??? ?? (Disorders of thinking or Thought disorders)

1
???? ??(2.??? ??)

• ????? ????
• ???

2
??? ??(Disorders of thinking or Thought
disorders)
3

• ??
• ?. ??, ??, ??? ?? ??? ??? ???? ????, ??? ??? ????
  ??
• ?. ?? ??(internal behavior)??, ????? ???? ??.
• ?. psychobiological integration? ??? ?? ??? ????
  ??

4

• ????? ??(?????)
• 1) ?? ??? ??
• 2) ?? ??? ??
• 3) ?? ??? ?? ??

5
1) ?? ??? ??(Disorders in form or process of
thought)

• unrealistic thought, day-dreaming, autistic or
  dereistic thought
• 1. ??? ??? ???? unconscious complexes, impulse,
  emotion? ?? ??
• 2. ?? ??? ?????? ????? ????

6

• 3. frequent in SPR, by E. Bleuler
• ? Mental disorder(????) ?? ??? ??? ???? ????
  ??, ????? ??? ???? ????? ?? ?? ?? ?? ??? ???

7

• daydreaming(???) ??? ??????, ????? ??? ??? ???
  ?? ??
• mental disorder(????) ??? ??????, ???? ??? ??
  ??

8

• ? Neurosis(???) ????? ????, ??? ?????(??? ????
  ? ??)??, ??? ??? ????? ???? ??, ??? ?? ??? ???
  ????? ???? ???? ????? ??? ??? ?? ??? ???? ???
  ??? ?? ?? ??? ??? ?? ??.

9

• ? Psychosis(???) ??? ??? ???? ??? ??. ?, ?????
  ??? ??, ??? ??? ??
• ? Reality testing(????) ??? ?? ????? ?????
  ???? ???? ? neurosis? psychosis? ????? ?? ??

10

• ? Formal thought disorder(????? ??) ????? ??
  ????? ??. ?, ??? ??? ??, ????, ???? ??? ????,
  ????? ???
• ? Illogical thinking(???? ??) ??? ?? ?? ?? ???
  ?? ??. ??? ??? ?? ??? ?? ???? ??? ??? ? ?????

11

• ? Dereism dereistic thinking(???? ??) ??? ???
  ???? ?? ????(???). ?, ???? ??(??, ??, ??? ?? ?)?
  ??? ???? ???? ??? ??? ????? ??. ??? ??? ???? ???
  ???? ???? ???.

12

• ? Autistic thinking(??? ??) ??? ?? ?? ???? ??
  ??? ????? ????, ??, ??? ??? ???? ?? Dereism? ??
  ??? ???
• ?? ??? ??? ???? ???? ??? ???? ??? ??. ??? ??.

13

• ? Magical thinking(??? ??) ??? dereistic
  thought. Piaget? ?? ?? ?? ??? ??? ??.
• ??, ?, ??? ?? ?? ???? ?? ??(?, ??? ??? ???
  ????? ?? ?? ?? ??? ?? ??)

14

• ? Concrete thinking(??? ??) ??(?) ???? ??(????
  ??? ?? ? ? ??). ??? ???? ???? ?? ??? ??? ???
  ???? ??
• ? Abstract thinking(??? ??) ??? ???? ??(??)??
  ?? ??? ??? ??? ???? ??? ?? ???? ??

15
? Specific disturbances in form of thought

• 1. Neologism(????, ???) ??? ?? ?? ??? ??? ??
  ??? ?? ?. ?? ?? ??? ??? ????, ??? ??? ??? ??
• 2. Tangentiality(????) ?? ????? ??? ??? ???
  ?. ??? ????? ?? ?? ??? ?. ????? ??? ??? ????. ???
  ???? ??? ??? ?? ???.

16

• 3. Condensation(??) ?? ?? ??? ??? ?? ?
• 4. Irrelevant answer(????, ????) ??? ??? ???
  ??? ??? ??? ??? ?? ?? ???? ?? ?? ??.
• 5. Loosening of association(??? ??) ??? ???
  ???? ?? ?? ??? ??? ??? ?? ??? ??
  ????(incoherent)? ??? ???.

17

• 6. Derailment ??(blocking)?? ??? ??? ?? ?? ???
  ???? ?
• 7. Glissolalia ???? ?? ??? ?? ????
  ???(revealatory message)? ???? ?(????? ?) ???
  ??? ??? ??? ????? ? ? ??.

18
2) ?? ??? ??(Disorders of progress of thought)

• ??????? ???? ????? ????? ?? ?? ????? ???? ??

