MENTAL ILLNESS : PSYCHASTHENIA (PSYCHASTENIA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
It occurs mainly on the background of anxiety and doubtful character. Contributing issues are exogenous factors. Onset is often associated with physical and mental exhaustion and injuries. According to Pavlov, the basis of Intrusive phenomena are two pathophysiological mechanism. If normal, the nervous system is characterized by the ease of transition from excitation to inhibition and back that can easily create temporary functional structure, when the obsessional States tend to linger, to get stuck on certain conditions. This so-called pathological inertia. School Pavlov also provides a physiological explanation of the fact that patients outside their obsessive ideas, centered around certain issues or events can behave correctly. This is due to the open Pavlov law systemic effects occurring in the Central nervous system. The processes may be limited to specific areas of the brain and other areas not detect functional disorders. This so-called isolated sore point. Status incorrect response to external stimuli and pathological state of inertia can be limited to certain pockets, without affecting the brain in General. It is not about topographically restricted foci and foci, which represent a single physiological system.
Pavlov separates the obsessions psychasthenia as disorder, with its basis in the mentioned pathological lesions inertia and may develop in patients with different type of nervous system, psychasthenia as a special warehouse personality. The identity of psychasthenia is characterized by the predominance of cortical activity over and subcortical imbalance of both signaling systems in the sense of predominance second when the relative weakness of the first signal system. Hence the lack of real feelings, a tendency to barren and distorted reasoning in the form of obsessions, phobias, etc.
Symptoms. In the mental picture is dominated by:
For Psychopathy (see).
Recognition from schizophrenia: when psychasthenia no major schizophrenic symptoms, degradation, emotional dullness, has a lively, intense effect, critical attitude to his oddities, not to mention the lack of splits, hallucinations, delusional ideas, etc. in Addition, obsessive-compulsive disorder in schizophrenia are associated with cleft defects, with symptoms of depersonalization.
Prevention is especially important in childhood, as soon as detected features psihasteniceskie nature (uncertainty, anxiety). The great value has the full involvement of the child in the team, activating sport, physical education, teaching crafts.
The problem of rational psychotherapy comes to the education of the will; it is shown that strict employment regime. Long rest can be harmful. In order to overcome obsessions appropriate rational distraction - sports, traveling. It is important to ensure that vital functions of the patient, despite the presence of these disease symptoms was not significantly suffer.
Of physiotherapeutic measures: