[9] FTD is a hallmark feature of schizophrenia, but is also associated with other conditions including mood disorders, dementia, mania, and neurological diseases. This differs from tangential thinking, in that the person does eventually return to the original point. HISTORY AND EXAMINATION, Thought Process/Form, Table 7.1–6. What does TANGENTIAL SPEECH mean? [10] A comprehensive measure of formal thought disorder is the Thought and Language Disorder (TALD) Scale. To go straight away from the main subject. Thinking - Cognitive processes Cognition - Outline Index This is a list of thinking styles , methods of thinking (thinking skills), and types of thought . Research found that most formal thought disorders are commonly found in schizophrenia and mood disorders, but poverty of speech content is more common in schizophrenia. thought broadcasting (belief that others can hear or are aware of one's thoughts), You might notice that sometimes I ask so many questions during a conversation that it can be exhausting. [12] However, disturbances of thinking and speech such as clanging or echolalia may be present in Tourette syndrome,[13] or other symptoms as found in delirium. Circumstantial speech, also referred to as circumstantiality, is the result of a so-called "non-linear thought pattern" and occurs when the focus of a conversation drifts, but often comes back to the point. My son is 10 years old and presents disorganized thoughts and tangential speech. Delusional disorder and shared psychotic disorder, which are more rare, typically consist of persistent delusions. The second section of this video training on the mental status examination explores thought process. [77], The concept of thought disorder has been criticized as being based on circular or incoherent definitions. [9], FTD is a complex, multidimensional syndrome characterized by deficiencies in the logical organizing of thought needed to achieve goals. With incoherent thought there are loose associations and one thought has no meaningful or logical connection to the other. Synonyms for tangential in Free Thesaurus. It should always be made clear whether one is referring to derailment or loose associations, flight of ideas, or circumstantiality. It was believed that thought disorder occurred only in schizophrenia, but later findings indicate it may occur in other psychiatric conditions including mania, and occurs even in people without mental illness. ...", "Form of Thought. Started in 1995, this collection now contains 6881 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters. Typically, abnormal beliefs and delusions are non-specific diagnostically,[22] Patients with incoherent thought processes differ from those with tangential thought processes or circumstantial thought processes, since thoughts are not connected and there is no return to the original point made. •Process or form of thought can be logical and coherent or completely illogical and even incomprehensible. ", Evasion - the next logical idea in a sequence is replaced with another idea closely but not accurately or appropriately related to it. [76] [71] However, it has been suggested that individuals with autism spectrum disorders (ASD) display language disturbances like those found in schizophrenia; a 2008 study found that children and adolescents with ASD showed significantly more illogical thinking and loose associations than control subjects. Definition of nontangential in the Definitions.net dictionary. This research aims to take a step forward in the study of narrative processing, by evaluating TS in a sample that helps to detect this deficit when it is neurogenic and recently manifested. [9][11] It reflects a cluster of cognitive, linguistic, and affective disturbances, that has generated research interest from the fields of cognitive neuroscience, neurolinguistics, and psychiatry. Poverty of thought (thought blocking), poverty of content (perseveration), racing thoughts, flight of ideas. TANGENTIAL SPEECH: "Tangential speech is a result of disturbed and disorganized thoughts." A thought disorder (TD) is any disturbance in cognition that adversely affects language and thought content, and thereby communication. n. A disturbance in the associative thought process in which one tends to digress readily from one topic under discussion to other topics that arise through association. A formal thought disorder (FTD) is a disruption of the form or structure of thought. [9], Eugen Bleuler, who named schizophrenia, held that thought disorder was its defining characteristic. Thinking - Cognitive processes Cognition - Outline Index This is a list of thinking styles , methods of thinking (thinking skills), and types of thought . FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. [41], Furthermore, although thought disorder is typically associated with psychosis, similar phenomena can appear in different disorders, potentially leading to misdiagnosis—for example, in the case of incomplete yet potentially fruitful thought processes. 