19
? ????(Flight of idea)

• ????? ???? ????? ????? ?? ?? ????? ???? ??
• ?. ??? idea?? ?? idea? rapid degression(????
  ??? ?)? associative activity? ??? ??
• ?. idea? quick succession? ??? ???? goal idea?
  ???? ??
• ?. flight of idea inner drive? acceleration?
  distractibility? ??

20

• ????(clang association) ??? ?? ??? ??? ???? ??
  ??? ??
• ??? ??? ??? ????? ???? ??? ???? ??
• ??? ??? ????? ???? ? ? ??
• ? ???(Retardation) ??? ??? ??? ?? ??
• speech slow lower
• ??? MDI? depressive phase, SPR

21

• ? ???(Perseveration)
• ??? ??(?? ?..)? ???? ??? ??? ?? ????(??)? ??,??
  ???? ?. ?, ?? ?? ???? ?? ??. ? ??? ????? ????

22

• ? ???, ???(Circumstantiality)
• ????? ??? ??? ???? ???? ??? ??? ??? ?? ??
• ?? ?????? ?? ??? ????? ??? ??? ?? ?????? ??

23

• ??? ??? ?? ?? ? ??? essential? non-essential?
  ?? ??? ?? ??
• e.g. mental retardation, epilepsy, moderately
  advanced senile dementia, OMD, normal
• ??? ???(???? ??? ?? ??, ???? ?? ??? ???)

24

• ? ?????(Incoherence)
• ?c.f. coherence ??????
• ????? ??? ? ?? ??
• ??? ??? ??? ?? ??? ???? ???? ?? ??? ?? ?

25

• a. scattered(??)
• b. verbigeration(???) ??? ???? ???? ????? ??
  ?? ?? ??? ?? ??? ???? ??
• c. word salad(???) ??(??? ??)? ??? ?? ? ????
  ?? ???? ??

26

• ? ??, ??(Blocking) (thought deprivation or
  obstruction, ????, ????)
• ?? ??? ?? ??? ?? ?? ??? ??? ???? ? ?? ? ??? ??
  ?? ?? ?? ?? ?? ???? ?? ?? ??. ? ?? ??? ???
  complex? ??
• ??, ?? ?? ??? ??, ???? ??? ???? ????? ? ? ?????
  ???? ?
• ??? ??? ??, ??? ??? ??? ??? ??? ??.

27
? Disturbances in speech

• 1. Pressure speech(????) ?? ??? ?? ?? ???? ???
  ???? ??? ??.
• ?? ???? ??? ????? ????.

28

• 2. Volubility(Logorrhea) ?? ?? ????? ??. ???
  ??? ????? ??.
• c.f. ??? ???? ??? ?? ???? ?? ??.
• 3. Poverty of speech(????) ???? ?? ?? ???? ??.
  ??? ???? ??.

29

• 4. Nonspontaneous speech ?? ????? ??? ???? ???
  ???? ??. ??? ?? ????? ???.
• 5. Poverty of content of speech ?? ?? ???? ??
  ??? ????? ??? ??? ?? ?? ???? ??? ?? ?? ??? ??? ?
  ?? ??.

30

• 6. Dysprosody(????) ???? ?? ??? ??? ?
• 7. Dysarthria(????) ??? ??? ex) ?? ????
  ??(???)
• 8. Excessively loud or soft speech ???? ??
  volume? ?? Psychosis, ???, ?? ? ??? ???? ??

31

• 9. Stuttering ?? ?? ?????? ???? ??
• 10. Cluttering ????? ????? ?? ???? ? ?? ??? ???
  ??

32
? Aphasic disturbances(disturbances in language
output)

• 1. Motor aphasia(??? ???)
• ?? ??? ?? ??? ??? ?? ??. ??? ????? ??. ??
  ????? ?? ??? ???. ?? Broca's aphasia, Nonfluent
  or Ewpresive aphasia?? ??.
• OMD? ? ?? ??? ?? ? ??
• Aphasia ?? ??? ?? ???? ?? ?? ?? ????.

33

• 2. Sensory aphasia(??? ???) ??? ??? ??? ?? ???
  ???? ??? ?? ?? ?? ??? ???? ???? ? ??? ??? ??
  ???.
• ?? Wernike's, Fluent or Receptive aphasia?? ??.

