违拗症常在精神分裂症木僵基础上出现。什违病人对别人的拗症要求给以拒绝或做出相反的动作。如一位病人住院后，分型护士要求他坐在床上，什违他却偏要站立。拗症护士说：“站起来吧”，分型患者才立即坐在床上。什违这种现象称为主动性违拗。拗症另一位病人，分型由家属带来门诊检查，什违医生请她解开衣服，拗症躺在检查床上，分型患者却一动不动，什违完全不按医生要求去做，拗症这称为被动性违拗。分型还有的病人连口水也不下咽，大小便也不解，称生理性违拗。均多见于精神分裂症紧张型。
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