Gebefrenia

Gebefrenia is a particularly serious symptom that manifests itself in a specific form of schizophrenia. Of all the subspecies of manifestations, this one is rare and unreported, but it has very characteristic manifestations, and is easily distinguishable with all other subspecies. The main manifestation of gebephrenia is the unmotivated foolishness, which distinguishes it from all the remaining symptoms. These persons are very dangerous due to their auto- and heteroagression and require special skills of behavior with them. This symptom is characteristic of schizophrenia, namely, its hebephrenic form. This form manifests itself before classical schizophrenia, most common in adolescence.

Gebephrenia: what is it?

Gebefrenia is of Greek origin, which consists of two words: "hebe" - youth, childhood and "frenia" - mind, reason, soul. And if schizophrenia is the splitting of the soul, then gebefrenia is a child's soul. Also, remembering the mythology, you can talk about the goddess of youth Gebe, which is consonant with our pathology. This word expresses the time of the problem more than the problem itself. But here it is relevant, because it is the criterion for diagnosing.

According to ICD 10, hebephrenia is a subsection of schizophrenia, one of its forms. According to the classifier is number 20.1 and is a malignant form. This pathology was studied in great detail, but still much of its origin is still veiled. For the first time this pathology was studied by Kalbaum as far back as 1863, and later Hecker joined in describing such symptomatology in 1878. This unfavorable disease was first described in Germany, where the first publications were published. But much later Kraepelin did not treat her to schizophrenia, but described it as an early form of dementia. And I must say the truth is there, because in schizophrenia its specific dementia is formed. And in the case of hebephrenic it is really earlier.

Gebefrenia develops during adolescence, and this, to some extent, is associated with hormonal reorganization. In fact, having a predilection for a given illness, during the hormonal changes is subjected to the greatest tests and her, having a breach nervous system, simply does not cope with the load, showing a vivid symptomatology. It should be added that both in the Slavic ICD 10 and in the American DPM 4, gebephrenia is described as a serious disease that has a continuous and unfavorable course. But according to many data, the disease is too polymorphic to talk only about continuous flow, this indicator is variable and individual.

Although this pathology has been known for two centuries, it does not have all the data yet, so gebefrenia is studied and processed. It should be noted that this form is very rare, which affects the frequency of cases. It is statistically known that this pathology in the ratio is more susceptible to the male sex, despite the more serious female hormonal changes. There is controversy that this pathology is collective and includes several mental disorders, in fact, not meeting in its pure form. The nature of development also varies - from acute, when from a relative norm, pathology quickly changes the individual, to a slow or subacute.

Gebephrenia: causes of

Unfortunately, the individual causes of some type of schizophrenia are rarely studied, just like any pathology, mainly causes, like pathogenesis, are common in different subspecies. In this case, gebefrenia is not an exception and, like all types of schizophrenia, does not have reliable causes of development, they are all at the stage of research and disputes.

Often, any person, for the first time faced with such a person, is worried about whether her symptoms will affect her, but more often than not these experiences are unfounded.

One of the proven causes of hebephrenia is heredity. According to independent studies, it is known that the risk of having schizophrenia in an individual with one of the parents with schizophrenia is higher than in the population by 10%, and doubles it if both parents have such a pathology. The study of homozygous twins shows a correlation in the manifestation of schizophrenia in 50% of cases, which is a high index. At the same time, in families with a lack of family burdens on schizophrenia, the risk of contracting it is less than half of a percent. Thus, it can be concluded that schizophrenia is inherited, but not transmitted in communication.

As another proven factor on which treatment is based and which manifests itself as an addition to family complication is the violation of neurotransmitters. Most of this concerns dopamine, which is not properly isolated and does not interact with the desired receptors, which leads to such obvious changes in personality. Because of its excessive production and constant hyperstimulation of individual brain zones, various productive symptoms are formed. These include hallucinations and delusions. Such people think the same thoughts all the time, which turns their brain into a pathological way, violating his work.