34

• 3. Nominal aphasia(??? ???) ??? ?? ??? ??? ???
  ??? ?? ??. ?? anomia? ??.
• 4. Syntatical aphasia(??? ???) ??? ???? ???
  ????? ??.
• 5. Jargon aphasia ??? ??? ???? ???. ???? ?? ??
  ???? ??.
• 6. Global aphasia(??? ???) ?? ???? ???
  aphasia? ???? ?? aphasia.

35
3) ?? ??? ??(Disorders of content of thought)

• ? ??? ??? ?? ??(Trends Overdetermined or
  Overvalued Idea)
• ????? ??? ??? ??? ?????, ????? ?? ??? ??? ???
  ??
• e.g. ???? ??, ????....
• ????? ? ????? ??? ?? ??? ?? ??? ??
• ????? ???? ??? ????.

36

• ? ??(Delusion) ??? ??(false beliefs)
• ????? ?? ??? ??? ?? ??? ????.
• ??
• - ?. ??? ???(?? ???? ??? ???? ????)
• - ?. ??? ?? ?? ??? ?? ??? ?? ??
• - ?. ????????? ??? ??? ?? ??? ??
• - ?? ??? ??, ??, ???, ??? ? ?? ??, ?? ???....

37
? ??? ??

• ????(delusion of grandeur, expansive delusion,
  grandious delusion)
• ??? ???, ?, ???? ?? ??? ??? ??? ??(exaggerated
  conception of one's importance, power or
  identity).

38

• ????? ???? ???? ??? ??
• ???? ???? ??? ???? ???? ??? ?? ???? ???.
• ?? inadequacy, insecurity, inferiority
• ???? ?? ?? ??? ??, ??, ???? ??

39

• 2. ????(delusion of self-accusation)
• over severe superego ???? ?? ????.
• ??? ??? ??? ????? ???? ? ?? ????? ?? ??? ?? ???
  ??? ?? ??. ???? ????? ???? ?.
• e.g. ????, ????, ????, ????
• ???? ???, ??, ??? ???

40

• 3. ????(delusion of persecution, persecutory
  delusion)
• ????? ?? ???? ?? ???.
• most frequent form, chronic psychotic state
• hostility aggression? projection
• ??? ???? ??? ??. ??? ??? ??. ??? ??? ?? ??
  ??(false belief that one is being harassed,
  cheated, or persecuted).

41

• ?? ??? ?? ???? ??? ???? ??? ???? ??? ??? ?????
  ?? ??.
• ??? ??? ?? ??????? ?? ??? ????.
• paranoid delusions ????, ????, ?? ?? ?? ???
  ????? ??
• ????dequsion of persuing
• ????

42

• 4. ????(delusion of reference)
• ????? ??? ??? ??? ??? ?? ??
• ?, ??? ??? ??? ?? ??????? ?? ??
• (false belief that the behavior of others refers
  to oneself)
• ex) ?? ???? ??? ???? ????, ???? TV?? ?? ????.
  ???? ??? ??.

43

• cf. idea of reference ???? ??? ??? ?? ???? ???
  ?? ??? ??? ????? ???? ??.
• ????? ???? ??? ?? ??? ??

44

• 5. ????, ???? ? ????(delusion of sin, guilt,
  impoverishment illness)
• ??? ? ?? ??? ?? ???? ???
• emotion? ???? ??? ??, ????

45

• 6. ????(somatic delusion)
• ??? ??? ??? ???? ?? ??(false belief involving
  functioning of one's body)
• e.g. ?? ?? ??? ??.

46

• 7. ????(delusion of infidelity/ delusional
  jealousy)
• ??? ?? ?? ???? ?? ??? ?? ??? ????? ?? ??
• (false belief derived from pathological jealousy
  that one's lovers is unfaithful).
• ???? ?? ??? ??

47

• 8. ????(idea of illness)
• illness? ???? ?? unacceptable hostile drive?
  ?? punishment? ??
• originated in identification with hated person
• 9. ????(idea of poverty)
• false belief that one is bereft, or will be, of
  all material possessions
• depression? ??
• ????? ?????? ??
• ex) ???? ?? ?? ? ??.

48

• 10. ????(nihilistic delusion)
• ?? ??, ??, ?? ??? ???? ??? ??? ? ???. ??? ???
  ?? ??(false feeling that self, others, or the
  world is nonexistent or ending)
• ????? ??? ? ??.? ????? ?? ? ??? ??? ???
• ?? ????, ??? ????, ??? ?? ????.
• ???? ??? ??? ? cf. ????

