Catatonia Flashcards
combination of immobility and mutism
Stupor
maintaining the same posture for long periods. A classic example is the ‘crucifix’. An extreme version of posturing is catalepsy
Posturing
patient can be positioned in uncomfortable postures, which are maintained for a considerable period of time
Waxy flexibility (cerea flexibilitas)
patient resists the attempts of the examiner to move parts of their body and, according to the original definition, the resistance offered is exactly equal to the strength applied
Negativism (Gegenhalten)
exaggerated cooperation, automatically obeying every instruction of the examiner
Automatic obedience
a form of automatic obedience whereby the body of the patient can be put into any posture, even if the patient is given instructions to resist. The body part immediately returns to the original position once the force is removed (unlike in waxy flexibility)
Mitmachen
an extreme form of mitmachen in which the examiner is able to move the patient’s body with the slightest touch (anglepoise lamp sign), like in mitmachen, the body part returns to the original position once the force is removed
Mitgehen
the patient alternates between resistance to and cooperation with the examiner’s instructions; for example, when asked to shake hands, the patient repeatedly extends and withdraws the hand
Ambitendency
the patient assumes a reclining posture, with their head a few inches above the bed surface, and is able to maintain this position for prolonged periods
Psychological pillow
the patient forcibly and repeatedly grasps the examiner’s hand when offered
Forced grasping
the patient stops suddenly in the course of a movement and is generally unable to give a reason. This appears to be the motor counterpart of thought block
Obstruction
the patient imitates the actions of the interviewer
Echopraxia
the patient turns away from the examiner when addressed
Aversion
these are repetitive, goal-directed movements (e.g. Saluting a door or combing hair without a brush in the hand)
Mannerisms
these are repetitive, regular movements that are not goal-directed (e.g. rocking)
Stereotypies