Signs and Symptoms - VIII

Symptoms (patients' complaints) and signs (observations)

© Sam Vaknin

Nov 8, 2006

Incomprehensible speech, rife with severely loose associations, distorted grammar, tortured syntax, and idiosyncratic definitions of the words used by the patient ("priva


Symptoms are the patient's complaints. They are highly subjective and amenable to suggestion and to alterations in the patient's mood and other mental processes.

Ideas of Reference

Weak delusions of reference, devoid of inner conviction and with a stronger reality test. See: Delusion.

Illusion

The misperception or misinterpretaion of real external - visual or auditory - stimuli, attributing them to non-existent events and actions. Incorrect perception of a material object. See: Hallucination.

Incoherence

Incomprehensible speech, rife with severely loose associations, distorted grammar, tortured syntax, and idiosyncratic definitions of the words used by the patient ("private language"). A loosening of associations. A pattern of speech in which unrelated or loosely-related ideas are expressed hurriedly and forcefully, using broken, ungrammatical, non-syntactical sentences, an idiosyncratic vocabulary ("private language"), topical shifts, and inane juxtapositions ("word salad"). See: Loosening of Associations; Flight of Ideas; Tangentiality.

Insomnia

Sleep disorder or disturbance involving difficulties to either fall asleep ("initial insomnia") or to remain asleep ("middle insomnia"). Waking up early and being unable to resume sleep is also a form of insomnia ("terminal insomnia").

Loosening of Associations

Thought and speech disorder which involves the translocation of the focus of attention from one subject to another for no apparent reason. The patient is usually unaware of the fact that his train of thoughts and his speech are incongruous and incoherent. A sign of schizophrenia and some psychotic states. See: Incoherence; Flight of Ideas; Tangentiality.


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