Archive for the 'Anti-Psychotics' Category

PATTERNS IN SCHIZOPHRENIA: CHANGES IN BEHAVIOR

Monday, March 21st, 2011
Withdrawing, remaining quietly in one place for long periods, being agitated and immobility are all common behavioral ‘disorders’ of this illness.
When I am walking along the street it comes on me. I start to think deeply and I start to go into a sort of trance. I think so deeply that I almost get out of this world. Then you get frightened that you are going to get into a jam and lose yourself.
The state of indifference reigning until now was abruptly replaced by inner and outer agitation. At first I felt obliged to get up and walk; it was impossible to stay in bed. Singing a requiem without pause, I marched three steps” forward and three steps back, an automatism that wearied me exceedingly and which I wished someone would help me break. I could not do it alone, for I felt forced to make, these steps and if I stopped from exhaustion, even for a moment, I felt guilty again.
… I was to lean on the back of my head and on my feet in bed, and twist my neck by throwing my body with a jerk from side to side. I fancy that I never attempted this with sincerity, because I feared to break my neck.
In the second instance, I would say, ‘You poor person. You really need someone to enter with you into that lonely world, so I am going to do that and I promise to stay there with you until the terrible witch-like spell upon you breaks. I love marching and singing. Now, let us get up and march together, one, two, three, one, two, three, and let us sing together … by the way, what is the meaning of this requiem and for whom was it sung? How interesting. One, two, three, do not forget the steps. Let’s keep going, for if we stop too early we are guilty of not really fulfilling a part of your myth. Only when it is completed can we both be free. I really understand you, you know, because I too often feel driven to do things, even though I hate doing them.’
In this case, there is no choice about breaking the spell alone. The man cannot break this spell, so it would be unwise to advise it. As far as we can see, there is no pattern for that, so it will not work. The man needs relationship with an outer person and asks for that.
In the other case, however, the pattern is a bit different. The patient says that he tried to resist the spell. Therefore I would say, ‘Wow, you are lucky, you have a really powerful taskmaster inside. I am glad you did not break your neck and follow him, that shows that you are stronger than he is and have more feeling than he does. But I wonder, what can we do with that force? How could you apply that discipline in your life? Have you finished high school? Are you afraid to finish college? Can you hold down a job?’
*81\227\8*

PATTERNS IN SCHIZOPHRENIA: CHANGES IN BEHAVIORWithdrawing, remaining quietly in one place for long periods, being agitated and immobility are all common behavioral ‘disorders’ of this illness.When I am walking along the street it comes on me. I start to think deeply and I start to go into a sort of trance. I think so deeply that I almost get out of this world. Then you get frightened that you are going to get into a jam and lose yourself.The state of indifference reigning until now was abruptly replaced by inner and outer agitation. At first I felt obliged to get up and walk; it was impossible to stay in bed. Singing a requiem without pause, I marched three steps” forward and three steps back, an automatism that wearied me exceedingly and which I wished someone would help me break. I could not do it alone, for I felt forced to make, these steps and if I stopped from exhaustion, even for a moment, I felt guilty again…. I was to lean on the back of my head and on my feet in bed, and twist my neck by throwing my body with a jerk from side to side. I fancy that I never attempted this with sincerity, because I feared to break my neck.In the second instance, I would say, ‘You poor person. You really need someone to enter with you into that lonely world, so I am going to do that and I promise to stay there with you until the terrible witch-like spell upon you breaks. I love marching and singing. Now, let us get up and march together, one, two, three, one, two, three, and let us sing together … by the way, what is the meaning of this requiem and for whom was it sung? How interesting. One, two, three, do not forget the steps. Let’s keep going, for if we stop too early we are guilty of not really fulfilling a part of your myth. Only when it is completed can we both be free. I really understand you, you know, because I too often feel driven to do things, even though I hate doing them.’In this case, there is no choice about breaking the spell alone. The man cannot break this spell, so it would be unwise to advise it. As far as we can see, there is no pattern for that, so it will not work. The man needs relationship with an outer person and asks for that.In the other case, however, the pattern is a bit different. The patient says that he tried to resist the spell. Therefore I would say, ‘Wow, you are lucky, you have a really powerful taskmaster inside. I am glad you did not break your neck and follow him, that shows that you are stronger than he is and have more feeling than he does. But I wonder, what can we do with that force? How could you apply that discipline in your life? Have you finished high school? Are you afraid to finish college? Can you hold down a job?’*81\227\8*

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