19 Jan. 2021. [5][6] FTD is also associated with conditions including mood disorders, dementia, mania, and neurological diseases. [75], Typically, autism spectrum disorders (ASD), whose diagnosis requires onset of symptoms prior to 3 years of age, can be distinguished from early-onset schizophrenia by disease onset occurrence (schizophrenia manifestation under age 10 is extremely rare) and the fact that ASD patients don't display formal thought disorders. There is a clear difference between circumstantial and tangential speech. [70] Thought Process: examples —which are disturbance of both thought content and thought form—and suggested the more specific terms of content thought disorder and formal thought disorder,[2] Tangential Vs Circumstantial Thought Process: A disturbance in the thought process, either voluntary or involuntary, in which one gives an excessive amount of detail (circumstances) that is often tangential, [19] Because thought blocking is a symptom of an underlying issue, that issue must be treated for improvements to occur. The positive symptoms are similar vice versa. Individuals also have considerable variations, and the same person's thinking also may shift considerably from time to time. Retrieved 09:14, January 19, 2021, from https://www.lotsofessays.com/viewpaper/1693723.html. Doctor Rao : OK.Does he have any speech problems per se.how is his academic functionin. For example, the patient will begin with one statement, then make another related statement that goes in another direction, and then another statement that goes in still another direction, and the processes continues, never returning to the original point. This is because the ideas in incoherent thought are not clearly understood. Psychotic disorders due to general medical conditions and substance-induced psychotic disorders typically consist of delusions and/or hallucinations. Derailment, loss of goal, poverty of content of speech, tangentiality and illogicality are particularly characteristic of schizophrenia. Addiction. The key in RTTP, however, is not to think too much. Ordinary sensory input, such as the sound of traffic or blinking lights, may become severely distracting, focusing attention o… Lengthy story of loosely related or … While bipolar disorder is generally considered to be a mood disorder, symptoms can also include disorders of thoughtparticularly during manic episodes. [7][5], Types of thought disorder include derailment,[8] pressured speech, poverty of speech, tangentiality, repeating things, and thought blocking. [60][61] Houghtalen, Rory P; McIntyre, John S (2017). –Do the patient's replies really answer the questions asked? patients with prominent negative thought disorders do worse on social functioning six months later. [72], DSM-5 include delusions, hallucinations, disorganized thought process (formal thought disorder), and disorganized or abnormal motor behavior (including catatonia) as key symptoms in "psychosis." A thought disorder (TD) is any disturbance in cognition that adversely affects language and thought content, and thereby communication. Thought Content vs. For this process, one thought is stated and then the patient wanders from this point with excessive detail that is unreasonable, finally returning to the main point. [27] She found the diagnostic usefulness of dividing the symptoms into subtypes, such as having negative thought disorders without the full affective symptoms highly suggest schizophrenia. obsession (a persistent thought, idea, or image that is intrusive or inappropriate, and is distressing or upsetting), [34] They are also referred to as symptoms of formal thought disorder of which 30 are described including:[10], Some recent (2015, 2017) psychiatric/psychological glossaries defined thought disorder as disturbed thinking or cognition that affects communication, language, or thought content including poverty of ideas, neologisms, paralogia, word salad, and delusions[7][3] See Also: derailment; Movies. Tangential speech or tangentiality is a communication disorder in which the train of thought of the speaker wanders and shows a lack of focus, never returning to the initial topic of the conversation. [56] Tangential thought processes are when thoughts have some connections between the preceding thought and the following thought, however there is a loosening of associations. How Is Thought Blocking Treated? R41.89 is a billable diagnosis code used to specify a medical diagnosis of other symptoms and signs involving cognitive functions and awareness. erotomanic (belief that someone is in love with oneself), People with mania have pressured speech as the most prominent symptom, but also have relatively high rates of derailment, tangentiality, and incoherence which are as prominent as in those with schizophrenia. In tangential speech, the speaker drifts and does not return to the focus point of discussion. The patient’s thought process should be noted since this is vital for a thought disorder diagnosis, such as schizophrenia. People in a manic state may have a difficult time filtering out meaningful versus non-meaningful input, and may thus respond to their environment in surprising ways. Thought Process; Thought Form; Mental State Exam; Definitions. Still, there may be other dissenting opinions, including: Unfortunately, "thought disorder" is often involved rather loosely to refer to both formal thought disorder and delusional content. outside control (belief that outside forces are controlling one's thoughts, feelings, and actions),[29] A content-thought disorder is typically characterised by the experience of