Page 1 of 3 [ 33 posts ]  Go to page 1, 2, 3  Next

Grommit
Velociraptor
Velociraptor

User avatar

Joined: 7 Mar 2012
Age: 37
Gender: Male
Posts: 436

02 Feb 2015, 11:00 pm

Hello can anybody tell me any differences between these
Two conditions as the criteria for paranoid schizophrenia seem to say that autism could also have to be ruled out as a considered factor before a diagnosis of paranoid schizophrenia could be made.

what seemed to outline to me was that some of the symptoms looked the same.

The only difference I could see was hallucinations and hearing voices for the paranoid schizophrenic.

I understand that people with paranoid schizophrenia have trouble communicating and I wondered how that differed from someone that would suffer communication problems with autism.
Any thoughts would be greatly appreciated. Many thanks.



IntellectualCat
Pileated woodpecker
Pileated woodpecker

User avatar

Joined: 24 Oct 2013
Gender: Male
Posts: 175

02 Feb 2015, 11:32 pm

In Aspergers, those symptoms are there since early childhood. In schizophrenia, those symptoms start appearing in late adolescence or early adulthood.

Autism does have to be ruled out, though schizophrenia can be diagnosed alongside with autism if the delusions and halluncinations are prominent.



Grommit
Velociraptor
Velociraptor

User avatar

Joined: 7 Mar 2012
Age: 37
Gender: Male
Posts: 436

03 Feb 2015, 2:16 am

Ok so the difference is theory of mind vs persecution.

Theory of mind = misconception/irrationality

Delusion = fantasy even though it can be proven fact.

But a person with aspergers can also persecute

So if you told a person with aspergers this is what happened and here are the facts, point taken.

A deluded person would choose to believe his own fantasy rather than the facts

I don't understand because both point to the same thing, CONFUSION. Can you not argue that both theory of mind and delusions are both linked to the same thing.
I think I'm failing to understand sorry.



Sweetleaf
Veteran
Veteran

User avatar

Joined: 6 Jan 2011
Age: 34
Gender: Female
Posts: 34,470
Location: Somewhere in Colorado

03 Feb 2015, 2:30 am

Grommit wrote:
Ok so the difference is theory of mind vs persecution.

Theory of mind = misconception/irrationality

Delusion = fantasy even though it can be proven fact.

But a person with aspergers can also persecute

So if you told a person with aspergers this is what happened and here are the facts, point taken.

A deluded person would choose to believe his own fantasy rather than the facts

I don't understand because both point to the same thing, CONFUSION. Can you not argue that both theory of mind and delusions are both linked to the same thing.
I think I'm failing to understand sorry.


The deluded person does not choose to believe their own fantasy rather than facts they are convinced it is for real regardless of facts...basically they might not be at all aware they are having any delusion. It is possible those could be linked to similar things but no one knows....knowledge of the brain is not nearly that in depth yet.


_________________
We won't go back.


naturalplastic
Veteran
Veteran

User avatar

Joined: 26 Aug 2010
Age: 69
Gender: Male
Posts: 34,147
Location: temperate zone

03 Feb 2015, 3:40 am

How are paranoid schizophrenia, and asperger's, similiar in the first place?

A person with social skills, and TOM, and can read social cues, can still have delusions that everyone is conspiring against them.

An autistic person is withdrawn within themselves, and is bad at social cues,lacks ability to figure out other's, but that has nothing to do with having delusions of persecution, and conspiracy against them. Not that a person couldnt have both (one on top of the other), but one condition doesnt even resemble the other.

Two completely different kinda animals.



Raised By Wolves
Snowy Owl
Snowy Owl

User avatar

Joined: 27 Jan 2015
Age: 62
Gender: Male
Posts: 146
Location: UK

03 Feb 2015, 4:51 am

I think it's more valid to compare schizoid personality types with Asperger's, or schizo-affective disorder where there may not be delusions or paranoia evident at all but there will be pronounced social problems, symptoms of dissociation, flat affect, empathy issues and so forth. Paranoid schizophrenia is something quite specific and as someone said above, is not present in early life. Not all schizophrenics are paranoid, or even deluded for that matter, no more than the rest of us anyway.



