Mechanically repeating the words or actions of those around you

Introduction Mechanically repeating the words or behaviors of the surrounding people is a behavioral disorder of the will, found in schizophrenia. Sometimes the patient mechanically performs any external request (passive obedience) and allows anyone to place his or her own posture. For example, if the patient raises one leg, the patient can maintain the posture given for a period of time (wax-like flexion), or Mechanically repeat the words or behaviors of the people around you (imitation of language, imitation of movements).

Cause

Schizophrenia is a very complex disease, both biologically and methodologically. The etiology, pathogenesis, treatment and prevention of schizophrenia have been the central topic of psychiatric research. The traditional medical model emphasizes the cause of biological. According to this view, schizophrenia is a disease of unknown cause. Because, since the discovery of pathogenic microorganisms, people are accustomed to regard the cause of various diseases as a single factor. If a single cause cannot be found, it is considered "the cause is unknown." Many common diseases can be considered as unknown causes, such as high blood pressure and gastric ulcer. Schizophrenia certainly belongs to this category. However, this traditional concept has changed, reflecting the changes in disease patterns since the 1970s, from the original biomedical model to the bio-psycho-social model. This means that for most diseases, the onset of the disease is not absolutely dependent on a single factor. For example, after infection with M. tuberculosis, it is not necessary to have tuberculosis (in fact, most of them do not have tuberculosis). Whether or not the disease is determined depends on the spirit of the time. And physical condition, which in turn is closely related to its environmental conditions. As far as schizophrenia is concerned, some people think that it is also caused by a combination of many factors.

Genetic factors: The results of population genetics studies prove that schizophrenia is a complex disease with multiple genes, and its heritability is 60%-80%. Therefore genetic factors are the most likely quality factor for schizophrenia. The earliest family studies found that relatives of schizophrenia patients had a higher probability of suffering from the disease than the general population, and the prevalence increased with the close relationship of the blood relationship; the more serious the illness, the higher the probability of relatives.

Biological and psychosocial factors in the environment: In addition to the important role of genetic factors in the cause of schizophrenia, the psychological stress in the environment and the impact of physical diseases have always been an important aspect of the etiology of the disease. Many materials indicate that schizophrenia is related to psychosocial factors, but the psychological factors that determine schizophrenia have not yet been discovered.

Association barriers: initial manifestations of schizophrenia, loose thinking (sloppy thinking), ruptured thinking, logically inverted thinking, interrupted thinking, emerging thinking (mandatory thinking) or lack of thinking content and pathological symbolic thinking.

Affective disorders: apathy, dullness, emotional dissonance (inappropriate), and emotional inversion or self-smiling (smirking).

Decline in will activities: less movement, solitude, passiveness, withdrawal; poor social adaptability and decline in social function; behavior is bizarre, introverted; intentional inversion.

Other common symptoms: delusion is a manifestation of schizophrenia. Features are mostly unsystematic, generalized, absurd and bizarre; primary delusions (delusional perception); hallucinations, verbal illusory auditory, commentary, imperative Listen, other mental symptoms such as mental disorders and stress disorders.

an examination

Related inspection

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Schizophrenia is a very complex disease, both biologically and methodologically. The etiology, pathogenesis, treatment and prevention of schizophrenia have been the central topic of psychiatric research. The traditional medical model emphasizes the cause of biological. According to this view, schizophrenia is a disease of unknown cause. Because, since the discovery of pathogenic microorganisms, people are accustomed to regard the cause of various diseases as a single factor. If a single cause cannot be found, it is considered "the cause is unknown." Many common diseases can be considered as unknown causes, such as high blood pressure and gastric ulcer. Schizophrenia certainly belongs to this category. However, this traditional concept has changed, reflecting the changes in disease patterns since the 1970s, from the original biomedical model to the bio-psycho-social model. This means that for most diseases, the onset of the disease is not absolutely dependent on a single factor. For example, after infection with M. tuberculosis, it is not necessary to have tuberculosis (in fact, most of them do not have tuberculosis). Whether or not the disease is determined depends on the spirit of the time. And physical condition, which in turn is closely related to its environmental conditions. As far as schizophrenia is concerned, some people think that it is also caused by a combination of many factors.

Genetic factors: The results of population genetics studies prove that schizophrenia is a complex disease with multiple genes, and its heritability is 60%-80%. Therefore genetic factors are the most likely quality factor for schizophrenia. The earliest family studies found that relatives of schizophrenia patients had a higher probability of suffering from the disease than the general population, and the prevalence increased with the close relationship of the blood relationship; the more serious the illness, the higher the probability of relatives.

Biological and psychosocial factors in the environment: In addition to the important role of genetic factors in the cause of schizophrenia, the psychological stress in the environment and the impact of physical diseases have always been an important aspect of the etiology of the disease. Many materials indicate that schizophrenia is related to psychosocial factors, but the psychological factors that determine schizophrenia have not yet been discovered.

Differential diagnosis

Mechanically repeating the speech or behavioral symptoms of the surrounding person requires the following identification.

Mental illness, also known as mental disorder, is the result of abnormal brain function. Existing instruments and equipment can not detect the destructive changes in brain structure. According to available data, psychosis is caused by a disorder in the biochemical processes in the brain of patients. Some patients have more central nervous media, some lack certain central nervous media, or some metabolic products in the brain. Due to excessive accumulation within. Because the brain function of mental patients is abnormal, these patients have obvious abnormalities in mental activity, such as inexplicably talking to themselves, crying and laughing, sometimes roaring on the wall or against the air, sometimes the clothes are not uniform, and even naked in front of the public. .

Neuropathy is an abbreviation for neurological diseases. It has been mentioned above that the nervous system is an important system in the human body. It coordinates the functions of various organs inside the human body to adapt to changes in the external environment and plays the role of "Command". Any condition that can damage and destroy the nervous system can cause nervous system diseases. For example, head trauma can cause concussion or brain contusion; bacterial, fungal and viral infections can cause various types of encephalitis or meningitis; congenital or hereditary diseases can cause brain development in children; hypertensive cerebral arteriosclerosis Can cause cerebral hemorrhage and so on.

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