welcome! look around!

feeling avoidant

feeling abandoned
feeling able
abused... feeling abused
feeling accepted,.. finding acceptance
feeling adequate
feeling afraid
feeling agreeable
feeling altruistic
feeling amused
feeling anguished
feeling animated
feeling apologetic
feeling assured
feeling audacious
feeling available
feeling avoidant
feeling aware

nowhere within the emotional feelings network of sites is any opportunity for me to make any profit from any of the 28 + sites within this network. this network of sites has been put together as a personal mission to help others by informing those who need information concerning mental health, eating disorders, lifestyle factors, and every other topic listed within.

navigational hint: all underlined link words open up a new window instead of changing your present one, taking you to another site within the emotional feelings network of sites - or to another site referencing the underlined link word!

thanks for visiting  emotional feelings network!

Welcome to more emotional feelings website!
emotional feelings is the home site for the emotional feelings network of sites!

If you're trying to find personal growth, an avenue to get to know yourself or recovering from something... you'll find that there are many "connections" along your journey.
It's all the "connections" that you find, that cause a spark to be ignited within you that will carry you along when the going gets tougher.
I've made it easier for you by including connecting underlined link words throughout the 28 sites of the emotional feelings network of sites! Look for "connections" & you'll find them, more & more often. Be aware, mindful & grateful when you find them!

  It's very important that you visit the page: keeping in touch!
Reason being: If you're here because you're searching for an answer to your feelings of dissatisfaction, unhappiness, feeling sick, or just general feelings of misery in your life - you need to find a volunteer opportunity that you feel comfortable with.
For a life changing listen - click here - it's truly life changing and something we all need to listen to. It does take some time to listen to Randy Pausch's Last Lecture, but you won't regret it.
You can help yourself by helping others. You might not think so; but it's true. Find something you can do to help some worthy causes. "Keeping in Touch" will show you some important causes that need you!
Why not just click here now to get it over with! So even if you leave this site after finding some information concerning an emotion or feeling... you'll also leave with the seed of thought concerning volunteer work that might produce some results bringing you a sense of accomplishment & find yourself feeling better!

a quick background on me....

5 years ago I was diagnosed with post traumatic stress disorderdepression & I was also experiencing an eating disorder that no one knew anything about; night eating.
While I was miserable in experiencing all the symptoms of post traumatic stress, an anxiety disorder & depression - which often accompanies anxiety disorders; I was overjoyed in finally finding out what was wrong with me!

Why would someone spend 1000's of hours designing & keeping up these websites to offer free information to others?

I have to reply - "You're absolutely right! It does take many, many hours each day to work on these sites. I'm a mother, a wife & an individual who has tons of personal work to do as well as the usual family responsibilities!

visit anxieties 101 by clicking here!

How would I find the time? I knew that if I made the commitment to myself to keep up these sites... I would HAVE to do it....
Why do I do it? I use the opportunity to combine my own recovery - personal growth journey with an important concept that I've made a commitment to:
"Helping yourself thru helping others..." 
I was so excited when after years of searching for the answer to my everyday question, "What's wrong with me?" that I felt determined to show others that if you don't quit & you know the path to take, you can find your answers as well!

connect the pics with the words...

My immediate concern at that time was "mental health." While I didn't know what was wrong with me, I did have one medical specialist tell me that my physical pain was due to a "mental problem."
I didn't quite understand it all, I was wallowing in many different symptoms of mental illness like panic attacks, severe anxiety & finally my eating disorder symptoms of waking up numerous times in the night to eat.
Just as you may have seen recently on either public service television commercials for depression or in your doctor's office waiting room; mental illness can manifest itself in physical symptoms that include many sources of discomfort. I was also experiencing the symptoms of "irritable bowel syndrome," that had started early on in my life. So I'll start with the mental health site that now exists within the network:

i've made this cake! it's delicious!

I've reached a point in my own personal recovery & growth journey that I believe I can describe accurately most of the emotions & feelings within the emotional feelings network of sites without using any information from anyone else.
But since the ruination of the "extremely emotional" site - I had to stop & ask myself - remembering to be aware & mindful of what's happening in my present moment -
"Why did this happen to me?" (the unreasonable ruin of my site, of course!) 
or - Choosing to seek a positive return for a negative energy passing my way - what would the positive ramifications be of having to go through every single page of a network of 28+ sites to delete the links to my ruined site?
Geez... now that I think of it... I've asked myself that question quite a few times before... "Why did this happen to me?" & I searched & searched for an answer, wasting time & positive energy on something very simple... Life is what's happening. Just look to find the positive about it instead of the negative
This is what I am looking for now in all aspects of my life. I'm looking for the "positive" reasons things happen. I remember what I've learned from my past to be prepared to have to confront negativities with my re-gained "power & control" on my side now instead of the enemy; but I choose now to look upon the face of countenance instead of upheaval.
After pondering a few days on this subject, while going through every page of the emotional feelings site - here - to unlink all the emotion & feelings words "s" thru the end of the alphabet - I realized something magnificent.
"This is my opportunity to take the time to check ALL linked words to be sure they're being directed to the correct places. This is my opportunity to re-check spelling & grammar. This is my opportunity to try to express in my own words - the most meaningful knowledge I've recently acquired!
I'll write what I've learned about the whole cake, almost 6 years of growth - not just reveal a the first piece of the cake! - I still offer other author's works to explain situational inferences to emotions & feelings!
I'll try to the best of my ability to explain the importance of every emotion & feeling. I'm honored you chose the emotional feelings network of sites to visit!

Important notice:

is coming along.
it's the replacement site for extremely emotional!
thanks for your continued patience with me as it takes so long to re-establish all the underlined link words as well as building a new site!

check out these "back links" for more info!

click here to go back to the avoidance page @ emotional feelings!
click here to go to the avoidance page at the layer down under that!

send me an e-mail!

click here to send me an e-mail!!

