AIIMS Bhopal NO - 2018 (Shift-1st)
Psychiatric Nursing
Easy
Diagnostic interview with sodium amytal or hypnosis is a special feature of?
Appeared in: AIIMS Bhopal NO - 2018 (Shift-1st)
Explanation
- Sodium amytal interviews (narcoanalysis) and hypnosis are specialized techniques used to lower psychological defenses and access memories that are repressed or dissociated.
- This process is particularly relevant for conditions rooted in severe trauma, where the mind blocks out distressing events as a coping mechanism.
- Post-traumatic neurosis, now known as Post-Traumatic Stress Disorder (PTSD), is the classic example of such a condition, making these interviews a characteristic feature of its assessment and treatment.
- The goal is to achieve abreaction—the emotional release or catharsis that occurs when a repressed memory is brought to consciousness and relived.
Why Other Options Were Wrong
- Option B: Phobias are irrational fears of specific objects or situations. The core issue is an exaggerated fear response, not a repressed memory of a traumatic event.
- Option C: Hyperventilation syndrome is a physiological condition often triggered by anxiety, leading to rapid, deep breathing. It is managed by addressing the anxiety and teaching proper breathing techniques.
- Option D: Mania is a state of elevated mood and energy seen in bipolar disorder. A diagnostic interview for mania focuses on assessing mood, thought processes, and behavior. A sedative like sodium amytal would be counterproductive for a diagnostic interview and is not a standard approach.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Diagnostic and therapeutic techniques for trauma-related psychiatric disorders as background academic context rather than a clinical decision trigger.
- The use of sodium amytal interviews and hypnosis for memory recovery is now rare and controversial due to concerns about the reliability of the memories retrieved and the potential for creating false memories (confabulation).
- Modern trauma-focused therapies like Eye Movement Desensitization and Reprocessing (EMDR) and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) are now the standard of care.
- A nurse's role in such a procedure would involve monitoring the patient's vital signs, especially respiratory status, as barbiturates like sodium amytal can cause respiratory depression.
How to Approach the Question
- First, identify the core elements of the question: the techniques mentioned are 'sodium amytal interview' and 'hypnosis'.
- Recall the primary psychiatric purpose of these techniques. Both are used to lower inhibitions and access unconscious or repressed material.
- Analyze the options in the context of repressed material. Which disorder is fundamentally linked to memories that are too painful to remain in conscious awareness?
- Post-traumatic neurosis (PTSD) is defined by a preceding traumatic event, and symptoms often involve avoiding memories of that event. This makes it the most logical fit.
- Eliminate the other options: Phobia is about fear conditioning, hyperventilation is a physiological anxiety response, and mania is a mood state. None are primarily about repressed memories.
Concept Tested & Keywords
- Concept Tested: Diagnostic and therapeutic techniques for trauma-related psychiatric disorders.
- Stem keywords: Diagnostic interview, sodium amytal, hypnosis
- Lead-in keywords: special feature of
Question ID
Qy_oYDK19KhXbntuEDNH_9
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 6443-6445, 6347-6349
Practise the full AIIMS Bhopal NO - 2018 (Shift-1st)
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