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Pure truth. Causes of human degradation in modern society What does sloppiness in everyday life mean?

As a rule, this deviation is observed in adulthood and is characterized by a desire to isolate from others.

The disease got its name from the ancient Greek philosopher Diogenes, who preached the principle of being content with little. According to the facts, the thinker lived in a barrel, ate scraps and was famous for his provocative actions. People suffering from this syndrome are so prone to sloppiness that their lifestyle brings a lot of discomfort to both family members and neighbors. According to the facts, the disorder is diagnosed in 3% of older people.

Features of the disease, its symptoms and causes

The disease was first considered as a separate psychopathological syndrome back in 1966. The name “Diogenes syndrome” was proposed by British scientists in 1975. Today, there is constant debate about the correctness of this particular name for the disease; many psychiatrists consider the most appropriate terms to use are “syllogomania” or “senile squalor syndrome.” The fact is that the fundamental symptom of this mental disorder is the pathological accumulation of unnecessary things.

The ancient Greek philosopher, after whom the disease got its name, did not suffer from collecting unusable objects. He lived in poverty and the only object of his possession was a cup, which, in the end, the thinker broke due to the philosophical ideas of asceticism.

In domestic psychiatry, another name for this psychopathology is widely used - “Plyushkin syndrome”. As you know, this character in Gogol’s great poem was famous for his stinginess and craving for the accumulation of unnecessary things, with which he completely filled his home.

Among the main symptoms of the disease are:

  • pathological hoarding;
  • aggressiveness and negativism towards people who criticize the patient;
  • lack of self-criticism of one’s condition;
  • non-compliance hygiene rules, sloppiness;
  • stinginess;
  • isolation from the public;
  • apathy, indifference;
  • lack of shame;
  • self-neglect.

Collecting unusable things sometimes clutters up the home of pathological hoarders so much that it literally turns into a garbage dump. Hoarders take away various unnecessary items that, in their opinion, may come in handy sooner or later. The hoarder’s place of residence is sometimes so cluttered with all sorts of rubbish that it even becomes difficult to move around the house. People suffering from this syndrome drag everything from the street: from old, broken furniture to empty cardboard boxes, some even managed to store rotten vegetables and fruits. All this rubbish gives off an unpleasant odor, and cockroaches and rats often infest the room. The greatest discomfort is experienced by family members and neighbors living next to the pathological storage device.

As a rule, any criticism addressed to the patient is not accepted, and any offered help is immediately rejected. Pathological "Diogenes" after several complaints about their lifestyle become suspicious, taciturn and secretive. Sometimes it is simply impossible to establish contact with them; relatives have to resort to forcibly hospitalizing the patient (in extremely serious conditions).

Patients do not realize the seriousness of their condition; to many complaints they respond that this is their lifestyle, a hobby. According to the hoarder, any thing can be used: “old boards can be used to build a shed,” and “you can store something in empty tea boxes.” Guided by this principle, a person turns his life into an obsessive search for unusable objects.

The appearance of such people is unkempt; they often do not care about how they look. Neglect of hygiene makes them look like homeless tramps. When it comes to nutrition, syllogomanias are also not picky; as a rule, they save on food. There are many cases where patients ate scraps from landfills simply because they did not want to spend extra money on food. Basic necessities and medicines, according to pathological hoarders, are also not very important. Many patients do not leave the house for months, considering communication with people useless and boring. Neglect of one's health and social isolation sometimes lead to dire consequences. According to the facts, some recluses die completely alone, surrounded by garbage barricades.

Another sign of the disorder is a lack of shame. Syllogomaniacs may publicly relieve themselves, change clothes, or even undress. They are driven by indifference to what others think; their actions follow the principle of “I want and I do.” Often patients end up in the police department because of their shameless behavior and violation of the norms of order.

An interesting fact is that often people suffering from syllogomania are the owners of large savings, although they live like beggars. There are many cases where former rich and influential individuals became vagabonds, coming home only to bring more rubbish. Thus, one American millionaire was so stingy that at the age of forty he simply decided to live in a landfill in order to spend less.

Among the causes of the disease are:

  • organic lesions of the frontal lobes of the brain;
  • mental disorders of old age;
  • alcoholism;
  • pathological tendency to collect.

According to psychophysiological studies, the disease can occur as a result of damage to the frontal lobes of the brain. The cause of such lesions can be trauma, brain diseases, failed operations. These areas of the cortex are responsible for making decisions, and it is their damage that leads to the development of a pathological craving for accumulation.

Sometimes syllogomania is only part of a serious mental illness. The syndrome most often occurs in obsessive-compulsive disorder, senile dementia, and Pick's disease.

How to treat Diogenes syndrome

Therapy for the disease must be carried out without fail, since its symptoms can sometimes signal the development of more serious psychopathology.

So how to treat Diogenes syndrome? Sedatives, antidepressants, and antipsychotics are widely used as pharmacotherapy. Central to the diagnosis of the syndrome is a computed tomography scan of the brain to determine the extent of damage to areas of the brain. Psychotherapy, as a rule, is not used, since the basis of the disease lies in organic damage.

The main point in the treatment of the disease is family support and care. Often, Diogenes syndrome affects lonely people who are deprived of family love and mutual understanding.

Sloppiness as a symptom of illness

Neglect of hygiene, or sloppiness, is a common occurrence in everyday life. The reason for insufficient cleanliness in clothing and in everyday life may be a lack of time, the costs of education, financial difficulties or banal laziness. But all of these problems concern mentally healthy people. Total disregard for hygiene rules is often a symptom of mental illness when we're talking about about people suffering from nervous disorders.

Sloppiness is a symptom of a disease affecting the mental sphere

Any chronic or acute mental illness has its own symptoms, according to which it is diagnosed. Untidyness can be detected in the following nervous disorders:

If a person suddenly begins to neglect personal hygiene and show sloppiness in clothing, this should alert his loved ones. The sudden appearance of untidiness is a symptom of changes in the emotional-volitional sphere and can accompany many pathological processes in the mental sphere.

In senile dementia, a symptom such as untidiness is not always present. Patients can maintain independence, accuracy and pedantry for a long time. If progressive dementia is accompanied by exhaustion of the nervous system, depressive symptoms, and psychotic disorders, then sloppiness is a symptom of the disease, and it can be considered as the first manifestation of dementia. This development of the disease is typical mainly for dementia of the vascular and mixed types.

Sloppiness: causes

In dementia, the appearance of untidiness is associated with becoming like a small child who is unable to control himself, evaluate, or be responsible for his actions. He needs outside control and care. Dementia in older people is associated with age-related changes which happen gradually. In this case, care for the patient may be delayed. Sometimes they begin to take care of a sick person only after the disease has reached a severe stage, which makes performing hygiene procedures independently an impossible task.

Drug addiction and alcoholism inevitably lead to personality degradation and antisocial behavior. A person who has isolated himself from society does not feel the need to maintain his appearance in proper order. Untidy clothing and sloppy language are alarming symptoms that signal problems in a person’s mental state. If you witness such changes in the appearance of your relative or colleague, make every effort to eliminate them. It is important to remember that sloppiness is only a consequence of mental deformation. To eliminate the cause of the disease, you should immediately contact a psychiatrist.

Practice shows that a symptom such as sloppiness can have very different causes. Early reaction responding to such signals from the body gives a greater chance of stopping the disease, preventing it from reaching a hopelessly severe stage. Clinic specialists Mental Health diagnose the disease and rationally select treatment based on the characteristics of age criteria.

Sloppy sign

Many people know what is behind the term “sloppiness”. This is a disregard for order in the environment around a person and/or a violation of body hygiene standards. A person’s indifference to his own appearance causes, at a minimum, bewilderment, and sometimes just a feeling of disgust among those around him. Chaotic, cluttered environment surrounding a person, may suggest a catastrophic lack of time, carelessness with things, or a simple reluctance to spend time on cleaning.

Typically, signs of sloppiness are attributed to cases of lack of upbringing in childhood, lack of discipline, laziness or lack of aesthetic taste. But sloppiness can also act as a symptom mental disorder. And if in the case of sloppiness, which has become a character trait, a person can be influenced by persuasion, personal examples, an algorithm can be imposed on him, subject to which he will be able to achieve certain success in changing his cluttered world and appearance, then in the case of a mental disorder, cope with the phenomenon Sloppiness is very difficult. Mental illness and self-esteem are often incompatible things, so it is not possible to convince a person to look at himself from the outside and evaluate his appearance or the state of his home (workplace).

As a rule, such painful phenomena of sloppiness occur during puberty in adolescents, when some biochemical processes in the body change, which can affect the functioning of the brain. Most often, upon exiting puberty, the phenomena of sloppiness gradually disappear. But this does not always happen, since a careless attitude towards one’s body and a sloppy attitude towards things can be learned from childhood as a result of imitation of one or both parents, despite educational process, spent by them with the child.

A person is somewhat different from an animal in terms of instincts, and if in animals the need for cleanliness of their own body is associated with the instinct of self-preservation, then in a person the love for cleanliness is fixed in the form of a habit (developed independently or copied in childhood from the behavior of people around him, in particular, parental behavior).

A careless attitude towards oneself and the environment can be the result of depression, when a person, who is always neat and collected in everyday life, loving order, cleanliness and neatness, gradually begins to slide into the abyss of indifference and chaos, ceases to notice the inconveniences and clutter around him, begins to partially neglect or completely your own hygiene. Upon recovery from depression, such a person will pull himself together and begin to observe, as before, own rules hyena and order, but in case of untreated depression and inability independent exit from it, sloppiness can take on catastrophic proportions.

Sloppiness can become a sign of personality degradation when certain diseases: alcoholism, drug addiction.

Frequent cases of sloppiness are observed in older people during the period of degradation of brain cells. Such people require the attentive attitude of their relatives and the help of a psychiatrist who will select optimal treatment for each specific case. You won’t be able to cope on your own or with the help of relatives who have no experience in this matter.

There is a type of sloppiness associated with an irresistible desire to accumulate things, as a result of which the home turns into a cluttered warehouse or trash heap. Foreign scientists have come up with a term for this state of sloppiness: “Messy syndrome” (messy - translated from English, dirty, disorderly). This condition has other names in the medical literature: “Diogenes Syndrome”, “Plyushkin Syndrome”, “Syllogomania”. As it turned out, this condition can be caused not only by diseases that affect brain cells, but also by deep psychological trauma (loss of loved one, ruined personal life). In the case of “Messy Syndrome”, the help of a psychiatrist is required.

