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McDD is a developmental disorder with symptoms that
are to be divided in three groups.
If one matches two or more points for each group, McDD
can be suspected. |
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1. Regulation of affective state (anxiety, panic
and agression). |
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- Intense generalized anxiety, diffuse tension,
or irritability.
- Unusual fears and phobias that are peculiar in
content or in intensity.
- Recurrent panic episodes, terror, or flooding
with anxiety.
- Episodes lasting from minutes to days of behavioral
disorganization or regression with the emergence
of markedly immature, primitive, and/or self-injurious
behaviors.
- Significant and wide emotional variability with
or without environmental precipitants.
- High frequency of idiosyncratic anxiety reactions
such as sustained periods of uncontrollable giggling,
giddiness, laughter, or “silly” affect that is inappropriate
in the context of the situation.
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2. Consistent impairments in social behavior and
sensitivity. |
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- Social disinterest, detachment, avoidance, or
withdrawal in the face of evident competence (at
times) of social engagement, particularly with adults.
More often attachments may appear friendly and cooperative
but very superficial, based primarily on receiving
material needs.
- Inability to initiate or maintain peer relationships.
- Disturbed attachments displaying high degrees
of ambivalence to adults, particularly to parents/caregivers,
as manifested by clinging, overly controlling, needy
behavior, and/shifting or aggressive, oppositional
behavior toward parents, teachers, or therapists
are common.
- Profound limitations in the capacity of empathy
or to read or understand others’ affects accurately.
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3. Impaired cognitive processing (thinking disorder)
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- Thought problems that are well out of proportion
with mental age, including irrationality, sudden
intrusions on normal thought process, magical thinking,
neologisms or nonsense words repeated over and over,
desultory thinking, blatantly illogical bizarre
ideas.
- Confusion between reality and fantasy life.
- Perplexity and easy confusability (trouble with
understanding ongoing social processes and keeping
one’s thoughts “straight”).
- Delusions, including fantasies of personal omnipotence,
paranoid preoccupations, overengagement with fantasy
figures, grandiose fantasies of special powers,
and referential ideation.
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| © 2006 #McDD - realisation:
E. Appermont |
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