Leap of an Idea ( lat. Fuga ideārum ) - a disorder of thinking at a pace in the form of extreme acceleration [1] . Acceleration reaches the point where one unfinished thought is replaced by another, while the thoughts “jump” one with another [2] . Often patients use puns and rhymes [3] . A person’s speech with a leap of ideas is presented in the form of fast chains of associations , fragile due to increased distractivity and arising inconsistently [4] . Associations are created mostly by adjacency and by sonorous similarity [4] [2] . Usually, a meaningful meaning is still present in speech, in contrast to incoherent thinking : if you record this speech on a dictaphone and play it at a slow pace, you can determine its meaning. In the most difficult cases, the pace of thinking is so accelerated that speech takes on the character of disorganization andincoherence [5] .
| Idea jump | |
|---|---|
| ICD-11 | MB25.1 |
Content
History
For the first time the term “leap of ideas” was used in the work of the neurologist and psychiatrist G. Lipmann “On the leap of ideas: definition and psychological analysis” (1904) [6] [7] .
Variations of the definition of the concept of “leaps of ideas” by different researchers [6] :
| Year | Researcher | Speed of thinking | The connection between ideas | Syndrome / disorder |
|---|---|---|---|---|
| 1923 | Bleiler , Kraepelin | - | Accelerated Normal Communications | Manic syndrome |
| 1972 | Beck | Accelerated | Tornness | Schizophrenia |
| 1974 | Fish | - | Weak connection | - |
| 1979 | Andreasen | Accelerated | Weak connection | Nonspecific |
| 1995 | Andreasen | Accelerated | - | - |
| 1997 | Mullen | Accelerated | Weak connection | Mostly manic |
Disorders with a jump in ideas
The jump in ideas is included in the International Classification of Diseases of the 11th revision ( ICD-11 ) under the code MB25.1, where it is in the category of “ symptoms and signs of a disorder of thinking” [5] . The symptom is characteristic of severe manic conditions in bipolar affective disorder , less often schizophrenia with manic syndrome [4] [8] .
See also
- Manic episode
- Speech pressure
Notes
- ↑ Zharikov N.M., Tyulpin Yu. G. Psychiatry: a Textbook. - M .: " Medicine ", 2002. - S. 97. - 544 p. - ISBN 5-225-04189-2 .
- ↑ 1 2 Stoimenov Y. A. , Stoimenova M. Y. , Koeva P. Y. and others. Psychiatric Encyclopedic Dictionary. - K .: “IAPM”, 2003. - 1200 p. - ISBN 966-608-306-X .
- ↑ Obukhov S.G. Psychiatry / Ed. prof. Yu.A. Alexandrovsky. - M .: "GEOTAR-Media", 2007. - P. 32. - 352 p. - ISBN 978-5-9704-0436-2 .
- ↑ 1 2 3 Bleicher V.M. , Kruk I.V. Jump in ideas // Explanatory Dictionary of Psychiatric Terms. - MODEK, 1995. - ISBN 5-87224-067-8 .
- ↑ 1 2 World Health Organization . ICD-11 for Mortality and Morbidity Statistics: MB25.1 Flight of ideas (2018). Date of contact 2019-23-03.
- ↑ 1 2 Jeyasingam N. Flight of ideas - death of a definition: a discussion on phenomenology // The Psychiatrist: journal. - 2018 .-- Vol. 37 , no. 11 . - P. 359-362 . - ISSN 1758-3209 . - DOI : 10.1192 / pb.bp.111.036194 .
- ↑ Liepmann H. Über Ideenflucht: Begriffsbestimmung und psychologische. Carl Marhold, 1904.
- ↑ Eryshev O., Sprinz A. Psychiatry . - LitRes, 2017 .-- P. 192. - ISBN 978-5-04-012020-8 .