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ATTENTION! The information posted on the site is intended to broaden your horizons in the field of medicine and related sciences. All described treatment methods are of a general nature and cannot be used without individual correction by a doctor based on laboratory and hardware diagnostics. DO NOT self-medicate! DO NOT experiment with your health!

Sloppiness is a disease

German scientists are sure: sloppiness is a mental illness. They even came up with a special term for it - “Messi syndrome” (from English word messy - dirty, disorderly).

According to experts, in Germany alone 2 million people suffer from this disease. They include those who live in a dirty apartment, which is also littered with piles of unnecessary things. Doctor of Medicine Wedigo von Wedel believes that such a disorder is clearly underestimated, because pathological collecting, one of the main components of the syndrome, prevents people from leading a normal life. For those around them, the disease develops unnoticed: things from the trash begin to appear in the house, and all attempts to throw out trash end in hysterics from the owners of “wealth”. Moreover, neither age nor social status, neither the gender of modern plushkins play a role. Doctors cite severe psychological trauma, such as the loss of a loved one, as a possible cause of Messi syndrome.

Alexander MAGALIF, Sr. Researcher Moscow Research Institute of Psychiatry, leading specialist of the Clinic of Psychological Adaptation:

– A person living in a dirty and cluttered home is not necessarily a pathological collector, much less mentally ill. People are slobs from childhood and remain so throughout their lives. Sloppiness is a trait of their character and even a family “tradition”. The condition described by German scientists is indeed a symptom of a mental disorder, when a patient with an emotional and volitional defect does not wash for weeks, or even months, rummages through garbage cans, drags all sorts of rubbish into the house, etc. But this is not an independent disease, but one of the manifestations of a more complex mental pathology. This is often observed in old people with age-related decline in intelligence. They walk down the street with bundles full of “valuable” things. Such behavior can indeed occur after mental trauma, but it is a manifestation of a protracted reactive state and a change in lifestyle, including a system of values ​​and priorities.

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I am a slob: reasons and how to fix it?

Carelessness and sloppiness can be a characterological personality trait that is formed during the period of a person’s upbringing, and this quality can be modeled from adults, even despite all the efforts of the parents to accustom the child to order.

If one of the parents is careless or sloppy, and the other, on the contrary, is neat, then the probability of the child acquiring a character trait will be about 50% of the probability. Since raising a child does not take place on the basis of moral teachings, but by example. The child will imitate the parent who is more authoritative in the family.

Is sloppiness a disease?

Have you noticed that slobs are always late everywhere? They forget important assignments, never get enough sleep, and miss important meetings.

Chaos reigns not only in their apartments and on their desks. Chaos reigns in their heads.

Sloppiness can be a sign of depression, attention deficit disorder, and even some neuropsychiatric diseases.

If sloppiness is a sign of illness, then you should immediately consult a doctor.

If this is a sign of disorganization, you can self-medicate.

Causes

1. You simply weren’t taught to keep your house in order. This is not psychology, but a completely everyday skill that parents should have instilled in their children according to science. Most likely, in most of our families, cleaning was carried out using the “all-hands-on-deck” method, that is, “The guests are coming!”, “I’ll finally throw away this trash!” or “Aren’t you ashamed to be covered in dirt?!” This is a destructive approach to establishing order and only a few know about the existence of techniques for order and cleanliness. And even fewer are able to methodically pass this technique on to their descendants.

2. Emotional immaturity. This is closer to psychological problems. Many people know what is needed for full physical development. This is nutrition, sports, sun and others physical factors. What does it take for a child to develop emotionally? The question is more difficult! In the meantime, with early childhood the child must be taught to think that he is a full-fledged member of society, who is able to take care of himself and others. In practice, often everyday tasks, such as washing dishes, for example, are used for punishment purposes, which creates negative attitude to work. Or, on the contrary, the child is protected from any household responsibilities in favor of study or, even worse, entertainment: “He will still have time to work hard.” This is a sure way to raise an over-aged child who will take time off from work whenever possible.

3. Attention to one’s own person is the first full-fledged sign of psychological inferiority! Or another childish way of manipulation. “I can’t put on my socks!”, “I can’t heat up dinner!”, “I can’t find my gloves!” - “Oh, my good one - let me put it on, warm it up, and find it!” And in adulthood, this goes on a larger scale: money is lost, bills are not paid, soup turns sour on the stove. In general, in any way I need to show that I am helpless, and therefore I need a “nanny” who will clean, find, serve for me.

4. Protest is another “hello” from childhood. Destructive ways of teaching order, in which rigidity, inconsistency or aggression predominated, can result in teenage rebellion. Often this rebellion migrates into adulthood under the slogan: “I’m already an adult, I live as I want.” And “I want” in defiance of the parent, that is, in disorder. Thus, a person of this type continues to prove with his chaos that he has the right to disobey his parents. Of course, there is also emotional immaturity at play here.

5. A family stereotype can also prevent a person from sorting out his home. If people have lived in chaos for generations, while maintaining a favorable emotional climate, a person needs the same chaos to feel at home.

6. Lack of possessions (toys, clothes, books) in childhood contributes to hoarding in childhood. adult life. A person experiences a subconscious fear of returning again to a state of lack of everything, so he does not part with what he has accumulated, although it is unnecessary.

7. Attachment to the past also prevents a person from parting with the rubble in the house. Every thing in their life is like a good friend who is painful to part with. Afraid of losing touch with the past, such people often fear the future.

8. Dislike for housing blocks all attempts to start a clean life. Often the state of a rented apartment or life with the spouse’s parents is very depressing. No wonder, rarely does anyone want to invest in someone else’s property or adapt to old people’s customs.

9. If you have not been taught to respect yourself, this is another path not only to trash, but also to sloppiness in appearance. The main argument of a person who does not respect himself is: “Yes, it will suit me!” If you at least sometimes use this phrase, most likely you should learn a little more about self-esteem, then order will come to your house faster.

10. Emotional experiences do not allow a person to live in cleanliness and comfort. “I throw things around as if under hypnosis,” admits 30-year-old Anya. “I absolutely don’t understand how this comes out!” In a state of emotional crisis, a person’s priorities shift. Negative thoughts and feelings should have their place - just like any item in the house - used and then put away out of sight. If you forgot to clean or didn’t want to, then both negative experiences and disorder in the house begin to fill our lives. Thus, when we stop “putting things in order in our heads,” we stop putting things in order in our house.

11. Depression is already a disease characterized by a decrease in mental and physical activity. With depression, a person loses motivation, which leads to cluttering the house, and cluttering the house, in turn, makes the house even more depressed.

12. Mental problems a frequent companion of an unkempt house. For example, the so-called “Plyushkin syndrome” is considered incurable. A person carries mainly all sorts of rubbish from the trash heap, until his home is completely filled. This is the most extreme and perhaps hopeless case.

How to fix?

1. Systematization. If you don’t know what to do with the amount of things, urgently come up with a system for storing them. Learn to put things in a certain order on shelves, boxes, caskets, etc. The principle is simple: like with like. Handles with handles, socks with socks.

2. There is no need to clear away the rubble. If everything is running, then you can spend the whole weekend on such work. Start small. Today you are laying out clothes, tomorrow you are going through papers, the day after tomorrow you are arranging books, etc. Write yourself a plan and act strictly according to the schedule. The main thing is to continue to follow certain principles and put things together correctly.

3. Convenient arrangement of furniture. Perhaps you are putting clothes in a pile because the closet is inconvenient.

Or it’s impossible to reach the nightstand. Arrange the furniture so that it is always convenient for you to use it.

4. Get rid of unnecessary things. Give old clothes, books and magazines to those in need.

Old postcards, souvenirs and Stuffed Toys take it out without regret.

Be sure to throw away your cosmetics expired use.

For women: if the husband is a slob

If a lady can be somehow shamed, like: “You’re a woman!”, then it’s much more difficult to reach a man. Let's start with the fact that most men believe that a woman MUST clean up their dirty socks, close up their pasta, wash dishes, and take out beer bottles. It is very difficult to fight this. If he was taught this behavior from childhood, he will live with such confidence all his life. You can, of course, put smelly socks on his pillow at night, thrown right next to your robe. But I'm afraid this won't lead to anything good. Such a man is sure that he is a king and God, and a woman should serve him and also thank him for it.

1. First, of course, talk from the very beginning of your life together. It’s clear that it’s impossible to clearly distribute responsibilities like: you walk the dogs, and I wash the dishes. What should he do if he has a crunch at work and he won’t come until midnight? Wait until the animals at home shit themselves?

To talk means not to shout, not to start getting into a pose and setting conditions. Just make it clear that one (alone - if a woman is sloppy) simply cannot cope. But you don’t intend to live in dirt.

Does not help? Let's move on to the fighting.

2. I left a dirty mug of compote on the table - pour some nice tea or kefir there, depending on what he asks for. It's the same with plates.

3. Scattered things throughout the room - put them in a neat pile in the middle of the room. Let him admire it in the morning!

4. Before washing, if you can’t find pairs of socks, buy multi-colored ones, for example, beige and gray pairs. “Doesn’t add up” again? So give him different ones, one of this color, the other of that color. “Sorry, honey, I don’t know which chandelier and behind which closet the couple is on!”

For winter you can buy red and green. Before going on a visit, give a red + green pair.

5. If you didn’t even bother to ask to iron your shirt in the evening, take the flag in your hands and walk away crumpled. I'm not going to be late for work because of your carelessness.

6. There's a wrench perched on the kitchen counter - put your thong on the dashboard of your car.

Serious note: don't take all the advice literally; it may not apply to everyone. Using such methods, you can correct a slob who sincerely strives for correction, but simply, due to her upbringing, does not notice her “shortcomings.”

And the main thing to remember is that any disorder in everyday life leads to confusion in the head. In addition, searching for the necessary things among the rubble takes a lot of time.

Therefore, being a slob in our time is an unaffordable luxury!

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Self-improvement and Self-development © 2018. All rights reserved.

It's time to see the doctor, though... © Thinkstock

What should you do if, upon coming home from work, you want to immediately strangle your own husband and... children? Without changing clothes, without washing your hands after the subway,?..

You need to take a deep breath. Exhale... Step to the side, out of harm's way. And - a sober analysis. Why, exactly, such disfavor?

