Clinical psychology. Inconsistency of judgment (most important)

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Clinical psychology. Inconsistency of judgment (most important)

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16. Inconsistency of judgments

A characteristic feature of patients with inconsistent judgments is the instability of the way the task is performed. The level of generalization in such patients is usually reduced. They quite successfully perform tasks for generalization and comparison. However, the correct decisions in such patients alternate with a specific situational association of objects into a group and with decisions based on random connections.

Let us consider the actions of patients with inconsistent judgments when performing the "classification of objects" task. Such patients correctly assimilate the instructions, use an adequate method when performing a task, choose pictures according to a generalized feature. However, after some time, patients change the correct path of decision to the path of incorrect random associations. In this case, several features are noted:

1) alternation of generalized (correct) and specific situational combinations;

2) logical connections are replaced by random combinations (for example, patients assign objects to the same group because the cards are next to each other);

3) the formation of groups of the same name (for example, the patient identifies a group of people "child, doctor, cleaning lady" and the second group of the same name "sailor, skier").

This violation of the dynamics of thinking is characterized by the alternation of adequate and inadequate solutions. Lability does not lead to gross violations of the structure of thinking, but only for some time distorts the correct course of the patients' judgments. It is a violation of the mental performance of patients.

Sometimes the lability of thinking is persistent. Such a constant, persistent lability occurs in patients with TIR in the manic phase.

Often a word evokes a chain of associations in such patients, and they begin to give examples from their lives. For example, explaining the meaning of the proverb “All that glitters is not gold,” a patient in the manic phase of MDP says: “Gold is a beautiful gold watch my brother gave me, it’s very good. My brother loved the theater very much...”, etc. d.

In addition, in patients with manifestations of lability of thinking, "responsiveness" is observed: they begin to weave any random stimulus from the external environment into their reasoning. If this happens during the performance of the task, patients are distracted, violate the instructions, lose their focus on actions.

Author: Vedekhina S.A.

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