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Psychiatry General 986c6626

In catatonic schizophrenia which is not found -

A
Waxy flexibility
B
Automatic obedience
C
Somatic passivity
D
Gegenhalten
High-Yield Explanation
Features of catatonic schizophrenia may be:- Excited catatonia:- It is characterized by increased in psychomotor activity, i.e. restlessness, agitation, excitement, aggressiveness, violence. The impulsive activity occurs in response to hallucination and delusions. Stuporous (retarded catatonia):- It is characterized by extreme retardation of psychomotor activity. It includes mutism, rigidity, negativism, posturing, stupor, echolalia, echopraxia, catalepsy (waxy flexibility), ambitendency, gegenhalten, stereotypies, stupor, mannerism, Grimacing, automatic obedience. Option 'c' & 'd' requires specific mention here :- "Gegenhalten (paratonia) is the classical sign of Pronto parietal disease. It is frequently associated with catatonic schizophrenia". Gegenhalten is an involuntary resistance to passive movement due to hypertonia. Somatic passivity :- Bodily sensations, especially sensory symptoms, are experienced as imposed on body by some external force. It is particularly seen in hebephrenic (disorganized) schizophrenia.

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