Gongi Be og thle was de (fee) PRESENT STATE EXAMINATION (NINTH EDITION, 1974) Ran cebk ume (Including Hindi Adeptation 1978) a Assit Poo - Clint at MH MutT > je ae WHO COLLABORATING CENTRE FOR TRAINING AND RESEARCH IN MENTAL HEALTH. DEPARTMENT OF PSYCHIATRY, POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION AND’. RESEARCH, CHANDIGARH-160 012, INDIA, oo Scanned with CamScannerThis instrument is a copyright publication of Modical Rprooch Council, rowland, 1974, Enquities for permission to use may be directed to the authors. inquiries relating to Hing; ‘daptation of the PSE may bo referred to Director, W.H.O. Collaborating Centro fo, Research and Training in Mental Health, Dept, of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh-160 012, India, | | i a i ! Scanned with CamScannerfto ume to (fet) PRESENT STATE EXAMINATION (NINTH EDITION, 1974) (Including Hindi.adaptation 1978) NAME OF FACILITY : —_—________ PATIENT'S NAME : 1 IDENTIFICATION NO. OF PATIENT IN THE Ae ee FACILITY ADDRESS ; ______ DATE OF REGISTRATION : PATIENT'S STUDY NO: | FIELD RESEARCH CENTRE CL] PROJECT NO: PSYCHIATRIST WHO INTERVIEWED THE PATIENT NAME : DATE WHEN THIS FORM WAS FILLED IN DAY MONTH YEAR PSYCHIATRIST WHO MADE THIS ASSESSMENT : : NAME IF AUDIO-TAPE RECORDING IS MADE, SPECIFY : TIME TAKEN TO COMPLETE THE INTERVIEW , 5 (IN MINUTES) RELIABILITY INTERVIEW? . \ NO. OF SESSIONS REQUIRED TO COMPLETE {0.=N0: 12 Yes. person who fied in this Case aso lerdowed te patents THIS PSE INTERVIEW, 2 + Yes, he person who filed in this schedule SPECIFY WITH DATES ‘was reser during the inervw but aid not im SESSION NO. DATE SECTIONS RATED interview bw patent himeet.) i 2 3 PLACE OF INTERVIEW HAS THIS PATIENT BEEN INTERVIEWED WITH PSE EARLIER, SPECIFY PREVIOUS DATES : USE OF CASE RECORDS (SPECIFY) Scanned with CamScannerg INSTRUCTIONS The Instruction manual contain: development and uederiiod oe jefinitions of symptoms. The exal i manual ‘and golssary and should have had:some use of the PSE. . Four kinds of questions are written Into the schedule : i he origins, detailed description oft ine iples of the PSE and a glossary of ner must be thoroughly familiar with ; prior training In the bligatory (starred) questions feat a 4 It the Interview Is conducted at all. Only 54 questions are Involved. Thus subjects with no symptoms, who ask claritying questions of thelr own and who answer clearly and decisively, can be screened very quickly indeed. Whenever there Is any doubt, however. and certainly whenever a symptom needs clarification, the second kind of question should be asked. (b) Bracketed questions above cut-off points These help to define the Aature and extent of a symptom and should always be asked if there doubt about replies to obligatory questions. ;(c) Unbracketed questions below cut-olf points Once the examiner has proceeded below a cut-off point, he must, ask all the unbracketed questions In that part of the section. (d) Bracketed questions below cut-off points ‘These serve the same function as similar questions above cut-off points, Le, they help to define the nature and extent of a symptom. They are used only If there Is some other evidence that the symptom Is present. In addition, the examiner himself will usually wish to ask other questions which are not written‘into the schedule, either general probes or more specific questions, depending on the nature of the patient's replies. Each symptom Is defined to some extent within schedule itself but the . examiner must be completely familiar with the fuller definitions in the glossary. A full discussion of scoring Is also included in the glossary, Particularly as to how to differentiate (0) from (1), and (1) from (2). (0) = Examiner satistled that syinptom not present to clinically signiticant degree during past month.. (8) = Examiner not sure whether aympton present during past month, even though the appropriate questions have been asked, and answered without Incoherence or evasion. The symptom cannot be excuded. I (9) = No rating can be made because question not asked or’subject does not answer or answer Is incomprehensible, It should be emphasised that using the PSE schedule will not in itself guarantee useful results. The-quality of the output of any system depends ‘on the quality of the Input. \ , Scanned with CamScanneree +B ha interviewer should introduce himse#biolly, deser = | 1 \ the purpose of the Interview and explain about any recording squipmant. The purpose of the introductory section isto obtain, an overall picture of the iymptomatology, Inthe subject's own words. -T6 begin with, | should tIke to get an Idea of the sort of Che Comp Lain problems that have been troubling you during the past - q month. What have been the main difficulties? EA ae soca rg Fes Peshawar a re ree maT a? ae reper foe wrath eer A? Record the main symptoms spontaneously mentioned. Means of exploration, i subject gives inadequate information W subject's‘statement t00 briet Can you tall me more about that” W subject has no more to add 180 has been troubling you?’ HW statements are dillicult to understand u explain what you mean by ...? 