All are seen in organic psychosis except :
**Core Concept**
Organic psychosis refers to a group of psychiatric disorders caused by a medical condition, substance use, or another identifiable underlying factor. These disorders can manifest as a break from reality, characterized by symptoms such as hallucinations, delusions, and disorganized thinking. Organic psychosis is distinct from functional psychosis, which is not caused by a medical or substance-related factor.
**Why the Correct Answer is Right**
Normal common knowledge, also known as normal knowledge or shared knowledge, is not a symptom typically associated with organic psychosis. In contrast, the other options are common manifestations of organic psychosis. Disorientation in place, time, and person (Option A) is a classic symptom of delirium, a type of organic psychosis characterized by altered consciousness and cognitive impairment. Clouding of consciousness (Option B) is a hallmark of delirium, where patients exhibit reduced awareness of their environment and decreased ability to focus. Hallucination (Option C) is a common symptom of various organic psychoses, including schizophrenia and delirium. Hallucinations can occur in any sensory modality, including visual, auditory, olfactory, gustatory, or tactile.
**Why Each Wrong Option is Incorrect**
**Option A:** Disorientation in place, time, and person can be seen in functional psychoses such as schizophrenia, where patients may exhibit disorganized thinking and behavior.
**Option B:** Clouding of consciousness is not exclusive to organic psychosis, as it can also be seen in functional psychoses such as schizophrenia, where patients may exhibit a disconnection from reality.
**Option C:** Hallucination is a common symptom of functional psychoses such as schizophrenia, where patients may experience auditory or visual hallucinations.
**Clinical Pearl / High-Yield Fact**
To differentiate organic from functional psychosis, clinicians should look for evidence of a medical or substance-related cause, such as a history of head trauma, infections, or substance use. Additionally, the presence of clouding of consciousness or disorientation in place, time, and person can be strong indicators of an organic etiology.
**β Correct Answer: D. Normal common knowledge. Normal common knowledge is not a symptom of organic psychosis.**