There are some theories about viral and protozoal infection, but this is already the presence of an organic pathology that can give schizophreniform symptoms.

Psychotherapeutic theories of the emergence of psychiatric pathologies are very common in our time. And although not one therapist will undertake to treat a patient with hebephrenia or in a psychosis, yet these theories have their significance. To these theories belongs the cause of the origin of hallucinations due to the violation of the barrier with the collective subconscious. It is also believed that the duality of parents with dual attitudes and double upbringing can provoke. Dislike of parents, children feel even in the womb, which subsequently leads to significant mental disorders.

Gebephrenia: Symptoms and Signs

In addition to the criteria for schizophrenia, which has clear diagnostic steps for diagnosis, gebefrenia has individual symptoms that are unique to it. For the most schizophrenic characteristic of such signs of authentification, that is, life in its fantasy world, a complete distance from the real world. And also ambivalence with ambition, as a manifestation of the duality of the soul, the splitting of emotions and desires, while the person simultaneously loves and hates, wants to do something, but leaves, that is, simultaneously yearns for the opposite things. In addition to this pathology, apathy is inherent, as a manifestation of negative symptoms, which results in unwillingness to do anything. And although there is a misconception that the main thing in schizophrenia is hallucinations or delirium, the main criterion is the splitting up of mental activity, which is characteristic exclusively for schizophrenics.

There are some special features for the criteria of gebefrenia. This is earlier the beginning, more often in adolescence. Also a significant disruption of the structure of thinking, as seen from speech disorders. Often there is a torn, paralogical or mystical-symbolic thinking. For example, I bought a stale cake, because they are angry with me;Or my name is Kostya, because my bones ache.

Often a person can inadequately react to familiar things, weaving them into the structure of his delirium. Geebheria is characterized by the presence of hypersexuality, which is rarely expressed in schizophrenia. Usually, schizophrenics are reduced libido. They very quickly become hard as people, often emotions they are inadequate to the situation. Patients are able to cry when they have a joy, and laugh at a funeral. They are easily susceptible to bad habits and tend to wander, are prone to overeating and to other excesses. Pathologies of this type are characterized by mental infantilism.

The most characteristic for gebefrenia is foolish behavior, people behave improperly, fool and grimace. They can squeak like babies and make oneself fussy. There can be stereotyped movements, they repeat one and the same de movement or grimace. The fun they can reach the form of moria, in the subsequent sharply followed by autoaggression. Mimicry becomes silly, while the above listed negative symptoms, apathy and abulia quickly increase. Cruelty also manifests itself to defenseless objects, patients can be very dangerous. Their speech, apart from their disconnectedness, often has many neologisms, words that they themselves create. You can observe individual hallucinations and unstructured individual crazy ideas. The throat quickly progresses, is malignant and leads to the rapid formation of numbness.

Gebephrenia: treatment of

The test for gebefrenia is the banal use of diagnostic criteria, a clinical interview with a detailed history. The test for gebefrenia is not specific and is used for any form of schizophrenia.

There are several stages in the treatment of gebephrenia. First, the relief of acute condition, as a result of psychosis, is used, antipsychotics are used that help to remove psychotic symptoms. Typical antipsychotics are used, depending on the presence of psychomotor agitation or its absence, can be selected with a sedative component or without it: Clopixol-acupase, Clozapine, Thioridazine, Levomapromazine, Chlorprotixen. If possible, parenteral administration is best.

In the presence of hallucinations or delusions use cupping drugs: Haloperidol, Triftazin, Sulpirid, Seroquel, Olanzapine, Risperidone, Moditen.

In the case of gebefenia, strong antipsychotics are effective: Flupenthixol, Pipotiazine, Thiopyrazine. Typical antipsychotics give many side effects, which leads to the use of correctors, in particular, showing different anticholinergics. If possible, it is more effective to increase the dose gradually. The treatment period is at least a month.