1 subject is vague Could you give an example of ...? Hino other response forthcoming Why did you come to the hospital? RATE PATIENT'S ACCOUNT OF SYMPTOMS. O=Subjects responds adequately. — Accounts somewhat inadequate but interview can proceed. (see 140) 2rAccotint seriously inadequate but interview proceeds in an attempt to tale some subjective responses, #8 well as behaviour. affeat and apeech, 7 3zimpossible to continue with interview. Only behaviour. atfect and speech sections rated, 1 REASONS FOR INADEQUACY (TICK AS MANY. AS APPROPRIATE ). Denial or guardedness = nattention = . nec — Refusal = vance — Patient mute, stuporous. ete. — Replies too briet = other, specity - * Poverty of content of speech , 1F (1) on (2) CARRY ON WITH SECTION 2, UNLESS SUBJECT MENTIONS OR HINTS AT DELUSIONS OR HALLUCINATIONS —> SECTION 18. Scanned with CamScannereee = a 4 11 in hospital or clinic. Currant troamont i subect not s00n In espa og tno, use, Rate the following If sufficient infor the suggested question. ‘OR MAY 1 ASK le YOU ARE SEEING ANY DOCTOR Fe JERVES? , ree et rare a ae fit eee tear TH (Or specity it psychosomatic complaints D OF DOCTOR IS HE? YOUN OWN GPA BRIVATE DOCTOR? PSYCHIATRIST? ‘wha & areet ares 8? = No doctor 1p 2 = Private doctor other than GP 3 = Paychiatrst 4 + Hospital out-patient (other than psychiatric) : 5 = Other paramedical specialist, or osteopa 8 + Other spucity ARE YOU ATTENDING FOR TREATMENT ANY PERSON i WHO IS NOT MEDICALLY QUALIFIED, ¢. g. LAY THERAPIST, HERBALIST, ACUPUNCTURE FAITH HEALER, CHRISTIAN SCIENCE, CHURCH WHICH FORBIDS MEDICAL ADVICE? Ser err Pe a aT Far gE ATA, eet, he, MATT aT ‘ret at Peerrar 8? i WHAT WERE YOU COMPLAINING OF AT THE TIME? Fe aT re aT Tee A? ‘Complaint ~ IS YOUR PHYSICAL HEALTH GOOD? er se ae (rent) ter, #2 (Qoes your body function normally?) DO YOU FEEL YOU ARE PHYSICALLY ILL IN ANY WAY? Far ere & Fs sat ate tts (Bren) Stat 8? ++ (What Is that ke? How serious is it?) RATE SUBJECTS OWN SUBJECTIVE EVALUATION ; ' OF PRESENT PHYSICAL HEALTH (irrespective of whether (1) physical disease Is present), omplaint but does not say positively feels fit. 2 = Feels unwall but not seriously incapacitated. 3 = Feels soriously incapacitated by physical tiness Scanned with CamScannercarvedt 3 aan Ps we ater &, vo RT #7 ’ (Have you had a physical illness recently; colds, influenza, ete?) | Satacton assent Lee r WHAT DOES YOUR DOCTOR SAY IS WRONG? 1 Mild but significant physical iness or handicap (0.9. Influenza or imp) 2 Mote serious physical liness or handicap present but not Incepacisting of [ threatening to lle (29. deatness or doudenal ulcer). Physical linges or handicap present which is incapacitating or veatening toile (09. blindness or carcinoma) [Speci ness, sabes ana ovation |) RATE PSYCHOSOMATIC SYMPTOMS. | ‘Special projects only, (3) | HAVE YOU WORRIED A LOT DURING THE PAST ‘ MONTH? . ‘ear Fort ae ey TT Ter ere Te A? {What do you worry sbout?) PROBE : (Money, housing, childr friends, neighbours, other). (How much go you worry? Are you & worrier?) Many indication of worry, use further probes : 5)/ WHAT IS IT LIKE WHEN YOU WORRY? sre Pacer teh er art ther rT tT? (What sort of state of mind do you get into?) t thoughts constantly go round and round In your (Can you stop them by turning your attention to something else?) 4) RATE WORRYING: A roundo/painful thought which cannot be stopped andis : ‘out of proportion to the subject worrled about. 11= Symptom definitely present during past month, but of moderate : - clinical Intensity or intense less than 50% of the time, . 2= Symptom clinically intenso more than 0% of the month. ‘+ HAVE YOU HAD HEADACHES, OR OTHER ACHES: - health, work, marriage, relatives, F OR PAINS DURING THE PAST MONTH? OTE Ae ese eh sr fre ate Par area a we ar gr KR? bo pan Co ' RATE ONLY TENSION PAINS, and round head, ‘pressure’, *, tightness in scalp’, ‘ache in back of neck’ not migraine. : 1 Symptom delinitely present during past month, but of moderaté , elite Intent, or Intense less than 60% ofthe time. RRS 2+ Symptom clinically intense more than 60% of past month. ** HAVE YOU BEEN GETTING EXHAUSTED AND WORN OUT DURING THE DAY OR EVENING, EVEN WHEN YOU HAVEN'T BEEN WORKING VERY HARD? ; a Arai rer a et te a aT TET THT (WS) RG Bee 8? { RATE TIREDNESS OR EXHAUSTION : Do not Include tirednees due E] ® i fo Mu, etcr8, b 1 Only moderate form of symptom (tiredness) present; or intense form (exhaustion) less than 50% of the time, 2 Intense form of symptom (exhaustion) present more then 50% of the past month Scanned with CamScannera * HAVE YOU HAD DIFFICULTY IN RELAXING DURING MONTH? ‘ Par aa get ee) eee EE (Do your muscles feel tensed up?) RATE MUSCULAR TENSION : Do nat include a subjective feling of a nervous tension, which Is rated later. th, but of moderate 11= Symptom detinitely present during past month, clinical Intensity, or Intense fees then 50% of the time, 2= Symptom clinically Intense more than 60% of past month. " HAVE YOU BEEN SO FIDGETY AND RESTLESS THAT , a ‘COULDN'T SIT STILL? eas e ak ont ar eee wren? (Bo you have to keep pacing up and down) RATE RESTLESSNESS, intense form (pacing, can't sit down) less than 50% of the'time. 2= Intense form of symptom (pacing, etc.) present more than 50% of past month. ** DO YOU TEND TO WORRY OVER YOUR PHYSICAL HEALTH? FT HT TA rTP Ree TT Pere A TR RP RATE HYPOCHONDRIASIS : Overconcern with possibilty of death, disoase or malfunction, Re-rate at end of Interview if subject 9) constantly reverts to hypochondriacal preoccupation, Consider ratings of symptoms (1) and (3). Symptom present during past month, but not (2) = Subject constantly reverts to hypochondriecal preoccupations uring interview. DO YOU OFTEN FEEL ON EDGE OR KEYED UP OR JENTALLY TENSE OR STRAINED? MT ST HAT TUT A A HE TT TH aE TTR fre tre AT Tt Ht? (Go you generally suffer with your nerves 7) \ {00 you suffer from nervous exhaustion?) There is no need for autonomic accompaniments lor this symptom to tod prosont. 