The Silent Weaver

The Silent Weaver by Roger Hutchinson

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Authors: Roger Hutchinson
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    Other, later, simple schizophrenics have used the friendly computer flickering in the corner of the room to tell a dozen moderated psychiatric internet forums how they felt. In 2009 one sufferer explained: ‘It’s a rare type of schizophrenia consisting mainly of negative symptoms such as lack of emotions (blunted affect), lack of pleasure (anhedonia), lack of motivation and persistence (avolition), poverty of speech (alogia), trouble concentrating and social withdrawal. With no positive symptoms such as hallucinations and delusions.’
    In the candid world of twenty-first-century online psychiatric forums, simple schizophrenics became sensitive to the assertion that they were little more than jumped-up depressives. ‘The two main differences between simple schizophrenia and apathetic depression,’ said the same victim, ‘are that one cannot recover spontaneously from simple schizophrenia, and simple schizophrenics don’t care much about their condition – it’s called “la belle indifference” . . .
    â€˜I seem to get this belle indifference more and more, and decreasingly often care about me not feeling anything. Really, I feel like I let everything go – my entire life and the entire world. My emptiness is then even supplanted by an almost trancelike state of carelessness, though it never lasts long . . . It feels like falling asleep.’
    â€˜There isn’t a “fine line” between depression and severe negativesymptoms of schizophrenia,’ said another simple schizophrenic, ‘when I haven’t been consistently or even moderately depressed for over four years.’
    â€˜I have “simple” schizophrenia,’ said another,
    i.e. the type without positive symptoms . . . I’ve had it for over a decade . . . taken that long for someone to figure out what was wrong with me. Now the negative symptoms have progressed to the point that I can’t take care of myself or really do anything.
    I’m trying medication but it seems the likelihood of it helping is very low, because of no positive symptoms. I partly wish I had positive symptoms, just so I could have been diagnosed when I was around 13–14 (when my gradual loss of mental functioning seemed to start), instead of being 24 and only just now trying medication.
    I’m on quetiapine at the moment, doesn’t seem to make any difference whatsoever (been on it around a month I guess). Tried aripiprazole first, but that wasn’t a good experience . . . akathisia mostly, but it also made me really indecisive, for some reason.
    I suppose exercise would help but I can’t get myself to just do it. Motivation, desire, they’re irrelevant, I just can’t get myself to do things, blah . . . I have a very high IQ in certain areas, but it’s useless because I can’t study, can’t concentrate. I feel like I could do anything I want, if I could just . . . do things.
    Really I just wish there was hope, maybe in the idea that the medication might be able to help me, I just need to be patient . . . but I feel like it won’t. I think it’s common knowledge that it won’t.
    The disorientation, social withdrawal and poverty of speech suffered by Angus MacPhee were considered in the late 1940s and 1950s to be symptoms rather than primary conditions.They were therefore treated incidentally. It was believed that a long-term cure for or alleviation of his schizophrenia could be found only by addressing some root cause which, once identified and removed, would take away with it the patient’s distress.
    In the short term, his doctors had the familiar problem of how to ease Angus MacPhee’s burden while they searched in vain for his primary condition.
    From the middle of the nineteenth century to the closure of the asylum at the end of the twentieth century, physicians and psychiatrists at Inverness engaged in a search for the least harmful and most

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