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An Update: from the Queen of Avoidance
by kathleen howe
I was the Queen of Avoidance. I'm better now. I'm not perfect, but I'm better. What did the trick? What keeps me at bay concerning avoiding things? Well, I'll tell you the truth for the sake of using this as an example of the level of avoidance I had been dealing with. I avoided things like paying the bills and doing the taxes. Yep. I told you I was the Queen of Avoidance. It wasn't due to anything but fear and avoiding anything that had to do with that fear; although the IRS will cause you to take notice once they start adding 0's to their late fees!
My fear was of the mail. I had been through a very traumatic custody fight. My ex-husband would tell me that it was okay for me to make a transitional move and then once I had made arrangements to make the transition, he would have me served with papers that said I couldn't after all make the transition. It was dreadful. Soon he incorporated the tactic of parental alienation.
All communications then had to be between his attorney and my attorney. When I ran out of money and had to get a public defender it was even worse. I couldn't open the mail and I couldn't send the mail. I was frozen. I was so afraid - living in so much fear - I couldn't function.
That was the past. I had to force myself to live in the present moment and face my fears. I had to open the envelopes and once I began doing what I feared the most - my avoidance behaviors began to subside. They've subsided, but only because I made the commitment to myself to stop letting fear rule my life.
It's been an uphill journey, but after I simply began doing what I had needed to do for years; opening correspondences cautiously eying their messages to me - it began to feel more comfortable each time. I'm not sure that I'm an advocate of desensitization therapy, but after learning enough information concerning fear - I began to understand it's patterns and it's ravaging force.
I've faced those immediate and looming fears so that I no longer avoid to the extreme I once did, but I am still not cured. There are the issues I have with my father's prophecy of my life! He proclaimed me only able to be a wife and mother. He told me that was what women were made for, but I'm a writer and I do have things I need to publish to make myself feel whole. I have to stop avoiding the publishing actions that need to take place.
Now I must look at my weaknesses and study. I have a huge problem with processing directions. My brain wants to learn by trial and error, but I don't want to set myself up for failure. I need to learn how to follow the directions I need to take in book publishing so that I can become able to process my fear of facing my father and go forward with more small accomplishments until my goals are reached!
My best wishes if you're an avoider too! It's a very difficult habit to break!

click here for more avoidance information

Eliminate Anxiety & Feel Safe Without Drugs
By Dr. Doris Jeanette, licensed psychologist

Can you be still for 15 minutes, not talking, reading, or watching televsion, without jumping up to "DO" something? If not, anxiety is keeping you from relaxing & feeling peace & calm. Everyone has some degree of anxiety in his or her body.

The good news is we don't have to live with anxiety. Joe Wolpe, MD, father of behavior therapy, was my supervisor at Temple Medical School in 1975. He is the one who taught me this, as well as the difference between anxiety & fear.

Fear is a normal feeling that alerts us to real dangers, such as a fire raging in our home or a car rushing toward us. It propels us out of the house or back on the curb! We don't want to eliminate fear. It's essential for our survival.

Anxiety, on the other hand, is a learned response, which is maladaptive. It interferes with our highest functioning & delicious enjoyment of life. We do want to eliminate it because it ruins our life. And we can. Since anxiety is learned, we can unlearn it. It may require a little effort on our part, but we can definitely move beyond our conditioned responses to a higher level of functioning. I've had great success with motivated people in eliminating anxiety out of the body & nervous system.

We know we're anxious when we get caught up in our thoughts, forgetting we have a body. We're like the static on the radio, unclear & disharmonous. No one can reach us & we can't reach anyone. The communication lines are broken. Our radio station doesn't come in. This is when we could freak OUT & have an anxiety or panic attack.

Most people deny this nervous, static energy that's buzzing around their nervous system. They "bind" their anxiety by watching television, talking, eating, drinking, or constantly "DOING" something. i.e., instead of meeting his anxiety face to face, a man would work late at the office. A woman would have sex with anything & anybody. These avoidance behaviors are what push people away in relationships.

Instead of using drugs, legal or illegal, to mask the problem, we can eliminate this static out of our nervous system once & for all. Then we can relax & feel more secure. When we deny our anxiety, our energy is drained & we're weakened. When we face our anxieties, we free up energy for creative living.

Without anxiety, we "connect." Our radio station comes in clearly because we're still, others can tune into us. Even if we're scared, hurt or upset we're in harmony because we're dealing with the truth inside of our body. As we accept ourselves where we are, the food tastes better, the love is greater & the sound is more beautiful. Others come closer.

There are many methods for releasing the tension out of our body. My favorite is being still while breathing & feeling my body & emotions. Verbal therapy is limited; you need something that directly affects your autonomic nervous system & body. Find what works for you, all techniques have value. But be sure to choose a practitioner to help you that is more relaxed than you are.

source: selfgrowth.com

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Struggle & Human Growth
By Jan Stephen Maizler, LCSW
Let’s define struggle to mean any personal goal achievement accompanied by discomfort & resistance. This leaves out struggles of an interpersonal kind. There are many forms of struggle, but for simplicity’s sake, let’s divide struggle into negative, positive, inevitable & chosen.

Negative struggle is goal achievement to eliminate a deficit state. This occurs when you are attempting to get back to the norm, such as mastering a life-limiting phobia.

Positive struggle is goal achievement that involves transformation from your steady state into a more evolved, grown, or developed state of being. Positive struggle, in contrast to negative struggle does not involve overcoming pathology. Examples of positive struggle are going to graduate school or writing a book. Positive struggle may still certainly involve overcoming resistance and discomfort.

Inevitable struggle deals with the necessary losses and attendant discomfort that are conditions of your life in this world. As your mother struggled to birth you, you struggled to adjust to a new and less comforting world. During your life, you will struggle with sadness and loss when your friends, parents, or partners die or go elsewhere. These struggles are an automatic condition of your life.

Chosen struggles are the product of personal choice and are not automatic conditions of life. Simple examples of chosen struggles are climbing a mountain, going to graduate school, or becoming a body builder.

The basis of this article is that personal struggle as it has been defined has benefit, and conversely, the avoidance of struggle is often harmful. It may be helpful to you to consider the following ideas regarding your relationship to the active or potential struggles in your life.

1. Struggle should be embraced, not avoided.
2. The basis of all addictive behavior is the avoidance of struggle.
3. The discomfort that accompanies struggle may be neither harmful nor lasting.
4.Discomfort is often an automatic aspect of the growth process.
5. No one can struggle for you
6. You can't struggle for another person, although they may certainly want you to.
7. Struggle is often a normal part of life.
8. Avoidance of struggle often results in low self esteem and personal atrophy.
9. Embracing struggle can result in increased self esteem and personal growth.
10. Evolution as well as collective and individual development embody struggle itself.

Regarding individual development, some people start life off “ on the wrong foot”. This can happen when well-meaning parents either do something for a child that they can do for themselves or impede a child’s activities because of their own fears.
Both of these situations diminish the necessary struggle that the child must engage in to grow, experience mastery, and learn that the world around them and their efforts have a relationship. A sad but effective example of this is parents who excessively hover over, and worry over their toddler-child. The child might even come to believe that falling is dangerous, harmful, maybe fatal. People WILL fall, but they get up as well: this is essential learning for children and for adults with that kind of child “inside them.”


