occupational neurosis
Introduction
Introduction Occupational neurosis is a manifestation of rickets. The clinical manifestations of rickets have various symptoms, the most common being mental disorders (separate type) and physical disorders (transformation type). It is usually caused by acute traumatic stimuli and can also be caused by persistent interpersonal contradictions or inner pains that are difficult to resolve. Especially when anger and sorrow cannot vent, it often leads to sudden onset of disease. In general, mental symptoms are often caused by obvious and strong emotional factors. Physical symptoms are often caused by suggestive or self-suggestion. The mental factors of the first onset often determine the future form of the disease, the characteristics of the symptoms, the course of the disease and the outcome.
Cause
Cause
Causes of the disease: The occurrence of snoring is related to hereditary factors and personality characteristics. It can be summarized as follows: on the basis of a certain personality, the disease is caused by the stimulation of the spirit, and it can also be caused on the basis of physical diseases:
1, genetic factors: foreign data show that the incidence of this disease in close relatives of patients with snoring is 1.7% ~ 7.3%, higher than the average resident. The incidence rate among female relatives is 20%. In Fujian, China, 24% of patients reported positive family history. It is suggested that genetic factors are more important for some patients than mental factors.
2, morbid personality: snoring morbid personality refers to the mood and personality of snoring patients, this morbid personality characteristics appear more prominent after the disease:
(1) Highly emotional: usually emotionally childish, volatility, self-willed, irritable, irritable, sensitive and suspicious, often tempered or crying because of tiny locks. Emotional reactions are too strong, and it is easy to shift from one extreme to the other. It is often exaggerated and dramatic, and it is easy for people to use things.
(2) Highly suggestive: It means that the patient can easily accept the influences of the words, actions, attitudes, etc. of the surrounding people, and the corresponding associations and reactions are called hints; some of the feelings of the time are uncomfortable to produce a corresponding association and reaction. Said to be self-suggestion. Impliedness depends on the patient's emotional propensity, such as being emotionally inclined to something or someone, and is susceptible to implication.
(3) High self-display: It has a self-centered tendency, often exaggerating and showing itself, and likes to be the center of attention. After the illness, the main manifestation is to exaggerate the symptoms and pray for sympathy.
(4) Rich fantasy: rich in fantasy, its fantasy content is vivid, under the influence of strong emotions, it is easy to confuse realization and fantasy, giving people the impression of lying.
3, mental factors: generally caused by acute traumatic stimulation, can also be caused by persistent interpersonal contradictions or inner pain. Especially when anger and sorrow cannot vent, it often leads to sudden onset of disease. In general, mental symptoms are often caused by obvious and strong emotional factors. Physical symptoms are often caused by suggestive or self-suggestion. The mental factors of the first onset often determine the future form of the disease, the characteristics of the symptoms, the course of the disease and the outcome. Although the intensity of mental stimulation is not large at the time of recurrence, there is no obvious cause of objectiveness. Because of the feelings of touching the scene, Lenovo has aroused the same emotional experience and reaction as the first onset, and the symptoms of similar patterns appear.
4, physical factors: in some physical diseases or poor physical condition, due to the weakening of the cerebral cortex function and become the pathogenesis of snoring. Such as craniocerebral trauma, acute febrile illness, pregnancy or menstrual period.
Pathogenesis: Scholars explain from different perspectives of psychology, biology, and physiology. According to the principle of repression, the psychodynamics believes that the desire to be oversuppressed by super-I am not in the form of camouflage, through "conversion" or into symptoms. From the point of view of the pathophysiology of advanced neurological activity, the Pavlovian school believes that the weakening of high-level neurological activity (especially the second signaling system) in patients with snoring causes the first signaling system regulated and controlled by it to be relative to the activity of the cortical site. Enhancement or de-inhibition is the pathophysiological basis of the symptoms of snoring.
"Reflection" says that the school believes that the symptoms of hysteria are a primitive, instinctive response of the nervous system, which can be strengthened by secondary benefits, or habitualized by conditional reflexive connections, and becomes an active response. The form of this view is based primarily on the treatment experience of wartime snoring and may not be applicable to patients in peacetime.
Examine
an examination
Related inspection
Neurological examination of brain CT examination
Occupational neurosis: This is a type of motor coordination disorder that is closely related to occupation, such as writing snoring, heavy writing tasks, fatigue, hand muscle tremors, paralysis, inability to use fingers, forearms or even the entire upper limb. Manual movements return finger movements to normal.
Diagnosis
Differential diagnosis
Compensatory neurosis: often occurs after an accident at work or after a traffic accident. After treatment, the patient's physical trauma has recovered, but because of some unexpected care and benefits after the injury, such as not being able to go to work, being cared for in life, being financially compensated, etc., the patient has a subconscious mind and is unwilling Lose these benefits. Then I imagined that my symptoms persisted, so that some mild, even unrelated symptoms were gradually amplified. Over time, it was easy to make a false impression, so that these symptoms were fixed and persistent. In clinical examinations, doctors often cannot find the corresponding signs to explain these symptoms, because this is a neurosis.
Neurosis: The patient has reduced mental activity, often has anxiety and annoyance, or suffers from various physical discomforts. Physical examination cannot find brain organic disease or physical disease as the basis of his clinical symptoms; self-knowledge Mostly good, no persistent psychotic symptoms; usually do not confuse their morbid experience with objective reality, that is, the patient's actual ability to test is ultimately compromised; behavior generally remains within the limits of social norms, can be understood and accepted by others Often urgently demanding treatment.
Neurosis associated with epilepsy: a common symptom of clinical manifestations of mental disorders associated with epilepsy. Mental disorders associated with epileptic seizures can occur before, during, and after seizures, and can present persistent mental disorders during seizures.
Occupational neurosis: This is a type of motor coordination disorder that is closely related to occupation, such as writing snoring, heavy writing tasks, fatigue, hand muscle tremors, paralysis, inability to use fingers, forearms or even the entire upper limb. Manual movements return finger movements to normal.