For what?!! Because the socks from the day before yesterday are under the sofa, yesterday’s half-eaten sandwich is there, there are unwashed dishes in the sink, dirty shirts are scattered throughout the apartment, old magazines, toys and... Stop!

There is no need for tears, much less blood. Better listen to the scientists...

“Sloppiness is a disease,” say scientists

In the full sense of this sad word. And tears (quarrels, screams and even) will not help matters. Sloppy people, it turns out, need to be treated... Otherwise, such a small flaw will develop into a disorder that is dangerous for the human psyche.

Symptoms of the disease.
Nothing special: an untidy apartment, unwashed dishes, a mess in the closets, a layer of dust on the shelves that covered last year’s half-eaten sandwiches, broken toys, unfinished notes...

Danger of complications.
In the absence of treatment, it is very likely. Manifestation: the house turns into a dump, and the culprits of this become the direct descendants of Plyushkin (read the classics).

Causes of occurrence. But this is already serious. Scientists say that the basis of the pathological reluctance to part with everything old and no longer needed is a deeply hidden secret.

For example, the death of a beloved grandmother. A funeral (a natural event, in general) can hurt a child so deeply that the fear of taking out of the house everything that was once loved and useful will settle in his subconscious...

How does the disease develop? Completely unnoticeable. At first, the child throws tantrums if the mother decides to throw away his old toys. A little later - there is no strength to part with the torn beads and the old blouse... Old magazines are stored, broken chairs are taken out to the balcony...

Particularly severe cases. Well, this is a specific clinic... For example: I don’t want to wash the dishes. And not because I’m lazy. But because there are traces of what gave pleasure a few minutes ago.

Wildness? Yes, a pathology, obvious even to non-specialists. But the precursor to this particular illness was “ordinary” sloppiness, a reluctance to part with old things that retain traces of the past.

Need treatment? Yes. At the psychotherapist. Rummaging through the subconscious, looking for deeply hidden trauma. By the way, there may not be any injury as such. Sometimes the cause of pathological sloppiness and love for old things is a difficult childhood from a financial point of view. Or a hereditary character trait: my grandmother was very stingy, and now she doesn’t have the strength to take out the trash...

Will everyone be cured? Doctor of Medicine Wedigo von Wedel, who heads the Munich non-profit organization to support people in difficult life situations claims that it is impossible to completely get rid of this syndrome. But you can help a person normalize their life.

So don’t rush to strangle your loved ones who won’t agree to clean their room... What if they are sick? Do not believe? Read Herrad Schenk's book Life as Accumulation. It is based on the real fates of people who turned their homes into warehouses for unnecessary things. Despite the fact that everyone’s life stories are different, the beginning and first steps on this sad path are approximately the same: psychological trauma - ordinary sloppiness - pathology.

Yes, this is a subtle thing - human psychology... And you can take only the easiest things at once. In all other cases, you need patience, patience and more patience. Or maybe help from a doctor...

A chaotic, cluttered environment that surrounds a person may suggest a catastrophic lack of time, carelessness with things, or a simple reluctance to spend time cleaning.

Typically, signs of sloppiness are attributed to cases of lack of upbringing in childhood, lack of discipline, laziness or lack of aesthetic taste. But sloppiness can also act as a symptom of mental disorder. And if in the case of sloppiness, which has become a character trait, a person can be influenced by persuasion, personal examples, an algorithm can be imposed on him, subject to which he will be able to achieve certain success in changing his cluttered world and appearance, then in the case of a mental disorder, cope with the phenomenon Sloppiness is very difficult. Mental illness and self-esteem are often incompatible things, so it is not possible to convince a person to look at himself from the outside and evaluate his appearance or the state of his home (workplace).

As a rule, such painful phenomena of sloppiness occur during puberty in adolescents, when some biochemical processes in the body change, which can affect the functioning of the brain. Most often, upon exiting puberty, the phenomena of sloppiness gradually disappear. But this does not always happen, since a careless attitude towards one’s body and a sloppy attitude towards things can be learned from childhood as a result of imitation by one or both parents, regardless of the educational process they carry out with the child.

A person is somewhat different from an animal in terms of instincts, and if in animals the need for cleanliness of their own body is associated with the instinct of self-preservation, then in a person the love for cleanliness is fixed in the form of a habit (developed independently or copied in childhood from the behavior of people around him, in particular, parental behavior).

A careless attitude towards oneself and the environment can be the result of depression, when a person, who is always neat and collected in everyday life, loving order, cleanliness and neatness, gradually begins to slide into the abyss of indifference and chaos, ceases to notice the inconveniences and clutter around him, begins to partially neglect or completely your own hygiene. Upon emerging from depression, such a person will pull himself together and begin to observe, as before, his own rules of hyena and order, but in the case of untreated depression and the impossibility of getting out of it on his own, sloppiness can take on catastrophic proportions.

Sloppiness can become a sign of personality degradation due to certain diseases: alcoholism, drug addiction.

Frequent cases of sloppiness are observed in older people during the period of degradation of brain cells. Such people require the attentive attention of their relatives and the help of a psychiatrist who will select the optimal treatment for each specific case. You won’t be able to cope on your own or with the help of relatives who have no experience in this matter.

There is a type of sloppiness associated with an irresistible desire to accumulate things, as a result of which the home turns into a cluttered warehouse or trash heap. Foreign scientists have come up with a term for this state of sloppiness: “Messy syndrome” (messy - translated from English, dirty, disorderly). This condition has other names in the medical literature: “Diogenes Syndrome”, “Plyushkin Syndrome”, “Syllogomania”. As it turns out, this condition can be caused not only by diseases that affect brain cells, but also by deep psychological trauma (loss of a loved one, destroyed personal life). In the case of “Messy Syndrome”, the help of a psychiatrist is required.

Almost every person living in a multiethnic community has more than once encountered such expressions as “kosher food”, “kosher products”, but not everyone knows what it really is.

In addition to a set of useful nutrients in the form of vegetable protein, fats and carbohydrates, nuts contain a set of microelements that can influence metabolic processes in the body. What plants with nut fruits are best used in nut treatment?

A distinctive feature of retroviruses is their quiet behavior. When a retrovirus invades a cell and changes its DNA to its own, derived from RNA, it can last a long time.

Post-acne treatment always has an integrated approach and is extended over time, since many procedures are traumatic in nature and require time for tissue healing.

Augmented reality in medicine allows you to see in real time what is immediately inaccessible to the eye.

ATTENTION! The information posted on the site is intended to broaden your horizons in the field of medicine and related sciences. All described treatment methods are of a general nature and cannot be used without individual correction by a doctor based on laboratory and hardware diagnostics. DO NOT self-medicate! DO NOT experiment with your health!

Sloppy Sloppy

A sloppy wife needs a blind husband.

If a man in your house throws dirty socks around, that's...

doesn't mean he's a slob, he's just marking his territory.

Sloppiness as a personality quality is a tendency to show extreme untidiness; inability to keep one’s body, clothing, home, or workplace clean.

Vovochka sits down at the table. His mother, looking at his hands, asks: “Vovochka, why are your hands so dirty?” Vovochka: - Most likely it’s because I just washed my face with them...

Sloppiness is the lack of need for cleanliness. A sloppy person is under the influence of the energy of ignorance. Good people are characterized by purity of consciousness, which cannot appear in a person if there is no purity of the body. It doesn’t happen like that - the body is dirty, but the mind is pure. People in passion are forced to take care of their appearance, body hygiene, cleanliness of their home and workplace, otherwise they will become social outcasts, receive negative disrespectful assessments from others, and lose significance and importance in the eyes of people. Patchkulya will not be able to move along career ladder. They go up it well-groomed men- in impeccable suits, impeccable shoes, ties, clean shirts. Brushed, shaved, in a word, they look expensive.

Patchkulya does not take care of her appearance; she looks wrinkled and unkempt. He doesn't care about the opinions of others. He is a bright representative of the army of ignorance. Alcoholics, drug addicts, and homeless people don’t care what they look like. What will an alcoholic buy in the morning – a bottle or toothpaste? What would a drug addict prefer - to run for the next dose or to take a steam bath in a Russian bathhouse? People are volunteers in an ignorant environment and lose shame and conscience. Alcoholics themselves say that the first thing they lose is shame. You become no longer ashamed of your fall in front of your wife, children, colleagues and strangers.

Sloppiness is the child of ignorance. Pachkulya, having become an adherent of an ignorant environment, first loses shame, and then, in advanced cases, conscience. Animals have no shame. Self-preservation instincts force them to monitor the hygiene of their bodies. They are close to nature and have not lost touch with it. Man, despite the fact that he considers himself the “crown” of creation, has lost touch with nature. He does not understand her signals and signs. The flesh is stupid. Having lost shame, Pachkula, unlike animals, does not see the need to take care of herself. He doesn’t understand why he should waste time on washing, bathing, washing and cleaning. And that will do.

There is a good old joke on the topic of slobs: “Parents look at their dirty, dirty child, and think: should they wash this one or make a new one?” N.N. Nosov in “Dunno on the Moon” created the image of Pachkuli, which will help us understand the essence of sloppiness: “Pachkuli Pestrenky usually walked in gray pants and the same gray jacket, and on his head he had a gray skullcap with patterns, which he called a skullcap. He believed that gray matter is the best matter in the world, since it gets dirty less. This, of course, is nonsense and untrue. Gray fabric gets dirty, like others, but for some reason the dirt on it is less noticeable. It is necessary to mention that Pachkula was a rather funny little guy. He had two rules: never wash your face and never be surprised by anything. It was much more difficult for him to observe the first rule than the second, because the short ones with whom he lived in the same house always forced him to wash his face before dinner. If he protested, he was simply not allowed to sit at the table. Thus, he still had to wash himself, but this did not matter much, since he had the tendency to quickly get dirty. Before he had time to wash himself, some dirty dots, spots and stripes would immediately appear on his face, his face would quickly lose its natural color and become somewhat quail-colored. For this they called him Pachkuley...

