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Clinical and Research Reports   |    
Echothymia: Environmental Dependency in the Affective Domain
Robert S. Marin, M.D.; Ian R. Gorovoy, M.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2014;26:92-96. doi:10.1176/appi.neuropsych.13020020
View Author and Article Information

The authors report no conflicts of interest.

From the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, and the Dept. of Ophthalmology, University of California, San Francisco.

Send correspondence to: Robert Marin, M.D.; e-mail: marinr@upmc.edu

Copyright © 2014 by the American Psychiatric Association

Received February 01, 2013; Revised May 01, 2013; Revised May 26, 2013; Accepted May 28, 2013.

Abstract

Echothymia is stimulus-bound affective behavior, an echophenomenon in the domain of affect. Like echolalia and echopraxia, it is a concomitant of the environmental dependency associated with dysfunction of the frontal–striatal systems that mediate so-called frontal lobe functions. The authors introduce the definition and phenomenology of echothymia, overview its differential diagnosis and clinical significance, and suggest ways in which understanding echothymia may contribute to clinical management.

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References

Lhermitte  F:  Human autonomy and the frontal lobes, Part II: patient behavior in complex and social situations: the “environmental dependency syndrome.” Ann Neurol 1986; 19:335–343
[CrossRef] | [PubMed]
 
Cummings  JL:  Involuntary emotional expression disorder: definition, diagnosis, and measurement scales.  CNS Spectr 2007; 12(Suppl 5):11–16
 
Brugger  P:  From mirror neurons to mirror hallucinations: gaps in our current understanding of autoscopic phenomena.  Acta Neuropsychologia 2005; 3:190–201
 
Brugger  P:  Reflective mirrors: perspective-taking in autoscopic phenomena.  Cogn Neuropsychiatry 2002; 7:179–194
[CrossRef] | [PubMed]
 
Kovalev  VV:  Child Psychiatry .  Moscow, Russia,1983[in Russian]
 
Ross  ED;  Monnot  M:  Neurology of affective prosody and its functional-anatomic organization in right hemisphere (review).  Brain Lang 2008; 104:51–74
[CrossRef] | [PubMed]
 
Besnard  J;  Allain  P;  Aubin  G  et al:  A contribution to the study of environmental dependency phenomena: the social hypothesis.  Neuropsychologia 2011; 49:3279–3294
[CrossRef] | [PubMed]
 
Realmuto  GM;  August  GJ:  Catatonia in autistic disorder: a sign of comorbidity or variable expression? J Autism Dev Disord 1991; 21:517–528
[CrossRef] | [PubMed]
 
Trimble  MR;  Cummings  JL:  Neuropsychiatric disturbances following brainstem lesions.  Br J Psychiatry 1981; 138:56–59
[CrossRef] | [PubMed]
 
Chapman  J;  McGhie  A:  Echopraxia in schizophrenia.  Br J Psychiatry 1964; 110:365–374
[CrossRef] | [PubMed]
 
Carney  MW;  Chary  TK;  Robotis  P  et al:  Ganser syndrome and its management.  Br J Psychiatry 1987; 151:697–700
[CrossRef] | [PubMed]
 
Lhermitte  F;  Pillon  B;  Serdaru  M:  Human autonomy and the frontal lobes, Part I: imitation and utilization behavior: a neuropsychological study of 75 patients.  Ann Neurol 1986; 19:326–334
[CrossRef] | [PubMed]
 
Ford  RA:  The psychopathology of echophenomena.  Psychol Med 1989; 19:627–635
[CrossRef] | [PubMed]
 
Cummings  JL:  Dementia: the failing brain.  Lancet 1995; 345:1481–1484
[CrossRef] | [PubMed]
 
Gregory  CA;  Hodges  JR:  Clinical features of frontal lobe dementia in comparison to Alzheimer’s disease.  J Neural Transm Suppl 1996; 47:103–123
[PubMed]
 
Suzuki  T;  Itoh  S;  Hayashi  M  et al:  Hyperlexia and ambient echolalia in a case of cerebral infarction of the left anterior cingulate cortex and corpus callosum.  Neurocase 2009; 15:384–389
[CrossRef] | [PubMed]
 
Cummings  JL:  Frontal-subcortical circuits and human behavior.  Arch Neurol 1993; 50:873–880
[CrossRef] | [PubMed]
 
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