Disorganized Schizophrenia - Presentation

Presentation

The prominent characteristics of this form are disorganized behavior and speech, (see formal thought disorder) including schizophasia, and flat or inappropriate emotion and affect. In addition, psychiatrists must rule out any possible sign of catatonic schizophrenia. The condition is also known as hebephrenia, named after the Greek goddess of youth, Hebe, in reference to the typical age of onset in puberty.

Unlike paranoid schizophrenia, delusions and hallucinations are not the most prominent feature, although fragmentary delusions and hallucinations may be present.

A person with disorganized schizophrenia may also experience behavioral disorganization which may impair his or her ability to carry out daily activities, such as showering or eating.

The emotional responses of such people often seem strange or inappropriate. Inappropriate facial responses may be common, and behavior is sometimes described as 'silly', such as inappropriate laughter. Sometimes there is a complete lack of emotion, including anhedonia (the lack of pleasure), and avolition (a lack of motivation). Some of these features are also present in other types of schizophrenia, but they are most prominent in disorganized schizophrenia.

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