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.
精神科病理教學(Goal-directed abnormal patterns of behavior)
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