Rigid

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With the adjective affektstarr (also affect flattening, low ability to vibrate) is described in the psychopathological findings according to the AMDP system, a state in which the ability to vibrate and emotional modulation is reduced. The opposite is affect unstable . Affect rigidity is not about the number of different affects shown , as is the case with affective poverty , but about a flattening of affect in the sense of a lower modulation or amplitude ( emotional oscillation ability) as well as the ability to react emotionally and empathically to the content of a conversation . In the case of a slight affective rigor, the person concerned needs external stimuli, but can modulate his affect; in the case of a strong expression he does not succeed despite external stimuli. It is important that persisting in a jokingly euphoric mood is also referred to as being rigid with affect, so that rigid affect does not say anything about the affect in which the patient remains.

Occurrence

The affective rigor can only give an indication of a certain diagnosis. However, further symptoms must be met for a diagnosis to be made. In the literature, affective rigor is mentioned in connection with the following diagnoses:

  • Organic psychosyndrome
  • some schizophrenia : paralysis of affect is assumed to be characteristic of schizophrenia. Typically a negative symptom of the schizophrenic residual would be described with affective rigidity. It is important, however, that the extrapyamidal-motor side effect of a neuroleptic in the form of a parkonsonoid, which can cause hypomimia and restricted gestures, is not confused with a flattening of affect. Such a side effect may need to be treated. Other possible affect disorders in schizophrenia include a lack of affect or parathymia .
  • some depressions : Affective rigidity refers to a lack of the ability to vibrate in the positive range.
  • occasionally with chronically irritated mania
  • Schizoid personality

This must be distinguished from the lack of affect, as it occurs, for example, in dementia .

See also

Individual evidence

  1. ↑ a b c d Working Group for Methodology and Documentation in Psychiatry (AMDP): The AMDP system: Manual for the documentation of psychiatric findings . Hogrefe Verlag, 2016, ISBN 978-3-8444-2707-3 ( google.de ).
  2. ↑ a b c Friedel M. Reischies: Psychopathology: Characteristics of mental illnesses and clinical neuroscience . Springer Science & Business Media, 2007, ISBN 978-3-540-37253-0 ( google.de ).
  3. ↑ a b c d Christian Scharfetter: General psychopathology: an introduction . Georg Thieme Verlag, 2002, ISBN 978-3-13-531505-8 , p. 178 ( limited preview in Google Book search).
  4. ↑ a b c d Josef Schöpf: Psychiatry for the practice: With ICD-10 diagnostics . Springer-Verlag, 2013, ISBN 978-3-642-55595-4 , pp. 19 ( limited preview in Google Book search).
  5. ↑ a b Michael Zaudig, Rolf Dieter Trautmann-Sponsel, Peter Joraschky, Rainer Rupprecht, Hans-Jürgen Möller: Therapielexikon Psychiatrie, Psychosomatik, Psychotherapie . Springer-Verlag, 2006, ISBN 978-3-540-30986-4 , pp. 22 ( limited preview in Google Book search).
  6. ↑ Josef Schöpf: Psychiatry for Practice: With ICD-10 diagnostics . Springer-Verlag, 2013, ISBN 978-3-642-55595-4 , pp. 106 ( limited preview in Google Book search).