Talk:Avolition

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This article was the subject of an educational assignment in Spring 2015. Further details are available on the course page.

One possible cause for schizophrenic symptoms in otherwise healthy person

Setting very demanding goal(s) which involve non-disclosure and getting burn out when feeling really close to the goal (but not really in practice due to the burn out) and/or needing a personality shift to execute on the goals appears to be one cause of many of the "negative symptoms" including this.

The positive symptoms may relate to the adaptation not being fully realized and the brain is in midst of trying to find out what areas to grow. I.e. Just like musicians have certain type of brain growth, those high on emotional intelligence have had another kind of development. The positive symptom list saps reads like what would be expected if you were starting to develop emotional intelligence at age later than say 5 years old. Add stimulants use (coffee may be enough) and then no doubt those positive symptoms end up with higher probability of showing up at scale greater than "mild".

Part of this may relate to personality type and growth. Eg. If one is truth seeking/oriented and honest, finding out some big lie that most people know about but lie knowing about and then believing you are the only one that knows but can't tell because of some reason, now there's a chance of such great internal conflict that if one hasn't learned to deal with such due to living like hermit/sheltered life, one may get temporarily stuck in their thinking and behavior until one can find a model to live by or find another career/give up on the goal etc. — Preceding unsigned comment added by 91.155.19.195 (talk) 21:45, 8 October 2018 (UTC)[reply]

Stubbiness

Ironic that the page for avolition is short, doesn't cite any sources, hardly links anywhere, and is listed as low importance, no?

yes.71.234.234.84 (talk) 21:28, 16 September 2008 (UTC)[reply]

No. It's apt. I suggest you pick up a dictionrey؟؟ —Preceding unsigned comment added by 81.157.40.42 (talk) 15:37, 24 February 2009 (UTC)[reply]

No. It's dictionary. I suggest you pick up a dictionary. — Preceding unsigned comment added by 74.255.33.135 (talk) 02:34, 15 September 2011 (UTC)[reply]

Pwned! :D • Jesse V.^(talk) 06:45, 11 December 2012 (UTC)[reply]

"negative" symptoms

The article states that avolition is one of the four main "negative" symptoms of schizophrenia, but then goes on to state that the others are [list of four items], making 5 in total. — Preceding unsigned comment added by 134.36.68.156 (talk) 03:12, 13 December 2011 (UTC)[reply]
Fixed

references

Listed below is the beginning of a list of possible references that will aid in the construction of this article for an assignment in a graduate psychology course. References will be added as research continues.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, fifth edition. Arlington, VA, American Psychiatric Association

Castonguay, L., & Oltmanns, T. (2013). General Issues in Understanding and Treating Psychopathology. Psychopathology: From Science to Clinical Practice (pp. 5-6). New York: Guildford Publications.

Schizophrenia Symptoms. (2012). Avolition. Understand Schizophrenia. Retrieved from http://www.understand-schizophrenia.com/schizophrenia-symptoms.html

Foussias, G. & Remington, G. (2010). Negative Symptoms in Schizophrenia: Avolition and Occam’s Razor. Schizophrenia Bulletin, 36, 359-369. doi: 10.1093/schbul/sbn094

LaurStuart (talk) 15:25, 4 June 2015 (UTC)[reply]

Proposed Changes

Below is a list of proposed changes currently in progress, any feedback or additional source recommendations are welcome: 1. update the definition of avolition to reflect the DSM-5 (2013) 2. separate information into new sections – a. lead section (including definition and difference between similar symptoms) b. section on how avolition presents in psychopathology c. how avolition is related to ego depletion d. treatment recommendations and clinical implications in therapy 3. update and add to current reference list 4. update, or perhaps remove, the “see also” section – could implement direct links in the text rather than a separate section LaurStuart (talk) 13:29, 11 June 2015 (UTC)[reply]

DRAFT OF NEW LEAD SECTION

Avolition, as a symptom of various forms of psychopathology, is the decrease in the motivation to initiate and perform self-directed purposeful activities^[1]. Such activities that appear to be neglected usually include routine activities, including hobbies, going to work and/or school, and most notably, engaging in social activities. A person experiencing avolition may stay at home for long periods of time, rather than seeking out work or peer relations.

