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Circumstantial speech, also referred to as circumstantiality, is the result of a so-called "non-linear thought pattern" and occurs when the focus of a conversation drifts, but often comes back to the point. [1] In circumstantiality, apparently unnecessary details and seemingly irrelevant remarks cause a delay in getting to the point. [2]
A thought disorder (TD) is a disturbance in cognition which affects language, thought and communication. [1] [2] Psychiatric and psychological glossaries in 2015 and 2017 identified thought disorders as encompassing poverty of ideas, neologisms, paralogia (a reasoning disorder characterized by expression of illogical or delusional thoughts), word salad, and delusions—all disturbances of ...
The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...
The term refers simplistically to a thought disorder shown from speech with a lack of observance to the main subject of discourse, such that a person whilst speaking on a topic deviates from the topic. Further definition is of speech that deviates from an answer to a question that is relevant in the first instance but deviates from the ...
Circumstantial thinking, or circumstantial speech, refers to a person being unable to answer a question without giving excessive, unnecessary detail. [15] This differs from tangential thinking, in that the person does eventually return to the original point, circling back on-topic.
[4] [5] Thought disorders' symptoms like flight of ideas can induce pressured speech, with some degrees of circumstantiality or tangential speech. [6] It is also a direct or indirect symptom of anxiety disorders , [ 7 ] attention deficit hyperactivity disorder (ADHD), [ 8 ] autism spectrum disorder , [ 9 ] and schizophrenia .
Perseveration of thought indicates an inability to switch ideas or responses. [6] An example of perseveration is, during a conversation, if an issue has been fully explored and discussed to a point of resolution, it is not uncommon for something to trigger the reinvestigation of the matter. This can happen at any time during a conversation.
Cognitive restructuring (CR) is a psychotherapeutic process of learning to identify and dispute irrational or maladaptive thoughts known as cognitive distortions, [1] such as all-or-nothing thinking (splitting), magical thinking, overgeneralization, magnification, [1] and emotional reasoning, which are commonly associated with many mental health disorders. [2]
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