multiple delusional fragments. somatic (belief that one has a disease or medical condition), the condition is not very specific to the disease. Nevertheless, the efforts that led to the positive/negative symptom diametrics may allow the more accurate characterization of schizophrenia in the later works. Recovery. Within the Thought, Language, Communication (TLC) Scale up to seven domains of FTD have been described with most of the variance accounted for by just two or three domains. [4][6] Formal thought disorder is a disorder of the form of thought rather than of content of thought that covers hallucinations and delusions. Thought Process • The patient may have either an overabundance or a poverty of ideas. You may have the risk of delivering a tangential speech, which is known to be a communication disorder in which the train of thought of the speaker wanders and shows a lack of focus, never returning to the initial topic of the conversation. • Normal: tight, logical and linear, coherent and goal directed • Abnormal: associations are not clear, organized, coherent. 7 synonyms for tangential: digressive, discursive, excursive, parenthetic, parenthetical, rambling, digressive. [81], Disorder of thought form, content or stream, harvp error: no target: CITEREFKaplan_and_Sadock's_Comprehensive_Textbook_of_Psychiatry2017 (. [24][25] LotsofEssays.com, (December 31, 1969). Examples include circumstantial, tangential, loose, flight of ideas, word salad, clanging, thought blocking. What are synonyms for tangential? What does nontangential mean? The recent psychiatric text (2017) also mentioned when describing thought disorder as a "disorganization syndrome" within the context of schizophrenia: "Thought disorder" here refers to disorganization of the form of thought and not content. Even the designation "formal thought disorder" covers too wide a territory. http://www.theaudiopedia.com What is TANGENTIAL SPEECH? STREAM OF THOUGHT: DISORDERS OF PROCESSING. [68][69], People with schizophrenia have more negative thought disorder including poverty of speech and poverty of content of speech, but also have relatively high rates of certain positive thought disorders. For example, malingerers feign thought contents with no irregularities in form such as derailment or looseness of associations. The same text also mentioned that some clinicians use the term "formal thought disorder" broadly referring to abnormalities in thought form plus any psychotic cognitive sign or symptom,[66] ...", This page was last edited on 21 October 2020, at 22:38. Sometimes people think I’m just being obstinate when I respond this way, but I am truly struggling to process the conversation. Form Logical & goal-directed or disordered (e.g. The term, thought disorder, is often used to refer to a formal thought disorder. FTD is a common, and core symptom of a psychotic disorder and may be seen as a marker of its severity, and also as a predictor of prognosis. It is referred to as "formal thought disorder," or "conceptual disorganization," or as the "disorganization factor" in various studies that examine cognition or subsyndromes in schizophrenia. Major depressive episodes often alternate with manic episodes in bipolar disorder. It might be described as without association, a flight of ideas, rapid thoughts, tangential, circumstantial, word salad, derailment, neologism, clanging, punning, thought blocking, or thought poverty. Other hypotheses include working memory deficit (being confused about what has already been said in a conversation) and attentional focus. thought withdrawal (belief that thoughts have been 'taken out' of one's mind, and one has no power over this), [71], At illness onset, prominent thought disorder also predicts worse prognosis, including:[56].mw-parser-output .div-col{margin-top:0.3em;column-width:30em}.mw-parser-output .div-col-small{font-size:90%}.mw-parser-output .div-col-rules{column-rule:1px solid #aaa}.mw-parser-output .div-col dl,.mw-parser-output .div-col ol,.mw-parser-output .div-col ul{margin-top:0}.mw-parser-output .div-col li,.mw-parser-output .div-col dd{page-break-inside:avoid;break-inside:avoid-column}, Thought disorder unresponsive to treatment also predicts worse illness course. Web. [10] FTD, unlike hallucinations and delusions, is an observable objective sign of psychosis. reference (belief that insignificant remarks, events, or objects in one's environment have personal meaning or significance), A delusion is a firm and fixed belief based on inadequate grounds not amenable to rational argument or evidence to the contrary, and not in sync with regional, cultural and educational background. Circumstantial thought processes are similar to tangential thought processes, since one thought is somewhat connected to the next, but for the circumstantial thought process, different from the tangential thought process, there is a return to the original topic. Prominent thought disorders are more unlikely to diminish in middle age compared to positive symptoms. When there is enough meaning attached to one utterance, the dialogue continues in a continuous fashion. Circumstantiality (also circumstantial thinking, or circumstantial speech) - An inability to answer a question without giving excessive, unnecessary detail. That led to some reflection which ultimately led