Mental illness: self-awareness disorder

Mental illness: self-awareness disorder

Many people are not very clear about my consciousness disorder. Self-awareness disorder means that individuals can't correctly understand their own personality and the external world. So, what are the specific clinical manifestations of this disease?

Self-consciousness mainly includes the following parts: ① existential consciousness: it means that people can have a realistic and exact experience of their own existence, rather than nothing. ② Initiative consciousness: It means that people can realize that their spiritual activities are dominated and controlled by themselves rather than others. Unity consciousness: means that people can realize that they are the same person at different times? Me? Instead of becoming two or more at different times? Me? . ④ Unified consciousness: It means that at the same time, I am a single person and an independent person. ⑤ Boundary consciousness: it means to realize that there is a certain boundary between oneself and others or things, and to experience that oneself and others or things are different individuals who exist independently of each other.

Self-awareness disorder is that one or more of the above aspects are affected to varying degrees, so that patients can not correctly understand their current subjective state, including their own existence, that they are a single independent individual, and their current situation? Me? And what about the past? Me? The difference, as well as the loss of self-control and control of psychological activities.

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clinical picture

1. Dual personality: refers to the fact that the same person has two completely different inner experiences at different times, showing two different personalities, that is, two different personalities appear alternately on the same person. When one personality is dominant, another personality characteristic is completely excluded from his consciousness. When the same person shows more than two personality characteristics, it is called multiple personality. They are all found in patients with hysteria.

2. Personality change: the patient denies that he is the original self, but claims to be another person or animal, but his behavior and language may not change accordingly. More common in hysteria or schizophrenia.

3. Disintegration of personality: The patient loses the realistic experience of his own behavior and feels that he is changing, not his original self. The patient feels empty, not his own, unreal or no longer exists. Or feel manipulated by alien forces or become an automaton. Personality disintegration is mostly related to nihilism and delusion. Can be seen in neurosis, depression or schizophrenia.

4. Reality disintegration: The patient feels that everything in the surrounding environment becomes dim and fuzzy, and things seem to be separated by a veil or a wall, becoming strange and alienated, and everything loses its vitality and has an unreal feeling. The feelings between relatives have also become indifferent, lacking emotional contact and care, and the family environment and workplace seem to have changed, so patients have the experience of dreams outside their bodies. Common in depression and schizophrenia.

5. The feeling of being leaked: The patient feels that his thoughts and feelings have been leaked to the whole world, which has set off a storm in the whole city and everyone knows it. Seen in schizophrenia.

6. Sense of dominance: Patients feel that their thoughts and behaviors are being dominated and controlled by others or external forces, but they cannot control themselves. Seen in schizophrenia.

7. Lack of self-knowledge: self-knowledge is also called internal strength province. Refers to the cognitive ability of patients to their own subjective state or mental state. It should also be whether you can correctly analyze and judge and point out the similarities and differences between your past and present state and inner experience, and whether you have mental illness.

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To judge whether the patient's insight is complete, we should pay attention to the following aspects:

Patients with complete self-knowledge can fully realize that they have already suffered from the disease.

② Patients with complete self-knowledge can experience or perceive that their diseases are mental diseases.

(3) A complete evaluation of insight can identify what is normal and what is abnormal or abnormal in a person's performance or experience.

④ Patients with complete self-knowledge can clearly analyze and explain the reasons why morbid manifestations or experiences are morbid, such as their own understanding does not conform to objective facts or there is no objective reality at all.

⑤ Patients with complete insight can clearly understand the background and process of the occurrence and development of mental illness.

⑥ Patients with complete self-knowledge can not only admit that they are sick, but also take the initiative to seek medical treatment, urgently demand treatment and give active cooperation.

There are seven clinical manifestations of self-awareness disorder, and the common symptom is lack of insight, that is, patients cannot correctly understand their personality characteristics.

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