Social sensitivity disorder

Introduction Social sensitivity disorder is a tendency to feel uncomfortable and oppressed in front of others and to avoid contact with others. It is generally an introverted deviation behavior. Students with social disabilities are ashamed to act, often evading possible interpersonal situations with an excessive sensitivity, lest they be subject to any potential criticism and resulting humiliation and uneasiness. They fear to face social situations, fear others' negative comments on themselves, fears are rejected, people are left out, fears are intimate contact. The negative impact on the growth of children and adolescents is multifaceted: it is difficult to make new friends, and it is difficult to share intimacy and care with others; it is difficult to communicate effectively with others, thus hindering the expression of their opinions and the maintenance of their own rights and interests; Misunderstandings of others hinder the correct assessment of others, because students with social disabilities always give an impression of being unfriendly, untrustworthy, unfair, and lacking in enthusiasm, making it difficult for others to understand his true ability; Strengthened his frustration, loneliness, and inferiority.

Cause

It is mainly acquired, but also has genetic and physical reasons. Social withdrawal children are more docile and timid, lacking the spirit of exploration for new things. There was no formation of a secure attachment in the early days, which would have a negative impact on future interpersonal interactions. Some children are weak or sick, have some defectual obstacles, lack self-confidence, and dare not interact with others, thus losing the opportunity of social skills practice, a vicious circle, leading to withdrawal. Parents divorce, family stability declines, interpersonal atmosphere is tense; parents are indifferent to children's psychological needs, rejection, restrictions, expectations are high; or excessive protection and indulgence of children, making children dependent, poor independence, not accepted by peers It is easy to experience setbacks; the lack of social contact between parents and the limited opportunities for children's interactions are related to the formation and development of children's social withdrawal. After the child enters school, the teacher's negative evaluation, public reprimand and humiliation, continuous punishment, damage their self-esteem, and will also enhance children's social withdrawal tendency.

an examination

Related inspection

Child growth and development detection brain nerve examination

1. Repeatedly refused to go to school.

2. Drop out of school.

3. Not with friends.

4. Self-evaluation is too low.

5. Alcohol and drug abuse.

6. Inadequate to the school and other activities.

7. The continuation of social anxiety disorder after growing up.

Judgment and examination can be carried out according to the above characteristics.

Differential diagnosis

Differential diagnosis of socially sensitive disorders:

1. Autism: Child autism used to be called infantile autism and autism in children. It is related to psychological activities in children's perception, language and thinking, emotion, movement and social interaction. It is a developmental disorder. In taxonomy, it is currently classified as a category of psychological developmental disorders, called pervasive developmental disorders. The prevalence rate is about 4 to 10/10,000 for children according to Western reports. There have been very few reports in the past in China, and they have gradually increased in recent years. Boys are more common (male: female is about 5:1). The cause of this disease is unknown. Twin studies suggest that the same rate of disease in single-female twins is higher than that of double eggs. Both EEG and brain imaging have higher abnormal rates, but they are not specific. There are also many soft signs of the nervous system. Some diseases, such as patients with fragile X syndrome, are also associated with symptoms of autism. The earliest incidence of autism was reported to be 2-4/10,000. Epidemiological studies show that boys are significantly more than women, male: female is 4:1. There is no epidemiological investigation in China.

2, selective mutism: selective mutism is a mental disorder, (Selective Mutism, SM) is the child in some occasions that need speech communication (such as school, stranger or a lot of people, etc.) A clinical syndrome that "refuses" to speak and is characterized by normal speech on other occasions. Children often speak actively at home, but refused to speak with their teachers or classmates at school. Chinese people are more introverted. Children do not speak when they start kindergarten or elementary school. They are often overlooked by reasons such as introversion and shyness, which may cause children to be discovered and healed in time. More often in the 3 to 5 years old, girls are more common. Patients are anxious or extremely shy in certain situations, and even if they can speak, they dare not speak. With the increase of social pressure, the increase of social conflicts, the increase of social mobility, the increase of family problems and family conflicts, the factors that cause SM increase, and the number of children with SM in China not only exists, but also increases.

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