Punding (psychology)

As Punding a behavioral disorder is referred to, which is characterized by complex, not goal-directed behavior. It can be counted among the group of stereotypes . Often there is a connection with the (previous) professional activity.

Corresponding behavior can also be observed in patients with Parkinson's disease under certain conditions. In particular, drug treatment with dopamine plays a role here.

Symptoms almost always begin during the night. The activities are experienced as pleasant and relaxing by the patient, but are not carried out to relieve inner tension or anxiety in the sense of a compulsion . Attempts to discourage patients often lead to irritable and dysphoric reactions. The phenomenon is psychopathologically distinguishable from obsessive-compulsive disorder on the one hand and mania on the other. While patients usually recognize when asked that these behavioral changes are unproductive and disruptive, they rarely report them spontaneously. Occasionally, relatives cite them as a problem. Punding is almost exclusively associated with on phases. Dyskinesia is very common at the same time .

A reduction in dopaminergic therapy or a switch to a different preparation is recommended for therapy.

Web links

• Evans AH, Katzenschlager R, Pavior D, et al. : Punding in Parkinson's disease: its relation to the dopamine dysregulation syndrome . In: Mov. Disord. . 19, No. 4, April 2004, pp. 397-405. doi : 10.1002 / mds.20045 . PMID 15077237 .