Question:
Often typically the delusional state of psychosis has a common thread. In paranoid type schizophrenia it is always one of persecution, or the belief that the individual may have, in which people or other creative entities are trying to hurt her/him. and all delusions follow this common theme, the cluster A diagnosis you mention are really sort of components of this phenominon. People are considering a new class of schizophrenia, or drug-induced schizophrenia, but generally a co-occurring illness has to be treated from a chemical dependancy perspective first. at least, thats what they teach you in school. I was actually misdiagnosed for a number of years as a schizo-affective person because I would have states of mania, but often states of mania are not uncommon in paranoid type schizophrenia. Also I have depression which occaisionally goes into remission. Its pretty tricky, but no hyper-manic states were evident during my 60-day stay in the hospital, half of which with no meds. So yes misdiagnosis is common with other schizophreniform illnesses. However, considering personality disorders to be a viable mental illness compared to the severity of schizophrenia is highly inacurate, as personality disorders ought not be considered legally viable. Every person has some range of psychosis when under duress, or when regressing traumatic events as in PTSD. But the factors involved in determining the severity of psychosis often should include the determination a central theme, which is highly indicative of the symptoms present. Any comments about the consideration of personality disorders to be legally viable? as I think it is interesting how many persons are incarcerated and have been diagnosed with personality disorders. I do not necessarily mean Axis II disorders, (personality disorders as a definition) some reconsideration of the Axis II definition may be necessary someday, as the patterns which we’ve identified such as schizotypal personality disorder are often comorbid and may exist in any psychology regardless of the presence of severe and persistant mental illness deemed to be an Axis II illness and do not always present positive symptoms as in Axis I diagnosis. Its interesting the multiaxial assessment system should be used to consider these templates for human personality and behavior such as the cluster A disorders mentioned in the previous post. The question remains whether a person with narcissistic personality disorder shouldbe allowed hospitalization at trial, he would certainly think he did not deserve prison, would he not? But there seems to be a lack of precedent at least in mainstream media about the use of personality disorders as a defense at trial, one day these things may need to be reasessed, you see. As a counter argument radiology has been used before to prove mental illness, I do not believe these cluster A diagnosis are also indicated in positron emissions scans. thoughts?
Response:
Hi. I didn’t understand most of what you have posted here, because it’s full of specialized language. The bulk of posters here are schizophrenics rather than schizophrenia treatment specialists (such as psychiatrists). People with sz vary widely in level of education and articulateness, but I haven’t seen anyone here who is a trained mental health professional except one fellow, who is a psychologist. My sz symptoms have come in two types: (1) in 1991, false memories of being very young and doing terrible things to people; (2) in 1996, silent voices and images in my mind, with a definite persecution or at least exploitation pattern. My problem with these experiences has never been the experiences themselves, but the way they impact my ability to function in everyday life. They both robbed me of all concetration, the ability to make decisions rationally, the ability to hold down a job, and toward the end of the 1996 experience, the ability to eat and use the bathroom in peace. I have been severely depressed only once, and I slept it off, and I have never been manic. Just 12 mg of Perphenazine and later, 4.5 mg of Risperdal each day have done the trick for me, although the Risperdal did cause rabbit mouth that I take 200 AU of Vitamin E for. I believe that schizophrenia has completely unknown causes and modes of operation. No one in the mental health field has a clue as to what causes it or how it works inside the human brain or mind. The medications prescribed for it are loathsome poisons that do the job, for me at least, for completely unknown reasons and at God knows what long-term price. I already have lapses in short-term memory after taking Risperdal for only six years. So frankly, the entire mental health profession should be ashamed of itself for pretending that it knows what it’s doing when it plainly doesn’t. Hannibal – Hide quoted text — Show quoted text -akbar yudit wrote: >Often typically the delusional state of psychosis has a common thread. In >paranoid type schizophrenia it is always one of persecution, or the belief >that the individual may have, in which people or other creative entities are >trying to hurt her/him. and all delusions follow this common theme, the >cluster A diagnosis you mention are really sort of components of this >phenominon. >People are considering a new class of schizophrenia, or drug-induced >schizophrenia, but generally a co-occurring illness has to be treated from a >chemical dependancy perspective first. >at least, thats what they teach you in school. >I was actually misdiagnosed for a number of years as a schizo-affective >person because I would have states of mania, but often states of mania are >not uncommon in paranoid type schizophrenia. Also I have depression which >occaisionally goes into remission. Its pretty tricky, but no hyper-manic >states were evident during my 60-day stay in the hospital, half of which >with no meds. So yes misdiagnosis is common with other schizophreniform >illnesses. >However, considering personality disorders to be a viable mental illness >compared to the severity of schizophrenia is highly inacurate, as >personality disorders ought not be considered legally viable. >Every person has some range of psychosis when under duress, or when >regressing traumatic events as in PTSD. But the factors involved in >determining the severity of psychosis often should include the determination >a central theme, which is highly indicative of the symptoms present. >Any comments about the consideration of personality disorders to be legally >viable? as I think it is interesting how many persons are incarcerated and >have been diagnosed with personality disorders. >I do not necessarily mean Axis II disorders, (personality disorders as a >definition) some reconsideration of the Axis II definition may be necessary >someday, as the patterns which we’ve identified such as schizotypal >personality disorder are often comorbid and may exist in any psychology >regardless of the presence of severe and persistant mental illness deemed to >be an Axis II illness and do not always present positive symptoms as in Axis >I diagnosis. Its interesting the multiaxial assessment system should be used >to consider these templates for human personality and behavior such as the >cluster A disorders mentioned in the previous post. The question remains >whether a person with narcissistic personality disorder shouldbe allowed >hospitalization at trial, he would certainly think he did not deserve >prison, would he not? But there seems to be a lack of precedent at least in >mainstream media about the use of personality disorders as a defense at >trial, one day these things may need to be reasessed, you see. >As a counter argument radiology has been used before to prove mental >illness, I do not believe these cluster A diagnosis are also indicated in >positron emissions scans. thoughts?
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