A patient has been admitted with disorganized type schizophrenia. The nurse observes blunted affect and social isolation. He occasionally curses or calls another patient a "jerk" without provocation
The nurse asks the patient how he is feeling, and he responds, "Everybody picks on me. They frobitz me." The patient's communication exhibits:
a. A neologism
b. Loose associations
c. Delusional thinking
d. Circumstantial speech
ANS: A
A newly coined word having meaning only for the patient is called a neologism (meaning, new word). It is associated with autistic thinking. The patient's speech does not show associ-ative looseness or circumstantiality. The use of a neologism is not delusional in and of itself, but it suggests delusional thinking may be present.
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