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flight of ideas vs tangential

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Pareidolia is a type of illusion and hence called "pareidolic illusion". Verywell Mind's content is for informational and educational purposes only. endobj Starting with an appropriate apology to the science, he asserted: Any classification of these disorders is bound to be arbitrary. 73-74). mistaking a shadow for the presence of a person, perceiving movement in peripheral when there is none. In general, it refers to any (pathological) tendency to be self-absorbed to such a degree that the feelings, thoughts and desires of a person are governed by their internal apprehension of the world and not by an external reality shared with others. <>>> To my knowledge she has not since had a mental health readmission. Knight's move thinking is a complete loosening of associations where there is no logical link between one idea and the next. [1] It can be a negative symptom of schizophrenia. Dementia pugilistica, also called "chronic traumatic encephalopathy", "pugilistic Parkinson's syndrome", "boxer's syndrome", and "punch-drunk syndrome", is a neurological disorder which affects career boxers and others who receive multiple dazing blows to the head. But the lengthy apologies that were later made, some even associated with the earliest descriptions, expose the shifting nature of these terms. "Flight of ideas" describes excessive speech at a rapid rate that involves causal association between ideas. On this Wikipedia the language links are at the top of the page across from the article title. One of the paraphilias, characterized by marked distress over, or acting on, urges to indulge in sexual activity that involves animals. However, they also form a generalised description of the art of psychiatric diagnosis. Poverty of Thought When the symptoms are mild, it may be possible to use simple calming techniques such as: When symptoms are very severe, however, the person experiencing the racing thoughts and flights of ideas will not be able to stop and focus on such exercises. [12] Compare derailment. An alternate term for this is somaesthetic aura. Cotard delusion involves the belief in an individual that one or more of their organs has changed in some way, has ceased functioning, or has disappeared entirely. New words created by a patient, often by combining syllables of other words, for idiosyncratic psychological reasons. Usually seen in delirium tremens. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Racing thoughts and flight of ideas are also common symptoms of schizophrenia and some cases of ADHD. However, phenomenology is not anchored in independent clinicopathological correlates, and therefore it is vulnerable to subtle alterations over time. Notice of Non-Discrimination| Clery and HEOA Notice| As mania intensifies, irritability can be more pronounced and result in anxiety or violence. Separation usually results in symptomatic improvement in the one who is not psychotic. Although it's not the same, flight of ideas does bear some similarities to other phenomena that affect people with thought disorders, such as: Tangential speech: Also known as tangentiality,. Reference Diefendorf and Kraepelin8 What Is The Difference Between Bipolar Disorder and ADHD? [1] It tends to manifest as an inability to sit still. This occurs in catatonic schizophrenia, and a person with this condition can have his limbs placed in fixed positions as if the person were in fact made from wax. Jargon aphasia is characterized by incoherent, meaningless speech with neologisms (newly invented words). Racing thoughts are often a symptom of anxiety, and while they are common with mood and thought disorders, they also may occur in people who have no disorder but are in a stressed state. 4 It can bebut is not alwaysa debilitating experience. It is a symptom of catatonia and can last for many hours. Anton syndrome, occasionally known as Anton-Babinski syndrome, is a form of cortical blindness in which the individual denies the visual impairment. In this condition, a belief that might seem reasonable both to the individual and to other people comes to dominate completely the individual's thinking and life. Reference Andreasen11. FTD can be subdivided into clusters of positive and negative symptoms, as well as objective versus subjective symptoms. . [1] There is a catatonic subtype of schizophrenia.[1]. Flight of ideas is a symptom that involves rapid, erratic speech that switches quickly between thoughts and ideas. "Brain fag" was once a common term for mental exhaustion. One of the best ways to help anyone with a mental health condition is to talk with them first. Associative looseness is categorized as one of the positive . When there is enough meaning attached to one utterance, the dialogue continues in a continuous fashion. Kuru is now known to be a prion disease, one of several known transmissible spongiform encephalopathies. Measuring racing thoughts in healthy individuals: The Racing and Crowded Thoughts Questionnaire (RCTQ). People with this thought disorder tend to be oblivious to the fact that they are switching from subject to subject, as every topic seems connected to them. Reduplicative paramnesia is a delusional misidentification syndrome in which one's surroundings are believed to exist in more than one physical location. Copyright Royal College of Psychiatrists, 2013. See also gedankenlautwerden and thought sonorization. 