49

• 11. ????(delusion of control)
• ?? ??? ??, ??, ?? ??? ??? ?? ??? ???? ??? ??
  ??.
• ????(passivity feeling)/??? ??(idea of control)
• ??? ???? ??? ??? ?? ?? ??? ??? ??? ??(false
  feeling that one's will, thoughts, or feeling are
  being controlled by external forces)

50

• ?) ????(thought withdrawl)
• ??? ??? ?? ?? ??? ?? ??? ??? ?????? ???? ??? ??
  ??(delusion that one's thoughts are being removed
  from one's mind by other people or forces)

51

• ?) ????(thought insertion)
• ?? ??? ?? ?? ??? ?? ?? ??? ???? ???? ??? ?? ??
  (delusion that thoughts are being implanted in
  one's mind by other people or forces). ??? ???
  ??? ?? ????.

52

• ?) ????, ??(thought broadcasting)
• ??? ??? ???? ???? ?? ??, ??? ?? ???? ??? ???
• (delusion that one's thought cal be heard by
  others, as though they are being broadcast into
  the air)
• ?) ????(thought control) ??? ??? ?? ?? ??? ??
  ?? ???? ??? ?? ??.

53

• ? ????(delusion of loving)
• ? ???(erotomania) ?? ??? ??? ?? ??? ??? ???
  ??./ ?? ??? ??? ?? ???? ??? ??. ???? ??.
• ? ???????(phantom lover syndrome) ???? ?? ??
  ?? ?? ??? ??? ???? ??? ??? denial
• ? De Clerambault? ??? ??? ??? ??? ????? ??? ??
  ??? ??? ??? ??.

54

• 12. ????(suicidal thoughts)
• ???? ??.
• ?? ??? ?? ???? ??, ????, ??? ??, ????, ????,
  ???? ???

55

• 13. ?????, ???(Hypochondria)
• ??? ??? ???? ??? ?
• ??? ?? ?? ??? ??? ??? ??? ?? ?? ?????? ?????
  ???? ??? ??? ?? ???? ???? ?
• symptomatology depressive background,
  overconcern to physical health, obssesive idea,
  involutional period? ??

56

• ?? depressive affect? ???? ???? ??? ??? ??? ???
  ???? ??? ??? ???? ???? organ? ?? ???? ??? ?? ????
  ??.
• e.g. involutional depression, SPR,
  hypochondriacal neurosis

57

• 14. ????(obssesion)
• ??? ???? ???? ???? ????? ?? ??? ???? ????,
  ????? ?? ??? ???? ??? ??? ???. ??? ???? ??.
• cf. Compulsion
• ??? ???? ?? ????? ???? ??? ????? ??. ????
  ??, ??, ???

58

• 15. ??? ??(delusion of possession)
• ??, ??, ??? ??? ? ?? ??? ????? ??
• 16. ????(delusion of rejection) capgras syndrome
• ??? ?? ??? ??? ???? ?? ??? ??? ?????? ??.
• 17. Egomania ??? ????

59

• 18. Monomania ? ??? ?? ??? ??
• 19. Pseudologia fantastica(??? ??), ?? ??, ??? ??
• ??? ?? ??? ?? ??? ??? ???? ??? ??? ??? ??? ???
  ????? ???
• ex) ???-??? ???. ??? ??, ??, ??, ??? ?? ?? ??? ??

60

• 20. Imposter ?? ??? ???? ???, ???
• ???? ??, ???? ??, ???? ??? ?? ?? ??? ????? ??
  ??? ???? ???? ???? ? ??.

61

• 21. ???(Phobia) obsessive phobia? ??? ? ??.(????
  ???)
• ?? ??, ??? ??? ??? ??, ?? ??? ???? ?? ?? ???
  ??? ??, ?? ?? ??? ????? ???? ?? ??. ????? ???
  ?????? ??? ?? ??? ??.

62

• morbid anxiety? ?? ??
• common phobia--- fear of dirt, bacteria, cancer
• a. simple phobia(????) ??? ?? ??? ?? ?? ??.
• b. social phobia(????) ?? ?? ??? ? ??? ?? ???
  ?? ??
• c. acrophobia(????)

63

• d. agoraphobia(????)
• e. algophobia(????)
• f. caustrophobia(??, ????) elevator ??
• g. xenophobia ???? ?? ??
• h. zoophobia(????)

64

• ??(Fantasy) ???? ??? ? ?? ?? ????? ??? ?? ???
  ??
• ? ??? ??
• ? ??? ?? ??? ? ?? ??