While the car was driving around the city, Knopochka started a conversation with Patchkulya: “You, Pestrenky, apparently haven’t washed your face today?” - I just washed my face! - Why is he so dirty? - So, I got dirty again. “You’ll have to wash your face again, because we can’t take something so dirty on the trip.” - How do you mean “we can’t”? We persuaded ourselves to go, but now suddenly “we can’t”! - Pestrenky was indignant. Meanwhile, Dunno left the city and, approaching the Cucumber River, turned onto the bridge. At the end of the bridge, Button said: Come on, stop the car. Now Motley will wash himself in the river. Dunno drove up to the shore and stopped the car. - I protest! - Motley lost his temper. “There is no such rule as to wash your face twice a day!”

Sloppiness is a signal of personality degradation. If a person was previously neat, but now walks around dirty and rumpled, you need to be wary. Maybe he is deeply depressed or has begun to deteriorate sharply under the influence of some external unpleasant circumstances. You can fall into the swamp of ignorance quickly, literally in one day. In the evening there was a successful businessman, he went to the casino and lost his entire business, his house, his wife and children. In the evening there was a respectable family man, but he got involved with a drunken company. As a result, in the morning I ended up in the hospital with beatings, lost important secret documents, but acquired AIDS. Often a person descends to the level of an animal in terms of lifestyle, but is inferior to him in the purity of his body. He was a prosperous man, but now he lives in a doghouse. Compassionate old women sometimes bring him food and moonshine. He smells like a skunk, but he himself looks like a devil.

“Bees don’t let a dirty person in,” says a Russian proverb. It is clear that society reacts negatively to the reluctance of its member to be like everyone else in the context of hygiene. The brilliant Russian writer Nikolai Vasilyevich Gogol was sloppy. He had an unattractive appearance. Gogol especially did not like his nose. “My God, what a long, sharp, birdlike nose he had! I couldn’t look at him directly, especially close up, thinking: he’ll take a bite and it’s out of the question,” a contemporary recalled about him. If you add to the “bird’s nose” long, not combed for a long time and not washed hair, a suit that is ugly in appearance and color, then the picture will be far from picturesque...

There were whole legends about Gogol's sloppiness, and it was precisely this that was the reason for all the sarcastic jokes about him. Gogol's biographers say that he rarely washed his face and hands in the morning, he always went to dirty laundry and a soiled dress. In his youth, while studying at the gymnasium, because of his slovenliness and scrofulous appearance (his ears were bleeding), many students were disdainful to give him a hand, refused to take his books - this was real hell for a normal person. “Gogol constantly looked askance at us, kept aloof, always looked with a frown...” From childhood, Gogol cultivated his loneliness, filling it with all sorts of oddities: in the choir he was out of tune most of all, he always walked along the streets on the opposite side, constantly colliding with passers-by, often not finished his sentences, combed his hair and cut his hair only on great holidays...

The great French writer Honore de Balzac was also known for his sloppiness. Contemporaries saw his sloppy clothes against the backdrop of a gloomy facial expression and a heavy, heavy figure as characteristic of his appearance. It was useless to reproach the writer for sloppiness. People came to the conclusion that if they ironed Balzac’s clothes, put them in perfect order, and dressed him to perfection, everything would be in vain: within an hour he would again be wrinkled, unbuttoned and sloppy.

The great Albert Einstein was distinguished by great sloppiness. He himself said: “Even in my youth I discovered that thumb foot sooner or later makes a hole in the sock. I haven't worn socks since then." Walking in boots on bare feet seemed much more pleasant to the scientist than wearing them at night. The genius greatly valued the comfort that he associated with the disorder and chaos of his home. Scattered things, books, papers did not interfere with his work at all. It seemed to Einstein that such things as ties, hats, and tuxedos were invented by fools to complicate their lives. He preferred old sweaters and open-necked shirts to elegant clothes. The genius did not like going to the hairdresser. His hair was always long and unkempt.

Socrates' wife, Xanthippe, was a sloppy bitch... Her favorite expression was: - If you are as smart as everyone says, then where is your money, Socrates. Friends, sympathizing with Socrates, asked him: “Why do you need her?” Such a woman? To which Socrates invariably answered: “You are afraid of yours.” posthumous fate, and I’m not afraid of anything. The great gods gave me such a wife that while living on Earth I would ALREADY experience all the torments of hell. I am no longer afraid of death.

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Sloppiness

Fundamentals of spiritual culture ( encyclopedic Dictionary teacher).- Yekaterinburg. V.S. Bezrukova. 2000.

See what “Sloppiness” is in other dictionaries:

SLOSSiness - SLOSSiness, sloppiness, many. no, female distracted noun to sloppy; a careless attitude towards something. Sloppy writing. Ushakov's explanatory dictionary. D.N. Ushakov. ... Ushakov’s Explanatory Dictionary

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Sloppiness as a symptom of illness

Neglect of hygiene, or sloppiness, is a common occurrence in everyday life. The reason for insufficient cleanliness in clothing and in everyday life may be a lack of time, the costs of education, financial difficulties or banal laziness. But all of these problems concern mentally healthy people. Total neglect of hygiene rules is often a symptom of mental illness when it comes to people suffering from nervous disorders.

Sloppiness is a symptom of a disease affecting the mental sphere

Any chronic or acute mental illness has its own symptoms, according to which it is diagnosed. Untidyness can be detected in the following nervous disorders:

If a person suddenly begins to neglect personal hygiene and show sloppiness in clothing, this should alert his loved ones. The sudden appearance of untidiness is a symptom of changes in the emotional-volitional sphere and can accompany many pathological processes in the mental sphere.

In senile dementia, a symptom such as untidiness is not always present. Patients can maintain independence, accuracy and pedantry for a long time. If progressive dementia is accompanied by exhaustion of the nervous system, depressive symptoms, and psychotic disorders, then sloppiness is a symptom of the disease, and it can be considered as the first manifestation of dementia. This development of the disease is typical mainly for dementia of the vascular and mixed types.

Sloppiness: causes

In dementia, the appearance of untidiness is associated with becoming like a small child who is unable to control himself, evaluate, or be responsible for his actions. He needs outside control and care. Dementia in older people is associated with age-related changes that occur gradually. In this case, care for the patient may be delayed. Sometimes they begin to take care of a sick person only after the disease has reached a severe stage, which makes performing hygiene procedures independently an impossible task.

Drug addiction and alcoholism inevitably lead to personality degradation and antisocial behavior. A person who has isolated himself from society does not feel the need to maintain his appearance in proper order. Untidy clothing and sloppy language are alarming symptoms that signal problems in a person’s mental state. If you witness such changes in the appearance of your relative or colleague, make every effort to eliminate them. It is important to remember that sloppiness is only a consequence of mental deformation. To eliminate the cause of the disease, you should immediately contact a psychiatrist.

Practice shows that a symptom such as sloppiness can have very different causes. An early reaction to such signals from the body gives a better chance of stopping the disease, preventing it from reaching a hopelessly severe stage. Specialists at the Mental Health Clinic will diagnose the disease and rationally select treatment based on the characteristics of age criteria.

Carelessness and sloppiness matter in diagnosis

Call us and we will not only correctly carry out a complete diagnosis, but will also be able to quickly help you!

Possible symptoms when sloppiness, negligence

An example of patient complaints about negligence and sloppiness:

Negligence in business or sloppiness, which develops and begins to manifest itself in a person’s behavior, already in adulthood indicates some kind of biological changes occurring in the brain.

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SLOBBY

Ushakov's explanatory dictionary. D.N. Ushakov. .

See what “CLOSS” is in other dictionaries:

sloppiness - sloppiness ... Spelling dictionary-reference book

sloppiness - uncleanliness, sloppiness, untidiness, negligence, dirt, slovenliness, untidiness, negligence, carelessness, negligence, dishonesty Dictionary of Russian synonyms. untidiness 1. see untidiness. 2. cm ... Dictionary of synonyms

Sloppiness - Sloppiness, untidiness is the quality of a person who does not or does not know how to monitor the neatness of his body, clothing or environment (home, workplace, etc.) Sloppiness, as a rule, is a character trait, but in some cases... ... Wikipedia

sloppiness - SLOSSY, oh, oh; Iv. Ozhegov's explanatory dictionary. S.I. Ozhegov, N.Yu. Shvedova. ... Ozhegov's Explanatory Dictionary

Sloppiness - (art. glory - not to dress up) - a negative moral and ethical quality of a person, manifested in a careless attitude towards personal belongings - clothes, shoes, books, notebooks, etc., in sloppiness, inability to keep them clean and tidy form,... ... Fundamentals of spiritual culture (encyclopedic dictionary of a teacher)

Sloppiness - f. distracted noun according to adj. sloppy Explanatory Dictionary by Efremova. T. F. Efremova. 2000 ... Modern explanatory dictionary of the Russian language by Efremova

sloppiness - sloppiness, sloppiness, sloppiness, sloppiness, sloppiness, sloppiness, sloppiness, sloppiness, sloppiness, sloppiness, sloppiness, sloppiness (Source: “Full accentuated paradigm according to A. A. Zaliznyak”) ... Forms of words

sloppiness - carelessness, and ... Russian spelling dictionary

sloppiness - (3 f), R., D., Ave. slob/sloppyness... Russian Spelling Dictionary

Books

  • About Russian slavery, dirt and the “prison of nations”, Vladimir Medinsky. “Russia has never had a democratic tradition and therefore cannot exist without” strong hand". Its whole history: from Prince Svyatoslav to Suvorov and Zhukov, from the shield over the gates of Constantinople,... Read more Buy for 640 rubles
  • About Russian democracy, dirt and the “prison of nations”, Vladimir Rostislavovich Medinsky. Russia has never had a democratic tradition and therefore cannot exist without a “strong hand”. Its whole history: from Prince Svyatoslav to Suvorov and Zhukov, from the shield over the gates of Constantinople... Read more Buy for 267 rubles
  • Quirks and oddities of famous people. Famous eccentrics and originals, Mikhail Ivanovich Pylyaev. All enemies were afraid of Admiral Ushakov, but who was Ushakov himself afraid of? What unusual weapon did Prince A.S. Menshikov choose for his duel with Count Kleinmichel? To whom did the hero promise to marry his daughter... Read more Buy audiobook for 149 rubles

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I am a slob: reasons and how to fix it?

Carelessness and sloppiness can be a characterological personality trait that is formed during the period of a person’s upbringing, and this quality can be modeled from adults, even despite all the efforts of the parents to accustom the child to order.

If one of the parents is careless or sloppy, and the other, on the contrary, is neat, then the probability of the child acquiring a character trait will be about 50% of the probability. Since raising a child does not take place on the basis of moral teachings, but by example. The child will imitate the parent who is more authoritative in the family.