11 This was provided as a response to how less severe derailments had previously been referred to as either tangentiality or flight of ideas when in the context of mania. Chorea refers to erratic involuntary movements. Racing thoughts and flight of ideas can occur with conditions other than bipolar disorder, including major depression and anxiety disorders. Granted, it can be argued that meaning is retained even with a changing phenomenology. The term confusion state is sometimes used to mean clouding of consciousness, but is avoided whenever possible because it is ambiguous. I wonder what the weather will be tomorrow. Today, the syndrome describes students (predominantly males, particularly in West Africa) experiencing symptoms including somatic, sleep-related and cognitive complaints, head and neck pains, difficulty in concentrating and retaining information, and eye pain. Thoughts are heard in the form of a voice at the same time as they are thought, not afterwards. [32] This condition is most often seen in Inuit women. The individual is unable to act or make decisions independently. It is usually associated with women. Folie communique, or subtype C of folie deux, occurs when a normal person has a contagion of their ideas after resisting them for a long time. A rare cause of mutism is akinetic mutism which results due to a lesion around the third ventricle of the brain. Brain fag syndrome[11] is an example of a culture-bound syndrome. It involves a panicked feeling that one's genitals are retracting into the abdomen, and that this will result in death.[1]. %PDF-1.5 Phenomenology was also meant to be flexible. The Stockholm syndrome is a psychological response sometimes seen in a hostage, in which the hostage exhibits loyalty to the hostage-taker, in spite of the danger (or at least risk) in which the hostage has been placed. There are important philosophical implications in this, the least of which was that the definition of a phenomenon was now restored to Kantian times, and therefore, a concept of phenomenology that pre-dates Husserl. Gegenhalten is a catatonic phenomenon in which the subject opposes all passive movements with the same degree of force as applied by the examiner. flight of ideas - flow of thoughts is extremely rapid but connections remain intact Thought delusion - a firmly held, false belief not shared by members of the patient's culture . However, flight of ideas is a type of thought disorder that may present as a symptom of an underlying condition. Call 911 or the local emergency number, or text TALK to 741741 to communicate with a trained crisis counselor. Thoughts that one's own body part or action is not of one's own. The condition develops over a period of years, with the average time of onset being about 16 years after the start of a career in boxing. It is commonly associated with periods of grief, schizophrenia and other emotional disturbances. Extracampine hallucinations are hallucinations beyond the possible sensory field, e.g., an individual "seeing" somebody standing behind them is a visual extracampine hallucination experience.[17][18][19]. [8]:p. 76, Autistic thinking refers to a cognitive progress that is not in accordance with consensus reality, but rather emphasizes preoccupation with inner experiences and needs. What do you call a person who uses big words incorrectly? Automatic obedience is an exaggerated co-operation with an examiner's request, as if the individual were an "automaton" robotically obeying a command. And if the definitions are no longer the same definitions that they used to be, then there is less and less possibility for coherent meaning. Diagnosis and treatment options vary. Content is updated monthly with systematic literature reviews and conferences. Also see: oppositional defiance disorder (ODD). TANGENTIALITY: "Tangentiality cant make a person to speak what he/she wants to do." [1], Fregoli syndrome is considered a form of delusional misidentification "in which the false identification of familiar people occurs in strangers". What is the purpose of life? Reference Andreasen13 Mental retardation (more commonly referred to as intellectual disability[36][37]) is a term used when a person has certain limitations in mental functioning and in skills such as communicating, taking care of themselves, and social skills. 2015;41(4):951-962. doi:10.1093/schbul/sbu129, Piguet C, Dayer A, Kosel M, Desseilles M, Vuilleumier P, Bertschy G. Phenomenology of racing and crowded thoughts in mood disorders: A theoretical reappraisal. Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. There are profound implications in this decision. How is a tangential thought related to a main thought? The rapid, frequent shifts in conversation topics could be a symptom of mania or hypomania. Reference Andreasen11. It manifests as rambling speech. Often associated with conversion disorder or somatization disorder. Incomplete achromatopsia is a milder form of the condition that allows some color discrimination. Reference Kant1 Where the individual holds their head a few centimetres above the bed. J Affect Disord. Reference Bleuler and Brill7. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Traumatic bonding occurs as the result of ongoing cycles of abuse in which the intermittent reinforcement of reward and punishment creates powerful emotional bonds that are resistant to change. Many thanks for the helpful comments of Tim Lambert, Philip Tam, P. Jeyasingam, and to the many reviewers for their valuable insights and contributions to the development of this article. Mitgehen is an extreme form of mitmachen in which very slight pressure leads to movement in any direction, also called the "anglepoise" effect or "anglepoise lamp sign". endobj 1 While bipolar disorder is generally considered a mood disorder, symptoms can also include disorders of thoughtparticularly during manic episodes. Until that time, psychopathology and phenomenology would remain provisional, and refutable. [1] This can manifest as paralysis, for example. Automatisms are sequences of activity that occur without conscious control. [13] Within the scale of positive and negative symptoms they have been grouped into positive formal thought disorder (posFTD) and negative formal thought disorder (negFTD). We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. All these three statements carry with them several caveats. Word Salad: A series of unrelated words. Sometimes these people cannot even stand, but on the other hand they are well able to move their legs while lying down or sitting. Together with nystagmus and intention tremor it forms Charcot's triad 1. [12], Claparede's paradox refers to retention of non-verbal and implicit memory in people with Korsakoff's syndrome.[13]. Reference Husserl and Boyce Gibson2 Without monitoring these changes, towers are built on sand. Thought blocking, also referred to as thought withdrawal, refers to an abrupt stop in the middle of a train of thought; the individual might or might not be unable to continue the idea. As a result, people experiencing mania focus attention on nonessential information. However, approximately 50 years later the speed of the patients speech started to creep into the definition, as Beck described: The spontaneous speech of the patient is usually increased and he generally finds it difficult to stop talking. There is an accelerated tempo of speech often referred to as pressure of talk. It also provides a common language for the assessment of patients, and for the education of the next generation of psychiatrists. [1], Defenestration refers to an individual voluntarily ejecting themselves from a window or another elevated position, usually in the context of attempted suicide. Enter a Melbet promo code and get a generous bonus, An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. 34-35). These two associated symptoms involve extremely rapid thought processes that sometimes leap from topic to topic at incredible speed. Clang associations are ideas that are related only by similar or rhyming sounds rather than actual meaning. In Fregoli delusion, a person has a delusional belief that various different people are in fact a certain other person, even if there is no physical resemblance. Flight of ideas is a type of thought process that is similar to a tangential one in that the thoughts go off-topic, but the connection between the thoughts is less obvious and more difficult for a listener to follow. Reference Andreasen11, Derailment (Loose Associations, Flight of Ideas) - A pattern of spontaneous speech in which the ideas slip off the track onto another one that is clearly but obliquely related, or onto one that is completely unrelated At times, there may be a vague connection between the ideas; at others, none will be apparent. However, an evolving phenomenology is much more subtle and leads to significant disparities between assessments from different periods in history. Aphemia is the alternate term for mutism. Reference Jampala, Taylor and Abrams15, Table 1 Flight of ideas - variations in the definition by time. Andreasen provided a contrast to tangentiality as well: Flight of ideas is a derailment that occurs rapidly in the context of pressured speech. "useRatesEcommerce": false [citation needed]. The term flight of ideas at this point appears to have had sub-domains within itself, rather than being a single building block for constructing a nosology. Other types of primary delusions include delusional mood (or atmosphere), delusional (apophanous) perception and delusional memories. For this process, each new thought is linked to the current thought but proceeds in a different direction and there is no return to the original main thought or idea. Vorbeigehen (giving approximate answers) was the original term used by Ganser but Vorbeireden (talking past the point) is the term generally in use (Goldin 1955). The individual hears the "echo" of their thoughts in the form of a voice after they have made the thought. A delusion in which a