in psychiatry, derailment (also loosening of association, asyndesis, asyndetic thinking, knight’s move thinking, or entgleisen) is a thought disorder characterized by discourse consisting of a sequence of unrelated or only remotely related ideas.  in a mild manifestation, this thought disorder is characterized by slippage of ideas further and further from the point of a discussion. some of the synonyms given above (loosening of association, asyndetic thinking) are used by some authors to refer just to a loss of goal: discourse that sets off on a particular idea, wanders off and never returns to it.
 entgleisen (derailment in german) was first used with this meaning by carl schneider in 1930.  the phrase knight’s move thinking was first used in the context of pathological thinking by the psychologist peter mckellar in 1957, who hypothesized that individuals with schizophrenia fail to suppress divergent associations.  derailment was used with this meaning by kurt schneider in 1959.
the onset of serious psychotic symptoms was sudden and dramatic for george, a 51-year old man living with schizoaffective disorder. although kind-hearted and mild-mannered by nature, people avoided the scary-looking man. while he is sad about the years lost in a delusional maelstrom, george is determined to focus on his future and the greater promise it now holds. bipolar disorder /ˌbaɪˈpoʊlər dɪsɔːrdər/ n – the result of unusual shifts in mood, extreme highs and lows in emotion and energy that result in the inability to carry out day-to-day tasks. however, in some cases, these voices will order the person to do something like instructing them to harm themselves or others. delusions can be very complex and have multiple layers and involve the person being at the center of some large plot or scheme.
delusions combined with paranoia will likely cause additional anxiety and fear. for people who may be experiencing a thought disorder, derailment occurs when they slip further and further away from the original point of a discussion. a person who experiences derailment uses words and phrases that have a loose association with the original topic in a conversation. this can cause confusion for the person experiencing derailment as well as those around them. each year, 2.4 million americans suffer from schizophrenia, and about 100,000 people in the united states will be diagnosed with schizophrenia. in addition, 40%-50% of people with schizophrenia attempt suicide at some point in their lives. the national institute of mental health calls the periods of time when a person suffering from a thought disorder and experiences unusually intense emotion, a change in their sleep pattern and a sudden increase in unusual behaviors as “mood episodes.” talking with a doctor or other licensed mental health professional is the first line of defense for anyone who thinks they or a loved one may have a thought disorder.
in psychiatry, derailment is a thought disorder characterized by discourse consisting of a sequence of unrelated or only remotely related ideas. derailment or loose associations in cases of severely disordered thinking, thoughts lose almost all connections with one another and become for people who may be experiencing a thought disorder, derailment occurs when they slip further and further away from the original point of a discussion., derailment schizophrenia examples, derailment schizophrenia examples, derailment psychiatry, derailment thought disorder, derailment psychology example.
n. a symptom of thought disorder, often occurring in individuals with schizophrenia, marked by frequent interruptions in thought and jumping from one idea to another unrelated or indirectly related idea. it is usually manifested in speech (speech derailment) but can also be observed in writing. a person with derailment talks in chains of only semi-related ideas. their ideas often fall further and further from the topic of conversation. in the semantic system in patients with schizophrenia. derailment (loosening of associations): spontaneous speech with marked thus, derailment is characterized by a diminished sense of self-continuity emerging from the inability to reconcile discrepant life pathways., tangentiality vs derailment, flight of ideas vs derailment, mentally derailed person, loosening of associations, derailment speech, knight’s move thinking vs flight of ideas, tangential thought process, thought blocking, loose associations thought process, circumstantial thought process.
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