Paper: Is schizophrenia on the autism spectrum?
Why not? At least a few read and post on this forum.
Others blog and write.
Is it okay to ask who they are? I have thought that most people here belong in the first or second category (DSM-V), but I don't read all posts. I was thinking of this kid. Does he hallucinate? There are some who've learned to communicate only at a later age. Have they been asked if they hallucinate? I haven't seen any evidence of that.
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Enchantment!
There are entire societies who believe this or something similar. People who follow Nostradamus, for example. I don't think it's schizophrenia.
This one is true, I think. It's current name is "psychic vampirism" - there are self-help books for it. I don't mean the occult, I mean modern psychiatry, for example Dr. Judith Orloff.
http://www.drjudithorloff.com/
Point taken.
Verdandi
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Age: 56
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Posts: 12,275
Location: University of California Sunnydale (fictional location - Real location Olympia, WA)
Why not? At least a few read and post on this forum.
Others blog and write.
Is it okay to ask who they are? I have thought that most people here belong in the first or second category (DSM-V), but I don't read all posts. I was thinking of this kid. Does he hallucinate? There are some who've learned to communicate only at a later age. Have they been asked if they hallucinate? I haven't seen any evidence of that.
anbuend is one, and fairly open about it.
Oh, I don't think she posts here, but there is one nonverbal girl who has a blog, got on the news, got a bunch of skeptics demanding she type alone in an empty room while standing on her head and reciting the alphabet to prove she's not being prompted, etc. I don't recall any nonverbal autistic people describing hallucinations, but some have described sensory difficulties that go beyond "this is too bright/loud/intense."
i had quite the paranoid childhood. I thought people read my thoughts, I couldn't enter a room alone without being terrified, I thought aliens were in my room and wouldn't sleep without lights on, wouldn't sleep alone, had to check behind curtains and doors.
I don't think I have schizophrenia though. Schizophrenia (at least the paranoid type) seems to be about putting too much meaning into things. Autism seems to be about not getting the meaning out of things.
Heh. I was really paranoid as a kid, too. Was constantly worried about people being able to read my mind, occasionally checked to see if I'd been warped to an alternate dimension with subtle (but, I was sure, important) differences from my own, and was suspicious that the Yeerks from Animorphs might be real. Though that last one I blame KA Applegate for intentionally planting the idea to sell books. Still a great series.
Considering, though, that I once again outgrew all these beliefs, I'm pretty sure it's not a symptom of schizophrenia.
You know, when I was a kid I thought people could read my mind too. Now that I think of it, I was very much bullied, and the only safety I had was the privacy of my thoughts. But if they could know what I was thinking (nothing evil), they'd bully me about that too. Especially when I was a kid, it was impossible to figure out what other people know and how they know. It was almost inevitable to believe my thoughts were public. I even had a teacher who told me to throw away my fingers (I was fidgeting) and I tried.
I don't think I have schizophrenia though. Schizophrenia (at least the paranoid type) seems to be about putting too much meaning into things. Autism seems to be about not getting the meaning out of things.
yeah, me too. I had this tremendous fear of the dark. I couldn't sleep with the light off. I was plagued by strange nightmares. My mother took me to a therapist because of it.
I always wanted to sleep with my mother because I was so terrified of being alone in a dark room. I was even scared of being alone in one well lit.
About the negative vs. positive symptoms - an additional problem is that, in schizophrenia, the development of the negative symptoms usually precedes the positive symptoms; then, compare a premorbid schizophrenic that, in adolescence begins to develop social isolation, flat affect, avolition, etc. with an Aspie or a PDD/NOS whose social deficits becomes more visible in the beginning of adolescence.
They can be very similar, no? I read somwhere (I don't know if is certain or not) that people with PDD/NOS develop schizoprenia at a relativly high rate. This could be because some types of PDD/NOS are largely identical to premorbid schizophrenia?
I have autism (classic) and schizoaffective disorder. I agree that autism is the negative symptoms and not the positive symptoms of schizophrenia but I have both. I have been diagnosed as having delusions but my hallucinations if you can call it that are very mild compared to what someone with schizophrenia has. I have thought insertion, the belief that someone is inserting thoughts into your head. When under stress and having one of my episodes, my speech gets affected as well. There are times I am incoherent both in writing and in speech. I have sadly posted in word salad before embarrassing myself. Very annoying like my brother. I don't know if my speech problems when stressed (it doesn't happen when I am doing fine, perfectly coherent and no sign of thought disorder) is due to autism or the schizoaffective disorder. Some of my delusions when having a psychotic episode are quite bizarre at times (only while having an episode obviously). One time I believed I was turning into a robot and all metal for example.
