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chapter 16 - 12 - 87.1 The PRIMARY SECONDARY and TERTIARY...

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Unformatted text preview: 87.1 The PRIMARY, SECONDARY, and TERTIARY SYMPTOMS of the POSITIVE TYPE (I) of SCHIZOPHRENIA and their causes. (A) Primary smptoms: 1) Attention disorder (inability of some central editor-representing the ego or "reality principle"-to filter out random stimuli and subliminal thoughts and images from INTRUDING into consciousness and interrupting a focus of concentration directed at obtaining a goal). 2) euphoric emotional-motivational disorder (an excitatory response to each INTRUSION [described above] as representing the key ._to success). 3) hallucinations (the result of not being able to recognize the INTRUSIONS that arise from "within" as not coming from outside the mind). (B) Secondary smtoms (attempts to minimize, make sense of, or explain away the primary symptoms): 4) behavioral andIor social withdrawal (as in catatonia) as ways reducing the number of stimuli impinging on the person so that INTRUSIONS are reduced. 5) delusions and paranoid schemes as ways to give meaning to the other-wise senseless helter~kelter mish—mash of thoughts, sensations, and images claiming (lNTRUDlNG) their way into consciousness all the time. (C) Tertia_ry smatoms: 6) behavior and social withdrawal = apathy or "burn out" (characteristic of hopelessness) that occurs late in the disease (in individuals untreated with antipsycbotic medications) when it gradually becomes apparent that none of the cockamamie promises of success portended by the INTRUSIONS will ever bear fruit in reality. (continued) ...
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