Autism <-----> Schizophrenia (Opposites?)

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fischhaeppchen
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26 Mar 2012, 12:30 pm

My flatmate has paranoid schizophrenia so this is an especially interesting topic for me :)

I think from my personal experience I could argue both points.
On the first impression we are completely opposite. She constantly attributes intentions to people that they definitely don't have. I don't realize they have any intentions at all, especially when they don't state them clearly.
She thinks the flat is completely clean when I see dust in the corners and stains everywhere...

But I think our conditions aren't that different after all.
We both have trouble communicating.
The world is often too much for both of us.
We retreat, feel misunderstood and live in our own worlds.

And it's way easier for me to relate to her than to... average people. That's, when she doesn't have an acute episode. She get's aggressive and threatens me then... But even then, it makes more sense to me than... talking about the kids grades or something like so many other people do...



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26 Mar 2012, 10:21 pm

Juggernaut wrote:
Schizophrenia has often been a psychological "dumping ground" - people slap the label on any disorder they don't understand. For a long time, this applied to Autism, but that's changing.


In a sense, they're supposed to be dumping grounds. Do you consider intellectual disability a "dumping ground" condition? Do you understand the concept of heterogeneity, and why utility demands that some conditions be much more heterogeneous than others?

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There is a theory that Schizophrenia is the opposite of Autism based on the idea that autistics are hypomentalistic whereas schizophrenia is hepermentalistic: the inability to see intention in others vs excessive focus on intention in others.


The concepts of autism and schizophrenia are simply too complex and overlap too much to be distinguished by drawing this kind of simplistic diametric opposition, no matter how eager our brains are to accept such pleasing formulations.

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Rather than seeing social patterns that don't exist (paranoia), we see sensory patterns that "don't exist" (or rather, do not matter to the socially oriented person) - which may lead both to our ability to see visual or logical patterns, as well as sensory integration problems and thus, meltdowns, being unable to make sense of all the info. Because we are sensory driven more than social, our senses can associate more freely on a visceral level, leading also to sensory cross over and unconventional thought patterns - leading either to creativity and gifts such as synesthesia, and/or deficits like the inability to communicate on a social level.

If this model makes sense, I'm wondering if it would mean that Autistics are actually less likely to be Schizophrenic - taking into account that many get diagnosed with schizophrenia, which would (ironically) be due to the very fact that they are the opposite of schizophrenic and their sensory based traits are misinterpreted by socially-oriented people in a social manner - assuming the autism/schizophrenia model works (at some level at least).

Suppose a psychologist asks a patient if they ever hear voices when no one is in the room.

The Schizophrenic says yes, because his socially oriented mind interprets thoughts so vividly that they are interpreted as actual speech. The Autistic person says yes because his sensory oriented mind interprets the question in a technical, literal sense. Yes, sometimes he hears voices because he overhears neighbors or the tv.

The psychologist places a tick mark is placed on the box next to schizophrenic traits when in fact the trait expresses the exact opposite of schizophrenia - the common trait was that they both responded yes, but the autistic person was just focused on accurately communicating his sensory experiences that he missed out on the intent of the question.

The psychologist also checks the box for "unconventional thought patterns". In their conversation, the autistic person has been following a logic based on sensory associations, and so to the socially oriented psychologist, unable to follow the logic of the autistic persons speech, sees it as a dysfunction in coherence or logic.


You win the gold medal for jumping to conclusions.

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Anyway, I don't think we get mislabeled as Schizophrenic nowadays, so much as we get mislabeled with other conditions such as bipolar or personality disorders for autistic traits. My point is, if schizophrenia can be understood as the opposite of Autism, it's ironic that someone can be misdiagnosed with schizophrenia because of the very fact that they are actually further away from schizophrenia than the person diagnosing them.

The larger point isn't about Schizophrenia, but about how this illustrates the absurdity of lumping completely opposite conditions together based on having no understanding of the origin of either - therefore, they are defined as being deviant from the norm rather than their distinct and even opposite causes.


The problem here is that you don't understand either of the conditions you're talking about. Calling them "opposite", even from the specious and sweetly naive point of view you've detailed here, is absurd.



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27 Mar 2012, 10:35 am

Poke: I was trying to explain my understanding of how this model could work, not that I agree with it - as my follow up posts demonstrated.

And yes I understand the idea of basing a label or description on the framing. When I say Schizophrenia has been a dumping ground, I'm talking about labeling someone with it when they have a different condition that is not a subset of schizophrenia.



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28 Mar 2012, 8:16 am

It should be noted that there isn't any theory saying that autism and schizophrenia are opposites; what there is is a theory saying that autism and psychosis are opposites (it is not exactly the same thing)



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28 Mar 2012, 10:02 am

TheHouseholdCat wrote:
EXPECIALLY wrote:
I'm not even trying to be funny, this topic comes up here a lot but I had to check the date on this thread because this thread sounds so familiar.

