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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- Spring '08