Memo: Sparing Resources Part 2

The questions arise frequently as to what is the relationship between the positive symptoms (psychotic phenomena and inappropriate behavior) and the negative symptoms (primarily withdrawal). There are at least two major hypotheses that suggest a causal explanation for the co-occurrence of these two sets of symptoms. Hypothesis one proposes that the attenuation caused by the […]

Neurocognitive Resource Sparing PT I

A large proportion of hospitalized individuals who are diagnosed with chronic, non-affective psychosis (or schizophrenia) have the full set of negative symptoms such as amotivation, anergia, inactivity, etc. These individuals have also been shown to perform poorly on tests of attention, memory, executive function, cognitive processing, and emotional discrimination. It is through their psychobiological thermostat […]

MEMO: Theory of Modes PT II

“Two Wolves”: A Cherokee Legend An old Cherokee is teaching his grandson about life. “A fight is going on inside me,” he said to the boy. “It is a terrible fight and it is between two wolves. One is evil –he is anger, envy, sorrow, regret, greed, arrogance, self-pity, guilt, resentment, inferiority, lies, false pride, […]

Description of Modes Pt. I

As I have described previously, a mode is a state of the individual that is activated by and normally adapted to the specific situation. Thus, a passive-focused mode is activated while watching a movie in a theater whereas an active focused mode is activated when participating in a sport such as soccer or basketball. When […]

Intrusive Images

It occurred to me several years ago that it was odd that the imaginative apparatus utilized a sensory pathway, namely the vocal pathway for hallucinations but employed a strictly verbal pathway for the experience of delusions. A series of studies were conducted (one in which I participated in as an author) which found that intrusive […]

addition to positive versus negative values

We should distinguish values from aspirations. The values often represent the attitudes and feelings about the self, established by reaching an aspiration: pride, empowerment, understanding, usefulness, worth or the values may apply to more general ideas such as helping other people, gaining people’s respect, or receiving appreciation for what you do. A clue to important […]

Positive values vs. negative values

We find it important to determine the individual’s values, particularly when we talk to them about aspirations. This raises the question of what we mean by values. Often times an individual will attach high value to counterproductive activities such as drinking or using drugs. They might attach high value to beliefs such as “you need […]

Cognitive Distortions in the Psychotic Mode: Part I

Until now, I have not written much about the psychotic mode. There arehowever a number of challenging questions which I would have to confront sooner or later. The first question has to do with the origins of biased beliefs. Does the content of an irrational belief have any relationship to what I have described previously […]

The “Cognitive” in CT-R

When we enter a unit for the first time we notice that the people are relatively inactive. One person may be sitting in the corner hallucinating, another is fine on the couch, and the third person may be haranguing the nurses regarding medication. So we start to apply our Recovery Oriented Cognitive Therapy and low […]