We all have the innate capability to grow “new selves” at any point in our life cycle by embracing and “working” our chosen and inevitable struggles. We can learn a great deal about this capacity from the discipline of body building. Those people that choose to “grow” their muscles are aware of a phenomenon called the “training effect.”
This means that when our muscles are systematically and repeatedly subjected to a lifting (resistance / struggle) effort greater than their capacity, they will grow to adapt to and meet the newly-introduced demand. T
This involves considerable discomfort, BUT YOUR MUSCLES WILL NOT GROW UNLESS THEY ARE SUBJECTED TO A LIFTING TASK GREATER THAN THEIR CAPACITY. The art form in this process is to keep the weight lifted slightly more than your growing lifting capacity. This implies that optimal growth is a process, not a goal.

Muscles grow in another way: they can be stretched. The age-old discipline of Yoga, and the newer Pilates involve retraining of the muscles into a more flexible arrangement of components that create a body with a much bigger range of motion. The physical discomfort that accompanies this work is often referred to as “sweet pain”, because the discomfort is a sign of growth that is occurring.

Although comfort feels good, it plays little if any role in your growth. Take the concept of routine, for example. Routine means an established way of doing things that's repeated, because it has proved effective &/or useful.
Routine feeds on itself because comfort is self-reinforcing. The paradox of comfortable routine is that although it has proven useful, it'll eventually severely limit the scope of how you experience the world. You may drive to work & return home the same way, but stop to think of how much you're missing & experiencing by not trying alternate paths.!

You can change your life
right now by embracing struggle & discomfort. Start by making your decisions based on how you can best grow & evolve. Spend less time basing your decisions & choices on their comfortability.

Jan Maizler MSW, LCSW, is a widely-read veteran therapist/author.This is an excerpt from his newest book, “The Blessings of Struggle.” You can read more and/or contact Jan at www.transformationhandbook.com, or www.relationshiphandbook.com.

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Early Marital Slippage
By Dr. Joan D. Atwood
Sal & Gloria were married for 21 years. They had two sons who were presently away at college. They were married quite young & when Gloria initiated counseling, they were both in their early 40's. It was already too late. Their marriage was over.
Sal had informed Gloria the week before that he was leaving her & that he'd been involved in a long term extramarital affair for the past 6 years. Gloria was shocked! She had absolutely no idea.
When asked if there were any signs of his distancing in the marital relationship, she strongly replied that there weren't. He never went out in the evening. He was very predictable. Their sex life was the same as it always had been. He was involved in family life & seemed to be concerned about her & the children.

This situation is a common one - a marriage that seems stable; a relationship that appears committed; a spouse that tends to be predictably positively involved. Then, one day, seemingly out of the clear blue, one of them informs the other that the marriage is over & has been for a very long time.
The other spouse is shocked - had no idea that this was about to occur. When asked if there were signs, he or she invariably replies, "No."

Generally, when couples come for marriage counseling, they've already experienced a great deal of pain & their marriage is often at risk. Among some of the more typical presenting problems are alcohol or drug abuse, sexual dysfunction, spouse abuse (physical or emotional), continual conflict &/or extramarital relationships.

These aren't the kinds of situations we wish to address. Rather, the issues we wish to explore are more insidious & generally more common in marital relationships. We're more interested in the early pre-conditions of marital risk, those events which can act as danger signals to couples who are functioning quite well.
We're interested in marital slippage - the manifestations, the signals (both emotional & behavioral) & the curative strategies that couples can employ to reenergize their marriage &/or to reduce the chances of further slippage.

Manifestations of marital slippage generally fall into 10 broad categories:
  • spousal perceptual negation

  • sarcastic teasing

  • frequent disagreement over minor issues

  • sexual and/or marital apathy

  • need for validation by others

  • predictable cycles or lack of romance in the marriage

  • spousal irritations

  • communication problems

  • a "thing" coming between them

  • jealousy

1. Spousal perceptual negation occurs when spouses view an event differently and one spouse can't tolerate any viewpoint other than his/her own.

For example, birthdays were always important to Mary M. When she was a child, her parents lavished her with presents and she always had a big birthday celebration.

John M., on the other hand, came from a very large family who rarely celebrated holidays. Birthdays were considered "just another day." So when John did not send Mary a birthday card, she felt that he didn't love her anymore.

Her marital expectations were not met and she was disappointed. He thought she was making a fuss over nothing.

Ultimately, this problem could have the potential of becoming a major source of difficulty in the marriage. Remaining unchecked, it could even possibly destroy the marriage because eventually the intolerance of differing viewpoints would increase.

Generally, the need for a spouse to deny differing viewpoints occurs for 1 of 3 reasons: It represents:

(1) a learned way of dealing with others which has been acquired through one's family of origin experiences,

(2) a power or control issue, or

(3) the reluctance to take responsibility for one's actions.

2. Sarcastic teasing is often a flirtation with disaster in disguise. Harmless little love pats soon grow into little digs. The little digs, fueled by feelings of hurt and indignation, can lead to major battles.

The first time Sally L. teased Walter L. about his cold-fish behavior in bed, he laughed it off as a minor annoyance. When she said it three months later in front of his friends from work, he was more than mildly annoyed.

He soon started to become sensitized to any negative remarks that she made, interpreting them as criticism. Being in a supposedly loving and caring relationship for Walter soon became an experience based on his capacity to tolerate Sally's hostile and derogotory remarks.

3. All couples experience minor disagreements. In and of themselves, arguments generally are not problematic for relationships. They happen on a fairly regular basis , are resolved and forgotten.

However, if they begin to increase in number and/or intensity, or if the same issues keep cropping up remaining unresolved, then they could signal a deterioration of the relationship.

Frequent arguments could also signal what is called the pursuer-distancer theme. The couple is comfortable with a certain level of intimacy. Once their closeness increases, they both become uncomfortable. Arguing with each other creates distance, serving to bring them back to a more comfortable level of intimacy.

The distancing effect of constant bickering produces a frustration and self-defeating cycle, such that, when one partner seeks greater distance from the other, then the other is stimulated to react by seeking greater closeness with the distancing partner, who now in turn must seek even ! greater distance.

This cycle ends when the "cat and mouse" game exceeds the tolerance level of either partner and derails the relationship. Bruce M. constantly sexually pursued Susan M. She rejected him on a regular basis. During therapy, it was suggested that Bruce stop approaching Susan and that Susan would approach him sexually when she was interested.

This resulted in a much greater response on Susan's part; however, it did not solve the problem because when Susan began approaching Bruce, he rejected her. The real issues were fears of intimacy, vulnerability, and engulfment.

4. Sexual apathy may reflect a spouse's fear of intimacy / rejection or may be a form of payback.
In the first case, when a spouse fears intimacy / rejection, the lack of sexual interest may serve as a way of avoiding closeness or being rejected in order to avoid a less than desired performance.
In the second case, rejection of the others' sexual needs, along with one's own, often is a spouse's attempt to compensate for feeling or powerlessness / hurt in another area of the relationship. It is a way of paying the other one back or of gaining "bargaining chips" in an ongoing struggle to manipulate the other's behavior.
Couples often use the sexual arena to act out problems they are having in the non-sexual areas of their relationship.Dianne M. and Ron M. came for therapy because Dianne would not have sex with Ron.
At first glance it appeared that she did not like sex, receiving no gratification or pleasure. Closer examination revealed that she felt powerless in the marriage, with Ron controlling all finances and making all major and minor decisions.
As a result she felt unimportant and insignificant. Refusing to have sex with him was one area in their relationship that she could control. Thus, the marital conflict expanded to the bedroom.