1+ Symptom definitely presént during past month, but of moderate intensity, or intense less than 50% of the time, 2.=" Intense form of symptom present more thin 50% of the past ‘month * DO YOU FIND THAT A LOT OF NOISE UPSETS YOU? Ba BT IGT SaTeT Tire AA oe TET a oT BP {Do noises sometimes seem to penetrate, or go through your head?) RATE SUBJECTIVE FEELING OF ‘NERVOUS TENSION : C] ° (10) RATE HYPERSENSITIVITY TO NOISE uring month during month Scanned with CamScanner{In his section, rate only subjective anxiety with autonomic ‘accompaniments, elther free-floating or situational, Do not include worrying or nervous tension. Do not Inch (CHECK LIST of autoriomic accompaniment * Blushing Dry month Buttertlos Giddiness. ChokIng Difficulty getting breath Dizziness Trembling) HAVE THERE BEEN TIMES LATELY WHEN YOU (HAVE BEEN VERY ANXIOUS OR FRIGHTENED? sea ret Pet ae er at me ag sre rE aT ee I? (What was this tke?) {Old your heart beat fast?) Ask for other autonomic symptoms. (How often in the past month?) RATE FREE-FLOATING AUTONOMIC ANXIETY : Exclude If due fo oluslons. Exclude I purely situational. 3 oo) ‘Symptom definitely present, with autonomic accompaniment, during past month, but of moderate clinical intensity, or intense less than 60% of the time. i 2= Symptom clinically intanse more than 50% of the time. HAVE YOU HAD THE FEELING THAT SOMETHING TERRIBLE MIGHT HAPPEN? argent apo ar era Fes et ah ae tar rer wer wT Tet RP (That some disaster might occur but you are not eure what? Like liness or death or ruination?) (Have you been anxious about getting.up In the morning because you are afraid to face the day?) (What did It feel tke?) RATE ANXIOUS FOREBODING WITH AUTONOMIC. ‘ACCOMPANIMENTS. (12) 1 Symptom definitely pr ‘autonomic accompaniment, during past month, but of maderate clinical intensity, or intense , ‘er loss than 50% of the time. 2+ Symptom clinically intense more than 80% of the time. . RATE AUTONOMIC ANXIETY DUE TO DELUSIONS, ote. and i Cl (13) ‘necessary deler to end of interview. 0 No anxiety due to delusions or hallucina 1 Subject complains of anxiety but no evidence of anxiety on. ‘examination. 2= Clearly anxious or frightoned because of delusions or hallucinations, CUT OFF IF NO EVIDENCE OF ANXIETY OR IF ANXIETY DUE ONLY TO DELUSIONS—> SECTION 4, Scanned with CamScanner: \ E LT SHAKY, OR HAD TIMES WHEN YOU FE! oR ~ HANS HEART POUNDED, OR YOU FELT SWEATY, AN U SIMPLY HAD TO DO SOMETHIN ae Parrcent tears 2 sara Peer re ert TT ot ‘ sere ee meta a wT te PT He TAY a AAO SCA TH A’ hat Is It tke?) (what ‘was happening at the time?) (How often during the past month?) I RATE PANIC ATTACKS WITH AUTONOMIC SYMPTOMS. _ ‘ction to end it. 0.9. ttack Is Intolerable anxiety leading 10 some ‘ ‘eping «bun phoning hushand at work, going info 380 a neighbour, et. 1= One to four panic attacks during month =” ry 2s Parle attacks tive times or mors. i DO YOU TEND TO GET ANXIOUS IN CERTAIN SITUATIONS, SUCH AS TRAVELLING, OR BEING ALONE, OR BEING IN A LIFT OR TUBE TRAIN? aT Te TA shat eae ae OTT A THC AH, HAH, TAT TE TT ort waa art 8? (What situations? How often during the past month?) (CHECK LIST : Can be presented on separate card and each item rated separately, If needed. chureh), Enolosed spaces (hairdresser, phone both, tunnel). Open spaces, bridges, (buses, cars, trains.) RATE SITUATIONAL AUTONOMIC ANXIETY. im 18) aa : Has not boon in such situations during the past month but aware that anxiety would have bean present if the situation had occured. 2 = Situation has occurred during the past month and patient did fest i anxious because of It. WHAT ABOUT MEETING PEOPLE, ¢.g. GOING INTO A. CROWDED ROOM, MAKING CONVERSATION? a frroet pert, rr eee a ret ao Ha or TA rR eT 1, ay der aga wet #? (CHECK LIST : Present'card if necessary: Speaking to an audience. Eating, drinking or writing In front of other people, Parties.) RATE AUTONOMIC ANKEY on MEETING PEOPLE Com ions during the past month but aware ‘oly would have been present ifthe situation had occurred. ‘occurred during the past month and patient did feel 1U80 of it. 4 DO YOU HAVE ANY SPECIAL FEARS, LIKE SOME PEOPLE ARE SCARED OF FEATHERS OR CATS OR SPIDERS OR BIRDS? i tied tot ra yr ise te ee an Reswaneht 8 et 8? (CHECK LIST : Present card if necessary : Heights, thunderatroms, darkness. Animals or Insects of any kind. Dentists, injections, blood, + Injury.) anxious Scanned with CamScannerTR RATE ONLY SPECIFIC. PHOBIAS, NOT GENERAL SITUATIONAL ANXIETY, 1 Has not been In such situations during the past month but a ‘that anxiety would have been present ifthe situation had occurred, 2» Situation has occurred during the past month and patient did tee! ‘anxlous because of It. DO YOU AVOID ANY OF THESE SITUATIONS (SPECIFY A8 APPROPRIATE) BECAUSE YOU KNOW YOU WILL GET ‘ANXIOUS? a aT Beret ar whey A (at et TCT RT) ee TRA ATT TT A veifes wre arvat wareree aie 8? (How much does it atfect your life?) RATE AVOIDANCE OF ANXIETY-PROVOKING SITUATIONS, 1+ Subject tends to avold such situations whenever possible. 1 2* Marked tion of avoidance: ! ‘month. 6.9. subject has not dared to ‘out only if accompanied, ** CAN YOU THINK CLEARLY OR IS THERE ANY INTERFERENCE WITH YOUR THOUGHTS? 