Artsu Tharaz
The Lamb
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- Dec 12, 2010
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So, pretty much all of the Schizophrenia diagnostic criteria I have seen seem to be really, really vague. Based on the definitions, it seemed to me that Schizophrenia was this thing which is actually based on quite standard experiences, however it has occurred to me that actually there may be an actual illness that is being called Schizophrenia, however the diagnostic criteria are simply horrendous, due to an overall lack of understanding of the illness. Whatever actual schizophrenia is, I have little to say on that matter. I have some thoughts on the diagnostic criteria, though.
Now, first of all, there is this whole notion of "hearing voices", and these voices can be experienced internally, it doesn't have to be like, literally thinking someone is in the room talking to you when no one is there.
However, from what I understand, verbal thinking is experienced in every person as being auditory, i.e. when a person thinks verbally, they are hearing voices, and thus technically having auditory hallucinations. So every person who thinks verbally, which I assume is everyone who knows language, even if in varying degrees, hears voices.
Now, there's this thing about "delusions". A delusion is apparently a fixed false belief. So, apparently a person believes something false, and won't change their mind in response to evidence to the contrary. So ok, two issues here:
- first of all, from my experience, a patient will be labelled as delusional even if their beliefs are not disproven. In fact, it may be admitted that the patient might actually be correct, but it will still be labelled as a delusion
- second of all, I think almost everyone has at least one belief which is false, and which they would refuse to change their mind on even if someone were to go and show them heaps of evidence to the contrary, even logical proofs which disprove their idea. People believe things that are not factual, everyone does to some degree or another.
Now, here is another problem. There is distinctions made in diagnostic criteria between whether a patient says "this is what is happening" and "it is as if this is what is happening", and by saying "it is as if" at the front, then it as if the person then goes from delusional/non-insight status, to insight status, and could even be given a totally new diagnosis.
Well, first of all, diagnosis should not in general be made based on what a patient says they believe, as they could be lying or expressing themself incorrectly, or the psychiatrist could simply be misinterpreting.
Second of all, it should be quite obvious that when a person says something, it is not either a literal truth or a simile (when they say "it is as if"). Actually, I believe that it was in 7th grade english that I learn about this word called "metaphor", which is a kind of figurative use of language, like a simile, however they don't say "it is as if" at the front, they just say "it is...", with a sort of implied assumption that what is said will not be taken literally.
Ok, then there is this thing called thought disorder. I have no real understanding of what a thought disorder is, but again, it seems to be deduced from what a patient actually says. Basically, diagnosing someone with a thought disorder is a case of "mind reading", which is a faulty way of thinking according to Cognitive Behavioural Therapy. It goes by the name of "cognitive distortion", and actually psychiatrists and other mental health professionals use many cognitive distortions.
You know what else mental health professionals use? Avoidance, and Alienating Messages.
Avoidance is giving incomplete messages, often to avoid conflict. Alienating messages include things like threats.
Mental health professionals give incomplete messages to their patients. However, they will talk more openly about their thoughts with each other. Mental health professionals use threats against their patients, AND often act on these threats.
Now, let's look at the definition of a "conspiracy".
Now, if someone says that there is a conspiracy against them, obviously they must be mistaken, for otherwise it would not be secret. Yet, as we have seen from the game Forum Mafia, which is largely centred around the notion of a conspiracy, often we can infer that people are operating in conspiracy through how they behave and communicate.
Through the use of avoidant messages and threats by a group of people, such as mental health professionals, it becomes a reasonable suspicion that they may in fact be planning to cause harm to the patient. When they do then unleash some sort of attack on the patient, for example in the form of use of forced medication even with lack of a diagnosis or emergency or any statement as to why it is appropriate, then all doubt is removed as to whether there was a conspiracy.
There was. There is plenty of evidence that shows that this is a harmful practice, at least in many cases. If it is appropriate in some cases, then from what I have experienced, it is not the case that mental health professionals actually bother to go through a process of determining whether it is appropriate or not. There is some degree to which they do, however it is very far from foolproof, and is probably harmful in the majority of cases.
A person with terminal cancer can choose to not receive treatment.
A person diagnosed with schizophrenia, whether they have it or not, can be forced to receive treatment, if a certain protocol is followed.
