{"id":1489,"date":"2010-12-06T09:43:38","date_gmt":"2010-12-06T09:43:38","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/motivation-and-behaviour\/"},"modified":"2023-10-27T14:26:56","modified_gmt":"2023-10-27T13:26:56","slug":"motivation-and-behaviour","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-psychiatric-interview\/characteristics-of-the-mental-status-examination\/motivation-and-behaviour\/","title":{"rendered":"Motivation And Behaviour"},"content":{"rendered":"<hr \/>\n<p><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Motivation<\/strong><\/span> is the driving force to activate <span style=\"text-decoration: underline;\">goal-orientated behaviour<\/span>. Dysfunctions in motivation include <span style=\"color: #33cccc;\"><strong>inactivity<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>lethargy<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>loss of initiative<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>avolition<\/strong><\/span> (<em>a general lack of desire, drive, or motivation to pursue meaningful goals<\/em>). They present themselves readily at observation, but are subjective and should be checked with the patient and by hetero-anamnestic information. Dysfunctions in behaviour include symptoms such as <span style=\"color: #33cccc;\"><strong>loss of decorum<\/strong><\/span> (<em>inappropriate social behaviour<\/em>), \u201c<em><span style=\"color: #33cccc;\"><strong>Witzelsucht<\/strong><\/span><\/em>\u201d (<em>telling inappropriate jokes<\/em>), <span style=\"color: #33cccc;\"><strong>cursing<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>quarrelsome behaviour<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>uninhibited expression of sexuality or aggression<\/strong><\/span>.<\/span><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\"><em><strong>Inactivity<\/strong>, <strong>lethargy<\/strong> and <strong>loss of initiative<\/strong><\/em> are indicative of <span style=\"text-decoration: underline;\">schizophrenia<\/span> (<em>indicative of the negative symptom cluster<\/em>), a <span style=\"text-decoration: underline;\">depressive disorder<\/span> and <span style=\"text-decoration: underline;\">dementia<\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\"><strong><em>Avolition <\/em><\/strong>is typical of <span style=\"text-decoration: underline;\">schizophrenia<\/span> (<em>indicative of the negative symptom cluster<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\"><strong><em>Loss of decorum<\/em><\/strong> is indicative of <span style=\"text-decoration: underline;\">dementia<\/span> or <span style=\"text-decoration: underline;\">schizophrenia<\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\"><em>\u201c<strong>Witzelsucht<\/strong>\u201d<\/em>\u00a0 is indicative of <span style=\"text-decoration: underline;\">mania<\/span> and <span style=\"text-decoration: underline;\">fronto-temporal brain disorders<\/span>, and so is <span style=\"text-decoration: underline;\">quarrelsome behaviour<\/span> (<em>contentiousness<\/em>), and <span style=\"text-decoration: underline;\">lack of inhibition<\/span> of sexuality and\/or aggression.<\/span><\/li>\n<li><span style=\"color: #003366;\"><em><strong>Impulsive acts <\/strong><\/em>or<strong><em> impulsive behaviour<\/em><\/strong> &#8211; this type of behaviour is a direct expression of an impulse, whereby no consequences are considered. It may involve <span style=\"text-decoration: underline;\">self-mutilation<\/span>, <span style=\"text-decoration: underline;\">suicide attempts<\/span>, <span style=\"text-decoration: underline;\">fits of anger<\/span>, <span style=\"text-decoration: underline;\">excessive risky behaviour<\/span>, etc.<\/span><\/li>\n<li><span style=\"color: #003366;\"><strong><em>Urge-driven behaviour<\/em><\/strong> \u2013 this type of behaviour is not alien (<em>egosyntonic<\/em>) to the patient, but there is a constant desire to act on the urge. Postponement of the act gives the patient a feeling of thrill or excitement, and performing the act usually gives pleasure, satisfaction or relief. <span style=\"text-decoration: underline;\">Paraphilia<\/span>, <span style=\"text-decoration: underline;\">binge eating<\/span>, <span style=\"text-decoration: underline;\">stealing<\/span>, <span style=\"text-decoration: underline;\">starting an unlawful fire<\/span>, <span style=\"text-decoration: underline;\">gambling<\/span>, <span style=\"text-decoration: underline;\">hair pulling<\/span> and <span style=\"text-decoration: underline;\">substance abuse<\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\"><strong><em>Compulsive behaviour<\/em><\/strong>: repetitive acts that must be carried out by someone who is consciously aware that performing these acts is not what he wants. These compulsions are performed to ward off unacceptable thoughts or desires. They are alien to the patient, as opposed to impulsive and urge-driven behaviour.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #003366;\">Patient behaviour also yields a range of symptoms of a more neurological nature to be observed and recorded, such as all sorts of <span style=\"color: #33cccc;\"><strong>movement disorders<\/strong><\/span> (<em>tremors, tics, akathisia and catatonia<\/em>), <span style=\"color: #33cccc;\"><strong>nystagmus<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>coordination disorders<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>dystonias<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>dyskinesias<\/strong><\/span>. For details of these symptoms we refer to the specific literature.<\/span><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Motivation is the driving force to activate goal-orientated behaviour. Dysfunctions in motivation include inactivity, lethargy, loss of initiative and avolition (a general lack of desire, drive, or motivation to pursue meaningful goals). They present themselves readily at observation, but are subjective and should be checked with the patient and by hetero-anamnestic information. Dysfunctions in behaviour [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[87],"tags":[150],"class_list":["post-1489","post","type-post","status-publish","format-standard","hentry","category-characteristics-of-the-mental-status-examination","tag-the-psychiatric-interview"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Motivation And Behaviour - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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