5. Validation through the other in similar to problem number one in that it represents the flip side of the coin. Whereas number one involves the consistent negation of alternate values; validation through other involves an acceptance of all of a spouse's values.
Here one partner continuously seeks the other's approval or help and in so doing is extremely sensitive to the other's disapproval or lack of enthusiasm. In this situation the individual's self worth is determined by the opinions and behavior of the other partner.
Both problems involve identity issues in that one person's sense of identity is determined by either negating or accepting the other's frame of reference. Collen L. was raised in a strict Catholic home. Coming from a large family, her behavior was strictly kept under control by her parents and older siblings.
When she married Jim, she devoted her entire life to being a good wife and mother. Her identity was determined by him in that all of her interests and time were scheduled around his needs. The slightest hint of criticism from him devastated her. He then had to spent enormous amounts of time consoling her, pledging his love to her before she feel calmed.

6. Predictable cycles in marriage refer to repetitive patterns that don't have positive outcomes. They are often played out by one partner's actions producing as strong a reaction in the other, which then touches off an even stronger reaction in the first partner.
Each reaction is stronger than the previous one. The couple becomes stuck in this vicious cycle. The rule here is that each person must say something a little worse than what was just said (x+1). This creates a very predictable yet escalating cycle. The process usually does not end until they frighten each other, either by resorting to physical violence or devastating each other with words.
When dating, Roger and Sally H. showered each other with compliments. Each would attempt to outdo the other with gifts, cards expressing their love, and compliments. Shortly after they were married, this pattern, each trying to outdo the other, took a negative shift and the discussions began to escalate in a destructive manner.

7. Little irritating things refer to the small annoyances of everyday living. If they become too much of a focus, they can become big bothersome things. Leaving the top off the toothpastes is the often used example. Representative of the little annoying things mentioned in therapy are:
  • bad breath
  • body odor
  • too long toenails
  • leaving cabinet doors opened
  • leaving little hairs in the bathroom sink, etc.

When a person consistently finds his or her spouse's behavior irritating, it usually indicates that something else is upsetting him/her, either about him/her self, the other partner or their relationship. The troubled partner may not be aware of what is bothering him/her, but may focus on a symbolic minor feature of the partner's appearance or behavior.

Unless action is taken by either partner to explore what is troubling him/her, it can mushroom into unintelligible and nonsensical blowups, leaving both partners devastated and not knowing what is happening or why.

8. Poor communications often arise because of 1 of 3 difficulties:
(2) inability to express feelings,
(3) avoidance of intimacy
A person with poor communication skills has chosen or been trained to be either highly verbal or non-verbal. Two people having different communications styles may be at cross purposes while talking to each other.
When one spouse is highly verbal, the other may hesitate becoming involved in any discussion because of the apparent verbal superiority of the other. These problems may manifest by a reluctance to verbalize feelings or needs, leading to frustration and resentment.
Lack of awareness, understanding, and appreciation of differences in communications styles can contribute to increasing conflict and feelings of alienation. In other cases, individuals may have difficulty asserting / expressing themselves.
This problem is often directly related to a problem of low self esteem. In other cases, fears of rejection in retaliation may underlie the communication problem. One partner may avoid confrontations or sensitive areas of interactions because s/he fears intimacy or feels reluctant to aggravate the other.
9. Sometimes, "things" come between a couple. These "things" can be represented by anything or anyone. Some examples are:
  • a job
  • an interest / hobby
  • over-functioning in a parent role 
  • under-functioning in the husband/wife role, etc.

This could signal either that the marriage is not yet established in a committed way or that it is in the process of deterioration. If this process is allowed to go unattended and unchecked, then marital strife is sure to follow.

10. Jealousy can threaten a marriage. Jealousy is often a preexisting condition for one or both of the partners. It can either be accidentally or deliberately triggered.

Jealousy often reflects a person's lack of self concept in one of two ways. In the first situation, the partner could be expressing the need to possess the other. This is manifested by one trying to control the other's activities or by holding him/her accountable for his/her behavior.
In the second situation, the one partner's self concept is in need of constant reassurances. The person needs to be constantly reminded through continued attention that s/he is loved and therefore okay. This condition often flares up quickly into an intolerable jailer -prisoner scenario.

Before situations get too far out of hand, there are some very immediate and effective measures that individuals can take to address these signs of early marital slippage. Initially, individuals need to be sensitive to the appearance of these signs.
Then, partners need to alert each other to the presence of such signals and request cooperation in the exploration of them. Both partners need to talk about the situation until concerned feelings and perceptions have a favorable resolution. If these initial suggestions are not helpful, then partners need to stop interactions when they begin to deteriorate.
This may also facilitate the resolution of early warning signals by placing the marital partners in a better frame of mind from which to approach these issues. Below are some helpful guidelines which couples can employ to help their communications.

Don't collect trading stamps; deal with the issues immediately. When an individual walks away from an interaction without having communicated a need or a feeling. the situation is ripe for "collecting a trading stamp."
Years ago, people collected scores of trading stamps to cash them in later for some large prize. Some individuals save up petty annoyances, little angry feelings, insecurities, or anxieties to case them in later for some deeper feeling. The result is usually a major argument.
If the small feeling or anxiety had been communicated when it occurred, the result could have led to a resolution with closure and elimination of the negative feeling. Make attempts to reinterpret negative perceptions into more positive ones.

What we define as real is based on our past history - experiences, perceptions, etc. All kinds of possibilities exist in any given set of circumstances, but we can chose which ones to perceive and how to perceive them. This selection process is shaped, molded, and created by us because of our unique psychology and the society in which we live.

Sometimes, because of various socialization factors, one may consistently choose to view himself, herself negatively. Such an individual usually chooses negative statements such as, "She doesn't love me. Why should she? I'm not a worthwhile person."
The associated emotional state is depression. Another statement based on negative perceptions of the world in general might be, "He won't like me sexually," The thought is, "Why should he? I'm sure I don't know how to do it right." The associated emotional feeling is anxiety.