Is sloppiness a disease?

Have you noticed that slobs are always late everywhere? They forget important assignments, never get enough sleep, and miss important meetings.

Chaos reigns not only in their apartments and on their desks. Chaos reigns in their heads.

Sloppiness can be a sign of depression, attention deficit disorder, and even some neuropsychiatric diseases.

If sloppiness is a sign of illness, then you should immediately consult a doctor.

If this is a sign of disorganization, you can self-medicate.

Causes

1. You simply weren’t taught to keep your house in order. This is not psychology, but a completely everyday skill that parents should have instilled in their children according to science. Most likely, in most of our families, cleaning was carried out using the “all-hands-on-deck” method, that is, “The guests are coming!”, “I’ll finally throw away this trash!” or “Aren’t you ashamed to be covered in dirt?!” This is a destructive approach to establishing order and only a few know about the existence of techniques for order and cleanliness. And even fewer are able to methodically pass this technique on to their descendants.

2. Emotional immaturity. This is closer to psychological problems. Many people know what is needed for full physical development. These are nutrition, sports, sun and other physical factors. What does it take for a child to develop emotionally? The question is more difficult! In the meantime, from early childhood, a child needs to be taught the idea that he is a full-fledged member of society, who is able to take care of himself and others. In practice, often everyday tasks, such as washing dishes, for example, are used for punishment purposes, which creates a negative attitude towards work. Or, on the contrary, the child is protected from any household responsibilities in favor of study or, even worse, entertainment: “He will still have time to work hard.” This is a sure way to raise an over-aged child who will take time off from work whenever possible.

3. Attention to one’s own person is the first full-fledged sign of psychological inferiority! Or another childish way of manipulation. “I can’t put on my socks!”, “I can’t heat up dinner!”, “I can’t find my gloves!” - “Oh, my good one - let me put it on, warm it up, and find it!” And in adulthood, this goes on a larger scale: money is lost, bills are not paid, soup turns sour on the stove. In general, in any way I need to show that I am helpless, and therefore I need a “nanny” who will clean, find, serve for me.

4. Protest is another “hello” from childhood. Destructive ways of teaching order, in which rigidity, inconsistency or aggression predominated, can result in teenage rebellion. Often this rebellion migrates into adulthood under the slogan: “I’m already an adult, I live as I want.” And “I want” in defiance of the parent, that is, in disorder. Thus, a person of this type continues to prove with his chaos that he has the right to disobey his parents. Of course, there is also emotional immaturity at play here.

5. A family stereotype can also prevent a person from sorting out his home. If people have lived in chaos for generations, while maintaining a favorable emotional climate, a person needs the same chaos to feel at home.

6. Lack of possessions (toys, clothes, books) in childhood contributes to hoarding in adulthood. A person experiences a subconscious fear of returning again to a state of lack of everything, so he does not part with what he has accumulated, although it is unnecessary.

7. Attachment to the past also prevents a person from parting with the rubble in the house. Every thing in their life is like a good friend who is painful to part with. Afraid of losing touch with the past, such people often fear the future.

8. Dislike for housing blocks all attempts to start a clean life. Often the state of a rented apartment or life with the spouse’s parents is very depressing. No wonder, rarely does anyone want to invest in someone else’s property or adapt to old people’s customs.

9. If you have not been taught to respect yourself, this is another path not only to trash, but also to sloppiness in appearance. The main argument of a person who does not respect himself is: “Yes, it will suit me!” If you at least sometimes use this phrase, most likely you should learn a little more about self-esteem, then order will come to your house faster.

10. Emotional experiences do not allow a person to live in cleanliness and comfort. “I throw things around as if under hypnosis,” admits 30-year-old Anya. “I absolutely don’t understand how this comes out!” In a state of emotional crisis, a person’s priorities shift. Negative thoughts and feelings should have their place - just like any item in the house - used and then put away out of sight. If you forgot to clean or didn’t want to, then both negative experiences and disorder in the house begin to fill our lives. Thus, when we stop “putting things in order in our heads,” we stop putting things in order in our house.

11. Depression is already a disease characterized by a decrease in mental and physical activity. With depression, a person loses motivation, which leads to cluttering the house, and cluttering the house, in turn, makes the house even more depressed.

12. Mental problems are a frequent companion to an unkempt home. For example, the so-called “Plyushkin syndrome” is considered incurable. A person carries mainly all sorts of rubbish from the trash heap, until his home is completely filled. This is the most extreme and perhaps hopeless case.

How to fix?

1. Systematization. If you don’t know what to do with the amount of things, urgently come up with a system for storing them. Learn to put things in a certain order on shelves, boxes, caskets, etc. The principle is simple: like with like. Handles with handles, socks with socks.

2. There is no need to clear away the rubble. If everything is running, then you can spend the whole weekend on such work. Start small. Today you are laying out clothes, tomorrow you are going through papers, the day after tomorrow you are arranging books, etc. Write yourself a plan and act strictly according to the schedule. The main thing is to continue to follow certain principles and put things together correctly.

3. Convenient arrangement of furniture. Perhaps you are putting clothes in a pile because the closet is inconvenient.

Or it’s impossible to reach the nightstand. Arrange the furniture so that it is always convenient for you to use it.

4. Get rid of unnecessary things. Give old clothes, books and magazines to those in need.

Take old cards, souvenirs and soft toys out without regret.

Be sure to throw away cosmetics that have expired.

For women: if the husband is a slob

If a lady can be somehow shamed, like: “You’re a woman!”, then it’s much more difficult to reach a man. Let's start with the fact that most men believe that a woman MUST clean up their dirty socks, close up their pasta, wash dishes, and take out beer bottles. It is very difficult to fight this. If he was taught this behavior from childhood, he will live with such confidence all his life. You can, of course, put smelly socks on his pillow at night, thrown right next to your robe. But I'm afraid this won't lead to anything good. Such a man is sure that he is a king and God, and a woman should serve him and also thank him for it.

1. First, of course, talk from the very beginning of your life together. It’s clear that it’s impossible to clearly distribute responsibilities like: you walk the dogs, and I wash the dishes. What should he do if he has a crunch at work and he won’t come until midnight? Wait until the animals at home shit themselves?

To talk means not to shout, not to start getting into a pose and setting conditions. Just make it clear that one (alone - if a woman is sloppy) simply cannot cope. But you don’t intend to live in dirt.

Does not help? Let's move on to the fighting.

2. I left a dirty mug of compote on the table - pour some nice tea or kefir there, depending on what he asks for. It's the same with plates.

3. Scattered things throughout the room - put them in a neat pile in the middle of the room. Let him admire it in the morning!

4. Before washing, if you can’t find pairs of socks, buy multi-colored ones, for example, beige and gray pairs. “Doesn’t add up” again? So give him different ones, one of this color, the other of that color. “Sorry, honey, I don’t know which chandelier and behind which closet the couple is on!”

For winter you can buy red and green. Before going on a visit, give a red + green pair.

5. If you didn’t even bother to ask to iron your shirt in the evening, take the flag in your hands and walk away crumpled. I'm not going to be late for work because of your carelessness.

6. There's a wrench perched on the kitchen counter - put your thong on the dashboard of your car.

Serious note: don't take all the advice literally; it may not apply to everyone. Using such methods, you can correct a slob who sincerely strives for correction, but simply, due to her upbringing, does not notice her “shortcomings.”

And the main thing to remember is that any disorder in everyday life leads to confusion in the head. In addition, searching for the necessary things among the rubble takes a lot of time.

Therefore, being a slob in our time is an unaffordable luxury!

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Self-improvement and Self-development © 2018. All rights reserved.

  • Are dementia and dementia the same thing? How does dementia occur in children? What is the difference between childhood dementia and mental retardation?
  • Is unexpected untidiness the first sign of senile dementia? Are symptoms such as untidiness and sloppiness always present?
  • What is mixed dementia? Does it always lead to disability? How to treat mixed dementia?
  • Among my relatives there were patients with senile dementia. How likely am I to develop a mental disorder? What is the prevention of senile dementia? Are there any medications that can prevent the disease?

The site provides reference information for informational purposes only. Diagnosis and treatment of diseases must be carried out under the supervision of a specialist. All drugs have contraindications. Consultation with a specialist is required!

What is dementia syndrome?

Dementia is a severe disorder of higher nervous activity caused by organic damage to the brain, and is manifested, first of all, by a sharp decrease in mental abilities (hence the name - dementia translated from Latin language means dementia).

The clinical picture of dementia depends on the cause that caused organic brain damage, on the localization and extent of the defect, as well as on the initial state of the body.

However, all cases of dementia are characterized by pronounced stable disorders of higher intellectual activity (memory deterioration, decreased ability to abstract thinking, creativity and learning), as well as more or less pronounced disturbances of the emotional-volitional sphere, from the accentuation of character traits (the so-called “caricature”) until the complete collapse of personality.

Causes and types of dementia

Since the morphological basis of dementia is severe organic damage to the central nervous system, the cause of this pathology can be any disease that can cause degeneration and death of cells in the cerebral cortex.

First of all, it should be highlighted specific types dementia, in which destruction of the cerebral cortex is independent and leading pathogenetic mechanism diseases:

  • Alzheimer's disease;
  • dementia with Lewy bodies;
  • Pick's disease, etc.
In other cases, damage to the central nervous system is secondary, and is a complication of the underlying disease (chronic vascular pathology, infection, trauma, intoxication, systemic damage to nervous tissue, etc.).

The most common cause of secondary organic brain damage is vascular disorders, in particular cerebral atherosclerosis and hypertonic disease.

Common causes of dementia also include alcoholism, tumors of the central nervous system, and traumatic brain injury.

Less commonly, dementia is caused by infections - AIDS, viral encephalitis, neurosyphilis, chronic meningitis, etc.

In addition, dementia can develop:

  • as a complication of hemodialysis;
  • as a complication of severe renal and liver failure;
  • for some endocrine pathologies (thyroid disease, Cushing's syndrome, pathology of the parathyroid glands);
  • for severe autoimmune diseases(systemic lupus erythematosus, multiple sclerosis).
In some cases, dementia develops from multiple causes. A classic example of such a pathology is senile (senile) mixed dementia.

