The magician believes that thematically-linked items can influence one another by virtue of their similarity. Įdward Burnett Tylor coined the term "associative thinking", characterizing it as pre-logical, in which the "magician's folly" is in mistaking an ideal connection with a real one. This association-based thinking is a vivid example of the general human application of the representativeness heuristic.
For example, the doctrine of signatures held that similarity between plant parts and body parts indicated their efficacy in treating diseases of those body parts, and was a part of Western medicine. As with all forms of magical thinking, association-based and similarity-based notions of causality need not involve the practice of magic by a magician. An acutely psychotic/agitated patient, whose immediate management requires significant sedation which will subsequently impede psychiatric assessment.Ĭlinician is mandatory for a patient being held under a legislative Act.Prominent Victorian theorists identified "associative thinking," (a common feature of practitioners of magic) as a characteristic form of irrationality.Risk of imminent departure from the emergency department by a patient known to be at risk of harm to self or others.A situation of immediate risk of harm to self or others by a patient.With a mental health clinician should occur when Unusual or incongruous features noted in a Mental State Examination Problem solving ability in context of current psychological state (can be explored by recent decision making). Ability to identify potentially pathological events (eg hallucinations, suicidal impulses) acknowledgement of a possible mental health problem locus of control (internal v external). Impression of current abilities concrete to abstract thinking. Immediate (eg repeat numbers, names back), short-term (eg recall three objects at 2 and 5 minutes), long-term (e.g. Need for redirection/repeating, sustained activity, distractibility. Phenomenon, illusion, hallucination (eg auditory, visual, olfactory, tactile).Īwareness to confusion of self, current setting, date & familiar people. Obsessions, delusions (eg persecutory, referential, grandiose, somatic, bizarre), phobias, magical thinking, thoughts of harm to self or others.Īltered bodily experiences (eg depersonalization, derealization), passivity Logical & goal-directed or disordered (eg circumstantial, tangential, derailment, looseness of associations, word salad). Describe type, range (constricted to labile), reactivity ( blunted or flat to reactive), & appropriateness.īlocking), poverty of content ( perseveration), racing thoughts, flight of ideas.
Use 0-10 scale (0: extremely sad & wishing to end life immediately, 10: extremely happy).Ĭurrent observed emotional state. Predominant emotion over days/weeks (eg euthymic, apathetic, angry, dysphoric, apprehensive, euphoric). Psychomotor slowing or agitation, sustained or episodic, goal-oriented or erratic coordination, unusual postures or motor patterns (eg tics, stereotypies, odd mannerisms, tremors). Hallucinatory behaviours (eg talking to self laughing incongruently). Manner of relating to clinician and parentsĮase of separation from each parent reactions to meeting the clinician (eg eagerness to please, defiance, overfamiliar) eye contact facial expression. Gender ethnicity body habitus apparent age cleanliness and grooming, hair/clothing style, cosmetics and jewellery syndromic features. You will find you perform many parts of the MSE intuitively every time you interact with or observe others.The MSE is used to gain an understanding of the patient’s psychological functioning at a particular point in time in order to direct care appropriately.If there is any indication of current suicidal or homicidal ideation in the child or adolescent they must be referred for further assessment by a mental health clinician.
Define magical thinking code#
Acute behavioural disturbance: Acute management Acute behavioural disturbance: code response Key points
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