2 ar aT ea & rt rare fot are oA warez] fn] Fae sift 8? ** DO YOUR THOUGHTS TEND TO BE MUDDLED OR SLOW? VE fre a reget aR A tr gee mT. " {Can you make up your mind about simple things quite Make decisions about evaryday matters?) Wy.) (15) |; 05) a RATE SUBJECTIVELY INEFFICIENT THINKING (if due fo Intrusion i F ofallen thoughts, rate 9). ‘ 1 Symptom datitlyp 19 the pas month, but of mod i E lineal Intensity, or Intonse less than S05 e 2+ Symplom ciicaly intense more than SO% o! the past moran 5 f** WHAT HAS YOUR CONCENTRATION BEEN LIKE i -B ENTLY? Be Fe ea ett ane ra ermn strane bet At or fot are a arta g Pe. Rat amr aa 8 a Fs" (Can you road an article inthe paper or waten & TV programme right i through?) 5 {Bo your thoughts dit of 0 that you dont take things int) ‘ RATE POOR CONCENTRATION, 1+ "Only moderate form of symptom present during the past month {0.9 can read a short article, can concentrate it tries hard): of Intense less than 50% of the time. 2= Symptom clinically intense (cannot attempt to read or concentrate) ‘more than 50% of the past month. KH DO YOU TEND TO BROOD ON THINGS? “a ar ST et Ferarat Serie wat & Foie arm are TIA A? (So much thet you even neglect your work?) t RATE NEGLECT DUE TO BROODING. 11+ Symptoms has caused moderate Impairment to work or soci felationships. 5 Scanned with CamScanner| 10 o R INTERESTS, HAVE THEY SHANGED AT ALL? ute 8 &, ear cat ae ee Te A? (Have you fost intorast in work, or hobbies, or recreations?) (Have you let your appearance go?) RATE LOSS OF INTEREST continuing during the past months 11* Symptom dofinitely present dur clinical severity or severe loss less than 60% of the time. 2 Symptom clinically severe more than 50% of the past month. ~ wae BECOME INTERESTED IN NEW THINGS Al i J Ava er Rett ard sea uttes et Rat 8? IF EVIDENCE OF EXPANSIVE MOOD OR IDEAS —> SECTION 9, If ODD IDEAS, EXPLORE FURTHER, PROCEED TC SECTION 16. : IF APPROPRIATE, i “* HAVE YOU SUFFERED ANY LAPSES OF MEMORY RECENTLY? \_ are ator eae pra terse echt wate at ae 8? IF EVIDENCE OF DISSOCIATION OR ORGANIC MEMORY LOSS —> SECTION 16. . ANSWERS TO THESE QUESTIONS MAY SUGGEST THAT OTHER TYPES OF THOUGHT DISORDER ARE PRESENT, IF NOT,CUT OFF —>. SECTION 5. IF ANY EVIDENCE OF THOUGHT DISORDER. ARE-YOU IN FULL CONTROL OF YOUR THOUGHTS? Seat eet Fae seek are #2 ar tar ear & Rs rare a re At? ! CAN PEOPLE READ YOUR MIND? ! ite are wr oY ayer frat att aft St AH 27 1S ANYTHING LIKE HYPNOTISM OR TELEPATHY GOING ON7 , a ara Ps a re re recht ae Tar A? IF NECESSARY, PROCEED TO SECTION 19, ‘ “700 YOU KEEP REASONABLY CHEERFUL OR HAVE YOU BEEN VERY DEPRESSED OR LOW-SPIRITED RECENTLY? Saree ome Het BT CRT A? ae Te aT TT NT TET A? ‘ear ome at Peat ere Tee & Tat aA oA are at roa &. HAVE YOU CRIED AT ALL? Am rat at tar a £7 (When did you last really enjoy doing anything?) RATE DEPRESSED MOOD. N.B, When rating clinical severity of depression remember that deeply depressed people may not (23) definition in glossary. nocessarily cry. 1+ Only moderately depressed during past month or deep depression for less than 50% of the time and tending to vary in intensity 2 Doaply deprnssod for more than 60% of the paul month, avid tending to be unvarying i mtensity Scanned with CamScannerW HOW-DO YOU SEE THE FUTURE? ‘wear fey rere 8? ah ae a are Bat acta ' le seemed quite hopeless?) (Cen you see any future?) {Have you given up or does there stl seem some reason for trying?) OC ay RATE HOPELESSNESS on subject's own view al present. a 11= Hopelessneas of moderate Intensity but stil has some degree of hhope for the future (irrespective of time during month.) 2 Intense form of symptom (patient has given up hope altogether) te > USE JUDGEMENT ABOUT WORDING. “+ HAVE YQU FELT THAT LIFE WASN'T WORTH LIVING? \ Aa Rear eer Fe et are, er tae a aT? a {01d you ever fee! ike ending It all?) {What did you think you might do?) (Did you actually try?) RATE SUICIDAL PLANS OR ACTS, im 1+ Dolbuatay coraldrd aie natu ing hog) bt ‘ made no ary te never likely to be in serious, 3 Sulcidal attempt spparstely designed to end In death (Le. accidental discovery or inefficient means). N.B. Examiner should Judge clinically whether there was Intent to end lle or ‘not If in doubt, assume not. IF EVIDENCE OF BOTH DEPRESSION AND ANXIETY RATE ANXIETY OR DEPRESSION PRIMARY. . 1 subject sulters trom both anxiety and depression, and both have bem ‘ated a3 present, try to decide which is primary Which sooms worse, the depression or the anxiety? (Use patient's own terms of the limitations placed on the subject by the symptoms of 19. being unable to leave the house, travel, mest people tc., oF being afraid of heart disea: terms.) i , sores aren aries fare at vet & — mare A ot sere AP mt (= Anxiety is primary, Depression appears to be entirely explicable in ‘because of palpitations. 11= Anxiety and depression both present but seem independent of ‘each other or its not possible to decide whether one of them is primary. 2= Depression is primar Aaxloty Is either a resull of the depression (e.g. subject is frightened becauso of morbid or suicidal ideas) or it takes the form of fears of catastrophe. forebodings about iliness or eath, dread of having to face the day when first waksng in Ine rnrning. preoccupation that something awful is going to hapret Panic altacks and situational anxioly. il unsent, are secondary 10 depression, Qwfld Hog). Scanned with CamScanner———— eee I$ THE DEPRESION WORSE AT ANY PARTICULAR TIME , OF DAY? : en Fea eer oer Sat TUTE BY eT TT AAT AP ® RATE MORNING DEPRESSION (particularly on waking). | = No depression. i 11= Not specially marked In mornings. 