Functional and anatomical types of dementia

Depending on the predominant localization of the organic defect, which has become the morphological substrate of the pathology, four types of dementia are distinguished:
1. Cortical dementia is a predominant lesion of the cerebral cortex. This type is most typical for Alzheimer's disease, alcoholic dementia, and Pick's disease.
2. Subcortical dementia. With this type of pathology, the subcortical structures are primarily affected, which causes neurological symptoms. A typical example is Parkinson’s disease with predominant damage to the neurons of the substantia nigra of the midbrain, and specific motor disorders: tremors, general muscle stiffness ("doll gait", mask-like face, etc.).
3. Cortical-subcortical dementia is a mixed type of lesion, characteristic of pathology caused by vascular disorders.
4. Multifocal dementia is a pathology characterized by multiple lesions in all parts of the central nervous system. Steadily progressing dementia is accompanied by severe and varied neurological symptoms.

Forms of dementia

Clinically, lacunar and total forms of dementia are distinguished.

Lacunarnaya

Lacunar dementia is characterized by peculiar isolated lesions of the structures responsible for intellectual activity. In this case, as a rule, the person who suffers the most is short term memory, so patients are forced to constantly take notes on paper. According to the most expressed sign this form of dementia is often called dysmnestic dementia (dysmenia literally means memory impairment).

However, a critical attitude towards one’s condition remains, and the emotional-volitional sphere suffers slightly (most often only asthenic symptoms are expressed - emotional lability, tearfulness, increased sensitivity).

A typical example of lacunar dementia is initial stages The most common form of dementia is Alzheimer's disease.

Total

Total dementia is characterized by complete disintegration of the core of personality. In addition to pronounced violations of the intellectual-cognitive sphere, gross changes in emotional-volitional activity are observed - a complete devaluation of all spiritual values ​​occurs, as a result of which vital interests become impoverished, the sense of duty and modesty disappears, and complete social disadaptation occurs.

The morphological substrate of total dementia is damage to the frontal lobes of the cerebral cortex, which often occurs with vascular disorders, atrophic (Pick's disease) and volumetric processes of the corresponding localization (tumors, hematomas, abscesses).

Basic classification of presenile and senile dementias

The likelihood of developing dementia increases with age. So if in adulthood the proportion of patients with dementia is less than 1%, then in the age group after 80 years it reaches 20%. Therefore, the classification of dementias that occur in late life is especially important.

There are three types of dementia that are most common in presenile and senile (presenile and senile) ages:
1. Alzheimer's (atrophic) type of dementia, which is based on primary degenerative processes in nerve cells.
2. Vascular type of dementia, in which degeneration of the central nervous system develops secondarily, as a result of severe circulatory disorders in the vessels of the brain.
3. Mixed type, which is characterized by both mechanisms of disease development.

Clinical course and prognosis

The clinical course and prognosis of dementia depend on the cause that caused the organic defect of the central nervous system.

In cases where the underlying pathology is not prone to development (for example, with post-traumatic dementia), with adequate treatment, significant improvement is possible due to the development of compensatory reactions (other areas of the cerebral cortex take on part of the functions of the affected area).

However, the most common types of dementia - Alzheimer's disease and vascular dementia - have a tendency to progress, therefore, when they talk about treatment, for these diseases we are only talking about slowing down the process, social and personal adaptation of the patient, prolonging his life, removing unpleasant symptoms and so on.

And finally, in cases where the disease that causes dementia progresses rapidly, the prognosis is extremely unfavorable: the patient’s death occurs several years or even months after the first signs of the disease appear. The cause of death, as a rule, is various accompanying illnesses(pneumonia, sepsis), developing against the background of disturbances in the central regulation of all organs and systems of the body.

Severity (stage) of dementia

In accordance with the patient’s social adaptation capabilities, three degrees of dementia are distinguished. In cases where the disease that causes dementia has a steadily progressive course, we often speak of the stage of dementia.

Mild degree

At mild degree dementia, despite significant impairments in the intellectual sphere, the patient remains critical of his own condition. So the patient can easily live independently, performing familiar household activities (cleaning, cooking, etc.).

Moderate degree

With moderate dementia, there are more severe intellectual impairments and a reduced critical perception of the disease. At the same time, patients experience difficulty using ordinary household appliances (stove, washing machine, TV), as well as the telephone, door locks and latches, so under no circumstances should the patient be completely left to his own devices.

Severe dementia

In severe dementia, a complete breakdown of the personality occurs. Such patients often cannot eat on their own, observe basic hygiene rules, etc.

Therefore, in the case of severe dementia, hourly monitoring of the patient is necessary (at home or in a specialized institution).

Diagnostics

To date, clear criteria for diagnosing dementia have been developed:
1. Signs of memory impairment – ​​both long-term and short-term (subjective data from a survey of the patient and his relatives are supplemented by an objective study).
2. The presence of at least one of the following disorders characteristic of organic dementia:
  • signs of decreased ability for abstract thinking (according to objective research);
  • symptoms of decreased criticality of perception (discovered when making real plans for the next period of life in relation to oneself and others);
  • triple A syndrome:
    • aphasia – various kinds violations of already formed speech;
    • apraxia (literally “inactivity”) – difficulties in performing purposeful actions while maintaining the ability to move;
    • Agnosia – various disturbances of perception while maintaining consciousness and sensitivity. For example, the patient hears sounds, but does not understand the speech addressed to him (auditory-verbal agnosia), or ignores a part of the body (does not wash or put on one foot - somatoagnosia), or does not recognize certain objects or faces of people with intact vision (visual agnosia). and so on.;
  • personal changes (rudeness, irritability, disappearance of shame, sense of duty, unmotivated attacks of aggression, etc.).
3. Violation of social interactions in the family and at work.
4. Absence of manifestations of delirious changes in consciousness at the time of diagnosis (no signs of hallucinations, the patient is oriented in time, space and his own personality, as far as his condition allows).
5. A certain organic defect (results of special studies in the patient’s medical history).

It should be noted that in order to make a reliable diagnosis of dementia, it is necessary that all of the above symptoms be observed for at least 6 months. Otherwise, we can only talk about a presumptive diagnosis.

Differential diagnosis of organic dementia

Differential diagnosis of organic dementia must be carried out, first of all, with depressive pseudodementia. In severe depression, the severity of the disorders mental activity can reach very high degree, and make it difficult for the patient to adapt to Everyday life, simulating the social manifestations of organic dementia.

Pseudo-dementia also often develops after severe psychological shock. Some psychologists explain this kind of sharp decline in all cognitive functions (memory, attention, ability to perceive and meaningfully analyze information, speech, etc.) as defensive reaction for stress.

Another type of pseudodementia is weakening of mental abilities due to metabolic disorders (vitaminosis B12, lack of thiamine, folic acid, pellagra). With timely correction of disorders, signs of dementia are completely eliminated.

Differential diagnosis of organic dementia and functional pseudodementia is quite complex. According to international researchers, about 5% of dementias are completely reversible. Therefore, the only guarantee of a correct diagnosis is long-term observation of the patient.

Alzheimer's type dementia

Concept of dementia in Alzheimer's disease

Dementia of the Alzheimer's type (Alzheimer's disease) received its name from the name of the doctor who first described the pathology clinic in a 56-year-old woman. The doctor was alarmed by the early manifestation of signs senile dementia. Post-mortem examination showed peculiar degenerative changes in the cells of the patient’s cerebral cortex.

Subsequently, this kind of violation was discovered in cases where the disease manifested itself much later. This was a revolution in views on the nature of senile dementia - previously it was believed that senile dementia was a consequence of atherosclerotic damage to the blood vessels of the brain.

Dementia of the Alzheimer's type is the most common type of senile dementia today, and, according to various sources, accounts for 35 to 60% of all cases of organic dementia.

Risk factors for developing the disease

There are the following risk factors for developing dementia of the Alzheimer's type (arranged in descending order of importance):
  • age (the most dangerous limit is 80 years);
  • the presence of relatives suffering from Alzheimer's disease (the risk increases many times if the relatives develop the pathology before the age of 65);
  • hypertonic disease;
  • atherosclerosis;
  • increased level lipids in blood plasma;
  • obesity;
  • sedentary lifestyle;
  • diseases occurring with chronic hypoxia (respiratory failure, severe anemia, etc.);
  • traumatic brain injuries;
  • low level of education;
  • lack of active intellectual activity throughout life;
  • female.

First signs

It should be noted that degenerative processes in Alzheimer's disease begin years, even decades before the first clinical manifestations. The first signs of Alzheimer's type dementia are very characteristic: patients begin to notice a sharp decline in memory for recent events. At the same time, a critical perception of their condition persists for a long time, so that patients often feel understandable anxiety and confusion, and consult a doctor.

Memory impairment in dementia of the Alzheimer's type is characterized by the so-called Ribot's law: first short-term memory is impaired, then recent events are gradually erased from memory. Memories from distant times (childhood, adolescence) are retained the longest.

Characteristics of the advanced stage of progressive dementia of the Alzheimer's type

At the advanced stage of dementia of the Alzheimer's type, memory impairment progresses, so that in some cases only the most significant events are remembered.

Gaps in memory are often replaced by fictitious events (the so-called confabulation– false memories). The criticality of perception of one's own state is gradually lost.

At the advanced stage of progressive dementia, disorders of the emotional-volitional sphere begin to appear. The following disorders are most characteristic of senile dementia of the Alzheimer's type:

  • egocentrism;
  • grouchiness;
  • suspicion;
  • conflict.
These signs are called senile (senile) personality restructuring. In the future, against their background, a very specific type of Alzheimer’s dementia may develop. delirium of damage: the patient accuses relatives and neighbors of constantly robbing him, wishing for his death, etc.

Other types of disturbances in normal behavior often develop:

  • sexual incontinence;
  • gluttony with a special penchant for sweets;
  • craving for vagrancy;
  • fussy, disorderly activity (walking from corner to corner, shifting things, etc.).
At the stage of severe dementia, the delusional system disintegrates, and behavioral disorders disappear due to extreme weakness of mental activity. Patients plunge into complete apathy and do not experience hunger or thirst. Movement disorders soon develop, so that patients cannot walk or chew food normally. Death occurs from complications due to complete immobility, or from concomitant diseases.

Diagnosis of Alzheimer's type dementia

The diagnosis of dementia of the Alzheimer's type is made on the basis of the characteristic clinical picture of the disease, and is always probabilistic. Differential diagnosis between Alzheimer's disease and vascular dementia is quite difficult, so often a final diagnosis can only be made posthumously.

