• Member Since 13th Jun, 2013
  • offline last seen 10 hours ago

Super Trampoline


"Of all the terrible batponies in the world, you're the least terrible."~PresentPerfect🐴Ponk & GlimGlam are best ponies🐴Text 714-496-3119 with the name of an MLP character to get a cute picture!

More Blog Posts1099

  • Thursday
    EDIT: IRL Friend loaned me $10. Gonna make it to Burlingame.Hi this is embarrassing and awkward but I'm not sure I have enough gas money to make it the rest of the way to BABSCon could I borrow like $20 for a few days until I'm able to busk a bi

    Hi this is embarrassing and awkward but I'm not sure I have enough gas money to make it the rest of the way to BABSCon could I borrow like $20 for a few days until I'm able to busk a bit and other fund generation?

    Read More

    1 comments · 29 views
  • Saturday
    Starlight 🤝🪁🪁🪁🤝Gazans

    I'm going to try to publish a story about kite flying on the 30th and encourage you to do so as well.

    Read More

    0 comments · 53 views
  • 3 weeks
    BABSCon 2024

    Facebook places who's going to Bay area brownie spectacular convention at the end of the month? It'll be my first pony convention in like 2 years almost cuz finances have been shit and I've been taking care of my disabled girlfriend etc but she is going to be coming with me and going to her first Brony convention since 2013 Equestria LA, when she was harassed a bunch and dealt with a ton of

    Read More

    1 comments · 57 views
  • 5 weeks
    On Death

    I call myself a hopeful agnostic. I vigorously want there to be an afterlife, where there's joy, justice, and fellowship for all God's creatures, great and small. I am unbelievably terrified of the prospect that one day I will cease to exist. And I want so desperately for all entities across space and time who have felt hurt and pain and suffering and helplessness and confusion and fear to feel

    Read More

    13 comments · 129 views
  • 5 weeks
    Please fill me in: What am I missing?

    I get overwhelmed and am taking care of my disabled girlfriend, so I almost never check my feed anymore. Please, tell me the best stories, funniest stories, best blogs, spiciest blogs, drama, interesting things, important blogs, important stories, deaths, celebrations, etc. that have happened over the last half year? Or year. Or two years. Your choice. Like, PresentPerfect came out and I had no

    Read More

    10 comments · 132 views
Mar
31st
2022

Personally Attack Me Harder, Daddy · 6:25pm Mar 31st, 2022

Circumstantiality
Balaram K, Marwaha R.

https://www.ncbi.nlm.nih.gov/books/NBK532945/

Definition/Introduction
Circumstantiality is defined as circuitous and non-direct thinking or speech that digresses from the main point of a conversation. An individual that displays this characteristic includes unnecessary and insignificant information which, although sometimes relevant, distracts from the central theme or main point of a conversation. The over-inclusion of this extraneous information can make it difficult to both follow the speaker’s train of thought or arrive at a meaningful answer to a question. Eliciting information in clinical situations from circumstantial patients may be difficult and time-consuming.

Issues of Concern
Along with tangentiality and flight of ideas, circumstantiality can often be a symptom of formal thought disorders such as schizophrenia or mood disorders with thought disturbances such as mania with psychosis.[1] Tangentiality refers to a disturbance in the thought process that causes the individual to relate excessive or irrelevant detail that never reaches the essential point of a conversation or the desired answer to a question. Flight of ideas refers to the expression of rapidly shifting thoughts that are loosely associated with one another. The listener may find this type of speech, in which the speaker “jumps” from one point to another, rendering their communication incoherent and nonsensical. Unlike in flight of ideas, circumstantiality contains tighter and more coherent associations that may be easier to follow or understand. Unlike tangential speakers, i.e., those who are circumstantial eventually arrive back at the main point of speech or the answer to a question.