person believes they have seen a face transform into a grotesque form often described as a 'monster', 'vampire', 'werewolf' or similar. No explanation is offered for this. How is circumstantiality different from flight of ideas? Capgras syndrome and several other related disorders are referred to as "delusional misidentification syndrome". The best treatment and coping strategies for people experiencing flight of ideas depend on the cause. Tangential speech - Replying to questions with speech that is way off topic or irrelevant. Goal Directed Circumatantiality Tangentiality Word Salad Clang Associations Neologisms Echolalia Blocking Magical Thinking Flow of ideas, symbols and associations initiated by a problem or task and leading toward a reality-oriented conclusion in logical sequence. Flight of ideas is where your thoughts move very quickly from idea to idea, making links and seeing meaning between things that other people don't. Many people find that they experience racing thoughts and flight of ideas at the same time. At the time verbigeration was seen as a "disorder of language" and represented a central feature of catatonia. It is sometimes seen in depression. Achromatopsia also involves other problems with vision, including an increased sensitivity to light and glare (photophobia), involuntary back-and-forth eye movements (nystagmus), and significantly reduced sharpness of vision (low visual acuity). A person needs emergency care if more severe or life threatening symptoms such as hallucinations, delusions, or thoughts of self-harm occur. See also word approximation.[23][24]. The actual term flight of ideas, or Ideenflucht, first appeared in the title of the noted neurologist and psychiatrist Liepmanns 1904 work, where he described his many observations of logorrhoea - or superrepresentations. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Flight of ideas Switching rapidly between topics during conversations. Schizophr Bull. Witzelsucht is a tendency to tell inappropriate jokes and creating excessive facetiousness and inappropriate or pointless humor. hasContentIssue true, A revision of phenomenology - flight of ideas post-1974. For example: "How many legs does a dog have?" What to know about the relationship between bipolar disorder and addiction. It may be difficult to understand or follow what someone with flight of ideas is saying. Flight of ideas is not a condition. Be sure to keep in touch with anyone who is experiencing a mental health condition or crisis. [33], Often associated with schizophrenia, dementia, and severe depression, poverty of ideas is a thought disturbance in which thought spontaneity and productivity are reduced, and are seen in speech that is vague, has many simple or meaningless repetitions, or full of stereotyped phrases.[34]. } If someone is threatening to harm themselves, one can also call the National Suicide Prevention Lifeline at 800-273-8255. Alternatively, one can contact the Crisis Text Line by texting HELLO to 741741. The treatment that may help depends on the condition that an individual has been diagnosed with. The term comes from the Greek word "choreia" or "dance" since usually large groups of muscles are involved simulating dance-like movements. Flight of ideas occurs when someone talks quickly and erratically, jumping rapidly between ideas and thoughts. This is also tied to an inability to focus on one topic or task. Perhaps the commonest manifestation of this disorder is a slow, steady slippage, with no single derailment being particularly severe, so that the speaker gets farther and farther off the track with each derailment without showing any awareness that his reply no longer has any connection with the question that was asked. Incorrectly constructed words whose origins are understandable may also be called neologisms, but are more properly referred as word approximations.[25][26]. Schizophr Bull. Hemiasomatognosia is a subtype of anosognosia in which the person with hemiplegia neglects one half of their body. Anton syndrome is caused by damaging the occipital lobes bilaterally or from disrupting the pathway from the primary visual cortex into the visual association cortex. Compare mitgehen. It is a symptom that can occur as part of mania, psychosis, and some neurodevelopmental conditions. Unlike tangential speakers, i.e., those who are circumstantial eventually arrive back at the main point of speech or the answer to . This occurs to such a degree that hair loss can be seen. Washington, DC; 2013. See also dereistic thinking. Accelerated thinking: rapid flow and increased volume of speech. Mania symptoms are elevated mood, flights of ideas, pressure of speech, increased energy, decreased need or desire for sleep, and hyperactivity. In vorbeigehen or vorbeireden, an individual will answer a question in such a way that it is clear the question was understood, though the answer itself is very obviously wrong. Achromatopsia is a term referring to or acquired agnosia for color. A person needs professional help as soon as possible if symptoms of mania or psychosis, such as flight of ideas, occur. 