Is this right? No. Are there better ways? Yes.
Why is it done that way, then? I don't know, I can't read minds.
Thanks,
your friendly local neighbourhood 5ch1z0phr3n1c, Artsu Tharaz.
Now, first of all, there is this whole notion of "hearing voices", and these voices can be experienced internally, it doesn't have to be like, literally thinking someone is in the room talking to you when no one is there.
However, from what I understand, verbal thinking is experienced in every person as being auditory, i.e. when a person thinks verbally, they are hearing voices, and thus technically having auditory hallucinations. So every person who thinks verbally, which I assume is everyone who knows language, even if in varying degrees, hears voices.
Now, there's this thing about "delusions". A delusion is apparently a fixed false belief. So, apparently a person believes something false, and won't change their mind in response to evidence to the contrary. So ok, two issues here:
- first of all, from my experience, a patient will be labelled as delusional even if their beliefs are not disproven. In fact, it may be admitted that the patient might actually be correct, but it will still be labelled as a delusion
- second of all, I think almost everyone has at least one belief which is false, and which they would refuse to change their mind on even if someone were to go and show them heaps of evidence to the contrary, even logical proofs which disprove their idea. People believe things that are not factual, everyone does to some degree or another.
Now, here is another problem. There is distinctions made in diagnostic criteria between whether a patient says "this is what is happening" and "it is as if this is what is happening", and by saying "it is as if" at the front, then it as if the person then goes from delusional/non-insight status, to insight status, and could even be given a totally new diagnosis.
Well, first of all, diagnosis should not in general be made based on what a patient says they believe, as they could be lying or expressing themself incorrectly, or the psychiatrist could simply be misinterpreting.
Second of all, it should be quite obvious that when a person says something, it is not either a literal truth or a simile (when they say "it is as if"). Actually, I believe that it was in 7th grade english that I learn about this word called "metaphor", which is a kind of figurative use of language, like a simile, however they don't say "it is as if" at the front, they just say "it is...", with a sort of implied assumption that what is said will not be taken literally.
Ok, then there is this thing called thought disorder. I have no real understanding of what a thought disorder is, but again, it seems to be deduced from what a patient actually says. Basically, diagnosing someone with a thought disorder is a case of "mind reading", which is a faulty way of thinking according to Cognitive Behavioural Therapy. It goes by the name of "cognitive distortion", and actually psychiatrists and other mental health professionals use many cognitive distortions.
You know what else mental health professionals use? Avoidance, and Alienating Messages.
Avoidance is giving incomplete messages, often to avoid conflict. Alienating messages include things like threats.
Mental health professionals give incomplete messages to their patients. However, they will talk more openly about their thoughts with each other. Mental health professionals use threats against their patients, AND often act on these threats.
Now, let's look at the definition of a "conspiracy".
a secret plan by a group to do something unlawful or harmful.
Now, if someone says that there is a conspiracy against them, obviously they must be mistaken, for otherwise it would not be secret. Yet, as we have seen from the game Forum Mafia, which is largely centred around the notion of a conspiracy, often we can infer that people are operating in conspiracy through how they behave and communicate.
Through the use of avoidant messages and threats by a group of people, such as mental health professionals, it becomes a reasonable suspicion that they may in fact be planning to cause harm to the patient. When they do then unleash some sort of attack on the patient, for example in the form of use of forced medication even with lack of a diagnosis or emergency or any statement as to why it is appropriate, then all doubt is removed as to whether there was a conspiracy.
There was. There is plenty of evidence that shows that this is a harmful practice, at least in many cases. If it is appropriate in some cases, then from what I have experienced, it is not the case that mental health professionals actually bother to go through a process of determining whether it is appropriate or not. There is some degree to which they do, however it is very far from foolproof, and is probably harmful in the majority of cases.
A person with terminal cancer can choose to not receive treatment.
A person diagnosed with schizophrenia, whether they have it or not, can be forced to receive treatment, if a certain protocol is followed.
Is this right? No. Are there better ways? Yes.
Why is it done that way, then? I don't know, I can't read minds.
Thanks,
your friendly local neighbourhood 5ch1z0phr3n1c, Artsu Tharaz.