For example, a physician may inquire about the highest level of education that a patient has obtained. A circumstantial patient may start and say they loved high school, then recount multiple lengthy tales of interesting academic and travel experiences from college before stating that they graduated with a bachelor’s degree. Similarly, a nurse may ask a manic and expansive patient about any allergies. The patient may begin by listing some of their allergies, then narrate a lengthy tale of how they went into anaphylactic shock after a bee sting in childhood, and discuss an interesting article they read recently in a magazine about the evolutionary origins of allergic reactions before finally arriving at the answer to the initial question.

Circumstantiality is commonly found in individuals with thought disorders, for example, brief psychotic disorder, schizoaffective disorder, or schizophrenia. It can also manifest in the pressured, grandiose, and disorganized speech of those with mood disorders with thought disturbances, such as bipolar I disorder with psychotic features.[2] It is also, more uncommonly, found in individuals with obsessive-compulsive disorder. In those diagnosed with psychotic disorders or thought disorders with psychosis, circumstantiality may be a direct and easily identified manifestation of the “disorganized speech” that is one of the five main diagnostic criteria for the disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM–5). In those diagnosed with obsessive-compulsive disorder, the circumstantial nature of speech may be more compulsive, in that individuals feel the need to include details in speech they consider to be relevant and feel compelled to present them in sequential order.[3]

According to an article by Levitas, children with an intellectual disability or developmental delay may also display signs of circumstantial thinking or speech that may present as the inclusion of irrelevant and concrete details. In these cases, clinicians must be careful not to misdiagnose these individuals with thought disorders. Instead, they must be evaluated in the context of their developmental delay or intellectual disability.

Circumstantiality can also be observed as part of the behavioral changes associated with some epilepsy syndromes, particularly in individuals with temporal lobe lesions. Some anecdotal studies have also documented circumstantial, rambling speech in a few patients with left complex partial seizures.[4] The term “Geschwind syndrome” has been informally suggested to describe a personality syndrome present in some patients with temporal lobe epilepsy characterized by circumstantial speech and thinking, excessive verbosity, heightened emotional responses, and altered sexuality.[5]

Clinical Significance
In the case of patients with thought disorders or mood disorders with thought disturbances, health professionals can use the extent of circumstantiality as an indicator of clinical progress or treatment efficacy. The speech will become more linear and less disorganized as patients improve. In other etiologies of circumstantial or disorganized speech, such as epilepsy or intellectual disability, it is essential that the correct diagnosis is not missed or that an appropriate diagnostic workup is compromised.

In all such cases, however, when patients present with circumstantial or any other forms of disorganized speech, it is crucial that clinicians provide consistent validation and redirection so that information-gathering is efficient, empathetic, patient-centered, and productive.

Nursing, Allied Health, and Interprofessional Team Interventions
NUrses and other ancillary personnel are often the first to interact with a patient, and nurses or interns may even be the ones who take the patient's history. If they encounter circumstantiality, they must be able to accurately recognize it, gently try to guide and redirect the patient back to the central point at hand, and report their findings to the clinician. Therefore it behooves anyone interacting with a patient on a clinical level to understand circumstantiality and note it as a finding in their examination or patient history.

Comments ( 6 )

One of the conclusions I've drawn in my studies is that how badly I do this is directly proportional to how over medicated on stimulants and because ADHD medication and their ilk increase dopamine levels in the brain which increases the strength of all the little micro electrical signals that usually quickly get pruned and so ideas are able to propagate easier and the Brain sort of bounces from one to the other like a pinball.

So…. Babbling is possibly a sign of other mental issues. And using huge words in great abundance is a sign of over education. Not sure which is worse.

5647539
In most cases, they're the exact same thing. Or at least nobody normal can tell the difference.

5647544 Oh, we pay a whole lot more for the over-educated type. And if they become totally incomprensible, we send 'em to Congress.

5647577
Emperor's new clothes; we all pretend we can tell the difference for social reasons, but we're increasingly suspecting that it's all just a scam.

5647577
Or the presidency, though I don't think the recent one's issue was over education, per se.

Login or register to comment