Grommit
Velociraptor
Velociraptor

User avatar

Joined: 7 Mar 2012
Age: 37
Gender: Male
Posts: 436

03 Feb 2015, 1:05 pm

But if I thought I was lacking social skills, surly that would make me withdrawn. And if I thought I was being the best I could be at socialising and still I was getting a negative outcome and bearing in mind I cared. Then I might start thinking it's a conspiracy. But then who cares enough to make it into a paranoid conspiracy, you could just say oh well that didn't work and move on.

But then let's say you got fired from every job you had, it started out that you tried your hardest, but that wasn't good enough. Now your sitting there conspiring that the world is against you and it's all your fault.

Your sitting there at conversations and your literally frustrated that your not joining in. I can't take much more I'm going home. Is this paranoia, getting paranoid of not speaking, you can't speak. Is this chicken or egg.

Can someone feel uncomfortable about sharing there deepest thoughts and secrets thus feeling like they don't belong. Even if you want to your body is tingling with anxiety,
In the end it's just better to consult yourself it's more understanding.

An underlying anxiety of what I just said was conveying it even the right way at all. Meaning an anxiety for not expressing your self properly or in the right way.
And feeling if you can't express yourself properly then how can you talk about yourself.

Bah I don't know if any of this still makes sense.

Thanks for everyone that replied.
I'm sure I might understand what you all said, don't mind me I'm just deluded. :D



Raised By Wolves
Snowy Owl
Snowy Owl

User avatar

Joined: 27 Jan 2015
Age: 62
Gender: Male
Posts: 146
Location: UK

03 Feb 2015, 1:46 pm

Grommit wrote:
But if I thought I was lacking social skills, surly that would make me withdrawn. And if I thought I was being the best I could be at socialising and still I was getting a negative outcome and bearing in mind I cared. Then I might start thinking it's a conspiracy. But then who cares enough to make it into a paranoid conspiracy, you could just say oh well that didn't work and move on.

But then let's say you got fired from every job you had, it started out that you tried your hardest, but that wasn't good enough. Now your sitting there conspiring that the world is against you and it's all your fault.

Your sitting there at conversations and your literally frustrated that your not joining in. I can't take much more I'm going home. Is this paranoia, getting paranoid of not speaking, you can't speak. Is this chicken or egg.



A crucial distinction in any diagnosis of schizophrenia would be the level of insight the person has i.e. a paranoid schizophrenic has no notion that they are being paranoid, to them it's just the way things are. The level of awareness you have expressed in the example you give would definitively rule out schizophrenia. People may go to the doctor's and say something like 'I'm worried I'm going mad' which is a sure sign they are not. It's the ones who think they're sane and the rest of the world is mad that are likely to have the problem (although I dare say quite a few on here feel like that!)



heavenlyabyss
Veteran
Veteran

User avatar

Joined: 9 Sep 2011
Gender: Male
Posts: 1,393

03 Feb 2015, 2:00 pm

First of all don't actually do the following. Just think about it in your mind.

Try going to a nearby store. Flap your hands like a chicken. Start singing in a really creepy voice. Start acting like you are someone you are not. Maybe suddenly change your personality at will curl up into a ball and sing "I see dead people" in the creepiest voice you can imagine. Maybe demand of the clerk "Call 911 or I will kill you!" Again, don't actually do any of this. Just imagine it in your mind.

What effect do you have on everyone else in the store? And are you responsible? And should you feel guilt?
What if you do this intentionally? What if you don't even know you are doing it?

