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精神科病理教學(Goal-directed abnormal patterns of behavior)
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發表人:  歐伊斯特拉夫 [ 週日 2月 06, 2011 6:04 pm ]
文章主題 :  精神科病理教學(Goal-directed abnormal patterns of behavior)

Abnormal patterns of behavior of this type occurred in nearly all

psychiatric syndromes.

Some schizophrenics,behave in childish spiteful way to other p,ts or

even doctors and nurses.

They may pull chairs away from other p,ts who are about to sit

down,punch other p,ts when no one is looking,and so on.

One who usually employed scrubbing floors, would wait until a doctor

had walked pass her and then throw the scrubbing brush at his head

with unerring accuracy.

Manics also play practical jokes; one may creeping behind a nurse who

was about to leave the ward and put some coals in the hood of her

cape ;

When she put the cape to resist the heavy rain outside,you know the

consequence.

Brutal and aggressive behavior is often socially determined , because in

some communities violence is an accepted way to settle disputes.

However,not all aggressive abnormal personalities come from this

background.

On a whole , aggression isn,t very common in chronic functional

disorders.

Some schizophrenics with gross blunting affect may become brutal or

unnecessarily aggressive when thwarted or interfered with,although

they are well behaved when alone.

Delusion–like ideas of marital infidelity are more likely to give rise to

violent or murderous behavior than are true delusions of persecution.

The jealous husband may beat or torture his wife for extraction of

infidelity confession.;ex, tied his 5 month pregnant wife,inserted match

sticks under toenail, then setting fire to persuade her to confess the

adultery.

In the popular mind murder is associated with madness, but in Britain

most murderers are unhappy abnormal people resorted murder as the

outlet of their difficulties.

Some suffered from organic state, often resulting from Epilepsy.

Schizophrenics may murder alleged persecutors , carring out

instructions by hallucinary voices, or killing others in concordance with

grandiose religious belief.

Depressives may murder their loved ones before committing suicide,or

so called ‘’ extended suicide’’.

Promiscuity in itself isn,t an indication of mental disorder,although in

the past promiscuous female dullards from lower classes have been

detained as mentally subnormal, while their middle class sisters with

same proclivities went scot-free.

Disinhibition resulting from coarse brain dz, schizophrenia,mania may

give rise to promiscuious behavior.

Thus female manic has great risk of becoming pregnant ,while male is

more liable to contract veneral dz.

Sometimes sexual perversions appeared for the 1st time after the onset

of coarse brain dz or schizophrenia.

Some cases is difficult to determine the onset with slow,

steady,ethical,and moral deterioration which finally became so marked

to be denied.

The women may became prostitutes in their drift downstream of social

scale,whereas the men are likely to become drifters and petty thieves.

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