• Derailment : (Synonymous with loose associations) A breakdown in both the logical connection between ideas and the overall sense of goal-directedness. Review Topic. The reply usually refers to the appropriate topic but fails to give a complete answer. When loose associations are the result of schizophrenia, the patient's speech patterns seem random and may be based on sounds, rhyming, free association or puns and are extremely difficult to interpret. N/A. In a mild manifestation, this thought disorder is characterized by … Loosening of associations definition, a type of formal thought disorder characterized by shifts from one topic to another in ways that are obliquely related or completely unrelated, occurring as a common symptom of mania and schizophrenia. Topic Overview: Delusions false beliefs firmly maintained in spite of indisputable and obvious proof to the contrary Loosening of associations occurs mostly in schizophrenia. The illogicality of the loosening of associations which is found in schizophrenia should be contrasted with the flight of ideas which characterises hypomania. 0. N/A. In psychiatry, derailment (also loosening of association, asyndesis, asyndetic thinking, knight's move thinking, or entgleisen) is a thought disorder characterized by discourse consisting of a sequence of unrelated or only remotely related ideas.The frame of reference often changes from one sentence to the next. Three kinds of loosening of association have been described: Knight’s move thinking or derailment where there are odd tangential associations between ideas. In psychiatry, derailment (also loosening of association, asyndesis, asyndetic thinking, knight's move thinking, or entgleisen) is a thought disorder characterized by discourse consisting of a sequence of unrelated or only remotely related ideas.The frame of reference often changes from one sentence to the next. Loosening of associations is also called knight's move thinking. 0 1. Tangentially is another feature and is when replies to questions are irrelevant or oblique. Questions. In a mild manifestation, this thought disorder is characterized by … In loosening, however, no discernible connection exists between ideas. when 0 1. loosening of associations Psychiatry Disordered thinking in which ideas shift from one subject to another in an oblique or unrelated manner, without the speaker being aware of same; when severe, speech may be incoherent. Flight of ideas is a symptom of a mental health condition, such as bipolar disorder or schizophrenia. Medbullets Team 0 % Topic. 100 % 0 % Videos. Derailment and Loosening of associations are terms used to describe this. 0. You’ll notice it when a person starts talking and … (e.g. Delusions, Hallucinations, Illusions, and Loose Associations. 0. • Word Salad : Incoherent or incomprehensible connections of thoughts (most severe thought disorganization) English term or phrase: derailment, tangentiality, or poverty of speech On a psychological evaluation of a couple: "The mood of each one appears to be congruent with affect; their flow of thought is free of defects of association, and their associations are absent of any derailment, tangentiality or poverty of speech." See more. The move of the knight in chess is used as a metaphor for the unexpected, and illogical, connections between ideas. Also known as derailment, loose associations are used as a diagnosis tool for schizophreniform disorder and schizoaffective disorder as well. 0. The words make sentences, but the sentences do not make sense. 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