2= Specially merked In mornings. i ** HAVE YOU WANTED TO STAY AWAY FROM OTHER PEOPLE? ' 1 for a at BE TELAT THAT TATE BH A? ny?) i (Have you boon suspicious of thelr intentions? Of actual harm?) RATE SOCIAL WITHDRAWAL 11+ Only passive forth of symptom, ie. subject does not seek company O ea Sitata teen ohtnd Wace mins e on 50% of the month. i 2+ Actively avolds company (Fefuses it if offered). Actively withdraws 5 In this way for more than §0% of the month, WHAT IS YOUR OPINION OF YOURSELF COMPARED TO OTHER PEOPLE? BRR hes apares, arA aret are ea TT A? aT TT ae AT TTT ‘fear wan’ #7 ; 900d, or about the same as most?) a sot (ler RATE SELF-DEPRECIATION. 11 Some inferlority, not amounting to feeling of worthlossnees. If ‘subject considers self to be worthless, this Intense form of the * symptom is present less than 60% of the time. 2= Subject considers self to be completely worthless. Symptom Present more, han 50% of the month. HOW CONFIDENT DO YOU FEEL IN YOURSELF? area eA TT Te Pemerar areHfercarat/wreteT are &? (For example, in talking to others, or in managing your relations with j other people?) RATE LACK OF SELF-CONFIDENCE WITH OTHER PEOPLE. LJ er (Do you fee! better, or ni (Do you tee! Interior or Consider only competence in social relationships, not competence at ‘machanioe! work, alo. 1 1 = Moderate lack of self-confidence, or intense lack less than 50% of : the month. i 2= Intense lack of self-confidence, more than 50% of the month. ; , ** ARE YOU SELF-CONSCIQUS IN PUBLIC? * . Fea art are & Bas site arr & saree waren Bere #2 {Do you get the feeling that other people are taking notice of you in the street or a bus or a restaurant?) (Oo they ever seem to laugh at you or talk about you critically?) {Do you consider people really are looking at you, or Is it perhaps the ~ way you feel about It?) 2 . i i RATE SIMPLE IDEAS OF REFERENCE (NOT DELUSIONS). 11+ Marked sell-consciousness only (irrespective of time during C] ey]. month.) 2+ Feels that people are criticising or laughing at self but canbe” E roasaurew Scanned with CamScanner13 IF NO EVIDENCE OF GUILT, CUT OFF —> SECTION 7. (UF EVIDENCE OF MISINTERPRETATIONS, DELUSIONS OF REFERENCE OR PERSECUTION —> SECTIONS 15, 15C) : IFEVDENCE OF GUILT: DO YOU HAVE THE FEELING THAT YOU ARE BEING BLAMED FOR SOMETHING, OR EVEN ‘ACCUSED? WHAT ABOUT? seater eg re epee ar Tt, ar ce aT HT eA — Ret ret BT A? See strpeceite toes ime beacon yr aa en oe Cle i blamed but not accused (I © + 2 Subject feels accused of some sin or misdemeanour. Not olusional If DELUSIONS OF REFERENCE MAY BE PRESENT—> SECTION 158. DO YOU TEND TO BLAME YOURSELF AT ALL? aT WT HTT TT a ete 8 A? {it people are critical, do you think you deserve It?) : T= RATE PATHOLOGICAL GUILT ONLY. 1 = Subject feels over-guilly about some peccadillo (irrespective of time during month) 12 Subject feels to blame for everything that has gone wrong even when not his fault, But not delusional. ~ IF DELUSIONS OF GUILT MAY BE PRESENT—> SECTION 15 6 DO YOU BLAME ANYONE ELSE FOR YOUR TROUBLES? swe aT ae erase Pret Pere atte at ahd art #2 i - IF DELUSIONS OF PERSECUTION —>_ SECTION 15 C . A artes so rt ft #2 ' (Have you lost any weight durog the pst three months?) : ATE LOSS OF WEIGHT DUE TO POOR APPETITE _ putea gent [Jo 1 Less than 710 (98 40) : 2= Tb (3.5 kg.) or more. ** HAVE YOU HAD ANY TROUBLE GETTING OFF TO SLEEP DURING THE PAST MONTH? Ya Rat rah te NE ets TA? (How ong 6o yu i avai?) (What happens if you take sleeping tablets?) (How often does it happen?) ef 5 Scanned with CamScanner” : q 14 ‘ RATE DELAYED ‘SLEEP. 0 hour ot more delay ({rresP s {irespective of sleeping tablets). rights during month). OWN IN YOUR sctive of sleeping tablets). 1. delay 22 Two hours of more (in elther case, ten or more E SLOWED DI BO,10U SEEM oro HAVE TOO LITTLE ENERGY ye y7 HOW MUGH HAS IT AFFECTED YOU? 7 er ah rer a TT A, TTA TT AE A A, mre eer BY? TT Te PAT TE TTR? (Do things seem to be moving too fast for you?) RATE SUBJECTIVE ANERGIA AND RETARDATION. 1= Marked subjectie listlessness and lack of energy: 2 Marked retaidetlon and underactvty (Irrespective of time during month). ' IF NO APPETITE OR SLEEP DISTURBANCE, AND NO DEPRESSION, CUT OFF —> SECTION. Oo» : IF SLEEP DISTURBANCE OR DEPRESSION : is DO YOU WAKE EARLY IN THE MORNING? 78 8 te a A HE TAT R? ATE EARLY WAKING (one hour before usual). a i | = Ore hour oF more before ordinary time. = Two hours or more before ordinary time. (in either ease, ten or more nights during month) HAS THERE BEEN ANY CHANGE IN YOUR INTEREST IN © ! x? A carat te (oe ater ob wear) oA oor HY al at #7 RATE LOSS OF LIBIDO WITHIN PRESENT EPISODE OF ILLNESS AND PERSISTING DURING PAST MONTH. 11+ Marked loss of interest and performance. 2+ Almost total toss of libido, DOES THE DEPRESSION OR TENSION GET WORST JUST BEFORE THE START OF THE MONTHLY PERIOD? reat eH & ee wert a aH FebaTe-ce ag aT RF (FATE PREVENSTRUAL EXACERBATION 0 No dotinite 1 1 2 rbatlon, Marked exacerbation. HAVE YOU BEEN VERY MUCH MORE IRRITABLE THAN USUAL RECENTLY? sar eit et Hat rer Fergferd at mt 8? ° (How do you show it?) ' (Do you keep it 1 yourself shout. oF even hit people?) RATE IRRITABILITY . 