Derailment (thought disorder)
In psychiatry, derailment (aka loosening of association, asyndesis, asyndetic thinking, knight's move thinking, entgleisen, disorganised thinking[1]) categorises any speech that sequences of unrelated or barely related ideas compose; the topic often changes from one sentence to another.[2][3][1]
In a mild manifestation, this thought disorder is characterized by slippage of ideas further and further from the point of a discussion. Derailment can often be manifestly caused by intense emotions such as euphoria or hysteria. Some of the synonyms given above (loosening of association,
Examples
- "The next day when I'd be going out you know, I took control, like uh, I put bleach on my hair in California."—given by Nancy C. Andreasen[7]
- "I think someone's infiltrated my copies of the cases. We've got to case the joint. I don't believe in joints, but they do hold your body together."—given by Elyn Saks.[8]
- "I have choose right over wrong. When there are two options, I have to look to the right. I can choose left or right, but always look right."—patient interview, Mayo Clinic.
History
Entgleisen (derailment in German) was first used with this meaning by Carl Schneider in 1930.[3] The term asyndesis was introduced by N. Cameron in 1938, while loosening of association was introduced by A. Bleuler in 1950.[9] The phrase knight's move thinking was first used in the context of pathological thinking by the psychologist Peter McKellar in 1957, who hypothesized that individuals with schizophrenia fail to suppress divergent associations.[4] Derailment was used with this meaning by Kurt Schneider in 1959.[9]
See also
- Nonsense
- Non sequitur (logic) and non sequitur (literary device)
- Red herring
- Relevance logic
- Schizophasia
- research papersby grammatically combining snippets; many of the sentences generated are individually plausible
- Tip-of-the-tongue
- Train of thought
References
- ^ a b World Health Organization (2023). "MB25.02 Disorganised thinking". International Classification of Diseases, eleventh revision – ICD-11. Genova – icd.who.int.
- ^ ISBN 0-86377-790-2, pp. 14-15
- ^ ISBN 0-7020-2627-1, pp. 155-156
- ^ ISBN 0-86840-816-6, pp. 239-243
- ISBN 0-566-07961-5, p. 81
- ISBN 0-7735-0766-3, p. 128
- from the original on 2010-03-15. Retrieved 2010-05-05.
- ^ Elyn Saks: "A tale of mental illness — from the inside." TEDGlobal 2012. Recorded in June 2012. "A tale of mental illness -- from the inside". 29 June 2012. Archived from the original on 2014-03-26. Retrieved 2014-03-26.
- ^ ISBN 0-7020-2449-X, pp. 136, 168-170