Adaptive/Maladaptive Spectrum-Modes

As many of the team has pointed out, the individuals we are supervising may have a combination of adaptive and maladaptive features at any one time. In conceptualizing the individual at a given time, you might specify that the individual is in the more intense adaptive part of the spectrum or maladaptive or is completely […]

Theory of modes: part ii

While we live through a variety of circumstances in our daily lives, we find that we shift from one state to another depending upon the context. In adapting to these changing situations, we sit quietly with focused attention while attending a movie or shout and cheer in a ball game. Similarly, individuals with schizophrenia may […]

Attenuating Limited Cognitive Resources vs Expanding Cognitive Resources

A study by Cohen, Morrison, Brown, and Minor (2012) demonstrated that increasing cognitive load on an individual with schizotypy and diminished expression (blunted affect, etc.) showed expressive deficits. The clinical application would be that our negative symptom individuals (specifically, those with blunted affect) do worse when exposed to unacceptable stress, for example, demands regarding hygiene, […]

paradoxes in Schizophrenia

Someday schizophrenia will be understood in terms of its paradoxes. One paradox is that these individuals have a strong yearning for human contact, and particularly, doing things for other people and yet they spend most of their time in the withdrawn state, avoiding human contact and indeed being non-responsive to attempts by the staff to […]

MEMO: Responding to Stressors and Building Resilience

Throughout their lives, individuals have been subjected not only to an unusual amount of negative traumatic events, but also many minor stressors reflecting society’s attitude towards them as being “maladjusted”. The resulting impact of these major stressors and/or the accumulation of minor stressors on self-esteem is that these individuals develop a picture of themselves of […]

New Pathways in Cognitive Therapy

The standard cognitive therapy approach may be insufficient for the more severe disorders (including borderline personality disorder). For this reason, it is imperative to map out the ways in which Recovery Oriented Cognitive Therapy(CT-R) addresses these disorders and successfully and collaboratively works with individuals to reach their aspirations and stay on the pathway toward Recovery. […]

MEMO: resource sparing pt iii

In daily life, a person engages in a wide variety of activities. In accomplishing ordinary tasks, such as brushing the teeth, the individual takes for granted that the task will be completed and may have an experience of satisfaction after completing this routine task. Upon completion of a more difficult task such as fixing a […]

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 […]