Here's an interesting study, showing a high rate of signs of a pre-morbid, undiagnosed ASD in about half the people with schizophrenia:
https://gupea.ub.gu.se/bitstream/2077/2 ... 8249_1.pdf
My best friend has a daughter with diagnosed schizophrenia. A few weeks back she was walking through the local shopping centre and froze. She was having an hallucination that the floor and walls had turned into water, and so she was afraid to walk on it. I can't even begin to imagine how scary this was for her
Everyone can be prone to paranoid thoughts now and then, even NT's. But this kind of hallucination is something else altogether, and is definitely not a symptom os Autism. Just because there are a few similarities in the less severe symptoms does not make the two conditions linked.
It is however completely possible to have both conditions simultaneously ![]()
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Autistic dad to an autistic boy and loving it - its always fun in our house
I have Autism. My communication difficulties mean that I sometimes get words wrong, that what I mean is not what comes out.
The term autism comes from the dwindling social ability in those who develop Schizophrenia (usually the chronic and now diagnostically defunct simple, types). Bleuler coined it.
Hans and Leo were both very familiar with Bleuler's work.
Apart from the need for the "positive symptoms", there's not too much different between the "negative symptoms" of Schizophrenia and an ASD, other than age of onset. However, the social ability is often worst in those with an ASD (perhaps due to the age of onset of the ASD); functioning tends to be better in Schizophrenia too when the "positive symptoms" are controlled (again, probably due to the age of onset. People with Schizophrenia can have almost normal functioning up until the onset of the full disorder, unlike the person with an ASD).
Alike, but different enough to warrant distinct labels (especially with effective medication being there for the positive symptoms of Schizophrenia).
Dementia is similar to both too.
Hans and Leo were both very familiar with Bleuler's work.
Apart from the need for the "positive symptoms", there's not too much different between the "negative symptoms" of Schizophrenia and an ASD, other than age of onset. However, the social ability is often worst in those with an ASD (perhaps due to the age of onset of the ASD); functioning tends to be better in Schizophrenia too when the "positive symptoms" are controlled (again, probably due to the age of onset. People with Schizophrenia can have almost normal functioning up until the onset of the full disorder, unlike the person with an ASD).
Alike, but different enough to warrant distinct labels (especially with effective medication being there for the positive symptoms of Schizophrenia).
Dementia is similar to both too.
Actually, a lot of people with schizophrenia tend to have pretty poor premorbid functioning that gets gradually worse up to the time of their first episode. These people are also the ones who tend to do the worst.
As for age of onset (of negative/ASD-like symptoms), look at the study I just posted. There's evidence that an elevated number of people with schizophrenia might have had an undiagnosed ASD. Many with schizophrenia have been kinda known to always have been odd, to have difficulty relating to others, and to even have repetitive behaviors and restricted interests. I recommend the study I just posted.
From the abstract:
They didn't give a number for how many of the AS sample group met criteria for schizophrenia. It seems to me you'd need a high correlation in both directions in order to merge the two into the same diagnostic category,
They didn't give a number for how many of the AS sample group met criteria for schizophrenia. It seems to me you'd need a high correlation in both directions in order to merge the two into the same diagnostic category,
Here's the relevant quote for those with AS. Note for schizoid and schizotypal personality disorders, they removed the ASD exclusion:
in the present study had either a “broad schizophrenia spectrum disorder”
(schizoid personality disorder) or had had hallucinations, not one individual
met criteria for schizophrenia (Lugnegard, Hallerbäck & Gillberg 2011).
This is in stark contrast with the high rate of ASD found in the SCH group.
No obvious explanation for this discrepancy comes to mind. There was as
relatively high proportion of non-responders among the individuals with AS
eligible and invited for participation in the study. Other studies have shown a
wide variation in the co-occurrence rate between autism and schizophrenia
(Skokauskas & Gallagher 2010).
They go on to give 2 possible explanations as to the discrepancy. First explanation is that there is a subset of those with ASD who, if their ASD is not recognized and accommodated for, would buckle under the stress and develop schizophrenia. Second explanation is that those in the schizophrenia group suffered from a specific ASD called multiple complex developmental disorder (MCDD), which may not have been recognized as well as the other ASD's. (Basically, MCDD is ASD + poor emotional regulation + thought disorder.) It goes on to state:
Asperger’s syndrome. The diagnostic criteria for schizotypal personality
disorder, on the other hand, resemble MCDD.
Only 1 in the AS group met criteria for schizotypal PD (taking into account the ASD exclusion), while the others who were on the schizophrenia spectrum all met criteria for schizoid PD.
Haven't read the entire thread, but I personally have both AS and paranoid schizophrenia. Mine came late-I started hearing "music" when I was about 25, then I was on an antipsychotic for a while that suppressed it, then when I was taken off I started hearing a "radio", noises that gradually got louder until they revealed themselves as "government monitors". When that happened I thought I was being tormented by evil spirits and bought a cross and tried to ward them off that way, but when that didn't work I sought psychiatric help. I take a different antipsychotic now, and I still hear stuff but it's tolerable.
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