is to detect if a patient attempts to make sense of a nonsensical statement.

i.e. "The crazy chicken swam across the lake."

Sazi, you're a crazy chicken 😛 Thats a cute statement to use.

 

[PublicHealth]

My favorite:

Me: "What do an apple and orange have in common?"

Pt: "From a tree, vitamin C, like a tangerine, nectarine, listerine, submarine."

The whole interview went on like that with the rhyming associations. Never have I had more fun putting direct quotes in my written ER evaluation.

MBK2003

WAIS-III in the ER?

 

[PublicHealth]

I just saw this thread & I'm amazed? Can people really do this without having to think about it first (like pre-rehearsed)? I'd have to think really hard to get words linked together like this and I know I could never do it on the spot.....but then I was never very good at parlor games 🙁 ( - and I don't say that to demean those who are ill!)

I'm just curious.....is this a symptom of an illness, an illness itself or is this just the difference between people which becomes a bit out of control?

There's a fine line between genius and madness.

 

[Anasazi23]

WAIS-III in the ER?

It's not uncommon to do brief similarities, remote memory testing, attentional tasks, and dyspraxia screens while evaluating a patient, whether in the ER or somewhere else. For the oral boards...you'd better do it.
🙂

 

[Poety]

It's not uncommon to do brief similarities, remote memory testing, attentional tasks, and dyspraxia screens while evaluating a patient, whether in the ER or somewhere else. For the oral boards...you'd better do it.
🙂

This is where our neuro rotations come in handy eh?

 

[Anasazi23]

This is where our neuro rotations come in handy eh?

Yup. It seems that many or most psychiatry hospitals have some sort of neurological screening as well. While a full mental status is rarely indicated, there is usually some sort of basic neuro screen - I believe it's required by OMH (Office of Mental Health). These are mostly for cranial nerves, gait analysis, reflexes, brief sensory exam, etc.

 

[gardilimo]

I just saw this thread & I'm amazed? Can people really do this without having to think about it first (like pre-rehearsed)? I'd have to think really hard to get words linked together like this and I know I could never do it on the spot.....but then I was never very good at parlor games 🙁 ( - and I don't say that to demean those who are ill!)

I'm just curious.....is this a symptom of an illness, an illness itself or is this just the difference between people which becomes a bit out of control?

isnt it so utterly entertaining and amazing to realize that the human mind can do this in a manic or even to a lesser degree in a hypomanic state? many great authors, poets, musicians and artists were bipolar--does it come together? check out jamison's work! 😍

im assuming you are not a psychiatrist! 😉