We all make such statements at one point or another; at times, they may actually be realistic perceptions. This, however, isn't what we are referring to. Our concern here is when the negative perceptions of persons and circumstances are recurring themes or typical patterns - when the person generally chooses to see himself.herself negatively.
One step to more positive communication is to restate negative perceptions to include more positive ones. For example, when you are feeling particularly negative about yourself, acknowledge that all possible perceptions exist.
Talk to yourself; tell yourself that there are alternatives to the negative definition that you are dwelling on. This kind of healthy thinking involves seeing both negative and positive aspects of yourself. Moving toward positive perceptions, of course, tends to be associated with less guilt, anxieties, fears, and insecurities.
Gradually, you can learn to view yourself in a more realistic, comfortable fashion. Avoid patterns of communication in which someone is a loser. Aim, instead, for two winners.

Some couples communicate in a way that results in a winner and a loser; someone gains at the expense of the other. This can be called "zero summing." The mindset is, "If one is right, then the other must be wrong," or "If she is right, he must be selfish and inconsiderate."
In actuality, this kind of thinking only causes two losers. When this situation exists, the two individuals are off balance. It is always depressing to be the loser, but in zero-summing situations, the victory of the winner is often shallow and lonely because they've won only at the expense of their partner.
To avoid playing the zero summing game, focus on being a team where each helps the other to win but not at the expense of the other. Free yourself from pre-programmed responses.

When new responses are made to us which we define as negative, we generally exhibit displeasure, almost automatically- - in a preprogrammed way. Concentrate on not responding automatically; encourage each other to bracket or suspend and examine initial reactions. Beware of transforming internal anxieties about self into critical attacks on others.

A common anti-communication technique is the "attack" statement such as, "You're a jerk" or "You're stupid." Often, the true source of frustration with a mate originates out of a sense of failure in oneself.

Let's assume the husband comes home from work and immediately begins yelling at his wife about the condition of the house. He may well be attacking his partner for reasons other than the messy house. He may have performance anxieties about himself in general, and particularly with sex.
Perhaps he's concerned about impotence but is psychologically unable to acknowledge this negative fear. It's too threatening for him. With his complaint, he creates a safe situation for himself whereby his wife becomes angry with him and refuses him sex. Then, he doesn't have to worry about performance. His guilt and anxieties are alleviated for the moment, only to return at some later point - probably with more intensity.
Acknowledging and communicating negative feelings to the partner will rectify the situation. Avoid patterns of denial / discounting. Responsibility shared is more rewarding than responsibility denied.

Once a partner has been open enough to communicate an existing problem, it is crucial that the mate not interpret as a personal affront. For example, if the husband communicated his fear of impotence to his wife, she could respond in several ways.
She may decide that what he's actually saying has nothing to do with impotence but rather with the fact that he no longer finds her attractive. This makes her a mind reader, and the honest message from her husband becomes totally discounted; she substitutes what she thinks is the real reason. Now, if she verbalizes this to him, he may attempt to reassure her otherwise.
Even at that, the focus has now shifted away from his anxiety onto his wife. He must now verbalize his fears again (Probably a painful & unpleasant admission for him) if he's going to establish open communication. A further complication might be that he now becomes hesitant to communicate for fear that the conversation may center on whether or not he thinks his wife is attractive. Listen and look. Tune in to your partner.

One of the most difficult things for couples to do is to really listen to each other. Oftentimes, we may be listening to someone reporting a situation, an incident, a problem, or a feeling, and we're thinking ahead for something we can say, a similar story we can share which aligns with what they're saying. We're listening, of course, but we're not really hearing what the person is saying. When we use this method of communicating, we lose much valuable information.

One reason why this occurs is that many of us can't tolerate silence. We feel a constant need to keep the conversation going -silence is something to avoid. What usually occurs is that we are constantly thinking ahead to new topics to bring up while the other is talking. When we exhaust all possible topics, the conversation lapses into what we probably would call boredom.

Enjoy the silence. Relax. Don't feel the need to control or run the conversation. Don't keep talking when there's really nothing left to say. Start listening. You may even want to create specific periods of calm & reflection when the two of you simply spend time completely alone, undisturbed, yet not "discussing" anything. Examine & evaluate feelings of guilt & anxiety.

There are times when you feel guilty or anxious about certain interactions. Question yourself about where these feelings may be coming from. Have you provided yourself with information so that you can examine the intellectual basis of the negative emotion?

Have you communicated the guilt or anxiety in the present so that your partner can respond & thereby help to create closure on the negative emotion?

Have you communicated the feeling so that it doesn't intensify over time, so that you don't begin to collect trading stamps?

Have you attempted to translate the negative feelings into more positive ones?

Don't be afraid to delve into yourself. Acknowledge the existence of negative perceptions within yourself so that you can take steps to transform them into positive ones.

Open communication provides the basis for married couples to trust. Once an individual begins to communicate openly, the groundwork is laid for the mate to reciprocate. When this positive cycle is begun, the couple has the potential for higher levels of satisfaction leading to rewarding intimate awareness.

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Psychological Signs & Symptoms
By Sam Vaknin
The first encounter between psychiatrist or therapist & patient (or client) is multi-phased. The mental health practitioner notes the patient's history & administers or prescribes a physical examination to rule out certain medical conditions.
Armed with the results, the diagnostician now observes the patient carefully & compiles lists of signs & symptoms, grouped into syndromes.

Symptoms are the patient's complaints. They're highly subjective & amenable to suggestion & to alterations in the patient's mood & other mental processes.
Symptoms are no more than mere indications.
Signs, on the other hand, are objective & measurable.
Signs are evidence of the existence, stage & extent of a pathological state. Headache is a symptom -  short-sightedness (which may well be the cause of the headache) is a sign.

Here is a partial list of the most important signs & symptoms in alphabetical order:

Affect: We all experience emotions, but each & every one of us expresses them differently. Affect is HOW we express our innermost feelings & how other people observe & interpret our expressions. Affect is characterized by the type of emotion involved (sadness, happiness, anger, etc.) & by the intensity of its expression.
Some people have flat affect: they maintain "poker faces", monotonous, immobile, apparently unmoved. This is typical of the Schizoid Personality Disorder Others have blunted, constricted, or broad (healthy) affect.
Patients with the dramatic (Cluster B) personality disorders - especially the Histrionic & the Borderline - have exaggerate & labile (changeable) affect. They're "drama queens".

In certain mental health disorders, the affect is inappropriate. i.e.: such people laugh when they recount a sad or horrifying event or when they find themselves is morbid settings (e.g., in a funeral). Also see: Mood.

Ambivalence: We've all come across situations & dilemmas which evoked equipotent - but opposing & conflicting - emotions or ideas. Now, imagine someone with a permanent state of inner turmoil: her emotions come in mutually exclusive pairs, her thoughts & conclusions arrayed in contradictory dyads.
The result is, of course, extreme indecision, to the point of utter paralysis & inaction. Sufferers of Obsessive-Compulsive Disorders & the Obsessive-Compulsive Personality Disorder are highly ambivalent.

