Resume of Recovery-Oriented CT (CT-R)

The delusions and apparently irrational thinking actually represent a translation or transformation of familiar beliefs and wishes. The trick is to back-translate or re-transform the delusions into their original, normal sounding beliefs. When this is done, it is possible then to understand the individual’s idiosyncratic behavior and unusual thinking patterns. The take home message is […]

Schizophrenia and depression

Schizophrenia and depression overlap in many ways. First of all, the negative symptoms and dysfunctional attitudes are essentially the same in both conditions. Factor II of the negative symptoms is also similar in the two conditions: flat affect, alogia, and reduction of social gestures. The main difference seems to be apathy, which is characteristic of […]

Factor II of the Negative Symptoms

As you know, there are two factors of the negative symptoms: the first factor has been labeled “experience,” and it has to do with the conscious experience of not wanting to do anything, avoidance, anhedonia, asociality, etc. In a sense, the individual makes a conscious decision not to become more active, generally based on defeatist […]

Chronology of our Approach to Neurocognitive Batteries

Initially, Paul Grant and I noted that the apparent decrements on neurocognitive tests (attention, recall, flexibility, and social cognition) did not correspond to the symptomatology of schizophrenia. Since it had already been established that poor performance on the tests did not correlate with positive symptoms, then we had to explain the fact that the test […]

Hypothetical Construct: An Integrative Neurocognitive Deficit

I am proposing that individuals with both positive and negative symptoms have some neurocognitive deficit, which is expressed when the individuals are under stress. The usual types of stressors, such as interpersonal problems, threaten to produce overstimulation, which is stressful and leads the individual to cope with this stressor in some way. The usual strategy […]

The Empirical and Clinical Utility of Neurocognitive Tests

The skills that are measured in the Gur Battery include very discrete, elemental functions: attention, recall, memory, etc. Actually, the individual does not operate in terms of discrete functions, but the actions are generally a synthesis of integrated functions. The usual level of functioning involves broader superordinate functions, such as problem solving, concept formation, application […]

Comparison of Schizophrenia with Parkinson’s Disorder: The Vulnerability-Stress Model of Schizophrenia

Let us consider two disorders that have been considered neurodegenerative. Kreaplinapplied the term dementia praecox because he thought these individuals had a progressive structural defect. Jung challenged this and pointed out that not only were these disorders not progressive, but a number of patients made a complete recovery. He particularly emphasizes the importance of activity […]