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Reduced affect display, sometimes referred to as emotional blunting or emotional numbing, is a condition of reduced emotional reactivity in an individual. It manifests as a failure to express feelings either verbally or nonverbally, especially when talking about issues that would normally be expected to engage emotions.
Flat being the most severe in where there is very little to absolutely no show of emotions. Restricted and blunted are, respectively, less severe. Disorders involving these reduced affect displays most commonly include schizophrenia , post traumatic stress disorder , depression , autism and persons with traumatic brain injuries. [ 20 ]
A multitude of terms have been used to refer to DDM of varying severities and varieties, including apathy, abulia, akinetic mutism, athymhormia, avolition, amotivation, anhedonia, psychomotor retardation, affective flattening, akrasia, and psychic akinesia (auto-activation deficit or loss of psychic self-activation), among others.
Delusions and hallucinations are present but thought disorder, disorganized behavior, and affective flattening are not prominent. Paranoid type (295.3) Hebephrenic (F20.1) Thought disorder and flat affect are present together. Disorganized type (295.1) Catatonic (F20.2) Psychomotor disturbances are dominant features.
Schizophrenia is a severe mental illness characterized by a range of behaviors, including hallucinations and delusions. Hallucinations refer to disorders involving the sensory systems, and are most often manifested as seeing or hearing things (e.g., voices) that do not exist.
Symptoms of schizophrenia simplex include an absence of will, impoverished thinking and flattening of affect. There is a gradual deterioration of functioning with increased amotivation and reduced socialization. [6] [7] It is considered to be rarely diagnosed and is a schizophrenia without psychotic symptoms. [8]
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Schizophrenia is a mental disorder [17] [7] characterized variously by hallucinations (typically, hearing voices), delusions, disorganized thinking and behavior, [10] and flat or inappropriate affect. [7] Symptoms develop gradually and typically begin during young adulthood and are never resolved.
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