1 Keeps nation to himsatt 2 Shanes anger by shri exerting 4 Shows anger by hitting people. thowing or breaking things. Oo Oi C] (40) Scanned with CamScannerCHEERFUL Se MetIME °S FELT PARTICULARLY ol IF REASON? QF THE WORLD, WitHouT 17 sre Fon Po ae eae 8 tre TET AE AD {Too cheertu to be healthy?) ! (How long does it rsa described a {orm of symptom (elation or exaltation defaly present {uring past month and persistant for hours ata time, Oceebed by ubject “HAVE YOU FELT pa RTICULARLY FULL OF ENERGY ww OR FULL OF EXCITING IDEAS? exe ree a ep ar Fe ey erat eA ee Berd a Reare art a? {Bo things s00m to go t00 slowly for you) (D0 you need less sleep than usual?) {Do you tid youre extremely atv but not geting ted?) ‘5° line you developed new iterate cents , RATE SUBJECTIVE IDEOMOTOR PRESSURE, LA. TY Sublectv equatent of tight of das. nages'and ideas tah +" {MoUgh the mind, each suggesting others sta taste ease usual State po ape “Dainty occured airing past months * 4 2+ As (1) but accompaniea oy very myn energy output ana activity ‘whieh does not seem to make subject ted at ‘curred during past month and persisted for hou IF NO EVIDENCE OF EXPANSIVE MOOD ANO IDEATION. CUT OFF SECTION 10." > IF EVIDENCE OF EXPANSIVE MOOD AND IDEATION HAVE YOU SEEMED SUPER-EFFICIENT AT WORK, OR AS THOUGH YOU HAD SPECIAL POWERS: OR TALENTS. QUITE OUT OF THE ORDINARY? . ; Stover iver teesdtorotee offences Sag YR: art 8 at fs ar arch aetna? ; "HAVE YOU FELT SPECIALLY HEALTHY? a a ae mt Ba ae A #7 Y p HAVE YOU BEEN BUYING ANY INTERESTING THINGS. * ee }ECENTLY? = amv pred a ate Ye TTT TT ard oh at #7 {TE GRANDIOSE IDEAS AND ACTIONS. 4+ Subjective teeing of supers heath, exceptionally igh intligence, {RU ordinary abies etc, Persistent for hours at eines I Symptom occured at some time during the month. t 2+ Gradioseioeas have 3d Into action during tne month, Head lng. ee. under the influence ef gradiose H 3. Do not Include compulsive gambling 1, unless clearly of ths type : [| GRANDIOSE DFLUSIONS. SECTION 150 1F NECESSARY) fjiemotom was more asin‘ our very incense or requ apestditmay . pS stl 20 melded, Scanned with CamScanner Cyi oe i. ge occuring againat conscious . Y resistance (see definition in glossary). PON ** DO YOU FIND THAT YOU HAVE TO KEE! CHECKING THINGS THAT YOU KNOW YOU HAVE ALREADY DONE? ape * emcee et th ar ae CAT TFT, ESTING ahr fe ane ea dar Fe TSB? 8 taps, doors, things may times or repe (What happens when you try to stop?) RATE OBSESSIONAL CHECKING AND REPEATING. Pe symptom of moderate Intensity or if severe, present less than 50% of the time. 2 Symptom present In severe degree, more than SO% of the past month. ** DO YOU SPEND A LOT.OF TIME ON PERSONAL CLEANLINESS LIKE WASHING OVER AND OVER EVEN THOUGH YOU KNOW YOU ARE CLEAN’ WHAT ABOUT TIDINES? : ae ae BAY ATE Te eT RT TT AT, a ATC ATL ATTA, IT TAT, ae ae AA aT A? eat YT rat a TTT TTT? (00 you get worried by contemingtion with germs?) {Do you have other rituals?) (What happens when you try to stop?) RATE OBSESSIONAL CLEANLINESS AND SIMILAR RITUALS. C] (45) 1+ Symptom of moderate intensity or, If severe, present fess than 60% of the time, 2* Symptom present in severe degree, more than 50% of the past ‘month, ‘ ** DO YOU FIND IT DIFFICULT TO MAKI : EVEN ABOUT TRIVIAL THINGS? peeeoee i sear SRE are ar here CR HE a TPT a #7 (00 you constantly have to question the meaning ofthe universe?) (Do you got awful thoughts coming Into your mind even when you tty to keep them out?) {What happens when you try to stop?) RATE OBSESSIONAL IDEAS AND RUMINATION. 4 = Symptom of moderate Intensity or, If severe, present less than 50% : (46) + of the time. , 2 Symptom present in severe degree, more than 60% of the past mbnin. ** HAVE YOU HAD THE FEELING RECENTLY THAT THINGS AROUND YOU WERE UNREAL? al Ea ea Pt ea ara rer et et ae et ae Wt #2 (As though everything was an Imitation of realty, like a tage set, with people acting instead of being themsalves?) (What Is It ike? How do you explain it?) RATE DEREALISATION. 2 1 1. ly Intense forra of symptom definitely occured during the (47) th, and persisted for hours at a time. Things appear Scanned with CamScanner2= Intense form of symptom occurred during the past month and Persisted for hours at a time, e.g. whole world appears like a ‘igantlc stage sot, with imitation Instead of real objects and Puppets instead of people. (I delusional, do not rate here but symptom 90.) “HAVE YOU YOURSELF FELT UNREAL, THAT YOU WERE NOT A PERSON, NOT IN THE LIVING WORLD? Feat ot ae ah ee mel GR Ba a aT oe area Cra et A aT ‘frat met 8? 7 (Or that you were outside yourslt, looking at yourself from outside?) (Or that you look unreal inthe mitror?} {Or that some part of your body did not belong to you?) (How do you explain it) RATE DEPERSONALISATION a aN 7 1 Moderately Intense form ofthe symptom delintely occurred during (4a) st month and persisted for hours ata lime, Subject Toole unreal, aham, » shadow 2+ Intense term of symptoin detnitely occurred during the pest month and persisted for hours a is deed, not hollow shell, even that he . do not rate here but symptom 90) Tag RERCEPTUAL-DIsonDEnsINOT SENSORY SOMETHING ODD IS GOING ON WHICH YOU CAN'T EXPLAIN? “DO YOU EVER GET THE FEELING THAT DISTORTION : SAA rer AAA ache MATA RRR Te Sera oo WR? {Or that familiar surroundings RATE DELUSIONAL MOOD ‘environment has changed in a ‘may not be able to describe clearly. delusion formation. 