Even the example you mentioned about a doctor asking an autistic if they hear voices.

I swear I've read this before but I'll chalk it up to lack of sleep.

I don't think they are opposites and neither are they directly related.

Also, "schizophrenia" really is a disease that develops over long stretches of time. It's not a "disorder" that is, you know, shaping you in the same sense autism does.


Actually it is classified as a mental disorder, not a mental disease...though both could be considered diseases as that's just a blanket term for disorders, illnessness, ect. according to the dictionary.


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28 Mar 2012, 10:05 am

TPE2 wrote:
It should be noted that there isn't any theory saying that autism and schizophrenia are opposites; what there is is a theory saying that autism and psychosis are opposites (it is not exactly the same thing)


How are they opposite, also psychology is not a game of opposites......so I guess I find it rather odd to determine what disorders and conditions are opposites and which aren't.


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28 Mar 2012, 10:17 am

I had some mold growing in my bathroom which caused me to hallucinate like I was on LSD. I thought I could telepathically communicate with others which was a delusion but maybe neurotypicals have these powers but on a less exaggerated basis as nuerotypicals can read body language and pick up on social ques.



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28 Mar 2012, 2:46 pm

fischhaeppchen wrote:
My flatmate has paranoid schizophrenia so this is an especially interesting topic for me :)

I think from my personal experience I could argue both points.
On the first impression we are completely opposite. She constantly attributes intentions to people that they definitely don't have. I don't realize they have any intentions at all, especially when they don't state them clearly.
She thinks the flat is completely clean when I see dust in the corners and stains everywhere...

But I think our conditions aren't that different after all.
We both have trouble communicating.
The world is often too much for both of us.
We retreat, feel misunderstood and live in our own worlds.

[...]


ditto

fischhaeppchen wrote:
[...]

[...]

[...]
[...]
[...]
[...]

And it's way easier for me to relate to her than to... average people. That's, when she doesn't have an acute episode. She get's aggressive and threatens me then... But even then, it makes more sense to me than... talking about the kids grades or something like so many other people do...


I have a similar relationship with this guy who I know has something under the schizophrenia spectrum I don't know what exactly but he is a lot like what you've described here about your flatmate. We too relate like you do and :lol: he actually has made similar remarks about the cleanliness of a place like your flatmate.

I can also relate to him way better than to average people. That, as well, is when he doesn't have an episode. He also gets really aggressive and threatening . I think that aside from wrongful assumptions about intentions he is also very sensitive to any remark. There was this one time I was telling him about how I was really down and then we started to relate about how both our mothers had hurt us, then he made this remark about how he founded comfort when thinking of mother Theresa, he then immediately commented about how this woman once made an awful false remark about how mother Theresa supposedly hit the elder people she took care of, then I trying to be as soft and calm as I could (so he wouldn't flip out for nothing like he does sometimes) was telling him about how I didn't know if this other thing I had heard was true or not but I had heard... and then he interrupted me and asked how would what I was going to say help him, so I told him that it depended on what he valued (knowledge about the traits of a person one admires even if they are negative or maybe he valued more her image despite any negative thing (I never got to tell him this), anyhow I didn't know if it was true or not but I also meant that we could look it up together to prove or disprove it thus having that knowledge) I just finished asking him that when he completely flipped, he shouted at me in a very intimidating fashion that he ought to spit in my face and slap the door on my face for ever and that if I so much as told him what I was about to say he would kick my bones broken while he thrown me out of there and how he could do things to me that would render me unable to feel anything ever again (I don't know what he meant about this). I just kept silent until he cooled off, I knew he was just having an episode so I just kind of petted his rage down by not reacting to his episode and being understanding. We still see each other but now I triple filter whatever I am going to say, also one of his friends told me to be very smooth with my talking, and that has helped things.
And like you said, even then it makes more sense than to talk about kids grades or other average NT stuff. In fact he is about the only person I know personally with whom I can have an intellectual conversation because he likes and enjoys to.

PD: I was going to tell him that I had herd that she had kind of a strong personality, very serious.

Now, kind of off topic I have a question about something that happened that day ----> I don't know if it was my alexithymia or the fact that I don't smoke and the air in that place was filled with the smoke of 20 cigarettes (all his, we were alone) or the headache from the smoke or what. And I didn't know if I felt all that scared but I think I was because in the middle of him screaming at me, my vision kind of skipped, like I had just blunk/blinked?? for more than an instant, or like when a projector derails and the image skips, it was just for a fraction of a second but I have always attributed to me being scared, though if I was I didn't know, that's why I mentioned my alexithymia or maybe it was the smoke.
Any thoughts about what it might have been?



Last edited by HairlessAlbinoCat on 28 Mar 2012, 3:09 pm, edited 1 time in total.