Lets try another one. Let's say you just decide you are going to say that the absolute first thing that pops into your head at all available situations because you have decided that ultimate truth is the ultimate good. So you see some overweight lady, the first thought that pops into your mind is "ugly pig" So you say it and you say it with joy knowing full well that you are acting according to what God would want. Now you see some black guy and the first thought that pops into your head is the n word. So you scream it with joy! I am deliberately writing in a very perverse manner. I'm not saying you should actually do any of this.

Just something to think about.



Grommit
Velociraptor
Velociraptor

User avatar

Joined: 7 Mar 2012
Age: 37
Gender: Male
Posts: 436

03 Feb 2015, 3:31 pm

What affect do you have on everyone else in the store?

Some of the things you described here I found quite funny and could imagine myself doing, flapping like a chicken and singing like a weirdo and mimicking the scene to sixth sense probably in the ring like fashion. 7 days lol. I think saying call the police or I will kill you is taking it a bit to far though. I would usually assume people would think I was weird if I wanted a funny moment but it would be at my own peril. I would be to self conscience and afraid to put myself in that position, unless I knew 100% it would be a good outcome because I don't like upsetting anybody. I wouldn't want to hurt anyone's feelings. So if I was an onlooker I would be thinking at first, because it was outside a shop I might think the person was a busker, then the creepy voice would spook me out and then I'm going to kill you, I would probably be walking very quickly the other way, probably fearing for my life thinking they might have a gun.

And are you responsible and would you feel guilt?

I usually feel responsible and
Usually feel guilty, but probably more relieved to have resorted to safety, the fact there was a threat made I would probably not feel guilty.

If I did it intentionally?
well I could not be horrible intentionally.

What if you didn't know you where doing it?

I suppose that is delusional.

It is horrible to think that somebody dedicated to the bible would want to use it to inflict hate and racism like that, I thought the bible would teach better than that. It's not fair to discriminate against anybody because you just can't. I learned that about a tramp on the street, you can't judge him on first glances. There will be a whole story there which will open your eyes, or maybe prove you right. And thou shall not judge this he shall not be judged is one of the good quotes I take from the bible.

Lol I think I'm getting it I don't know



Grommit
Velociraptor
Velociraptor

User avatar

Joined: 7 Mar 2012
Age: 37
Gender: Male
Posts: 436

03 Feb 2015, 3:39 pm

Raised By Wolves wrote:

A crucial distinction in any diagnosis of schizophrenia would be the level of insight the person has i.e. a paranoid schizophrenic has no notion that they are being paranoid, to them it's just the way things are. The level of awareness you have expressed in the example you give would definitively rule out schizophrenia. People may go to the doctor's and say something like 'I'm worried I'm going mad' which is a sure sign they are not. It's the ones who think they're sane and the rest of the world is mad that are likely to have the problem


It's quite ironic because I do think the worlds mad but I also think I am. :D

I like the way you described if your worried your mad your not mad. :D

I should re word that: if you think your mad your not mad

Because if your not worried that can also be delusional



Grommit
Velociraptor
Velociraptor

User avatar

Joined: 7 Mar 2012
Age: 37
Gender: Male
Posts: 436

03 Feb 2015, 4:27 pm

Grommit wrote:
What affect do you have on everyone else in the store?

Some of the things you described here I found quite funny and could imagine myself doing, flapping like a chicken and singing like a weirdo and mimicking the scene to sixth sense probably in the ring like fashion. 7 days lol. I think saying call the police or I will kill you is taking it a bit to far though. I would usually assume people would think I was weird if I wanted a funny moment but it would be at my own peril. I would be to self conscience and afraid to put myself in that position, unless I knew 100% it would be a good outcome because I don't like upsetting anybody. I wouldn't want to hurt anyone's feelings. So if I was an onlooker I would be thinking at first, because it was outside a shop I might think the person was a busker, then the creepy voice would spook me out and then I'm going to kill you, I would probably be walking very quickly the other way, probably fearing for my life thinking they might have a gun.

And are you responsible and would you feel guilt?

