Psych CASC / OSCE · foundations — descriptive psychopathology
Elicit descriptive psychopathology safely — CASC communication station
MRCPsych/FRANZCP-style CASC: open-to-focused phenomenological elicitation, form vs content, FRS-type phenomena, risk, culture, and non-jargon summary.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in outpatient or ED assessment.[1]
Candidate instructions. Build rapport. Explore current experiences using open then focused questions. Capture form of speech/thought, content (including cameras/chip themes if offered), perceptual phenomena, possible passivity (thought insertion/broadcast), mood (quote) and observed affect, and risk (self-harm, acting on voices). Avoid leading, collusion, and humiliation. Summarise in plain language and outline next steps without dumping a diagnostic monologue. Do not invent legal section numbers.[1][2]
References4ShowHide
- [1]Andreasen NC Thought, language, and communication disorders. I. Clinical assessment, definition of terms, and evaluation of their reliability Arch Gen Psychiatry, 1979.PMID 496551
- [2]Nordgaard J, Arnfred SM, Handest P, et al. The diagnostic status of first-rank symptoms Schizophr Bull, 2008.PMID 17562695
- [3]David AS Insight and psychosis Br J Psychiatry, 1990.PMID 2207510
- [4]Lam PC, Lewis-Fernández R, Aggarwal NK The Cultural Formulation Interview: Building the Case for Cultural Competence in Clinical Care Psychiatr Serv, 2023.PMID 36722093