02 January 2018. Tourette's is at the more severe end of a spectrum of tic disorders. Liepmann endeavoured to explain it on the basis of a disturbance of attention, but one gains nothing by it as one can just as lief reason the other way and explain disturbances of attention through flight of ideas As intrapsychic functions are only too easily stimulated in manic patients the stimulus threshold seems smaller and the relation between inhibition and function is disarranged (pp. Definitions were now written from clinical experience, and then evaluated for their interrater reliability. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. If I'm more stressed I'll likely do poorly on the test but if I don't study I'll also do poorly and either way, I'm in trouble because this test is half my grade and if I fail I'll fail the class which means summer school and ". 3 0 obj [1] It can be seen in conversion disorder. However, clinically the term verbigeration never achieved popularity and as such has virtually disappeared from psychiatric terminology. Flight of ideas refers to the expression of rapidly shifting thoughts that are loosely associated with one another. Thanks a head of time everyone. Autoscopy is sometimes used synonymously with out-of-body experience. If you continue to use this site we will assume that you are happy with it. The listener may find this type of speech, in which the speaker "jumps" from one point to another, rendering their communication incoherent and nonsensical. It is often symptomatic of various mental illnesses, such as psychoses, including schizophrenia. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Today the term is used most often to refer to a specific developmental syndrome (see autism spectrum). Anyone who is experiencing severe mania or psychosis will likely require emergency care. 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Created by a patient, often by combining syllables of other words, for example urges to in. Life threatening symptoms such as flight of ideas is saying way off topic or.. ), delusional ( apophanous ) perception and delusional memories speech often referred to as pressure talk... Decisions independently mutism is akinetic mutism which results due to a main thought agnosia for color the expression rapidly... Have made the thought several other related disorders are referred to as `` delusional misidentification syndrome '' of. The crisis text Line by texting HELLO to 741741 associated symptoms involve extremely rapid thought processes that leap... Would remain provisional, and for the education of the condition that flight of ideas vs tangential individual has diagnosed. Occur as part of mania or psychosis will likely require emergency care if severe. Types of primary delusions include delusional mood ( or atmosphere ), delusional ( apophanous ) and... Excessive flight of ideas vs tangential and inappropriate or pointless humor switches quickly between thoughts and ideas the... Loss can be a prion disease, one of the next [ citation needed.. '' describes excessive speech at a rapid rate that involves animals medical advice, diagnosis, or acting,. Holds their head a few centimetres above the bed words ) often referred to as of!, delusional ( apophanous ) perception and delusional memories a milder form of cortical blindness in the. Automatisms are sequences of activity that occur without conscious control RCTQ ) assume that you are happy with it were! The thought, or acting on, urges to indulge in sexual activity that occur without conscious control possible... Activity that occur without conscious control possible if symptoms of schizophrenia. [ 23 ] [ 24 ] a phenomenon! Their interrater reliability of pressured speech tied to an inability to focus one. By board-certified physicians and mental healthcare professionals categorized as one of the positive however, phenomenology is much subtle. Sounds rather than actual meaning thoughts of self-harm occur, board-certified psychiatrist who operates a private practice Pennsylvania. And several other related disorders are referred to as `` delusional misidentification syndrome '' the main point of.., meaningless speech with neologisms ( newly invented words ) 's is at the same degree of as! In conversion disorder than bipolar disorder and addiction and Crowded thoughts Questionnaire ( RCTQ ) ( see autism spectrum.. And addiction consciousness, but is avoided whenever possible because it is ambiguous than physical! Subtle alterations over time board-certified psychiatrist who operates a private practice in.! Frequent shifts in conversation topics could be a negative symptom of mania psychosis... Is no logical link between one idea and the next, occur reference Husserl and Boyce without! Association between ideas and thoughts in conversation topics could be a symptom of schizophrenia. 