Anhedonia: When we lose the urge to seek pleasure & to prefer it to nothingness or even pain, we become anhedonic. Depression inevitably involves anhedonia. the depressed are unable to conjure sufficient mental energy to get off the couch & do something because they find everything equally boring & unattractive.

Anorexia: Diminished appetite to the point of refraining from eating. Whether it's part of a depressive illness or a body dysmorphic disorder (erroneous perception of one's body as too fat) is still debated.
Anorexia is one of a family of eating disorders which also includes bulimia (compulsive gorging on food & then its forced purging, usually by vomiting).

Anxiety: A kind of unpleasant (dysphoric), mild fear, with no apparent external reason. Anxiety is akin to dread, or apprehension, or fearful anticipation of some imminent but diffuse & unspecified danger. The mental state of anxiety (& the concomitant hypervigilance) has physiological complements:
  • tensed muscle tone
  • elevated blood pressure
  • tachycardia 
  • sweating (arousal)

Autism: More precisely: autistic thinking & inter-relating (relating to other people). Fantasy-infused thoughts. The patient's cognitions derive from an overarching & all-pervasive fantasy life.

Moreover, the patient infuses people & events around him or her with fantastic & completely subjective meanings. The patient regards the external world as an extension or projection of the internal one. He, thus, often withdraws completely & retreats into his inner, private realm, unavailable to communicate & interact with others.

Asperger's Disorder, one of the spectrum of autistic disorders, is sometimes misdiagnosed as Narcissistic Personality Disorder (NPD)

Automatic obeisance or obedience: Automatic, unquestioning & immediate obeisance of all commands, even the most manifestly absurd & dangerous ones. This suspension of critical judgment is sometimes an indication of incipient catatonia.

Blocking: Halted, frequently interrupted speech to the point of incoherence indicates a parallel disruption of thought processes. The patient appears to try hard to remember what it was that he or she were saying or thinking (as if they "lost the thread" of conversation).

Catalepsy: "Human sculptures" are patients who freeze in any posture & position that they're placed, no matter how painful & unusual. Typical of catatonics.

Catatonia: A syndrome comprised of various signs, amongst which are:

  • catalepsy
  • mutism
  • stereotypy
  • negativism
  • stupor
  • automatic obedience
  • echolalia
  • echopraxia

Until recently it was thought to be related to schizophrenia, but this view has been discredited when the biochemical basis for schizophrenia had been discovered. The current thinking is that catatonia is an exaggerated form of mania (in other words: an affective disorder).

It's a feature of catatonic schizophrenia, though & also appears in certain psychotic states & mental disorders that have organic (medical) roots.

Cerea Flexibilitas: Literally: wax-like flexibility. In the common form of catalepsy, the patient offers no resistance to the re-arrangement of his limbs or to the re-alignment of her posture.

In Cerea Flexibilitas, there is some resistance, though it's very mild, much like the resistance a sculpture made of soft wax would offer.

Circumstantiality: When the train of thought & speech is often derailed by unrelated digressions, based on chaotic associations. The patient finally succeeds to express his or her main idea but only after much effort & wandering.

In extreme cases considered to be a communication disorder.

Clang Associations: Rhyming or punning associations of words with no logical connection or any discernible relationship between them. Typical of manic episodes, psychotic states & schizophrenia.

Clouding (Also: Clouding of Consciousness): The patient is wide awake but his or her awareness of the environment is partial, distorted, or impaired. Clouding also occurs when one gradually loses consciousness (i.e., as a result of intense pain or lack of oxygen).

Compulsion: Involuntary repetition of a stereotyped & ritualistic action or movement, usually in connection with a wish or a fear. The patient is aware of the irrationality of the compulsive act (in other words: she knows that there's no real connection between her fears & wishes & what she is repeatedly compelled to do).

Most compulsive patients find their compulsions tedious, bothersome, distressing & unpleasant - but resisting the urge results in mounting anxiety from which only the compulsive act provides much needed relief.

Compulsions are common in obsessive-compulsive disorders, the Obsessive-Compulsive Personality Disorder (OCPD) & in certain types of schizophrenia.

Concrete Thinking: Inability or diminished capacity to form abstractions or to think using abstract categories. The patient is unable to consider & formulate hypotheses or to grasp & apply metaphors.

Only one layer of meaning is attributed to each word or phrase & figures of speech are taken literally. Consequently, nuances aren't detected or appreciated. A common feature of schizophrenia, autism spectrum disorders & certain organic disorders.

Confabulation: The constant & unnecessary fabrication of information or events to fill in gaps in the patient's memory, biography or knowledge, or to substitute for unacceptable reality. Common in the Cluster B personality disorders (narcissistic, histrionic, borderline & antisocial) & in organic memory impairment or the amnestic syndrome (amnesia).

Confusion: Complete (though often momentary) loss of orientation in relation to one's location, time & to other people. Usually the result of impaired memory (often occurs in dementia) or attention deficit (i.e., in delirium). Also see: Disorientation.

Delirium: Delirium is a syndrome which involves clouding, confusion, restlessness, psychomotor disorders (retardation or, on the opposite pole, agitation) & mood & affective disturbances (lability). Delirium isn't a constant state. It waxes & wanes & its onset is sudden, usually the result of some organic affliction of the brain.

Delusion: A belief, idea, or conviction firmly held despite abundant information to the contrary. The partial or complete loss of reality test is the first indication of a psychotic state or episode. Beliefs, ideas, or convictions shared by other people, members of the same collective, are not, strictly speaking, delusions, although they may be hallmarks of shared psychosis.

There are many types of delusions:

I. Paranoid: The belief that one is being controlled or persecuted by stealth powers & conspiracies.

2. Grandiose-magical: The conviction that one is important, omnipotent, possessed of occult powers, or a historic figure.

3. Referential (ideas of reference): The belief that external, objective events carry hidden or coded messages or that one is the subject of discussion, derision, or opprobrium, even by total strangers.

Dementia: Simultaneous impairment of various mental faculties, especially the intellect, memory, judgment, abstract thinking & impulse control due to brain damage, usually as an outcome of organic illness.

Dementia ultimately leads to the transformation of the patient's whole personality. Dementia doesn't involve clouding & can have acute or slow (insidious) onset. Some dementia states are reversible.

Depersonalization: Feeling that one's body has changed shape or that specific organs have become elastic & aren't under one's control. Usually coupled with "out of body" experiences.

Common in a variety of mental health & physiological disorders: depression, anxiety, epilepsy, schizophrenia & hypnagogic states. Often observed in adolescents. See: Derealization.

Derailment: A loosening of associations. A pattern of speech in which unrelated or loosely-related ideas are expressed hurriedly & forcefully, with frequent topical shifts & with no apparent internal logic or reason. See: Incoherence.

