Patients with affective flattening show relatively immobile and unresponsive facial expressions, often accompanied by poor eye contact and little body language or movement.Īlogia refers to difficulty with speaking. Affective flattening, distinguished by a restricted range of expressed emotions, is a fairly common negative symptom among some schizophrenia patients.
Negative Symptoms: Affective Flattening, Alogia, and Avolition Catatonia is observed with less frequency today than in past years due to advances in treating schizophrenia.
Most of the time, this is not an act or a show but rather a genuine and unpremeditated symptom of the illness that patients cannot help. Catatonic patients may also display "waxy flexibility", meaning that they allow themselves to be moved into new positions, but do not move on their own. They may assume a rigid, uncomfortable looking posture and then not move for hours or days, resisting efforts to move them. In catatonia, peoples' reaction to their surroundings becomes remarkably decreased. Most anything is possible.Ĭatatonic motor behaviors are a type of disturbed behavior (and a negative as opposed to a positive symptom) that sometimes occurs when schizophrenia goes untreated. They may even strip off their clothing and run naked through the streets, while chewing on road kill. For example, people may not dress according to the weather, (i.e., they may wear a heavy coat in the middle of summer), they may wear odd or inappropriate makeup, they may shout at people for no apparent reason, or they may mutter to themselves continuously, etc.
UNRELATED THOUGHT TRAIN FULL
Occasionally, speech is so disorganized that it becomes a completely jumbled "word salad" devoid of discernible meaning despite being full of words.ĭisorganized behavior may range from simple problems sustaining goal-directed self-care behaviors such as personal hygiene to unpredictable and bizarre socially inappropriate outbursts. Speech may be highly circumstantial, meaning that affected people may speak continuously, providing numerous irrelevant details and never getting to the point. Affected people lose their train of thought during conversations, make loose associations of topics (tangentially jumping from one topic to another apparently at random, or on the barest of associations), and give answers to unrelated questions. Positive Symptoms: The Disorganized Dimensionĭisorganized thinking becomes apparent in patients' speech patterns as schizophrenia progresses.
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