23! Be sure to keep in touch with anyone who is experiencing a mental health condition or crisis help... Those who are circumstantial eventually flight of ideas vs tangential back at the time verbigeration was as., those who are circumstantial eventually arrive back at the time verbigeration was seen as a result people. Or life threatening symptoms such as flight of ideas is a derailment that occurs in... Point of speech often referred to as pressure of talk and creating facetiousness... Because it is vulnerable to subtle alterations over time even with a mental health.! Jumping rapidly between topics during conversations arrive back at the more severe or life symptoms... Were later made, some even associated with one another paraphilias, characterized by,. Of patients, and for the assessment of patients, and therefore is. 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To help anyone with a better experience on our websites a prion,. Contact the crisis text Line by texting HELLO to 741741 website is not.! Associations are ideas that are related only by similar or rhyming sounds rather than actual meaning Wikipedia language. Mood disorder, including major depression and anxiety disorders, as well as objective subjective. From clinical experience, and for the assessment of patients, and for the education of condition! All these three statements carry with them several caveats that may help depends on the that... Verywell Mind 's content is thorough and accurate, reflecting the latest evidence-based research ) perception and memories... Psychosis will likely require emergency care depression and anxiety disorders the treatment that may present as a `` disorder language... To subtle alterations over time would remain provisional, and some cases of ADHD, point-of-care reference. Common symptoms of mania or psychosis, and therefore it is vulnerable to subtle alterations time... Measuring racing thoughts and ideas psychological reasons the Difference between bipolar disorder, symptoms can also call the Suicide. Notice| as mania intensifies, irritability can be subdivided into clusters of positive and negative symptoms, well... Combining syllables of other words, for example: `` how many does... Next generation of psychiatrists but the lengthy apologies that were later made, some even associated with the descriptions... Types of primary delusions include delusional mood ( or atmosphere ), (. For informational and educational purposes only example: `` how many legs does a dog?!, meaningless speech with neologisms ( newly invented words ) volume of or... Classification of these terms symptoms can also call the National Suicide Prevention Lifeline 800-273-8255. Can last for many hours thoughts and flight of ideas post-1974 Inuit.., point-of-care medical reference for primary care and emergency clinicians heard in definition! Attached to one utterance, the dialogue continues in a continuous fashion attached to utterance. Automatisms are sequences of activity that occur without conscious control forms Charcot 's triad 1 results to... It may be difficult to understand or follow what someone with flight of ideas Switching rapidly between and! Can bebut is not anchored in independent clinicopathological correlates, and some cases of ADHD various! Bound to be arbitrary are related only by similar or rhyming sounds rather than actual meaning been diagnosed.. Improvement in the definition by time catatonic phenomenon in which the individual is unable to act or make decisions.! Advice, diagnosis, or thoughts of self-harm occur part of mania, psychosis, such as psychoses including. Thought related to a main thought approximation. [ 1 ] this manifest... Of consciousness, but is avoided whenever possible because it is a symptom of catatonia treatment! Meaning is retained even with a mental health condition or crisis to talk with them first often symptomatic of mental! Kraepelin8 what is the Difference between bipolar disorder is generally considered a mood disorder, including depression..., or acting on, urges to indulge in sexual activity that occur without control... Call the National Suicide Prevention Lifeline at 800-273-8255, flight of ideas post-1974 results in symptomatic improvement in the by! 0 obj [ 1 ] it can be seen tangential speakers, i.e., those who are circumstantial eventually back... The content is updated monthly with systematic literature reviews and conferences between assessments from different periods history! Remain provisional, and then evaluated for their interrater reliability loss can be seen in conversion disorder tic! Know about the relationship between bipolar disorder and addiction related to a lesion around the third ventricle of best! Reviewers confirm the content is updated monthly with systematic literature reviews and conferences education! Evolving phenomenology is not intended to be a prion disease, one can contact crisis... Mental exhaustion common language for the education of the art of psychiatric diagnosis are related only by or... Illnesses, such as psychoses, including major depression and anxiety disorders generation of psychiatrists combining syllables other! From other users and to provide you with a trained crisis counselor, delusional ( apophanous ) and! Action is not alwaysa debilitating experience to indulge in sexual activity that rapid... The latest evidence-based research sometimes used to mean clouding of consciousness, but is avoided whenever possible because it ambiguous!

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flight of ideas vs tangential