6 seem strange? How do you explain it?) Subject feels that his familar which puzzles him and which he The feeling ottan accompanies formulated, though patient may foo! that various delusional ‘explanations are possible 1 2+ Full delusional elab ion has occurred. j * DOES YOUR IMAGINATION SOMETIMES. PLAY , Ao ON YOU? 7 a aed ae arrat titer (q4-2ara Hohn) of ah #2 1S THERE ANYTHING UNUSUAL ABOUT THE WAY ae LOOK OR SOUND, OR SMELL, OR TASTE? ea a era & at a ere, ararsy, rarer eare order, A et aa ta ated? (ces your body tunction normally?) (ls your own appearance normal?) CONTINUE BELOW CUT-OFF IF NECESSARY, EVEN IF (49) NOT PRESENT, 'FNO PERCEPTUAL ABNORMALITY—> SYMPTOM 54. Cut off CoAT HATE Scanned with CamScannero 18 Ny HINT OF PEI | rE SNTRUE BEYOND CUT-OFI | ‘SECTIONS. i RATE ONLY BASIC EXPERIENCE. NOT DELUSIONAL : ELABORATION. ” S SEEM UNNATURALLY I AAD A LOUD, OA THINGS LOOK VIVIDLY COLOURED OR DETAILED? : nar ga weer tr te FA TT GEN A? eT AT A ares a Peg eA 8? (How do you explain this?) RATE HEIGHTENED PERCEPTION : 0g. subject intensely aware of i cracks in a wall, details ofa wall paper patter, colours ina pct | Sounds heard with exceptional clarity, music appears parlculrly : beautiful ; $ i : \CEPTUAL ABNORMALITY, PANO ALSO CONSIDER LATER 11= Subject unable to describe the symptom precisaly, but examiner : thinks Iti likely t month. ave been present at some time during the past 2= Subject describes symptom. Definitely present at some time (even it only briefly) during the past month, DO THINGS SEEM D/ RO LHINGS SEEM DARK OR GREY OR OS area, fect at or Seth at mea aT a A RATE DULLED PERCEPTION: Tho ook, sound and taste dull oot varse of symptom (50). Things uninteresting. (51) 1 Subject unable to describe the symptom precisely, but examiner thinks It Is tkely to have been present at some time during the past ‘month. 2 Subject describes symptom. Detintely present ' itonly briefly) during the past month. : ** DOES THE APPEARANCE OF THINGS OR PEOPLE (CHANGE IN A PUZZLING WA’ }. DISTORTED ES OR SIZE OR COLOUR? t ‘itr ar A og onthe der ech - sect aT aM — Basa f 0 wee TE BY aT ON = a ert aE ar er HG ATT a? (How do you explain it?) RATE CHANGED PERCEPTION. 62) ! 11= Subject unable to describe the symptom precisely, but examiner el : thinks it fs likely to have been present at some time during the past month. a i i : t efinitely present at some time (even Wonly briefly) during the past month, DO YOU THINK YOUR OWN APPEAI ' i en forercaee : ; Tear er ere Par Ret ae re — ae AE FT TTT #? {Conviction that nose is too large, teeth, misshapen, body crooked, 4 ‘ete, Ask questions here if convenient but rate symptom (89).) } ** DOES YOUR EXPERIENCE OF TIME SEEM TO HAVE Hi ‘CHANGED? ear aU ee & Rar HT Ta AH A ar we eA aA er aT? (©0031 go 100 test 100 slowly, or do you seem to lve through : ‘experlanees exacly as you have had them belore?) Scanned with CamScannerRATE CHANGED PERCEPTION OF TIME, INCLUDING DEJA VU. 1= Subject unable to describes the symptom precisely, but examiner thinks tis likely to have been present at ta fT some time dufing the past 2= Subject describe symptom. Definitely present at some'time (even If only briefly) during the past month. DO YOU FEEL YOU HAVE LOST YOUR EMOTIONS IN SOME WAY? Rar & fe ehh acter got age et RR? (That you are empty of all feeling, Incapable of reacting emotionally?) (ts this @ definite change, or have you always been like that?) {How do you explain It?) \. RATE LOST EMOTIONS Rate ny subctetsofalct s Cs» can remember being able to react emotionally, though this might have been months or even ye te 8 890. ‘Symptom definitely present during the past month but jess than 50% of the time, 2 Symptom present more than 50% during the past month, 13, ~“THOUGHT-READIN (01 BRC IF QUESTION HAS NOT BEEN COVERED IN SECTION 4 ASK : CAN YOU THINK QUITE CLEARLY OR IS THERE Al INTERFERENCE WITH YOUR THOUGHTS? ms SATE aT aT A THT ET TTS wit Pare Pewee Ht waTAT/ ‘arer/feret amt 8? i (Are you in full control of your thoughts?) (Can people read your mind?) (ls anything like hypnotism or telepathy going on?) IF NQ EVIDENCE OF THOUGHT READING, etc..CUT OFF >. SECTION 14, IF ANY EVIDENCE, ASK QUESTIONS BELOW. . (These symptoms are often recorded as false positives. The ‘must be satisfied that the subject is not simply assenting to @ question he does not understand, but genuinely recognises the experience and can describe it so that the examiner recognises it.) It miner Instruction Manual wal before rating these symptoms OUGHTS PUT INTO YOUR HEAD WHICH YOU : ARE NOT YOUR OWN? ' Samra errr & Res aR ST HH Pree Te TAR? hte TT TT as arr Fs Frere se aret et #? : {How do you know they afe not your own?) (Where do they come trom?) ' RATE THOUGHT INSERTION : include only thoughts recognised as aon, . Do not include delusional elaboration. ony basic experience. (Excl (55) hatlcinations.) : ' Boies: 1 Symptom described clearly, but subject thinks it may be due to ‘own. ‘unconscious thoughts’ etc., ie. nof certainly alien. ‘Symptom described clearly and thoughts described as alien. ie. inserted into ‘mind from elsewhere-(even If subject does not know from where). Not hallucinations. ’ Scanned with CamScannerDO YOU EVER SEEM TO HEAR YOUR OWN THOUGHTS SPOKEN ALOUD IN YOUR HEAD, SO THAT SOMEONE STANDING NEAR MIGHT BE ABLE TO HEAR THEM? ar need HH aR, aT TR TM TNT 8? Me aa fae ere gat eT Mt Gee THR wT? tare your thoughts broadcast 0 tat other people know what you are thinkng?) + {How do you explain?) RATE THOUGHT BROADCAST. TATE Jar own thoughls ‘spoken’ aloud but not broadcast. Subject , Meare ov poacher aud ins head tn doubt rae (8) oF (0) a Thoughts vansterre or broaccast so tha olners can share subject’ thous re taney are ran the same oo (0 not include Though rig aren nee sins an explanation ol hough broadcast. The subject mst Shuoty experience his heughts being avalabl to thers} 'DO YOU,EVER SEEM TO HEAR YOUR OWN THOUGHTS REPEATED OR ECHOED 7 mater at a re aft rere rage aa eT * ‘ea yore 8? (Wat is tha ke? How do you expan 2) (mere dest come ton?) RATE THOUGHT ECHO OR COMMENTARY. | _ associations or comments on his own thoughts. Not hallucinations.” DO YOU EVER EXPERIENCE YOUR THOUGHTS : STOPPING QUITE UNEXPECTEDLY SO THAT THERE oe ARE NONE LEFT IN YOUR MIND, EVEN WHEN YOUR we THOUGHTS WERE FLOWING FREELY BEFORE? ae a arr Pas eer ar aH rare oa aes TTA are eT Fea CH farags aret &t rar ates ee a rare Seas at 7B A? ”) iN ocour? What Is t due 107) \ DO YOUR THOUGHTS EVER SEEM TO BE TAKEN OUT OF YOUR HEAD, AS THOUGH SOME EXTERNAL PERSON OR FORCE WERE REMOVING THEM? amet RR crore & Pas aires Reve & frac Prcpret Pera 8 aS aretraraer ar ars ret saree Ferare Papret Stat Bt? {Can you give an example?) (How do you explain it?) , \ RATE THOUGHT BLOCK OR WITHORAWAL. 