I usually feel responsible and
Usually feel guilty, but probably more relieved to have resorted to safety, the fact there was a threat made I would probably not feel guilty.

If I did it intentionally?
well I could not be horrible intentionally.

What if you didn't know you where doing it?

I suppose that is delusional.

It is horrible to think that somebody dedicated to the bible would want to use it to inflict hate and racism like that, I thought the bible would teach better than that. It's not fair to discriminate against anybody because you just can't. I learned that about a tramp on the street, you can't judge him on first glances. There will be a whole story there which will open your eyes, or maybe prove you right. And thou shall not judge this he shall not be judged is one of the good quotes I take from the bible.

Lol I think I'm getting it I don't know


Come to think of it, that was really selfish of me, that was really selfish of me to just walk away and leave in the hands of somebody else. I am a complete cry baby and a fraud sometimes I admit :( so yes I am feeling guilty) it's the would I should I scenario again?



beneficii
Veteran
Veteran

User avatar

Joined: 10 May 2005
Age: 40
Gender: Female
Posts: 7,245

03 Feb 2015, 10:45 pm

Raised By Wolves wrote:
Grommit wrote:
But if I thought I was lacking social skills, surly that would make me withdrawn. And if I thought I was being the best I could be at socialising and still I was getting a negative outcome and bearing in mind I cared. Then I might start thinking it's a conspiracy. But then who cares enough to make it into a paranoid conspiracy, you could just say oh well that didn't work and move on.

But then let's say you got fired from every job you had, it started out that you tried your hardest, but that wasn't good enough. Now your sitting there conspiring that the world is against you and it's all your fault.

Your sitting there at conversations and your literally frustrated that your not joining in. I can't take much more I'm going home. Is this paranoia, getting paranoid of not speaking, you can't speak. Is this chicken or egg.



A crucial distinction in any diagnosis of schizophrenia would be the level of insight the person has i.e. a paranoid schizophrenic has no notion that they are being paranoid, to them it's just the way things are. The level of awareness you have expressed in the example you give would definitively rule out schizophrenia. People may go to the doctor's and say something like 'I'm worried I'm going mad' which is a sure sign they are not. It's the ones who think they're sane and the rest of the world is mad that are likely to have the problem (although I dare say quite a few on here feel like that!)


Not quite true. Having a sense that, say, your mind may not be working "properly" is actually common in the schizophrenia prodrome. Elyn Saks, who has schizophrenia, described having that feeling prior to the onset of first-episode psychosis in her memoir The Center Cannot Hold, for example.

For example, as this book mentions (p. 863):

Quote:
Clinical studies have identified four stages in the development of a psychotic episode (Birchwood, 1996). In the first stage, there is a feeling of a loss of control over cognitive and perceptual processes as a breakdown in perceptual selectivity occurs. This may be accompanied by a feeling of heightened awareness and mental efficiency and yet an inability to prevent internal and external events from invading consciousness. A sense of anxiety (a fear of going crazy) may occur at this point.


https://books.google.com/books?id=3vz9_ ... me&f=false


_________________
"You have a responsibility to consider all sides of a problem and a responsibility to make a judgment and a responsibility to care for all involved." --Ian Danskin


Last edited by beneficii on 03 Feb 2015, 11:06 pm, edited 1 time in total.

beneficii
Veteran
Veteran

User avatar

Joined: 10 May 2005
Age: 40
Gender: Female
Posts: 7,245

03 Feb 2015, 10:50 pm

Again (p. 181):

Quote:
Some 70% of those with psychotic diagnoses report a "fear of going crazy" as the most common prodromal symptom (Hirsch & Jolley, 1989). In a recent study of 19 first-episode patients with a diagnosis of schizophrenia, it was noted that 8 reported concerns about loss of mental control as early prodromal signs (Moller & Husby, 2000). Therefore, appraisals of loss of control appear to be implicated in the maintenance of psychotic experiences.


https://books.google.com/books?id=PP9aF ... me&f=false

Moller & Husby (2000):

http://schizophreniabulletin.oxfordjour ... 1/217.long

So, yes, if you have the same fears of going crazy or losing control of your mind, that is something you should see a mental health professional about. Do not simply dismiss it.