Identified as a “negative” symptom of the psychotic disorder Schizophrenia by the National Institute of Mental Health (NIMH) in 2006 ^[2], avolition can be confused with other similar symptoms. Negative symptoms can be understood as the decrease or removal of an otherwise normative affective or motivational feature of cognition. Asociality, anhedonia, blunted affect, and alogia are negative symptoms frequently confused with avolition.

Asociality is the decrease in interest and motivation in forming relationships.^[2]
Anhedonia is the absence of experiencing pleasure.
Blunted affect (sometimes referred to as “flat” or “restricted” affect) is the reduction in outward displays of emotional expression.
Alogia is the significant decrease or reduction in speech output.

Although each negative symptom does reflect similar aspects, each needs to differentiated properly in order to provide effective treatment. LaurStuart (talk) 14:28, 11 June 2015 (UTC)[reply]

References

^ American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, fifth edition. Arlington, VA, American Psychiatric Association
^ ^a ^b Castonguay, L., & Oltmanns, T. (2013). General Issues in Understanding and Treating Psychopathology. Psychopathology: From Science to Clinical Practice (pp. 5-6). New York: Guildford Publications.

Ideas for additional sections

Lead/Introduction section (no title) Psychopathology (specifically schizophrenia and major depressive disorder) Ego Depletion Treatment Clinical Implications LaurStuart (talk) 19:06, 19 June 2015 (UTC)[reply]

Additions

I think you have done a really nice job so far. With regards to the treatment section, I would consider delving further into more specific treatment techniques other than just stating psychotherapy/talk therapy is an option. I'm not sure how much detail is required but more would add to the already great article. Nice work!Jlederz (talk) 01:03, 2 July 2015 (UTC)[reply]

Hi Lauren!

I really like your article so far.

I thought for copyediting purposes it would be easier to just do track changes and comments in Word. I've hosted the document on my Google Drive and provide the link below so that you can download and open in Word to view my suggestions (as well as Dr. B being able to see what I did). To access it, copy and paste the link below:

https://drive.google.com/file/d/0B7xJXpDgzCTZNWJPSWZ6UXJaUUU/view?usp=sharing

Best, Flinnre (talk) 07:42, 2 July 2015 (UTC)[reply]

contradiction re motivation

different parts of this article contradict as to what avolition actually is, specifically whether it's a problem of motivation or not. the 1st sentence says it "is the decrease in the motivation to initiate and perform self-directed purposeful activities" but then the 1st section says "It is sometimes mistaken for disinterest, anhedonia and amotivation, but is distinct ... avolition is a restriction in the initiation of activity, including, but not limited to, goal directed behavior. In contrast, abulia (poverty of motivated behavior) - is a restriction in motivation and initiation, often characterized by an inability to set goals or make decisions". is the problem that different groups define these differently? or is the word used for multiple things? someone who knows what they're doing (so not me, i'm afraid) should make it clear, because saying it's motivation but it isn't motivation can't be right. --dan (talk) 02:13, 3 February 2016 (UTC)[reply]

Major depressive disorder

Should Major depressive disorder be mentioned here? Benjamin (talk) 10:57, 27 December 2017 (UTC)[reply]

I added it to "See also". There is a section about things commonly mistaken as avolition, and MDD could be mentioned there if a source could be found. Barring that, I put it in See also. Kimen8 (talk) 15:50, 29 March 2024 (UTC)[reply]

Biased article

The article talks too much about the negative effects of medication and the "uncurable" aspect of avolition based in one paper, when other studies indicate that avolition can be treated and it can have a great effect in the recovery of the primary psychopathology of the patient. ^[1] as well as the several references already in the article.--Lmalena (talk) 23:52, 5 February 2021 (UTC)[reply]

