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In psychiatry, derailment (aka loosening of association, asyndesis, asyndetic thinking, knight's move thinking, entgleisen, disorganised thinking [1]) categorises any speech comprising sequences of unrelated or barely related ideas; the topic often changes from one sentence to another. [2] [3] [1]
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.
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, paralogia (a reasoning disorder characterized by expression of illogical or delusional thoughts), word salad, and delusions—all disturbances of thought content ...
[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. [10]
Tangential speech or tangentiality is a communication disorder in which the train of thought of the speaker wanders and shows a lack of focus, ...
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 ...
Racing thoughts may be experienced as background, or may take over a person's consciousness. Thoughts, music, and voices might be zooming through one's mind as they jump tangentially from one to the next. [citation needed] There also might be a repetitive pattern of voice or of pressure without any associated "sound". It is a very overwhelming ...
The primary thinking processes, as codified by Goldratt and others: Current reality tree (CRT, similar to the current state map used by many organizations) — evaluates the network of cause-effect relations between the undesirable effects (UDE's, also known as gap elements) and helps to pinpoint the root cause(s) of most of the undesirable effects.