Psycho Urban Erie 7: Tourette Syndrome Traditional Cache

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kiawa: With all the rain lately, I imagine this got washed away. I can't replace it, so I am archiving it. This area is free for the next person. Have at it. Thanks to those who found it, sorry to those who didn't.

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Hidden : 4/11/2006
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2.5 out of 5
Terrain:
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Size: Size: small (small)

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When people hear about Tourette Syndrome, they immediately think of somebody spontaneously swearing. Here's the truth about this condition...

RANGE OF SYMPTOMS OF TS
Motor:
Simple motor tics: fast, darting, and meaningless.
Complex motor tics: slower, may appear purposeful (includes copropraxia and echopraxia)

Vocal:
Simple vocal tics: meaningless sounds and noises.
Complex vocal tics: linguistically meaningful utterances such as words and phrases (including coprolalia, echolalia, and palilalia).

Behavioral and Developmental
Attention deficit hyperactivity disorder, obsessions and compulsions, emotional lability, irritability, impulsivity, aggressivity, and self-injurious behaviors; varied learning disabilities.

Symptomatology:
The varied symptoms of TS can be divided into motor, vocal, and behavioral manifestations. Simple motor tics are fast, darting, meaningless muscular events. They can be embarrassing or even painful (such as jaw snapping). They are easily distinguished from simple muscular twitches or rapid fasciculations, e.g., of the eyelid or lip.

Complex motor tics often are slower, more purposeful in appearance, and more easily described with terms used for deliberate actions. Complex motor tics can be virtually any type of movement that the body can produce including gyrating, hopping, clapping, tensing arm or neck muscles, touching people or things, and obscene gesturing. At some point in the continuum of complex motor tics, the term "compulsion" seems appropriate for capturing the organized, ritualistic character of the actions. The need to do and then redo or undo the same action a certain number of times (e.g., to stretch out an arm ten times before writing, to even up, or to stand up and push a chair into "just the right position") is compulsive in quality and accompanied by considerable internal discomfort. Complex motor tics may greatly impair school work, e.g., when a child must stab at a workbook with a pencil or must go over the same letter so many times that the paper is worn thin. Self-destructive behaviors, such as head banging, eye poking, and lip biting, also may occur.

Vocal tics extend over a similar spectrum of complexity and disruption as motor tics. With simple vocal tics, patients emit linguistically meaningless sounds or noises, such as hissing, coughing, or barking. Complex vocal tics involve linguistically meaningful words, phrases, or sentences, e.g., "wow," "Oh boy, now you've said it," "Yup, that's it," "but, but...." Vocal symptoms may interfere with the smooth flow of speech and resemble a stammer, stutter, or other speech irregularities. Often, but not always, vocal symptoms occur at points of linguistic transition, such as at the beginning of a sentence where there may be blocking or difficulties in the initiation of speech, or at phrase transitions. Patients suddenly may alter speech volume, slur a phrase, emphasize a word, or assume an accent.

The most socially distressing complex vocal symptom is coprolalia, the explosive utterance of foul or "dirty" words or more elaborate sexual and aggressive statements. While coprolalia occurs in only a minority of TS patients (from 5-40%, depending on the clinical series), it remains the most well known symptom of TS. It should be emphasized that a diagnosis of TS does not require that coprolalia is present.

Some TS patients may have a tendency to imitate what they have just seen (echopraxia), heard (echolalia), or said (palilalia). For example, the patient may feel an impulse to imitate another's body movements, to speak with an odd inflection, or to accent a syllable just the way it has been pronounced by another person. Such modeling or repetition may lead to the onset of new specific symptoms that will wax and wane in the same way as other TS symptoms.

Additional Hints (Decrypt)

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Decryption Key

A|B|C|D|E|F|G|H|I|J|K|L|M
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N|O|P|Q|R|S|T|U|V|W|X|Y|Z

(letter above equals below, and vice versa)


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