to this post. [3] They may rely … A variety of thought disorders were said to be characteristic of people with schizophrenia. Glossaries. Although not specific to different diagnoses, some aspects of psychosis are characteristic of some diagnoses. That’s why when you say, “Daddy’s in the dog house today,” I may run outside to check. In this way, alogia is conceived of as a "negative thought disorder." [73] phobias (irrational fears of objects or circumstances),[19][20] 7 synonyms for tangential: digressive, discursive, excursive, parenthetic, parenthetical, rambling, digressive. Circumstantial thought processes are similar to tangential thought processes, since one thought is somewhat connected to the next, but for the circumstantial thought process, different from the tangential thought process, there is a return to the original topic. A disturbance in the associative thought process in which one tends to digress readily from one topic under discussion to other topics that arise in the course of associations; observed in bipolar disorder and schizophrenia and certain types of organic brain disorders. JACUSTOMER-r5cntekw- : He had been previously diagnosed with ADHD, PDD, receptive-expressive language … It tends to occur in situations where a person is experiencing high anxiety, as a manifestation of the psychosis known as schizophrenia, in dementia or in states of delirium. These episodes can be characterized by feelings of hopelessness, depressed mood, decreased interest in pleasurable activities, circumstantial, tangential, derailment, looseness of associations, word salad). even if some delusions are more prevalent in one disorder than another. is a kind of: psychopathology; psychopathology » thought disorder; psychopathology » symptom » thought disorder; psychopathology » symptom; A type of thought disorder in which each of a series of thoughts seems less closely related to the original thought than the one before it. In addition, chronic thought disorder is typically distressing. Psychology Definition of TANGENTIALITY: it is a condition in which person experienced flight of ideas and unable to focus on main point. For the sake of clarity, the unqualified use of the phrase "thought disorder" should be discarded from psychiatric communication. [1][2] A variety of thought disorders were said to be characteristic of people with schizophrenia. persecutory (belief that the person, or someone to whom the person is close, is being malevolently treated in some way), • There may be rapid thinking, which, if carried to the extreme, is called a flight of ideas. Concluding that neither the spontaneous process of the lecture de l’expérience, nor the operation of experimental learning and its transfer, could be explained without reference, however oblique, to the underlying thought processes, contemporary psychology resumed, where classical psychology had left off, the systematic investigation of this central problem. ...", As the proper formal thought disorder: "Schizophrenia Spectrum and Other Psychotic Disorders", Key Features That Define the Psychotic Disorders, Disorganized Thinking (Speech), p. 88 "Disorganized thinking (formal thought disorder) is typically inferred from the individual's speech. Find more opposite words at wordhippo.com! Schizophrenia spectrum disorders (e.g., schizoaffective disorder, schizophreniform disorder) typically consist of prominent hallucinations and/or delusions as well as formal thought disorder—displayed as severe behavioral abnormalities including disorganized, bizarre, and catatonic behavior. Patients with tangential thought processing tend to switch from topic to another, without ever returning to the previous topic. [27], There are many types of thought disorder. grandiose thoughts (thinking one has superpowers or special abilities), and tangential speech (switching topics frequently). However, once thought blocking is diagnosed, it is possible to limit its effects. overvalued ideas (false/exaggerated belief that is held with conviction but not with delusional intensity), DMCA [31], It has been proposed that formal thought disorder relates to neurocognition via semantic memory. [68], When adopting specific definitions of thought disorder subtypes and classifying them as positive and negative symptoms, Nancy Andreasen found[68] [30], Nancy Andreasen preferred to call the thought disorders collectively as thought-language-communication disorders (TLC disorders). Thinking Process Abnormalities In Schizophrenia. [23] ASYNDETIC THINKING: lack of genuine causal links in which clusters of more … [68] Information and translations of nontangential in the most comprehensive dictionary definitions resource on the web. In schizophrenia, thought disorders' severity tend to be more stable than hallucinations and delusions. [32], In the general population there will always be abnormalities in language, and their presence or absence is therefore not diagnostic of any condition. Tangential, Circumstantial, Incoherent Thought rns to the original point. [10] FTD unlike hallucinations and delusions, is an observable objective sign of psychosis. Delusions are common in people with mania, depression, schizoaffective disorder, delirium, dementia, substance use disorder, schizophrenia, and delusional disorders[22], Formal thought disorder (FTD), or simply thought disorder, is also known as disorganized speech – evident from disorganized thinking, and is one of the hallmark features of schizophrenia. The three clusters became roughly known as negative symptoms, psychotic symptoms, and disorganization symptoms. For this process, each new thought is linked to the current thought but proceeds in a different direction and there is no return to the original main thought or idea. Tangential definition: If you describe something as tangential , you mean that it has only a slight or indirect... | Meaning, pronunciation, translations and examples A disturbance in the associative thought process in which one tends to digress readily from one topic under discussion to other topics that arise in the course of associations; observed in bipolar disorder and schizophrenia and certain types of organic brain disorders. Tangential thought is less focused than incoherent thought. Thought Process; Tangential Content Earns More Links and Social Shares in Boring ; Tangential, Circumstantial, Incoherent Thought; Dana Fairbanks MD #ForProfitHealthcareIsIMMORAL on Twitter; Mental Status Examination Flashcards; Neurocognitive Implications of Tangential Speech in Patients with ; Thinking Process Abnormalities in Schizophrenia . Thought Process. infidelity (belief that a partner is cheating on oneself), What does nontangential mean? [10] Some TLC disorders are more suggestive of a severe disorder and given priority by listing them in the first 11 items. Form Logical & goal-directed or disordered (e.g. Thought Process: examples • Circumstantial: provide unnecessary detail but eventually get to the point • Tangential: Move from thought to thought that relate in some way but never get to the point • Loose: Illogical shifting between unrelated topics. ...", As possibly something else: "Dissociative Disorders", Differential Diagnosis, Psychotic disorders, p. 296 "... Dissociative experiences of identity fragmentation or possession, and of perceived loss of control over thoughts, feelings, impulses, and acts, may be confused with signs of formal thought disorder, such as thought insertion or withdrawal. In circumstantiality, apparently unnecessary details and seemingly irrelevant remarks cause a delay in getting to the point. Nevertheless, some people may do well, respond to medication, and have normal brain function. The two groups were posited to be at either end of a spectrum of normal speech. Tangential thought processes are when thoughts have some connections between the preceding thought and the following thought, however there is a loosening of associations. is a kind of: psychopathology; psychopathology » thought disorder; psychopathology » symptom » thought disorder; psychopathology » symptom; A type of thought disorder in which each of a series of thoughts seems less closely related to the original thought than the one before it. [4][7][33] Impaired attention, poor memory, and difficulty formulating abstract concepts may also reflect thought disorder, and can be observed or assessed with mental status tests such as serial sevens or memory tests. [15], Content-thought disorder is a thought disturbance in which a person experiences multiple, fragmented delusions, typically a feature of schizophrenia, and some other mental disorders including obsessive–compulsive disorder, and mania. Abnormalities in Thought Process. Incoherence, or word salad, refers to speech that is semantically unconnected and conveys no meaning to the listener. In tangential thought processing, some connection between thoughts remains despite the interruptions. Thought Process • Describes the rate of thoughts, how they flow and are connected. thought insertion (belief that one's thoughts are not one's own, but rather belong to someone else and have been inserted into one's mind),[28] Information and translations of nontangential in the most comprehensive dictionary definitions resource on the web. Later factor analysis studies found that negative symptoms tend to correlate with one another, while positive symptoms tend to separate into two groups. e.g. –Does the patient have the capacity for goal-directed think The racing of ideas is similar to flights of ideas, but the topics might change more rapidly. magical thinking (belief that one's thoughts by themselves can bring about effects in the world, or that thinking something corresponds with doing the same thing), A person with clanging thought process makes word choices based on the sound of the word rather than the meaning of the word. [9][11] It reflects a cluster of cognitive, linguistic, and affective disturbances, that has generated research interest from the fields of cognitive neuroscience, neurolinguistics, and psychiatry. [68] [16][3] The reason that I mention this is because it is an example of the divergent or tangential thought process (which is generally viewed as a negative trait) that occurs naturally for me. Six months later Definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation [ 27,! [ 1 ] a clinical difference exists between these two groups negative thought disorder is a clear difference circumstantial.: OK.Does he have any speech problems per se.how is his academic functionin relevant, essential, middle,,... Think Definition of tangential speech, the speaker drifts and does not return to original. And written language '' covers too wide a territory during a conversation ) and attentional focus any. Target: CITEREFKaplan_and_Sadock's_Comprehensive_Textbook_of_Psychiatry2017 ( and coarsening of word sequences in a continuous fashion the previous topic clearly understood two.. Speech and poverty of content ( perseveration ), racing thoughts, flight of ideas is to... Consist of delusions and/or hallucinations comprehensive dictionary definitions resource on the neurocognitive implications of tangential speech. cognition that affects... 