TYPES OF NEUROTIC AND PSYCHOTIC BEHAVIOUR
1. Anxiety Neurosis
An
individual suffering from anxiety neurosis has exaggerated uncontrollable
anxiety and apprehension.
Anxiety disorders are fairly common in our society. Roughly two to four percent of the population has been diagnosed, at one time or another, as having some type of anxiety disorder.
Signs and symptoms of anxiety neurosis include:
·
A rather
constant state of tension,
·
Worry
·
General
uneasiness. Such individuals are often oversensitive in people-to- people
relationships and frequently have feelings of inadequacy and depression.
·
Emotional
tension frequently leads to physical tensions which cause neck and upper
shoulder muscular pain and sleep disturbances of insomnia and nightmares.
·
Decision
making is difficult, and after the decision is made, the individual may worry
excessively over possible disasters that may occur.
2. Obsessive Compulsive Disorder
An
Obsessive-Compulsive person feels he must do something even though he does not
want to do the thing. For example, a compulsion to wash his hands, though
there is no logical reason to do so, is typical of a person exhibiting
obsessive-compulsive behavior.
In this type of neurosis, the individual loses emotional
control, or develops some physical symptoms, when there seems to
be no underlying cause for either.
For
example, student aviators have been found to develop vision problems and
hearing problems as well as partial numbness of the tongue although there was
no physical reason for such symptoms.
The symptoms were unwittingly developed by the students as a defense mechanism to a stressful situation. Physical illness gave the students an acceptable way to stop flying. Just leaving the flight training program was obviously not acceptable to these students
4. Phobic Neurosis
A phobic neurosis is a persistent fear of some object or situation that is no real danger to the person or a situation in which the person magnifies a danger out of all proportion to reality.
Phobic Neuroses should not be confused with normal fears.
It is
difficult to distinguish between "normal depression" and
"abnormal depression" which could be termed depressive
neurosis. From time to time, very well adjusted people feel sad,
discouraged, pessimistic, and a sense of hopelessness. When these feelings
all come together, we say we have the "blues." Such feelings usually
go away on their own and we get on with our lives.
Usually,
a traumatic event led to the depression, an event the person can relate.
Just as
there is no real line between "normal" and "neurotic"
behaviour, there is no definite line between "neurotic" and
"psychotic" behaviour.
A person
suffering from psychosis has a severe mental illness marked
by loss of contact with reality.
On the
other hand, the person suffering from a neurosis has only a minimal loss of
contact with reality but has emotional problems that may impair his thinking
and judgment.
There are
several alcoholic psychoses.
They
are pathological intoxication, delirium tremens, and acute
alcoholic hallucinosis. These conditions are classified as psychoses because
there is a temporary loss of contact with reality.
Individuals
who experience these conditions may have reactions which last only a short
period of time. During such time, these individuals are confused, excited, and
delirious.
In this
condition, the patient appears normal, but he hears a voice.
Initially,
there is one voice making simple statements. Eventually, there are several
voices issuing statements which are criticizing or reproaching the
person.
These
voices attack the person's most private thoughts, list and discuss the
thoughts, and propose punishments.
This
condition may last several days or several weeks during which time the patient
is depressed but otherwise relatively normal.
The
psychotic symptoms experienced by the person seem to be triggered by
alcohol, but he may have a broad range of inappropriate behavior not part
of the acute alcoholic hallucinosis.
This
condition is an acute reaction that occurs in people with a low
alcohol tolerance.
The
condition can also occur in someone whose alcohol tolerance is low at the
moment from such causes as exhaustion, emotional stress, or other conditions.
For these
individuals, consuming even moderate amounts of alcohol can cause the person to
suddenly become disoriented and go into a homicidal rage.
Following
the confused, disoriented state, the person usually falls into a deep sleep
after which he may not remember anything that happened during the time he was
confused.
Otherwise
known as the DTs, delirium tremens is an acute mental illness, a psychotic
reaction sometimes caused by withdrawal from alcohol.
A
prolonged alcoholic binge, a head injury, or an infection may also trigger
delirium tremens.
Feeling
of disorientation of time and place.
Patient
may believe he is in a church or jail, will not recognize old friends, but will
believe hospital attendants are old friends.
Vivid
hallucinations. An individual may think he sees small, fast- moving animals
like snakes, rats, and roaches.
Acute Fear,
a person may see these small animals change in form, size, or color in
terrifying ways.
Tremors -
Marked tremors of hands, tongue, and lips. Hands, tongue, and lips shake
uncontrollably and strongly.
Both
drugs and poison can act as intoxicating agents (intoxicants) causing psychosis
(loss of contact with reality).
Fever and
Infection
Both a
high fever and/or a severe infection can cause behavioral changes which can be
psychotic in nature.
An
individual with an untreated case of syphilis undergoes both physical and
psychological (personality) changes. These changes range from becoming
careless and inattentive in the disease's initial stages to spending money on
impossible schemes as well as performing antisocial acts publicly in later
stages of the disease.
A Cerebrovascular accident, brain trauma, brain tumor, or
cerebral arteriosclerosis can result in psychotic behavior.
Damage or
even small pressure in the brain may cause marked pressure and cause
impairment of the normal functioning of the brain.
Damage
may cause hallucinations and a general impairment in the individual's
intellectual processes with the result that he loses touch with reality,
behaving psychotically
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