These painful mental changes are also called deficit or negative symptoms, as they constitute the patient's personality defect. The development of the personality of the deficit (defect) is closely associated with various psychiatric disorders that are not absolutely specific for the disease, but reflects her clinical picture. These so-called secondary or productive disorders (abnormal production of the brain) may be represented by various mental disorders: hallucinations, delusions, decreased or increased mood, lethargy or excitement, confusion. Causes of schizophrenia and the mechanisms of its development not been adequately studied. The leading role is played by hereditary factors. In the development of the disease are of great importance sex and age. In men, the disease begins earlier, usually takes place continuously with less favorable outcome. For women, more typical episodic course of the disease, which to some extent due to the cyclical nature of neuro-endocrine processes (menstrual function, pregnancy, childbirth), and the prognosis is generally more favorable. Malignant forms of the disease usually begin in childhood and adolescence. Symptoms and course: The clinic represented a wide spectrum of schizophrenia psychopathology. The most common are violations of the intellect and emotions. If you thought disorder patients complain of inability to focus thoughts, difficulties in mastering the material, uncontrolled flow of thoughts, obstruction, or stop thinking, parallel thinking. At the same time, they are characterized by the ability to capture a special meaning to the words, sentences, works of art. They can create new words (neologisms) to use when presenting their thoughts and creativity of some symbols only they understand abstraction. In a speech to be difficult to grasp the meaning in connection with the florid, logically inconsistent presentation of ideas. In patients with long-term unfavorable course of the disease can be observed dissociation of speech (the loss of meaningful communication between parts of sentences) or incoherence (a set of words). In addition, patients may experience intrusive thoughts (occurring beyond the will of man and alien to his personality thoughts, conscious as painful, but get rid of which he can not). It's obsessive playing in memory of dates, names, terms, haunting score, obsessive fears, ideas, arguments. The patient may spend a long time in thought about the meaning of life and death, why the earth is round, and the universe is infinite, etc. With their obsessive thoughts patient is struggling with compulsive actions - rituals that bring him for a time relieved. For example, with the fear of contracting an infectious disease, or simply the fear of dirt patient has a certain amount of time to wash your hands. If he does, then calms down a bit, if not, the fear and anxiety worse. Patients may experience delusions of erroneous judgments and inferences arising in a painful manner, are learning a fully conscious patient and not amenable to correction (the patient can not be dissuaded).
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