broken mind
Introduction
Introduction The so-called thinking disorder refers to the abnormality in the amount and speed of thinking association activity. The clinical manifestations of thinking disorders are diverse. The breakdown of thinking: the break between associations between concepts, the lack of intrinsic link between the various conceptualities of establishing associations. There was no connection between the last ten days, and it became a pile of statements.
Cause
Cause
It is manifested that the patient's speech or writing content has a structurally complete sentence, but the meaning of each sentence is irrelevant and becomes a pile of statements, and the whole paragraph is incomprehensible. In severe cases, speech is fragmented and there is a lack of connection between individual words, mainly in schizophrenia.
Neurobiological factors 1 Neurobiochemical studies have shown that patients have a variety of neurotransmitter dysfunction, mainly involving dopamine, serotonin, glutamate. Central dopamine levels increase, hyperfunction, traditional antipsychotic drugs are central nervous system dopamine receptor blockers. The central serotonin level is abnormal. In addition to its antagonistic effect on dopamine receptors, the new antipsychotic drugs also have an antagonistic effect on serotonin receptors. The central glutamate level is low and the function is insufficient. 2 Neuroanatomy and neuroimaging studies showed that the temporal lobe, frontal lobe and limbic system had brain tissue atrophy, ventricular enlargement and sulcus widening. 3 maternal viral infection, perinatal complications, juvenile adverse stress and physical disease, associated with neurological developmental defects, have a certain impact in the pathogenesis of schizophrenia.
Examine
an examination
Related inspection
Brain CT examination EEG examination
In the case of clear consciousness, the process of thinking association is broken, lacking coherence and logic in the inner sense, manifesting as obstacles in perception, thinking, emotion, will behavior, etc., mental activity and the surrounding environment and inner heart. The experience is uncoordinated and out of reality. General unconsciousness and obvious intellectual disabilities should pay attention to observe eating and sleeping.
Diagnosis
Differential diagnosis
(1) Thinking and running: Lenovo's speed is increasing, the number is increasing, and the content is rich and vivid. The number of speeches increased, the speed of speech increased, the voice was loud, the mouth was overwhelming, and the mouth was lingering, and the articles were exported and written. It can be seen in mania, and it can also be seen in the manic state of toxic psychosis.
(2) Slow thinking: Lenovo's speed is slowing down, the number is decreasing, and Lenovo is difficult. The brain becomes stupid, the reaction is slow, the speech is less, the speed is slow, the sound is low, and the expression is simple. Seen in depression.
(3) Poor thinking: the number of associations is reduced, and the concept is poor. There is nothing to think about in the hollow cavity of the brain. The content is monotonous, the answer is simple, and it is also seen in brain organic mental disorders and mental retardation.
(4) Relaxation of thinking: the thinking is sloppy. It means that Lenovo's content is loose, lacks the theme, and there is a lack of connection between one problem and another. It is manifested in the fact that the patient speaks or writes when he or she writes, and the answer to the question is not relevant, making the examiner feel that the conversation is difficult.
(5) Inconsistent thinking: the concept and concept are lost. The patient does not have a structurally complete independent sentence, and the word is not connected. Seen in the state of , state, nightmare state, etc.
(6) Pathological description: The thoughts are twisted and twisted, and the association branches are too many, and the speed is slow. Speaking when answering questions, sticking to unimportant details, dragging the water, mainly in patients with epilepsy and other organic brain damage, can also be seen in schizophrenia.
(7) Thinking viscosity: It means that association is not easy to develop, showing obvious inertia, and always entangled in the same problem. Common in epilepsy, dementia or schizophrenia.
(8) Interrupted thinking: The patient felt that the brain was blank at the time. The patient suddenly paused while speaking, and the content was not the original topic. Mainly seen in schizophrenia.
(9) Imitating words: stereotyped the words of other people around. Found in organic mental disorders, schizophrenia tension.
When the patient is clear in consciousness, the process of thinking association is broken, and there is no coherence and logic in the inner sense.
