Psychological Symptoms (delusions or over valued ideas)  that affect relationships with other people are broadly known as ?  Persecutory  Paranoid  Answer. Paranaoid symptoms , the most common of which are persecutory. Other paranoid symptoms include grandeur, religious, jealusy etc. 

Thomas Homes and Richard Rahe in the 1960s first demosntrated that stress may precipitate illness by studying the kinds of events preceding the onset of tuberculosis. Interestingly, there were also positive life changes among these events e.g. Marriage, birth of baby. According to Himes and Rahe, it is the "change" associated with these events that generates the stress. 

The beleif in anorexia nervosa about body image is an example of ?  Delusion Over valued idea Obsession Answer: Delusion requires a beleif to be culturally unacceptable and illogical, in addition to being false or being held on inadequate grounds. Obsessions are intrusive thoughts considered to be false by the patient. The answer is overvalued idea. 

Bournewood Gap An adult patient who was suffering from autism was admitted to bounwood hospital because he by himself was not resisting to be admitted although his carers were not willing for this. This case indicated a "gap" in the law i.e. Failure to protect an individual's liberty if he can not resist.  Deprivation of liberty safeguards   Bournewood case lead to deprivation of liberty safeguards act in 2007, according to which such patients will be asses by a 'best interests assessor' before such action is taken to make sure it is in the best interest of the patient. The act itself is complicated. 

Patient refuses consent to medical treatment. The doctor must now confirm two things. One is patient's competence and the other is ?  Outcome of the condition without treatment  Age of the patient Voluntary nature of the decision   Answer: 3, the steps are : Check competence of the patient  Ensure that the patient is not under the influence of relatives but rather has made a voluntary decision Check the patient's concenrs and understanding of the situation Explain everything once again If still refuse, it is there right to do so. 

Seek to re-establish the consent Offer additional help Do not threaten to reduce help

Autonomous authorization of a medical intervention by individual patients 

The patient should ACU Agree  Be competent   Have clear and full understanding of the situation 

An adult patient is severely depressed refuses get treated for HCV infection. How should this patient be dealt with ?  First treat depression and then for HCV Treat for HCV and depression without consent Obtain a court order to treat for both The answer is 1, Here are the steps:  Step 1 treat the psychiatric condition Step 2 treat the medical condition If psychiatric condition can not be treated, consider legal action e.g. Court order or consent from relative

MAL Mental disorder Age being young Learning disability