112 Thought block. Do not include it due to anxiety oF lack of (58), sly when thoughts : nt for rating. ny Wit occurs totally unexp flowing freely. One single occasion is not Be very critical in rating this symptom. \ 2= Delusional explanation that thoughts are withdrawn. (CAN ANYONE READ YOUR THOUGHTS? 7a rr met he arc wr art TT at #? ' (How do you know?) (How do you explain It?) Scanned with CamScannera 13 the possibility that thoughts id but Is nol certain about it. Exclude lt subcultural = * oxplanation, 2* Full delusion. Exclude if subcult reading’ is commonly 14/SHALLUGINATIONS= USE JUDGEMENT ABOUT WORDING. : ** A’SHOULD LIKE TO ASK YOU A ROUTINE QUESTION WHICH WE ASK OF EVERYBODY. DO YOU EVER SEEM TO HEAR NOISES OR VOICES WHEN THERE iS NO ONE ABOUT, AND NOTHING ELSE TO EXPLAIN IT? ae red pe tar ar Gea eae ea Te a qUA — water et Wem Ta BRT wet A, athe rear ang kt ater ee ret A ihe aT sare TL seed 82 aah wh ar sera & PANE a a aT GTC TTB? (00 you over seem to hear your name being called”) ** IS THAT TRUE OF VISIONS OR OTHER UNUSUAL EXPERIENCES, WHICH SOME PEOPLE HAVE? (TOUCH, TASTE, SMELL, TEMPERATURE, PAIN, etc.) aT TT aH By AT aT eres ht Peery Re? em aera aT TA RT aT Y SOc dat ott ath ars et tat aT? IF NO EVIDENCE FOR HALLUCINATIONS OF ANY SENSE, CUT-OFF—> SECTION 15, IF EVIDENCE FOR NON-AUDITORY HALLUCINATIONS ONLY —> uyaunirone p a 146. 6g IF ANY EVIDENCE THAT AUDITORY HALLUCINATIONS MIGHT BE PRESENT : DO YOU HEAR NOISES LIKE TAPPING, OR MUSIC? \ ee cee rh 3B aE rT TE RH (WHAT IS IT LIKE?) Uae IT SOUND LIKE MUTTERING OR WHISPERING? aren RA = RTC eR TRAN a a aT? YOU MAKE OUT THE WORDS? nee ‘eee (Tee) BT aT ATE AT ET \ RATE NON-VERBAL AUDITORY HALLUCINATIONS. 1+ Music, tapping, car engines, etc. Do not include tinnitus. 2+ Muttering, whipsering but subject cannot make out any words at all WHAT DOES THE VOICE SAY? we edt &? (Write down examples of typleal verbal halivcinations.) (it accusstory : Do you think that tf Justified? Oo you deserve It?) § DO YOU HEAR YOUR NAME BEING CALLED? ay saree are a eperer are #7 RATE VERBAL HALLUCINATIONS BASED ON DEPRESSION OR 61 ! ELATION OR VOICE CALLING SUBJECT. (61) Content is congruent with mood; ag. He's dy’, In context of Gopression, oF ‘Go to Westminster, In elated subject who thinks he is Primo Minister. Include voice calling subject (0.9. celling name) (or saying single words only. Be careful to distinguigh from delusions of reference In which people whom the subject can see {tre though to be talking about him. Scanned with CamScanner: RECORD EXAMPLES orn 1+ Vole io sina wepgruent wih depressed mood. ' ‘ 2+ Ole vera rt cinations: congruent with elated mood. bo you HEAR SEVERAL VOICES TALKING ABOUT YOU? aot arard ae are H aT weet? , fe ever taro vou sa we (vey EEE TERE TAT SEE : mnat do they 8ay?) 5 a ey wt7 ment on what you are thnklng, of reading, or, doing?) (irre VOICE(S) DISCUSSING SUBJECT IN THIRD PERSON OR 5 RATIMENTING ON THOUGHTS OR ACTIONS (NOT BASED ON ie} ! DEPRESSION OR ELATION). : ! Do rot include mottering oF whispering If subject cannot make out words, Encude ‘dissociative’ hallucinations (symptom 64). Do not include voice falling name or alfectively based verbal hallucinations (symptom 61). i There may be one voice commenting on subject's thoughts or actions, or i several voices discussing the subject in the third person, it RECORD EXAMPLES i t + 14 Heara-a yolee or voices commenting on thoughts of actions In third i person (0.9. ‘Now he's going to go to bed! or ‘Why would he think {thing lke that?) (2) not present 2= Hears volces talking about him/her In third parson (e.9. 1 think he's 4 homosexual, don't you?’ ‘Yes, he wears a pink pullover, that's a algn of I.) ; (1) may also be present. : Il : ae SPEAK DIRECTLY TO YOU? ij 8 sreang hd area areca wet 8? i {Are they threatening or unpleasant?) {00 they call you names?) DO THEY GIVE ORDERS? (D0 YOU OBEY?) sara serra aera (sere) ait Rt R? ar ay aT wee? RATE VOICE(S) SPEAKING TQ SUBJECT (NOT BASED ON’ DEPRESSION OR ELATION). (63) Include voice(s) speaking directly to subject, whether accusing, threatening, giving orders or giving Information. Exclude voicels) calling jpame or based on depression or elation (symptom 61), or commenting on ‘ubjog's thoughts or actons (symptont 62). Exclude ‘dissocialive’ ‘ hallucinations (symption 63.) RECORD EXAMPLES. = Pleasant, supportive or : hostile voices. sning oF accusing voice(s), thought to be undeserved ‘and not based on affect. 1 neutral voice(s), not based on affect No N.B-if single isolated words, even with neutral affect, Include inder 61(1)- ' GAN YOU CARRY ON A TWO-WAY CONVERSATION WITH— 7 ae or at ara we HAA? ' san—roplive 0 you. and jou reply apa ust asin an (You can reply. and th ‘ordinary conversation?) Ing. oF year tho. ‘smell anything, at the same time as You Ps seriou know anyone else who hes ths Kind @t experience?) Scanned with CamScanner