_________________
"You have a responsibility to consider all sides of a problem and a responsibility to make a judgment and a responsibility to care for all involved." --Ian Danskin


Last edited by beneficii on 03 Feb 2015, 10:58 pm, edited 1 time in total.

heavenlyabyss
Veteran
Veteran

User avatar

Joined: 9 Sep 2011
Gender: Male
Posts: 1,393

04 Feb 2015, 5:25 am

Grommit wrote:
Grommit wrote:
What affect do you have on everyone else in the store?

Some of the things you described here I found quite funny and could imagine myself doing, flapping like a chicken and singing like a weirdo and mimicking the scene to sixth sense probably in the ring like fashion. 7 days lol. I think saying call the police or I will kill you is taking it a bit to far though. I would usually assume people would think I was weird if I wanted a funny moment but it would be at my own peril. I would be to self conscience and afraid to put myself in that position, unless I knew 100% it would be a good outcome because I don't like upsetting anybody. I wouldn't want to hurt anyone's feelings. So if I was an onlooker I would be thinking at first, because it was outside a shop I might think the person was a busker, then the creepy voice would spook me out and then I'm going to kill you, I would probably be walking very quickly the other way, probably fearing for my life thinking they might have a gun.

And are you responsible and would you feel guilt?

I usually feel responsible and
Usually feel guilty, but probably more relieved to have resorted to safety, the fact there was a threat made I would probably not feel guilty.

If I did it intentionally?
well I could not be horrible intentionally.

What if you didn't know you where doing it?

I suppose that is delusional.

It is horrible to think that somebody dedicated to the bible would want to use it to inflict hate and racism like that, I thought the bible would teach better than that. It's not fair to discriminate against anybody because you just can't. I learned that about a tramp on the street, you can't judge him on first glances. There will be a whole story there which will open your eyes, or maybe prove you right. And thou shall not judge this he shall not be judged is one of the good quotes I take from the bible.

Lol I think I'm getting it I don't know


Come to think of it, that was really selfish of me, that was really selfish of me to just walk away and leave in the hands of somebody else. I am a complete cry baby and a fraud sometimes I admit :( so yes I am feeling guilty) it's the would I should I scenario again?


No, you're not a crybay.

When I was making the post, I was in a rather dissociative state of mind. Thinking in parallel to a situation that I imagined in myself.

Sometimes I do get bad thoughts about people. I try to deny them but they are there. Sometimes I do get racist thoughts or sexist thoughts or thoughts about people that remind me of myself that I don't like. Sometimes I find myself not liking people that remind me of myself. I usually don't find myself not liking people that are not like myself but it's all kind of the same. It's just a thought experiment.

I was sort of thinking along parallel lines to a sort of a delusion I had going on in my head. Sometimes when I make posts there is an underlying theme. I don't always explicitly state it but it is there in the background.

On a more serious note, an Aspie might actually just do these things. Just might say whatever comes to mind at all possible times. This person is not a schizophrenic though necessarily. I guess that was sort of the correlation I was trying to make. It's rather vague though and I'm not sure what my point was other than when I made the post that was what I wanted to write. Hope this makes sense.



heavenlyabyss
Veteran
Veteran

User avatar

Joined: 9 Sep 2011
Gender: Male
Posts: 1,393

04 Feb 2015, 5:30 am

The part about the 911 call was rather extreme I admit but I have been in such states so extreme that I could imagine such a thing just for the sole protection of myself and everyone around me. So what I mean here is that this is a positive action and not a negative action and yet it is still threatening to others and still causes harm to others.

It's a thought experiment but one deeply rooted in my own mind.