Derealization: Feeling that one's immediate environment is unreal, dream-like, or somehow altered. See: Depersonalization.

Dereistic Thinking: Inability to incorporate reality-based facts & logical inference into one's thinking. Fantasy-based thoughts.

Disorientation: Not knowing what year, month, or day it is or not knowing one's location (country, state, city, street, or building one is in). Also: not knowing who one is, one's identity. One of the signs of delirium.

Echolalia: Imitation by way of exactly repeating another person's speech. Involuntary, semiautomatic, uncontrollable & repeated imitation of the speech of others. Observed in organic mental disorders, pervasive developmental disorders, psychosis & catatonia. See: Echopraxia.

Echopraxia: Imitation by way or exactly repeating another person's movements. Involuntary, semiautomatic, uncontrollable & repeated imitation of the movements of others. Observed in organic mental disorders, pervasive developmental disorders, psychosis & catatonia. See: Echolalia.

Flight of Ideas: Rapidly verbalized train of unrelated thoughts or of thoughts related only via relatively-coherent associations. Still, in its extreme forms, flight of ideas involves cognitive incoherence & disorganization.

Appears as a sign of mania, certain organic mental health disorders, schizophrenia & psychotic states. Also see: Pressure of Speech & Loosening of Associations.

Folie a Deux (Madness in Twosome, Shared Psychosis)

The sharing of delusional (often persecutory) ideas & beliefs by two or more (folie a plusieurs) persons who cohabitate or form a social unit (e.g., a family, a cult, or an organization).

One of the members in each of these groups is dominant & is the source of the delusional content & the instigator of the idiosyncratic behaviors that accompany the delusions.

Fugue: Vanishing act. A sudden flight or wandering away & disappearance from home or work, followed by the assumption of a new identity & the commencement of a new life in a new place.

The previous life is completely erased from memory (amnesia). When the fugue is over, it's also forgotten as is the new life adopted by the patient.

Hallucination: False perceptions based on false sensa (sensory input) not triggered by any external event or entity. The patient is usually not psychotic - he's aware that he what he sees, smells, feels, or hears is not there.

Still, some psychotic states are accompanied by hallucinations (e.g., formication - the feeling that bugs are crawling over or under one's skin).

There are a few classes of hallucinations:

Auditory - The false perception of voices and sounds (such as buzzing, humming, radio transmissions, whispering, motor noises & so on).

Gustatory - The false perception of tastes

Olfactory - The false perception of smells & scents (e.g., burning flesh, candles)

Somatic - The false perception of processes & events that are happening inside the body or to the body (e.g., piercing objects, electricity running through one's extremities). Usually supported by an appropriate & relevant delusional content.

Tactile - The false sensation of being touched, or crawled upon or that events & processes are taking place under one's skin. Usually supported by an appropriate & relevant delusional content.

Visual - The false perception of objects, people, or events in broad daylight or in an illuminated environment with eyes wide open.

Hypnagogic & Hypnopompic - Images and trains of events experienced while falling asleep or when waking up. Not hallucinations in the strict sense of the word.

Hallucinations are common in schizophrenia, affective disorders & mental health disorders with organic origins. Hallucinations are also common in drug & alcohol withdrawal & among substance abusers.

Ideas of Reference: Weak delusions of reference, devoid of inner conviction & with a stronger reality test. See: Delusion.

Illusion: The misperception or misinterpretation of real external - visual or auditory - stimuli, attributing them to non-existent events & actions. Incorrect perception of a material object. See: Hallucination.

Incoherence: Incomprehensible speech, rife with severely loose associations, distorted grammar, tortured syntax & idiosyncratic definitions of the words used by the patient ("private language").

A loosening of associations. A pattern of speech in which unrelated or loosely-related ideas are expressed hurriedly & forcefully, using broken, ungrammatical, non-syntactical sentences, an idiosyncratic vocabulary ("private language"), topical shifts & inane juxtapositions ("word salad"). See: Loosening of Associations; Flight of Ideas; Tangentiality.

Insomnia: Sleep disorder or disturbance involving difficulties to either fall asleep ("initial insomnia") or to remain asleep ("middle insomnia"). Waking up early & being unable to resume sleep is also a form of insomnia ("terminal insomnia").

Loosening of Associations: Thought & speech disorder which involves the translocation of the focus of attention from one subject to another for no apparent reason. The patient is usually unaware of the fact that his train of thoughts & his speech are incongruous & incoherent. A sign of schizophrenia & some psychotic states. See: Incoherence; Flight of Ideas; Tangentiality.

Mood: Pervasive & sustained feelings & emotions as subjectively described by the patient. The same phenomena observed by the clinician are called affect. Mood can be either dysphoric (unpleasant) or euphoric (elevated, expansive, "good mood").

Dysphoric moods are characterized by a reduced sense of well-being, depleted energy & negative self-regard or sense of self-worth. Euphoric moods typically involve an increased sense of well-being, ample energy & a stable sense of self-worth & self-esteem. Also see: Affect.

Mood Congruence & Incongruence: The contents of mood-congruent hallucinations & delusions are consistent & compatible with the patient's mood. During the manic phase of the Bipolar Disorder, i.e., such hallucinations & delusions involve grandiosity, omnipotence, personal identification with great personalities in history or with deities & magical thinking.

In depression, mood-congruent hallucinations & delusions revolve around themes like the patient's self-misperceived faults, shortcomings, failures, worthlessness, guilt - or the patient's impending doom, death & "well-deserved" sadistic punishment.

The contents of mood-incongruent hallucinations & delusions are inconsistent & incompatible with the patient's mood. Most persecutory delusions & delusions & ideas of reference, as well as phenomena such as control "freakery" & Schneiderian First-rank Symptoms are mood-incongruent.

Mood incongruence is especially prevalent in schizophrenia, psychosis, mania & depression.

Mutism: Abstention from speech or refusal to speak. Common in catatonia.

Negativism: In catatonia, complete opposition & resistance to suggestion.

Neologism: In schizophrenia & other psychotic disorders, the invention of new "words" which are meaningful to the patient but meaningless to everyone else. To form the neologisms, the patient fuses together & combines syllables or other elements from existing words.

Obsession: Recurring & intrusive images, thoughts, ideas, or wishes that dominate & exclude other cognitions. The patient often finds the contents of his obsessions unacceptable or even repulsive & actively resists them, but to no avail. Common in schizophrenia & obsessive-compulsive disorder.

Panic Attack: A form of severe anxiety attack accompanied by a sense of losing control & of an impending & imminent life-threatening danger (where there is none). Physiological markers of panic attacks include palpitation, sweating, tachycardia (rapid heart beats), dyspnea or apnoea (chest tightening & difficulties breathing), hyperventilation, light-headedness or dizziness, nausea & peripheral paresthesias (an abnormal sensation of burning, prickling, tingling, or tickling).

