Punding

Source: Wikipedia, the free encyclopedia.
Punding, a possible symptom of dopamine dysregulation syndrome (DDS), is the repetition of complex motor behaviours such as collecting or arranging objects.

Punding is compulsive performance of repetitive, mechanical tasks, such as assembling and disassembling, collecting, or sorting objects. It can also apply to digital objects, such as computer files and data. The term was originally coined to describe complex, prolonged, purposeless, and stereotyped behaviour in

gambling addictions, and hypersexuality.[5]

For example, punding may consist of activities such as collecting pebbles and lining them up as perfectly as possible; disassembling and reassembling wristwatches; or conducting extended monologues devoid of context.[6]

People engaging in punding find immersion in such activities comforting, even when it serves no purpose, and generally find it very frustrating to be diverted from them. They are not generally aware that there is a compulsive element, but will continue even when they have good reason to stop. Rylander describes a burglar who started punding and could not stop, even though he was suffering from an increasing apprehension of being caught.[7] Interrupting can lead to various responses, including anger or rage, sometimes to the point of violence.[8]

Causes

Punding has been linked primarily to an overstimulation of the

D3 receptors are the least likely to develop punding.[4]

Treatment

Treatment is mostly the same as for the

levodopa must be reduced;[9][10] while people addicted to dopaminergic stimulants like cocaine or amphetamines should be counseled on their issues of addiction and referred to an appropriate drug rehabilitation program.[11]

Medications that have proven effective in the treatment of punding are

Selective serotonin reuptake inhibitors have been found to be of virtually no use, although in a handful of cases they have led to the resolution of symptoms, especially sertraline but only in high doses (the fact that sertraline also activates Dopamine D2 receptors is presumably involved).[10]

While treating the root cause is considered to be the mainstay of treatment, in cases where a reduction in the consumption of dopaminergic substances of any kind (medications or drugs) is unacceptable (such as when reducing the dose of levodopa in a patient with Parkinson's disease would lead to an unacceptable worsening of the symptoms), are the type of situations when medications are most frequently considered, usually as add-on therapies.[10]

See also

  • Busywork
    , any activity undertaken to pass time
  • Knolling
    , arranging flat objects on a desk at right angles
  • Stimming, repetition of physical movements or sounds, particularly by autistic people
  • Stereotypy, any repetitive or ritualistic movement, posture, or utterance

References

  1. OCLC 490394292
    .
  2. S2CID 38887798
    .
  3. S2CID 23886073
    . Retrieved 8 October 2021.
  4. ^
    S2CID 19014068
    . Retrieved 8 October 2021.
  5. PMID 19720785
    . Retrieved 8 October 2021.
  6. PMID 24026724
    .
  7. OCLC 164685037. Retrieved 8 October 2021 – via Google Books
    .
  8. OCLC 690209542. Retrieved 8 October 2021 – via Google Books
    .
  9. ISBN 9781107039223 – via Google Books
    .
  10. ^
    LCCN 2015955471 – via Google Books
    .
  11. ^
    S2CID 13487393
    . Retrieved 8 October 2021.
  12. S2CID 31358180
    . Retrieved 8 October 2021.
  13. S2CID 45325813
    .
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