Automatism refers to a set of brief
unconscious
Unconscious may refer to:
Physiology
* Unconsciousness, the lack of consciousness or responsiveness to people and other environmental stimuli
Psychology
* Unconscious mind, the mind operating well outside the attention of the conscious mind a ...
behaviors. These typically last for several seconds to minutes or sometimes longer, a time during which the subject is unaware of his/her actions. This type of
automatic behaviour
Automatic behavior, from the Greek ''automatos'' or self-acting, is the spontaneous production of often purposeless verbal or motor behavior without conscious self-control or self-censorship. This condition can be observed in a variety of contexts ...
often occurs in certain types of epilepsy, such as
complex partial seizure
Focal seizures (also called partial seizures and localized seizures) are seizures which affect initially only one hemisphere of the brain. The brain is divided into two hemispheres, each consisting of four lobes – the frontal, temporal, parie ...
s in those with
temporal lobe epilepsy
Temporal lobe epilepsy (TLE) is a chronic disorder of the nervous system which is characterized by recurrent, unprovoked focal seizures that originate in the temporal lobe of the brain and last about one or two minutes. TLE is the most common ...
, or as a
side effect
In medicine, a side effect is an effect, whether therapeutic or adverse, that is secondary to the one intended; although the term is predominantly employed to describe adverse effects, it can also apply to beneficial, but unintended, consequence ...
of certain medications, such as
zolpidem
Zolpidem, sold under the brand name Ambien, among others, is a medication primarily used for the short-term treatment of sleeping problems. Guidelines recommend that it be used only after cognitive behavioral therapy for insomnia and behavior ...
.
Variations
There are varying degrees of automatism. Some may include simple
gesture
A gesture is a form of non-verbal communication or non-vocal communication in which visible bodily actions communicate particular messages, either in place of, or in conjunction with, speech. Gestures include movement of the hands, face, or o ...
s, such as finger rubbing, lip smacking,
chewing
Chewing or mastication is the process by which food is crushed and ground by teeth. It is the first step of digestion, and it increases the surface area of foods to allow a more efficient break down by enzymes. During the mastication process, ...
, or
swallowing
Swallowing, sometimes called deglutition in scientific contexts, is the process in the human or animal body that allows for a substance to pass from the mouth, to the pharynx, and into the esophagus, while shutting the epiglottis. Swallowing ...
, or more complex actions, such as
sleepwalking
Sleepwalking, also known as somnambulism or noctambulism, is a phenomenon of combined sleep and wakefulness. It is classified as a sleep disorder belonging to the parasomnia family. It occurs during slow wave stage of sleep, in a state of low ...
behaviors. Others may include speech, which may or may not be coherent or sensible. The subject may or may not remain conscious otherwise throughout the episode. Those who remain conscious may be fully aware of their other actions at the time, but unaware of their automatism.
In some more complex automatisms, the subject enters into the behaviors of
sleepwalking
Sleepwalking, also known as somnambulism or noctambulism, is a phenomenon of combined sleep and wakefulness. It is classified as a sleep disorder belonging to the parasomnia family. It occurs during slow wave stage of sleep, in a state of low ...
while fully awake up until the moment it starts. In these episodes, which can last for longer periods of time, the subject proceeds to engage in activities they routinely perform, such as cooking, showering, or driving along a familiar route, or may even carry on conversation. Following the episode, the subject regains consciousness, often feeling disoriented, and has no memory of the incident.
See also
*
Tic
A tic is a sudden, repetitive, nonrhythmic motor movement or vocalization involving discrete muscle groups.American Psychiatric Association (2000)DSM-IV-TR: Tourette's Disorder.''Diagnostic and Statistical Manual of Mental Disorders'', 4th ed., ...
References
External links
{{DEFAULTSORT:Automatism (Medicine)
Seizure types
Epilepsy types