In normal people it's a reaction to sustained & extreme stress. Common in many mental health disorders.

Sudden, overpowering feelings of imminent threat & apprehension, bordering on fear & terror. There usually is no external cause for alarm (the attacks are uncued or unexpected, with no situational trigger) - though some panic attacks are situationally-bound (reactive) & follow exposure to "cues" (potentially or actually dangerous events or circumstances). Most patients display a mixture of both types of attacks (they're situationally predisposed).

Bodily manifestations include shortness of breath, sweating, pounding heart and increased pulse as well as palpitations, chest pain, overall discomfort, and choking. Sufferers often describe their experience as being smothered or suffocated. They are afraid that they may be going crazy or about to lose control.

Paranoia: Psychotic grandiose and persecutory delusions. Paranoids are characterized by a paranoid style: they are rigid, sullen, suspicious, hypervigilant, hypersensitive, envious, guarded, resentful, humorless, and litigious.

Paranoids often suffer from paranoid ideation - they believe (though not firmly) that they are being stalked or followed, plotted against, or maliciously slandered. They constantly gather information to prove their "case" that they are the objects of conspiracies against them. Paranoia is not the same as Paranoid Schizophrenia, which is a subtype of schizophrenia.

Perseveration: Repeating the same gesture, behavior, concept, idea, phrase, or word in speech. Common in schizophrenia, organic mental disorders, and psychotic disorders.

Phobia: Dread of a particular object or situation, acknowledged by the patient to be irrational or excessive. Leads to all-pervasive avoidance behavior (attempts to avoid the feared object or situation).

A persistent, unfounded, and irrational fear or dread of one or more classes of objects, activities, situations, or locations (the phobic stimuli) and the resulting overwhelming and compulsive desire to avoid them. See: Anxiety.

Posturing: Assuming & remaining in abnormal and contorted bodily positions for prolonged periods of time. Typical of catatonic states.

Poverty of Content (of Speech): Persistently vague, overly abstract or concrete, repetitive, or stereotyped speech.

Poverty of Speech: Reactive, non-spontaneous, extremely brief, intermittent, and halting speech. Such patients often remain silent for days on end unless and until spoken to.

Pressure of Speech: Rapid, condensed, unstoppable and "driven" speech. The patient dominates the conversation, speaks loudly and emphatically, ignores attempted interruptions, and doesn't care if anyone is listening or responding to him or her. Seen in manic states, psychotic or organic mental disorders, and conditions associated with stress. See: Flight of Ideas.

Psychomotor Agitation: Mounting internal tension associated with excessive, non-productive (not goal orientated) & repeated motor activity (hand wringing, fidgeting & similar gestures). Hyperactivity & motor restlessness which co-occur with anxiety & irritability.

Psychomotor Retardation: Visible slowing of speech or movements or both. Usually affects the entire range of performance (entire repertory). Typically involves poverty of speech, delayed response time (subjects answer questions after an inordinately long silence), monotonous & flat voice tone & constant feelings of overwhelming fatigue.

Psychosis: Chaotic thinking that's the result of a severely impaired reality test (the patient can't tell inner fantasy from outside reality). Some psychotic states are short-lived & transient (micro-episodes). These last from a few hours to a few days & are sometimes reactions to stress. Persistent psychoses are a fixture of the patient's mental life & manifest for months or years.

Psychotics are fully aware of events & people "out there". They can't, however separate data & experiences originating in the outside world from information generated by internal mental processes. They confuse the external universe with their inner emotions, cognitions, preconceptions, fears, expectations & representations.

Consequently, psychotics have a distorted view of reality & aren't rational. No amount of objective evidence can cause them to doubt or reject their hypotheses & convictions.

Full-fledged psychosis involves complex & ever more bizarre delusions & the unwillingness to confront & consider contrary data & information (preoccupation with the subjective rather than the objective). Thought becomes utterly disorganized & fantastic.

There's a thin line separating non-psychotic from psychotic perception & ideation. On this spectrum we also find the schizotypal personality disorder.

Reality Sense: The way one thinks about, perceives & feels reality.

Reality Testing: Comparing one's reality sense & one's hypotheses about the way things are & how things operate to objective, external cues from the environment.

Schneiderian First-rank Symptoms: A list of symptoms compiled by Kurt Schneider, a German psychiatrist, in 1957 & indicative of the presence of schizophrenia. Includes:

Auditory hallucinations: Hearing conversations between a few imaginary "interlocutors", or one's thoughts spoken out loud, or a running background commentary on one's actions & thoughts.

Somatic hallucinations: Experiencing imagined sexual acts couple with delusions attributed to forces, "energy", or hypnotic suggestion.

Thought withdrawal: The delusion that one's thoughts are taken over & controlled by others & then "drained" from one's brain.

Thought insertion: The delusion that thoughts are being implanted or inserted into one's mind involuntarily.

Thought broadcasting: The delusion that everyone can read one's mind, as though one's thoughts were being broadcast.

Delusional perception: Attaching unusual meanings & significance to genuine perceptions, usually with some kind of (paranoid or narcissistic) self-reference.

Delusion of control: The delusion that one's acts, thoughts, feelings, perceptions & impulses are directed or influenced by other people.

Stereotyping or Stereotyped movement (or motion):  Repetitive, urgent, compulsive, purposeless & non-functional movements, such as head banging, waving, rocking, biting, or picking at one's nose or skin. Common in catatonia, amphetamine poisoning & schizophrenia.

Stupor: Restricted & constricted consciousness akin in some respects to coma. Activity, both mental & physical, is limited. Some patients in stupor are unresponsive & seem to be unaware of the environment. Others sit motionless & frozen but are clearly cognizant of their surroundings. Often the result of an organic impairment. Common in catatonia, schizophrenia & extreme depressive states.

Tangentiality: Inability or unwillingness to focus on an idea, issue, question, or theme of conversation. The patient "takes off on a tangent" and hops from one topic to another in accordance with his own coherent inner agenda, frequently changing subjects & ignoring any attempts to restore "discipline" to the communication.

Often co-occurs with speech derailment. As distinct from loosening of associations, tangential thinking & speech are coherent & logical but they seek to evade the issue, problem, question, or theme raised by the other interlocutor.

Thought Broadcasting, Though Insertion, Thought Withdrawal - See: Schneiderian First-rank Symptoms

Thought Disorder: A consistent disturbance that affects the process or content of thinking, the use of language & consequently, the ability to communicate effectively. An all-pervasive failure to observe semantic, logical, or even syntactical rules & forms. A fundamental feature of schizophrenia.

Vegetative Signs: A set of signs in depression which includes:

  • loss of appetite
  • sleep disorder
  • loss of sexual drive
  • loss of weight
  • constipation

May also indicate an eating disorder.


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