Treatment

Treatment of Alzheimer's type dementia is aimed at stabilizing the process and reducing the severity of existing symptoms. It should be comprehensive and include therapy for diseases that aggravate dementia (hypertension, atherosclerosis, diabetes, obesity).

In the early stages, the following drugs showed a good effect:

  • homeopathic remedy ginkgo biloba extract;
  • nootropics (piracetam, cerebrolysin);
  • medicines that improve blood circulation in the vessels of the brain (nicergoline);
  • stimulator of dopamine receptors in the central nervous system (piribedil);
  • phosphatidylcholine (part of acetylcholine, a neurotransmitter of the central nervous system, therefore improves the functioning of neurons in the cerebral cortex);
  • actovegin (improves the utilization of oxygen and glucose by brain cells, and thereby increases their energy potential).
At the stage of advanced manifestations, drugs from the group of acetylcholinesterase inhibitors (donepezil, etc.) are prescribed. Clinical researches have shown that the administration of such drugs significantly improves social adaptation patients and reduces the burden on caregivers.

Forecast

Dementia of the Alzheimer's type is a steadily progressive disease that inevitably leads to severe disability and death of the patient. The process of disease development, from the appearance of the first symptoms to the development of senile insanity, usually takes about 10 years.

The earlier Alzheimer's disease develops, the faster dementia progresses. In patients under 65 years of age (senile dementia or presenile dementia), neurological disorders (apraxia, agnosia, aphasia) develop early.

Vascular dementia

Dementia due to cerebral vascular lesions

Dementia of vascular origin ranks second in prevalence after dementia of the Alzheimer's type, and accounts for about 20% of all types of dementia.

In this case, as a rule, dementia that develops after vascular accidents, such as:
1. Hemorrhagic stroke (vascular rupture).
2. Ischemic stroke (blockage of a vessel with cessation or deterioration of blood circulation in a certain area).

In such cases, massive death of brain cells occurs, and the so-called focal symptoms, depending on the location of the affected area (spastic paralysis, aphasia, agnosia, apraxia, etc.), come to the fore.

So the clinical picture of post-stroke dementia is very heterogeneous, and depends on the degree of damage to the vessel, the area of ​​the brain supplied with blood, the compensatory capabilities of the body, as well as the timeliness and adequacy of medical care provided in case of a vascular accident.

Dementias that occur with chronic circulatory failure develop, as a rule, in old age and demonstrate a more homogeneous clinical picture.

What disease can cause vascular type dementia?

The most common causes of vascular type dementia are hypertension and atherosclerosis - common pathologies characterized by the development of chronic cerebrovascular insufficiency.

The second large group of diseases leading to chronic hypoxia of brain cells is vascular damage in diabetes mellitus ( diabetic angiopathy) and systemic vasculitis, as well as congenital disorders of the structure of cerebral vessels.

Acute cerebral circulatory failure can develop due to thrombosis or embolism (blockage) of a vessel, which often occurs with atrial fibrillation, heart defects, and diseases with an increased tendency to thrombus formation.

Risk factors

The most significant risk factors for the development of dementia of vascular origin:
  • hypertension, or symptomatic arterial hypertension;
  • increased levels of lipids in blood plasma;
  • systemic atherosclerosis;
  • cardiac pathologies (coronary heart disease, arrhythmias, heart valve damage);
  • sedentary lifestyle;
  • overweight;
  • diabetes;
  • tendency to thrombosis;
  • systemic vasculitis (vascular diseases).

Symptoms and course of senile vascular dementia

The first warning signs of vascular dementia are difficulty concentrating. Patients complain of fatigue and have difficulty concentrating for long periods of time. At the same time, it is difficult for them to switch from one type of activity to another.

Another harbinger of developing vascular dementia is slowness of intellectual activity, so for the early diagnosis of cerebral circulatory disorders, tests for the speed of performing simple tasks are used.

TO early signs developed dementia of vascular origin includes violations of goal setting - patients complain of difficulties in organizing elementary activities (making plans, etc.).

In addition, already in the early stages, patients experience difficulties in analyzing information: it is difficult for them to identify the main and secondary, to find the common and different between similar concepts.

Unlike dementia of the Alzheimer's type, memory impairment in dementia of vascular origin is not as pronounced. They are associated with difficulties in reproducing perceived and accumulated information, so that the patient easily remembers “forgotten” when asking leading questions, or chooses the correct answer from several alternative ones. At the same time, the memory is important events persists for quite a long time.

Abnormalities specific to vascular dementia emotional sphere in the form of a general decrease in background mood, up to the development of depression, which occurs in 25-30% of patients, and pronounced emotional lability, so that patients can cry bitterly, and after a minute move on to completely sincere fun.

Signs of vascular dementia include the presence of characteristic neurological symptoms, such as:
1. Pseudobulbar syndrome, which includes impaired articulation (dysarthria), changes in voice timbre (dysphonia), less commonly, impaired swallowing (dysphagia), forced laughter and crying.
2. Gait disturbances (shuffling, mincing gait, “skier’s gait”, etc.).
3. Decreased motor activity, so-called “vascular parkinsonism” (poor facial expressions and gestures, slowness of movements).

Vascular dementia, which develops as a result of chronic circulatory failure, usually progresses gradually, so the prognosis largely depends on the cause of the disease (hypertension, systemic atherosclerosis, diabetes mellitus, etc.).

Treatment

Treatment of vascular dementia is primarily aimed at improving cerebral circulation - and, consequently, at stabilizing the process that caused dementia (hypertension, atherosclerosis, diabetes, etc.).

In addition, pathogenetic treatment is standardly prescribed: piracetam, Cerebrolysin, Actovegin, donepezil. The regimens for taking these drugs are the same as for Alzheimer's type dementia.

Senile dementia with Lewy bodies

Senile dementia with Lewy bodies is an atrophic-degenerative process with the accumulation of specific intracellular inclusions – Lewy bodies – in the cortex and subcortical structures of the brain.

The causes and mechanisms of development of senile dementia with Lewy bodies are not fully understood. Just like with Alzheimer's disease, great importance has a hereditary factor.

According to theoretical data, senile dementia with Lewy bodies ranks second in prevalence, and accounts for about 15-20% of all senile dementias. However, during life such a diagnosis is made relatively rarely. As a rule, such patients are misdiagnosed vascular dementia or Parkinson's disease with dementia.

The fact is that many symptoms of dementia with Lewy bodies are similar to the listed diseases. Just as with the vascular form, the first symptoms of this pathology are a decrease in the ability to concentrate, slowness and weakness of intellectual activity. Subsequently, depression, decreased motor activity similar to parkinsonism, and walking disorders develop.

At the advanced stage, the clinical picture of dementia with Lewy bodies is in many ways reminiscent of Alzheimer's disease, since delusions of damage, delusions of persecution, and delusions of doubles develop. As the disease progresses, delusional symptoms disappear due to complete exhaustion of mental activity.

However, senile dementia with Lewy bodies has some specific symptoms. It is characterized by so-called small and large fluctuations - sharp, partially reversible disturbances in intellectual activity.

With small fluctuations, patients complain of temporary impairments in the ability to concentrate and perform some task. With large fluctuations, patients note impaired recognition of objects, people, terrain, etc. Often the disorders reach the point of complete spatial disorientation and even confusion.

Another characteristic feature of dementia with Lewy bodies is the presence of visual illusions and hallucinations. Illusions are associated with a violation of orientation in space and intensify at night, when patients often mistake inanimate objects for people.

A specific feature of visual hallucinations in dementia with Lewy bodies is their disappearance when the patient tries to interact with them. Often visual hallucinations are accompanied by auditory hallucinations (speaking hallucinations), but in their pure form auditory hallucinations do not meet.

As a rule, visual hallucinations are accompanied by large fluctuations. Such attacks are often provoked by a general deterioration in the patient’s condition ( infectious diseases, overwork, etc.). When recovering from a large fluctuation, patients partially amnesize what happened, intellectual activity is partially restored, however, as a rule, the state of mental functions becomes worse than the original one.

Another characteristic symptom of dementia with Lewy bodies is sleep behavior disorder: patients can make sudden movements, and even injure themselves or others.

In addition, with this disease, as a rule, a complex of autonomic disorders develops:

  • orthostatic hypotension (a sharp decrease in blood pressure when moving from horizontal position to vertical);
  • arrhythmias;
  • disruption of the digestive tract with a tendency to constipation;
  • urinary retention, etc.
Treatment of senile dementia with Lewy bodies similar to the treatment of dementia of the Alzheimer's type.

In case of confusion, acetylcholinesterase inhibitors (donepezil, etc.) are prescribed, in as a last resortatypical antipsychotics(clozapine). The use of standard antipsychotics is contraindicated due to the possibility of developing severe movement disorders. Non-frightening hallucinations, if adequately criticized, cannot be eliminated with special medications.

To treat the symptoms of parkinsonism, small doses of the drug levodopa are used (being very careful not to cause an attack of hallucinations).

The course of dementia with Lewy bodies is rapidly and steadily progressive, so the prognosis is much more serious than for other types of senile dementia. The period from the appearance of the first signs of dementia to the development of complete insanity usually takes no more than four to five years.

Alcoholic dementia

Alcohol-induced dementia develops as a result of long-term (15-20 years or more) toxic effects of alcohol on the brain. In addition to the direct influence of alcohol, indirect effects (endotoxin poisoning due to alcoholic liver damage, vascular disorders, etc.) take part in the development of organic pathology.

Almost all alcoholics at the stage of development of alcoholic personality degradation (third, last stage alcoholism) reveal atrophic changes in the brain (expansion of the ventricles of the brain and furrows of the cerebral cortex).

Clinically, alcoholic dementia is a diffuse decrease in intellectual abilities (memory deterioration, concentration, ability to abstract thinking, etc.) against the background of personal degradation (coarsening of the emotional sphere, destruction social connections, primitivism of thinking, complete loss of value guidelines).

At this stage of development of alcohol dependence, it is very difficult to find incentives to encourage the patient to treat the underlying disease. However, in cases where it is possible to achieve complete abstinence for 6-12 months, the signs of alcoholic dementia begin to regress. Moreover, instrumental studies also show some smoothing of the organic defect.

