introverted thinking
Introduction
Introduction Introverted thinking means that patients are immersed in their own spiritual world with a clear consciousness. Only the patients themselves understand that others cannot understand at all, so that the patient's thinking is completely isolated from the real world. This is called unrealistic thinking. Or introverted thinking. This symptom is a characteristic symptom of schizophrenia. It is only seen in patients with schizophrenia. It can be accompanied by symptoms such as hallucinations, delusions, apathy, and loss of will. It can also be seen in bipolar disorder, neurosis, mental pain, stagnation, dementia, mental disorders caused by psychoactive substances, and reactive mental disorders.
Cause
Cause
This symptom is a characteristic symptom of schizophrenia. It is only seen in patients with schizophrenia. It can be accompanied by symptoms such as hallucinations, delusions, apathy, and loss of will. It can also be seen in bipolar disorder, neurosis, mental pain, stagnation, dementia, mental disorders caused by psychoactive substances, and reactive mental disorders. Schizophrenia is tense, psychogenic stupor, depressive stupor, organic stupor and snoring.
Examine
an examination
Related inspection
Nervous system examination
Or self-speaking, laughing or whispering, sometimes sneaking, sometimes angry, sometimes indifferent, the entire spiritual activity is completely isolated from the external real environment.
Diagnosis
Differential diagnosis
Onespeaking (alonespeaking) means that the patient speaks to himself and the content is difficult to hear. All kinds of 9 mental illness can cause symptoms. This symptom is normal during childhood. Common in schizophrenia, can also be seen in bipolar disorder, neurosis, mental pain, stagnation, dementia, mental disorders caused by psychoactive substances, reactive mental disorders.
Aphasia refers to the partial loss of verbal function caused by focal brain damage. include
(1) Broca aphasia: very little or slow speech, and laborious, unclear pronunciation, expressed in telegraph language, lack of articles, conjunctions, auxiliary verbs and intonation changes, no grammar, but better understanding. Aphasia is common in patients with damage to the lower part of the frontal cortex (ie, Broca area) such as hemorrhage, ischemia, infarction, and trauma. Clinically easy and inconsistent thinking, the patient's consciousness is clear, the grammatical incompleteness can still be achieved, and the inconsistency of thinking is the pile of words produced on the basis of consciousness disorder, can not express any meaning.
(2) Wernicke aphasia: speaking quickly and effortlessly. The grammar is basically correct, but the verbal content is empty, the words are wrong, and often accompanied by serious understanding ability defects. Common in the posterior part of the left hemisphere, patients with lesions in the proximal auditory cortex.
Mutation is a disorder in which there is no speech activity. Anyone asks but never says a word. Some patients can express their meaning by writing, acting, etc. The patient has no aphasia, the function of the vocal organ is normal, only the psychomotor inhibition or the functional inhibition of the speech motor area cortex. Found in schizophrenia tension, psychogenic stupor, depressive stupor, organic stupor state and snoring.
Or self-speaking, laughing or whispering, sometimes sneaking, sometimes angry, sometimes indifferent, the entire spiritual activity is completely isolated from the external real environment.
