psychomotor

精神运动
  • 文章类型: Journal Article
    当前的分类系统使用术语“卡顿”和“精神运动现象”作为纯粹的理论描述符,忘记了他们的理论嵌入。这是临床医生和研究人员对精神分裂症和其他精神病或ECSP的运动和感觉运动/精神运动功能的欧洲合作的误解的根源。这里,我们回顾了不同的观点,他们的历史根源和突出差异。1844年,WilhelmGriesinger创造了“精神运动”一词来命名负责意志的生理过程。从这个想法出发,术语“精神运动”实际上是指接收各种内在心理输入的系统,将它们转换为发送到电机系统的连贯行为输出。最近,感觉运动方法利用神经科学重新定义了在精神病中观察到的运动体征和症状。1874年,KarlKahlbaum认为卡顿多尼亚是一种脑部疾病,强调其躯体-特别是运动-特征。在将痴呆症praecoxEmilKraepelin概念化时,以纯粹的精神术语重新表述了卡顿现象,撇开不能用这种方式解释的马达标志。相反,Wernicke-Kleist-Leonhard学校追求Kahlbaum的神经精神病学方法,并描述了许多新的精神运动迹象,例如,偏瘫,Gegenhalten.他们区分了8种精神运动表型,其中只有7种是卡托尼氏菌。这些与共识分类几乎没有重叠,增加误解的风险。虽然来自不同的传统,作者一致认为,他们的分歧可能是相互丰富的来源,但概念澄清的重要努力仍有待作出。这种叙述性审查是朝这个方向迈出的第一步。
    Current classification systems use the terms \"catatonia\" and \"psychomotor phenomena\" as mere a-theoretical descriptors, forgetting about their theoretical embedment. This was the source of misunderstandings among clinicians and researchers of the European collaboration on movement and sensorimotor/psychomotor functioning in schizophrenia and other psychoses or ECSP. Here, we review the different perspectives, their historical roots and highlight discrepancies. In 1844, Wilhelm Griesinger coined the term \"psychic-motor\" to name the physiological process accounting for volition. While deriving from this idea, the term \"psychomotor\" actually refers to systems that receive miscellaneous intrapsychic inputs, convert them into coherent behavioral outputs send to the motor systems. More recently, the sensorimotor approach has drawn on neuroscience to redefine the motor signs and symptoms observed in psychoses. In 1874, Karl Kahlbaum conceived catatonia as a brain disease emphasizing its somatic - particularly motor - features. In conceptualizing dementia praecox Emil Kraepelin rephrased catatonic phenomena in purely mental terms, putting aside motor signs which could not be explained in this way. Conversely, the Wernicke-Kleist-Leonhard school pursued Kahlbaum\'s neuropsychiatric approach and described many new psychomotor signs, e.g. parakinesias, Gegenhalten. They distinguished 8 psychomotor phenotypes of which only 7 are catatonias. These barely overlap with consensus classifications, raising the risk of misunderstanding. Although coming from different traditions, the authors agreed that their differences could be a source of mutual enrichment, but that an important effort of conceptual clarification remained to be made. This narrative review is a first step in this direction.
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  • 文章类型: Journal Article
    在过去的三十年里,运动障碍以及精神分裂症(SZ)和其他精神病的感觉运动和精神运动功能已获得更大的科学和临床相关性,作为精神病疾病过程的内在组成部分;这延伸到早期精神病预测,早期发现抗精神病药物的运动副作用,临床结果监测,精神运动综合征的治疗(例如紧张症),并识别非侵入性脑刺激的新目标。2017年,欧洲各大学开始了对运动障碍和精神病患者的感觉运动/精神运动功能感兴趣的工作组之间的系统合作。作为第一步,该小组的成员希望介绍和定义SZ和其他精神病中感觉运动域的理论方面。这份共识文件是基于科学证据的综合,在最近由国家和国际精神病学协会主办的会议上讨论的良好临床实践和专家意见。在回顾和讨论有关感觉运动行为的神经机制和临床意义的最新理论和实验工作时,我们在此寻求界定精神病性疾病中运动障碍和感觉运动/精神运动功能研究的关键原则和要素.最后,该欧洲小组的成员预计,这篇共识论文将促进对SZ和其他精神病性障碍中的低运动型和高运动型运动障碍以及感觉运动/精神运动功能的进一步多模式和前瞻性研究.
    Over the last three decades, movement disorder as well as sensorimotor and psychomotor functioning in schizophrenia (SZ) and other psychoses has gained greater scientific and clinical relevance as an intrinsic component of the disease process of psychotic illness; this extends to early psychosis prediction, early detection of motor side effects of antipsychotic medication, clinical outcome monitoring, treatment of psychomotor syndromes (e.g. catatonia), and identification of new targets for non-invasive brain stimulation. In 2017, a systematic cooperation between working groups interested in movement disorder and sensorimotor/psychomotor functioning in psychoses was initiated across European universities. As a first step, the members of this group would like to introduce and define the theoretical aspects of the sensorimotor domain in SZ and other psychoses. This consensus paper is based on a synthesis of scientific evidence, good clinical practice and expert opinions that were discussed during recent conferences hosted by national and international psychiatric associations. While reviewing and discussing the recent theoretical and experimental work on neural mechanisms and clinical implications of sensorimotor behavior, we here seek to define the key principles and elements of research on movement disorder and sensorimotor/psychomotor functioning in psychotic illness. Finally, the members of this European group anticipate that this consensus paper will stimulate further multimodal and prospective studies on hypo- and hyperkinetic movement disorders and sensorimotor/psychomotor functioning in SZ and other psychotic disorders.
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