EXCLUSIVE CONDITIONS - a group of temporary disorders of mental activity, combined with such common symptoms as sudden onset, short duration (minutes, rarely hours), presence of an upset consciousness with complete or partial forgetting of events that occurred during this period. Exceptional states are always short-term psychosis, which often can be expressed in the form of pathological intoxication and pathological affect.
Pathological intoxication is a twilight stupefaction that usually occurs after taking a small dose of alcohol (50-150 g). External symptoms characteristic of intoxication are absent; the movements of the patients are accurate and confident, the gait is firm, the speech is clear, the actions are consistent And may not even attract the attention of others. However, often under the influence of frightening hallucinations and delusional ideas accompanying darkened consciousness, patients commit acts of violence that are dangerous to themselves and others. In these cases, motor and speech excitation is noted. Pathological intoxication lasts from several minutes to several hours and ends in a deep sleep, followed by amnesia.
Pathological affect occurs after a sudden, intense and stunning mental trauma. It is manifested by sharp motor arousal, which is accompanied by aggressive actions directed not only against the person who has inflicted mental trauma on the patient, but also against random individuals.
Exceptional conditions occur predominantly in individuals who have suffered from an organic disease of the central nervous system (traumatic brain injury, meningitis) who abuse alcohol, in psychopathic personalities. Of great importance and temporarily acting exhaustive factors - mental and physical fatigue, lack of sleep. Exceptional conditions are often accompanied by the commission of socially dangerous acts and entail subsequent judicial proceedings. Because of their short duration, they are usually not the subject of direct medical observation. Therefore, to solve the diagnostic assessments that arise before the examination, it is very important for the data of those who observed a pattern of abnormal behavior that occurred suddenly. A health worker who has learned of such a fact should, as soon as possible and in detail, question all who have witnessed the incident. A person who has undergone an exceptional condition should be immediately sent with an accompanying consultant to a psychiatrist.