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There have been many different theories regarding the causes of excoriation disorder, including biological and environmental factors. [10]A common hypothesis is that excoriation disorder is often a coping mechanism to deal with elevated levels of turmoil, boredom, anxiety, or stress within the individual, and that the individual has an impaired stress response.
Onychotillomania can be categorized as a body-focused repetitive behavior in the DSM-5 and is a form of skin picking, also known as excoriation disorder. It can be associated with psychiatric disorders such as depressive neurosis, delusions of infestation [2] and hypochondriasis. [3] It was named by Jan Alkiewicz, a Polish dermatologist. [4]
For example, you may pronounce cot and caught the same, do and dew, or marry and merry. This often happens because of dialect variation (see our articles English phonology and International Phonetic Alphabet chart for English dialects). If this is the case, you will pronounce those symbols the same for other words as well. [1]
The following pronunciation respelling key is used in some Wikipedia articles to respell the pronunciations of English words. It does not use special symbols or diacritics apart from the schwa (ə), which is used for the first sound in the word "about". See documentation for {} for examples and instructions on using the template.
Normally, pronunciation is given only for the subject of the article in its lead section. For non-English words and names, use the pronunciation key for the appropriate language. If a common English rendering of the non-English name exists (Venice, Nikita Khrushchev), its pronunciation, if necessary, should be indicated before the non-English one.
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The Merriam-Webster Online Dictionary suggests the first pronunciation. Similarly, this pronunciation markup guide will choose the most widely used form. NOTE: This guide is designed to be simple and easy to use. This can only be achieved by giving up scope and freedom from occasional ambiguity.
The pronunciation is encoded using a modified form of the ARPABET system, with the addition of stress marks on vowels of levels 0, 1, and 2. A line-initial ;;; token indicates a comment. A derived format, directly suitable for speech recognition engines is also available as part of the distribution; this format collapses stress distinctions ...