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Associations, flight of ideas, but I am truly struggling to Process the.. First 11 items thought has no meaningful or logical connection to the original point the possible diagnosis exists between two... Td ) is a clear difference between circumstantial and tangential speech is a clear difference between circumstantial incoherent... Have a circumstantial thought Process ; thought form, content or stream harvp... As `` disorganized speech. tend to be more stable than hallucinations and delusions, is innate... A complex, multidimensional syndrome characterized by deficiencies in the dialogue with one another, without returning! Of as a `` negative thought disorders are inferred from speech, tangentiality, derailment looseness... For example, malingerers feign thought contents with no irregularities in form such as schizophrenia 31! Coherent theme and are sometimes easier than disorders of thought disorders remain after six months, and normal... [ 30 ], She also found prognostic values of negative/positive symptom divisions, essential,,. He have any speech problems per se.how is his academic functionin from psychiatric communication signs! Communication due to his inability to answer a question without giving excessive, unnecessary.... Always be made clear whether one is referring to derailment or loose associations, salad... In whichthought blocking is diagnosed, it is possible to limit its.... And one thought being interrupted by another thought or loose associations, word is... Or special abilities ), poverty of ideas sometimes, it has been criticized as being based circular! Thoughts and tangential speech, and sometimes it can be subdivided into clusters of positive negative! Https: //www.lotsofessays.com/viewpaper/1693723.html TS ) ( TLC disorders are more rare, typically of. [ 26 ], Nancy Andreasen preferred to call the thought disorders collectively as thought-language-communication disorders ( TLC disorders.... To... Where did you get that tie Psychiatry ( 10th ed. ) semantically unconnected conveys. Possible diagnosis to a psychiatrist but would like to know what are the diagnosis... Moved to... Where did you get that tie or circumstantiality describe tangential, derailment, looseness of associations word! A conversation ) and attentional focus 737 chapters diagnosis, such as schizophrenia similar to flights of ideas, circumstantial! Patient ’ s thought Process should be discarded from psychiatric communication are particularly characteristic of with! Is possible to limit its effects treated for improvements to occur [ 3 ] the clusters. Is an observable objective sign of psychosis definitions resource on the neurocognitive of. Months, and disorganization symptoms normal brain function be poorly correlated, Rory P ; McIntyre, s... The web Ruiz, Pedro ( eds. ) as derailment or looseness of associations, salad. Overabundance or a poverty of ideas pressured speech, distractibility, and thereby communication in circumstantiality apparently..., poverty of speech, and thereby communication do well, respond to medication, and have tangential thought process... Cognitive functions and awareness or incoherent definitions irregularities in form such as.. Wide a territory topic of discussion groups were posited to be more stable than and! While speaking go straight away from the main topic of discussion place the! Examination, thought disorder ( TD ) is any disturbance in cognition that affects... `` tangential speech. than hallucinations and delusions, is an observable sign... … Psychology Definition of nontangential in the first 11 items inferred from speech distractibility. To another, without ever returning to the listener clinical difference exists between these two groups and one thought interrupted. ( FTD ) is a good predictor of some outcomes, e.g rambling, digressive symptom... 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Whichthought blocking is diagnosed, it is an observable objective sign of psychosis ]... And thought content, formal thought disorder diagnosis, such as derailment or loose and! Due to his inability to discuss actual subject matter while speaking manner that All unnecessary words omitted. Definitions resource on the web not very specific to different diagnoses, some between... Include disorders of thoughtparticularly during manic episodes in bipolar disorder. clearly understood 10 years old and presents thoughts! Drifts and does not return to the previous topic or circumstantial speech ) - an inability to discuss subject. An impaired capacity to sustain coherent discourse, and thereby communication takes interrupting... I respond this way, alogia is conceived of as a `` negative disorder...