Oneiric - grezopodobnoe dizziness in which pseudohallucinations and snovidnye fantastic pictures interwoven with reality or almost completely replace it. Oneiric may occur in schizophrenia, bipolar disorder click here, psychosis, exogenous, caused by injuries and brain diseases, alcoholism, substance abuse and addiction. It develops phasically accompanied by emotional, motor and volitional disorders, disorders of thought and speech. Diagnosis is based on history and clinical symptoms. Treatment - pharmacotherapy, sometimes ect.
Oneiric (oneiroid syndrome) - a special kind of disturbance of consciousness, characterized by the presence of scene pseudohallucinations and fantastic paintings, which are mixed with reality or almost completely its substitute. The first description of oneiric appeared in 1894 in the Regis studies of intoxication and contagious psychosis. Oneiric in schizophrenia was first described by the German-British psychiatrist Mayer-Gross in 1924, and it has identified further views of psychiatrists on this pathology.
Until the 60s of the last century oneiric considered within catatonic schizophrenia. Expert opinion has changed after the investigation of the dynamics of the process in various pathological conditions. Currently oneiric considered not only as an indication of endogenous mental disorders, but also as a pathological condition caused by intoxication and organic disorders of the brain. Diagnosis and treatment of oneiric carried out by experts in the field of psychiatry.
Oneiric most often occurs when the recurrence of schizophrenia, may also occur with manic depression (bipolar disorder), exogenous intoxication and psychosis caused by organic brain damage due to injury or disease. The most striking clinical picture oneiric observed within the recurrent (periodic) and the shift-like schizophrenia. When this disease syndrome is a series clearly visible stages, the final stage is detected expanded form oneiric.
When TIR, intoxications and exogenous psychoses oneiric often occurs atypically, "blended" with other symptoms and syndromes, replaced by other types of disorders of consciousness, and so on. D. In childhood revealed fragmentary or an initial manifestation of oneiric. As the mental syndrome is becoming a more finished look and adolescence there is already apparent, expanded form. Older people oneiric rare. Regardless of the cause of the disease state at certain stages of patients with oneiric could pose a serious (sometimes - fatal) danger to themselves and others.
There are several classifications oneiric. The classification Snezhinsk under the prevailing disturbances in the emotional sphere isolated depressive and expansive oneiric, taking into account the orientation of the outside world - a fantastic, illusory and grezopodobny oneiric oneiric. With fantastically illusory form of the syndrome events of the real world and fantasy pseudohallucinations mixed in the minds of the patient, with the patient grezopodobnoy form completely immersed in a non-existent world.
For depressive oneiric delirium is characterized by a predominance of anxiety and fear. Patients see a frightening picture of the destruction of the world, torture of loved ones or his own death. Expansive oneiric manifested colorful dreamlike or romantic scenes. Peace in the minds of patients is phantasmagoric, fancy, but living in it being friendly and not dangerous. Patients with oneiric feel joy, pleasure, sometimes - excitement.
According to the classification of Demanova, there are four forms of oneiric: grezopodobnaya, scenically-hallucinatory, oriented snovidnaya and fantastically illusory. Fantastically-illusory form oneiric observed in schizophrenia, accompanied by "mixing" of reality and illusion. Patients partially retain the ability to perceive the surrounding events, but any event can become the impetus for the formation of illusions. Pseudohallucinations are superficial, mythologizing alternate reality absent.
Oriented snovidnaya oneiric form usually occurs in psychosis caused by intoxication and brain damage. Accompanied by severe emotional disorders and bright visual pseudohallucinations. Stage-hallucinatory form of oneiric developing schizophrenia and senile psychosis. Observed the richest and most diverse pseudohallucinations involving all the senses. Patients with oneiric not only see the fantastic pictures, but also hear the sounds, smell and touch. In their minds played fabulous romantic scenes. When grezopodobnoy oneiric form appears detachment from the real world, disorientation and depersonalization.
There are five stages of oneiric. The initial step in the expanded form lasts for several weeks or months and is accompanied by accruing impairment in the emotional sphere. In some diseases, the duration of the initial phase of oneiric can be reduced. Step delusional mood lasts several hours or days. Marked increase in the voltage level, there are paranoid tendencies.
Stage nonsense staging, values and metamorphosis takes several days or weeks, accompanied by delusions and psychic automatism. At oriented oneiric that lasted for several hours or days, there paraphrenic nonsense. Step true oneiric also lasts a few hours or days; while there is detailed picture of the disease, revealed all the symptoms characteristic of the disorder. In the following manifestations of the disease are reduced gradually and disappear.
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