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Created by :
Endah Fitri
1161050239
SUPERVISOR :
Dr.Sabar P. Siregar, Sp.KJ
lying on a continuum of obsessional doubts to delusional certainty. On the other hand, the
link found with Disorganization on the simple regression could well be related to the
level of insight that has been associated with thought disorders and disorganization.
Bizarre delusions are also related to Compulsions, but this link is masked by
Auditory
hallucinations.
Reciprocally, Auditory
hallucinations
are
related
to
Compulsions, but this link is masked by Bizarre delusions. As for Bizarre delusions an
Obsessions, one may speculate that there is also a common mechanismin Auditory
hallucinations and Compulsions. In fact, compulsions are often conceived as an acting
out in response to an anxiogenic environment, i.e., obsessions. Similarly, hallucination
could be viewed as a perceptual acting out in response to anxiogenic thoughts, i.e.,
delusions. Thus hallucinations and compulsions may both reflect a decrease capacity to
inhibit behaviors or thoughts. This viewis somewhat supported by the recent finding that
reality distortion symptoms and sensation seeking or impulsivity share common
neurophysiological mechanisms.
Specific relationships between the symptom dimensions of schizophrenia and
OCSs suggesting similar underlying mechanisms, e.g., delusion and obsession both
related to over-valued ideas, or hallucinations and compulsions related to disinhibition.
By this view, OCSs might be better conceived as an integral part of the expression of
schizophrenia rather than in terms of comorbidity.