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28 Mar 2012, 3:08 pm

androbot2084 wrote:
I had some mold growing in my bathroom which caused me to hallucinate like I was on LSD. I thought I could telepathically communicate with others which was a delusion but maybe neurotypicals have these powers but on a less exaggerated basis as nuerotypicals can read body language and pick up on social ques.


What kind of mold? :twisted:


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28 Mar 2012, 3:11 pm

^^^^^

I too was wondering, that reads so psychedelic



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28 Mar 2012, 3:20 pm

Schizophrenics are hypersocial and autistics are hyposocial. Schizophrenics over analyze the intentions of others, can become paranoid about people being out to get them, attribute social qualities to things that are not human (having conversation with a talking dog for example), etc. Autistics are hyposocial. They don't understand social ques, tone of voice, are interested in pursuits that have nothing to do with people, etc. This also correlates with the male brain theory of autism and female brain theory of schizophrenia.



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28 Mar 2012, 4:50 pm

Ohiophile wrote:
Schizophrenics are hypersocial and autistics are hyposocial. Schizophrenics over analyze the intentions of others, can become paranoid about people being out to get them, attribute social qualities to things that are not human (having conversation with a talking dog for example), etc. Autistics are hyposocial. They don't understand social ques, tone of voice, are interested in pursuits that have nothing to do with people, etc. This also correlates with the male brain theory of autism and female brain theory of schizophrenia.



Except Schizophrenics are not hypersocial, at all. Just look up Schiziod Personality Disorder. If Schizophrenics were hypersocial would the term make any sense?


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28 Mar 2012, 4:56 pm

Ganondox wrote:

Except Schizophrenics are not hypersocial, at all. Just look up Schiziod Personality Disorder. If Schizophrenics were hypersocial would the term make any sense?


Schizoid personality disorder is not the same thing as schizophrenia.

If I don't have aspergers I think I likely have schizoid personality disorder.



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28 Mar 2012, 4:58 pm

hanyo wrote:
Ganondox wrote:

Except Schizophrenics are not hypersocial, at all. Just look up Schiziod Personality Disorder. If Schizophrenics were hypersocial would the term make any sense?


Schizoid personality disorder is not the same thing as schizophrenia.

If I don't have aspergers I think I likely have schizoid personality disorder.


I know its not, but there is a connection between the two, otherwise they would have given SPD a different name.


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28 Mar 2012, 5:18 pm

Ganondox wrote:
Ohiophile wrote:
Schizophrenics are hypersocial and autistics are hyposocial. Schizophrenics over analyze the intentions of others, can become paranoid about people being out to get them, attribute social qualities to things that are not human (having conversation with a talking dog for example), etc. Autistics are hyposocial. They don't understand social ques, tone of voice, are interested in pursuits that have nothing to do with people, etc. This also correlates with the male brain theory of autism and female brain theory of schizophrenia.



Except Schizophrenics are not hypersocial, at all. Just look up Schiziod Personality Disorder. If Schizophrenics were hypersocial would the term make any sense?


Yeah, I'm not sure why people think this. Maybe psychotic=crazy=loud and disruptive=social is the thought pattern

When they are that way they are still 100% in their own world, I've witnessed it. My dad would go through his episodes and he was very talkative but talking AT you, about things that had nothing to do with the context of the situation or even remotely suited to his company/environment and he couldn't be reached for any questioning lol.


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Last edited by EXPECIALLY on 30 Mar 2012, 2:25 am, edited 3 times in total.

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28 Mar 2012, 5:40 pm

Matt62 wrote:
Delusions & hallucinations can also be produced by extreme bi-polar states. Especially mania. Having either is not sufficient for dxing Schizophrenia.
By which I mean, your father may indeed be bi-polar, with his ASD. Which would like schizophrenia superficially.

Matthew


The cycling thing makes it seem that way but I've been around a lot of schizophrenics, I would hate to say I've developed a radar for it but I basically have e_e

With both AS and schizophrenia(especially paranoid) there is a sort of "theme" with the person. In AS it's most likely to develop itself into a special interest that can become useful or may just be bizarre but it isn't the same as a schizophrenic's obsession, which often becomes harmful.

What I've noticed is that a schizophrenic's delusions often become their special interest. They notice patterns in the way that autistcs do but are always linking everything back to their delusion. It's often one single thing but my dad's would shift. He went through a phase where he thought he had killed someone and that all of us were working with the police, would attribute everything we did to that and notice some details you wouldn't think he would pick up on in a psychotic state but he did, and those details would become part of his obsession.

So the obsessive thinking and single-minded focus + the sort of bubble that both groups are prone to living in is what really underlines the similarities for me.

Like I said, I do share that with him but it manifests itself in more of an Aspie way, my obsessions are mostly academic and I become obsessed with things that are good for me most of the time. I am guilty of having a sort of "theme" too, though about a lot of things. I've noticed I see patterns really easily and tend to relate many events to the same cause in my mind.


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