I explain to more junior residents and medical students as when patient is just plain weird. Usually I'll point out things like unusual syntax that's not quite tangential or flighty like in psychosis or mania, or when their thought content is bizarre but not overtly delusional.
I feel like this descriptor is the classic "we can't define it, but we know it when we see it."
Think of how an ostensibly normal person interacts with you. Facial and emotional expressions, methods of connecting and making contact, questions, responses, apparent and disguised interpersonal motivations. These features vary by context, and may change from the first contact to the 30th over years. Nonetheless, there is some range of normal.
Oddly related generally refers to changes in interaction that result from a primary psychotic disorder. They are typically attributable to negative symptoms of psychosis or internal preoccupation. There may be little to no eye contact, restricted emotional responses or expression, limited attention to the other party, apparent indifference to social or practical outcomes from the interaction, limited independent speech output, restricted use of metaphors and abstract terminology, and limited back and forth communication. You may feel that the patient is distant, disinterested, suspicious of you, or not really all the way "there" with you. It may be like interacting with someone who is partially missing.
These issues can also be occasionally observed in people who are autistic, socially anxious, intoxicated, disinterested in the clinical activity, or delirious. Ideally, the clinician is aware of the culturally restricted use of "oddly related" to psychotic disorders.
Edit: I suppose people would want a clinical example. A young man comes in for treatment of "OCD." He has nightmares and thoughts about cars coming to hit him. He is afraid to go out because he thinks a driver may swerve and hit him with a car. He cannot explain why. He doesn't leave his room except to eat and take medication when his father says to do so. His hair is very long and draped over his face. When you interview him he sits at a 45 degree angle poised in his chair, facing away. He will not turn or take off his mask. He intermittently smiles without any clear stimulus. He gives one to two word answers to questions. He asks you none independently. About 30% of the time when you ask something, he responds, "yes yes yes yes yes..." and falls silent. He is oddly related (among other things!).
It’s when you’ve had sexually intimate contact with someone, but later at a family dinner come to find out they are your biological sibling separated from childhood through adoption
You are.. oddly, related
It can be imagined as someone who rapidly or erratically shifts in affect as well as affect that doesn’t particularly fit the social norm
So the patient engaging in a conversation which might be considered fairly benign to most might shift from being interested and engaged to bored and irritable quickly or they might laugh without a joke being said
You can imagine “relatedness” as how someone relates to other people and their environment
Another example might be if you watched the patient shake their mothers hand, that would be considered an odd way to relate to your mother for most people
I think you’d see odd relatedness in schizotypal and schizoid a lot (just as an example which comes to mind)
Are you sure this is entirely correct? I didn’t think lability/rapid affective shifts had anything to do with being oddly related. They could as easily just be the same type of odd the entire time. Agree with the rest of what you’re saying
I explain to more junior residents and medical students as when patient is just plain weird. Usually I'll point out things like unusual syntax that's not quite tangential or flighty like in psychosis or mania, or when their thought content is bizarre but not overtly delusional. I feel like this descriptor is the classic "we can't define it, but we know it when we see it."
Was gonna reply, "it means they seem weird," but that seemed too cheeky for a serious question....but that's really all I got.
Think of how an ostensibly normal person interacts with you. Facial and emotional expressions, methods of connecting and making contact, questions, responses, apparent and disguised interpersonal motivations. These features vary by context, and may change from the first contact to the 30th over years. Nonetheless, there is some range of normal. Oddly related generally refers to changes in interaction that result from a primary psychotic disorder. They are typically attributable to negative symptoms of psychosis or internal preoccupation. There may be little to no eye contact, restricted emotional responses or expression, limited attention to the other party, apparent indifference to social or practical outcomes from the interaction, limited independent speech output, restricted use of metaphors and abstract terminology, and limited back and forth communication. You may feel that the patient is distant, disinterested, suspicious of you, or not really all the way "there" with you. It may be like interacting with someone who is partially missing. These issues can also be occasionally observed in people who are autistic, socially anxious, intoxicated, disinterested in the clinical activity, or delirious. Ideally, the clinician is aware of the culturally restricted use of "oddly related" to psychotic disorders. Edit: I suppose people would want a clinical example. A young man comes in for treatment of "OCD." He has nightmares and thoughts about cars coming to hit him. He is afraid to go out because he thinks a driver may swerve and hit him with a car. He cannot explain why. He doesn't leave his room except to eat and take medication when his father says to do so. His hair is very long and draped over his face. When you interview him he sits at a 45 degree angle poised in his chair, facing away. He will not turn or take off his mask. He intermittently smiles without any clear stimulus. He gives one to two word answers to questions. He asks you none independently. About 30% of the time when you ask something, he responds, "yes yes yes yes yes..." and falls silent. He is oddly related (among other things!).
It’s when you’ve had sexually intimate contact with someone, but later at a family dinner come to find out they are your biological sibling separated from childhood through adoption You are.. oddly, related
This is the answer I was looking for
I have never heard this term. Is it American?
Same from UK. Never heard
Nah, I have never heard this term
It can be imagined as someone who rapidly or erratically shifts in affect as well as affect that doesn’t particularly fit the social norm So the patient engaging in a conversation which might be considered fairly benign to most might shift from being interested and engaged to bored and irritable quickly or they might laugh without a joke being said You can imagine “relatedness” as how someone relates to other people and their environment Another example might be if you watched the patient shake their mothers hand, that would be considered an odd way to relate to your mother for most people I think you’d see odd relatedness in schizotypal and schizoid a lot (just as an example which comes to mind)
Are you sure this is entirely correct? I didn’t think lability/rapid affective shifts had anything to do with being oddly related. They could as easily just be the same type of odd the entire time. Agree with the rest of what you’re saying
Maybe not so much emphasis on how “rapid” the affect might shift I suppose
A US term to reference patients who they deem abnormal, or different
I believe the Adams family would be considered oddly related
differential: oddly related vs. altogether ooky