Obscene behavior

Introduction It refers to an obscene act carried out by means other than sexual intercourse for the purpose of stimulating or satisfying sexual desire. Sexual harassment of immature adolescents can be considered as awkward even if the subject is unclear and does not defy or obey. The judgment of defamation behavior is very much related to social customs. Tourette syndrome is a primary central nervous system extrapyramidal disease characterized by multiple intramuscular twitching and convulsive speech. Some patients have sputum speech, repeated speech, imitative speech, a few swearing behaviors, imitative movements and compulsive behaviors that do not adapt to society.

Cause

1. Genetic factors: Many studies suggest that genetic factors play an important role in the occurrence of the disease. The disease has a clear family tendency.

2. Organic damage of the central nervous system.

3. Central nervous system abnormalities

(1) Dopamine hyperactivity or dopamine receptor hypersensitivity.

(2) The role of sex hormones and excitatory amino acids.

(3) Norepinephrine (NE) dysfunction hypothesis.

4. Mental factors: The disease may be related to psychosocial factors. Trauma, life events (such as poor family environment, incorrect educational methods, parent-child unequal), excessive mental stress, stress or mood swings can induce or aggravate tics, and tics may be a manifestation of desire to be suppressed and rebellious. .

5. Infection and immune factors: Patients with slumber encephalitis with eye movement and herpetic encephalitis may have clinical manifestations of Tourette syndrome.

an examination

Related inspection

EEG examination

Diagnosis of sputum behavior:

1, medical history: childhood (2 ~ 15 years old) onset, slow occurrence and development, more sustained life, but there are volatility.

2, symptoms and signs: 1 muscle twitching. Sudden involuntary muscle twitching, affecting different parts of the body and appearing in a variety of styles, such as blinking, grinning, facial eccentricity, neck shrug, arm throwing, kicking, kicking, hiccup, blasting It seems to clear throat or cough. At first, it is mostly 1 to 2 kinds of movements on the face, and new movements can be added as the disease progresses, or the original movement can be replaced by several other movements. Involuntary tics are aggravated by nervous excitement, diverting attention and reducing, but also can be controlled for a short time, disappearing during sleep. 2 proverbs. Some patients have sputum speech, repeated speech, imitative speech, a few swearing behaviors, imitative movements and compulsive behaviors that do not adapt to society. 3 neurological examination can sometimes find mild positive signs.

3, auxiliary examination: EEG can have mild abnormalities. The routine test of blood cerebrospinal fluid is normal. Blood biochemical tests, generally normal, sometimes found that 5-HT levels are reduced. More normal ECG. The brain CT is more normal. Skull MRI may reveal asymmetry in the basal ganglia of both sides, and the left globus pallidus is significantly smaller than the right side in patients with Tourette syndrome with attention deficit. Head SPECT examination showed a localized perfusion reduction in the temporal, frontal, and basal ganglia.

4, exclude mild brain dysfunction, small chorea and so on.

Differential diagnosis

Differential diagnosis of sputum behavior:

Sexual harassment is a form of sexual discrimination that abuses power through sexual acts and bullies, threatens, intimidates, controls, suppresses, or erodes others in the workplace and other public places. There are no uniform definitions of sexual harassment. It is generally considered that there are three ways to establish an environment, including verbal, action, and artificial.

Defamation behavior: First of all, defamation behavior is qualitatively prescriptive. Second, defamation and identity are the same. Again, the behavior is relative. Finally, the defamation behavior also has a changeability.

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