was.
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: âItâs 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.â
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. âThe two main differences between simple schizophrenia and apathetic depression,â said the same victim, âare that one cannot recover spontaneously from simple schizophrenia, and simple schizophrenics donât care much about their condition â itâs called âla belle indifferenceâ . . .
âI 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 â 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
âThere isnât a âfine lineâ between depression and severe negativesymptoms of schizophrenia,â said another simple schizophrenic, âwhen I havenât been consistently or even moderately depressed for over four years.â
âI have âsimpleâ schizophrenia,â said another,
i.e. the type without positive symptoms . . . Iâve 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 canât take care of myself or really do anything.
Iâm 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 13â14 (when my gradual loss of mental functioning seemed to start), instead of being 24 and only just now trying medication.
Iâm on quetiapine at the moment, doesnât seem to make any difference whatsoever (been on it around a month I guess). Tried aripiprazole first, but that wasnât a good experience . . . akathisia mostly, but it also made me really indecisive, for some reason.
I suppose exercise would help but I canât get myself to just do it. Motivation, desire, theyâre irrelevant, I just canât get myself to do things, blah . . . I have a very high IQ in certain areas, but itâs useless because I canât study, canât 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 wonât. I think itâs common knowledge that it wonât.
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 patientâs distress.
In the short term, his doctors had the familiar problem of how to ease Angus MacPheeâs 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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