References

^ Strauss, Gregory P.; Zamani Esfahlani, Farnaz; Sayama, Hiroki; Kirkpatrick, Brian; Opler, Mark G.; Saoud, Jay B.; Davidson, Michael; Luthringer, Remy (8 July 2020). "Network Analysis Indicates That Avolition Is the Most Central Domain for the Successful Treatment of Negative Symptoms: Evidence From the Roluperidone Randomized Clinical Trial". Schizophrenia Bulletin. 46 (4): https://academic.oup.com/schizophreniabulletin/article-abstract/46/4/964/5716474. doi:10.1093/schbul/sbz141. ISSN 0586-7614. {{cite journal}}: More than one of |pages= and |page= specified (help)

Interconnection between Avolition and other symptoms affecting motivation

Some more sources for Psychopathology are needed, especially when talking about how the cause of avolition needs to be identified and differentiated from the other symptoms affecting motivation like anhedonia, etc., because another source talks about avolition playing a bigger part in schizophrenia and to look more into how all of the symptoms interact with each other and examine the structure as a whole^[1]. HowAboutThisName (talk) 07:25, 21 February 2023 (UTC)[reply]

References

^ Strauss, Gregory P.; Bartolomeo, Lisa A.; Harvey, Philip D. (2021-02-26). "Avolition as the core negative symptom in schizophrenia: relevance to pharmacological treatment development". npj Schizophrenia. 7 (1): 1–6. doi:10.1038/s41537-021-00145-4. ISSN 2334-265X.

Mitragynine source

@Jhvx: in a previous edit here, you added the {{primary source inline}} on the reference "The Potential for Kratom as an Antidepressant and Antipsychotic". This is not a primary source, it is a literature review and as such seems fine under WP:MEDRS. Am I missing something here? I'm removing that annotation unless I hear back. Kimen8 (talk) 12:03, 29 March 2024 (UTC)[reply]

No, you're correct. I don't remember my reasoning for adding the tag, but clearly it was wrong. I've removed it. But I think the one you removed here was correct, was it not? Jhvx (talk) 13:08, 29 March 2024 (UTC)[reply]

Good catch, I did remove the wrong one. I just put it back, and you got the other one, so it looks good now I think. Kimen8 (talk) 15:47, 29 March 2024 (UTC)[reply]

Not only a symptom of schizophrenia

Avolition exists in other psychological conditions than schizophrenia. 85.76.166.171 (talk) 09:57, 3 October 2024 (UTC)[reply]

[1] American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, fifth edition. Arlington, VA, American Psychiatric Association

[Castonguay_&_Oltmann-2] Castonguay, L., & Oltmanns, T. (2013). General Issues in Understanding and Treating Psychopathology. Psychopathology: From Science to Clinical Practice (pp. 5-6). New York: Guildford Publications.

[3] Strauss, Gregory P.; Zamani Esfahlani, Farnaz; Sayama, Hiroki; Kirkpatrick, Brian; Opler, Mark G.; Saoud, Jay B.; Davidson, Michael; Luthringer, Remy (8 July 2020). "Network Analysis Indicates That Avolition Is the Most Central Domain for the Successful Treatment of Negative Symptoms: Evidence From the Roluperidone Randomized Clinical Trial". Schizophrenia Bulletin. 46 (4): https://academic.oup.com/schizophreniabulletin/article-abstract/46/4/964/5716474. doi:10.1093/schbul/sbz141. ISSN 0586-7614. {{cite journal}}: More than one of |pages= and |page= specified (help)

[4] Strauss, Gregory P.; Bartolomeo, Lisa A.; Harvey, Philip D. (2021-02-26). "Avolition as the core negative symptom in schizophrenia: relevance to pharmacological treatment development". npj Schizophrenia. 7 (1): 1–6. doi:10.1038/s41537-021-00145-4. ISSN 2334-265X.

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