Epileptic dementia

The development of epileptic (concentric) dementia is associated with a severe course of the underlying disease (frequent seizures with transition to status epilepticus). Indirect factors may take part in the genesis of epileptic dementia ( long-term use antiepileptic drugs, injuries from falls during seizures, hypoxic damage to neurons in status epilepticus, etc.).

Epileptic dementia is characterized by slowness of thought processes, the so-called viscosity of thinking (the patient cannot distinguish the main from the secondary, and gets fixated on describing unnecessary details), decreased memory, and impoverished vocabulary.

A decrease in intellectual abilities occurs against the background of a specific change in personality traits. Such patients are characterized by extreme selfishness, malice, vindictiveness, hypocrisy, quarrelsomeness, suspiciousness, accuracy, even pedantry.

The course of epileptic dementia is steadily progressive. With severe dementia, malice disappears, but hypocrisy and servility remain, and lethargy and indifference to the environment increases.

How to prevent dementia - video

Answers to the most popular questions about causes, symptoms and
dementia treatment

Are dementia and dementia the same thing? How does dementia occur in children? What is the difference between childhood dementia and mental retardation?

The terms “dementia” and “dementia” are often used interchangeably. However, in medicine, dementia is understood as irreversible dementia that has developed in a mature person with normally formed mental abilities. Thus, the term “childhood dementia” is inappropriate, since in children higher nervous activity is at a developmental stage.

The term “mental retardation” or oligophrenia is used to refer to childhood dementia. This name is retained when the patient reaches adulthood, and this is fair, since dementia that occurs in adulthood (for example, post-traumatic dementia) and mental retardation proceed differently. In the first case, we are talking about the degradation of an already formed personality, in the second - about underdevelopment.

Is unexpected untidiness the first sign of senile dementia? Are symptoms such as untidiness and sloppiness always present?

Sudden untidiness and untidiness are symptoms of disturbances in the emotional-volitional sphere. These signs are very nonspecific, and are found in many pathologies, such as: deep depression, severe asthenia (exhaustion) of the nervous system, psychotic disorders (for example, apathy in schizophrenia), various types of addictions (alcoholism, drug addiction), etc.

At the same time, patients with dementia in the early stages of the disease can be quite independent and neat in their usual everyday environment. Sloppiness can be the first sign of dementia only if the development of dementia is accompanied in the early stages by depression, exhaustion of the nervous system or psychotic disorders. This kind of debut is more typical for vascular and mixed dementias.

What is mixed dementia? Does it always lead to disability? How to treat mixed dementia?

Mixed dementia is called dementia, the development of which involves both a vascular factor and the mechanism of primary degeneration of brain neurons.

It is believed that circulatory disorders in the blood vessels of the brain can trigger or intensify the primary degenerative processes characteristic of Alzheimer's disease and dementia with Lewy bodies.

Since the development of mixed dementia is caused by two mechanisms at once, the prognosis for this disease is always worse than for the “pure” vascular or degenerative form of the disease.

The mixed form is prone to steady progression, therefore inevitably leading to disability and significantly shortening the patient's life.
Treatment of mixed dementia is aimed at stabilizing the process, therefore it includes combating vascular disorders and mitigating the developed symptoms of dementia. Therapy, as a rule, is carried out with the same drugs and according to the same regimens as for vascular dementia.

Timely and adequate treatment for mixed dementia can significantly prolong the patient’s life and improve its quality.

Among my relatives there were patients with senile dementia. How likely am I to develop a mental disorder? What is the prevention of senile dementia? Are there any medications that can prevent the disease?

Senile dementias are diseases with a hereditary predisposition, especially Alzheimer's disease and dementia with Lewy bodies.

The risk of developing the disease increases if senile dementia in relatives developed at a relatively early age (before 60-65 years).

However, it should be remembered that hereditary predisposition is only the presence of conditions for the development of a particular disease, therefore even an extremely unfavorable family history is not a death sentence.

Unfortunately, today there is no consensus on the possibility of specific drug prevention of the development of this pathology.

Since risk factors for developing senile dementia are known, measures to prevent mental disorder, are primarily aimed at eliminating them, and include:
1. Prevention and timely treatment of diseases leading to circulatory disorders in the brain and hypoxia (hypertension, atherosclerosis, diabetes mellitus).
2. Dosed physical activity.
3. Constantly engaged in intellectual activity (you can make crosswords, solve puzzles, etc.).
4. Quitting smoking and alcohol.
5. Prevention of obesity.

Before use, you should consult a specialist.

The cause of personality degradation or collapse may be mental disorders, alcoholism, drug addiction, old age. If the changes are not associated with illness or old age, the causes of degradation are resentment against life, guilt, loneliness, and lack of interests.

What does the word "degradation" mean? The word “degradation” comes up quite often. It is used when talking about the gradual deterioration, decline, loss of valuable qualities and properties observed in various areas of life - culture, society, art, environment. This term is also used in relation to physical, chemical and biological processes: degradation of soils, proteins, etc.

Psychologists use it when they talk about the destruction of personality - the narrowing and impoverishment of interests, feelings, talents and judgments, a decrease in mental activity and performance, up to complete indifference and loss of contacts with environment. Personality degradation is also called mental dullness. One of the severe forms of personality degradation is marasmus, or profound dementia. Personality degradation – component a deeper breakdown of the human psyche: dementia, or dementia.

How does personality degradation manifest itself?

The first signs of degradation appear long before the complete collapse of the personality. The range of interests of such people narrows, mainly in the general cultural aspect: they stop watching films, reading books, and attending concerts. They are characterized by frivolity, flat humor, carelessness along with capriciousness, discontent and grumbling. They become annoying and familiar. Their judgments are frivolous and superficial, and their behavior is characterized by swagger, a tendency toward cynicism, and a decreased sense of shame and disgust. Such qualities as deceit and egocentrism develop.

As the disease progresses, intellectual impairment increases. The character changes for the worse: the person becomes irritable and hot-tempered. Its main features are a negative worldview - an attitude towards all events with a negative prejudice, internal fear, etc. Memory deteriorates, interests narrow, and judgments and feelings become impoverished. It becomes difficult for a person to concentrate his attention on anything.

Another manifestation of personality degradation is lack of will, excessive complacency and carelessness. Carelessness and complete indifference to the surrounding world are observed in a severe form of degradation - insanity. Personality degradation also affects a person’s appearance. Characteristic changes in appearance are visible, one might say, to the naked eye: sloppiness, stoop, an indifferent look, inappropriate behavior. That’s what they say about such people – degenerate ones.

American psychologist Maslow identified several qualities inherent in people with personality degradation:

  • treating yourself as a pawn on which nothing depends either in public or in personal life;
  • the main thing in their life becomes the satisfaction of basic primary needs;
  • They divide the world into “us” and “strangers” and try to protect themselves from “strangers”;
  • they believe that their opinion is unshakable and is not subject to criticism and discussion;
  • their language is poor, they use elementary figures of speech. Their brains don't want to expend effort on verbal functions.

Why does personality degradation occur?

A person degrades when he stops developing spiritually. His brain seems to begin to atrophy “as unnecessary.” There can be many reasons why a person gives up and loses faith in himself, he becomes uninterested in life, he stops following events, develops intellectually, and forgets about his previous hobbies. This happens to someone when they lose a loved one, someone loses their taste for life after a collapse of hopes or a series of failures. The most susceptible to personality degradation are lonely people who feel like losers and useless to anyone.

But these factors in most cases threaten degradation not in themselves, but because a person begins to seek solace and oblivion in alcohol and sooner or later goes on a drinking binge. The concepts of alcoholism and personality degradation are inseparable. Moreover, alcoholism can be both the cause of degradation and its consequence.

Unfortunately, quite often personality degradation develops in older people after retirement. Psychologists even say that retirement is very harmful. Lack of duties, responsibility, and the need to load the brain lead to gradual spiritual death.

At the same time, there are many elderly people who have retained a lively and clear mind. If a person remains a multifaceted personality in old age, does not sit idle, if retirement frees up time and energy for new activities, then he is not in danger of personality degradation. Personality degradation can be a consequence of mental illness or organic diseases of the brain (schizophrenia, epilepsy, intoxication, trauma, etc.).

Senile insanity as a form of personality degradation

Senile insanity is a progressive disease that is an irreversible mental disorder. Its cause is the atrophy of all processes that occur in the brain, and this happens mainly due to pathological changes in its blood vessels. Heredity also aggravates the situation.

The disease develops gradually, over years, and others do not immediately notice strange behavior. The person just becomes distracted, forgetful, grumpy, stingy and self-centered. But as the symptoms progress, they become more and more pronounced, and it is no longer possible not to notice them. Memory deteriorates, false memories arise of events that did not happen. Eventually, a person stops recognizing loved ones, loses self-care skills, and needs constant monitoring and help.

Alcoholism and personality degradation

Another example of complete personality degradation is alcoholism. For an alcoholic, alcohol is the main need of life, and his brain works with one goal - where and how to get alcohol. An alcoholic's thoughts are superficial, phrases and words are simple and unpretentious.

Symptoms of personality degradation in alcoholics appear already in the first stages of alcoholism. They are emotionally unstable: tearfulness, touchiness, and pessimism can suddenly give way to excitability, irritation and anger. They lack a sense of guilt and understanding of their actions, but they experience carelessness, euphoria, and underestimation of life’s difficulties. Their actions are inadequate and unpredictable. Alcoholics become rude, deceitful and selfish.

Unfortunately, no one is immune from the risk of spiritual degradation - it threatens any person who “goes with the flow” and does not engage in self-development. If you don’t improve and don’t invest time and effort into your development, spiritual death may occur before physical death. Another poet N. Zabolotsky wrote:

“Don’t let your soul be lazy!

So as not to pound water in a mortar,

The soul must work

And day and night, and day and night!

If you decide to cut her some slack,

Freeing from work,

She's the last shirt

He will rip you off without pity.”

People who overcome their passivity, maintain an active physical state, are interested in everything that happens in the world, and take an active life position are unlikely to face personality degradation. The immediate environment is also important: to have people nearby who would infect you with their desire for new knowledge and skills.

As for senile insanity, it is impossible to cure it completely, but early stage it can be adjusted. Therefore, when the first signs appear, it is worth examining: if its cause is vascular diseases of the brain, for example atherosclerosis, the doctor will prescribe appropriate treatment. B vitamins, in particular B6 and folic acid, and Ginkgo biloba extract or capsules.