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Re: Processing possible diagnosis

Posted by alexandra_k on June 26, 2014, at 15:45:59

In reply to Processing possible diagnosis, posted by Angela2 on June 26, 2014, at 13:46:30

I haven't found much on schizoaffective in my travels. Richard Bentall has some stuff on it in his book "Explaining Madness" which is worth a read, I think. He talks about the very start of classification in psychiatry... When it was actually a rather new idea that mental illnesses might come in a certain number of distinct kinds or types rather than different individuals all going nutso in their own unique ways... The very first distinction was between mood disorder on the one hand (later broken down into those with mania and those without) and psychotic disorder on the other. Kraeplin thought that the first was episodic in course whereas the second typically deteriorated over time...

The trouble with that classification... Is that there are a number of individuals who present with features of BOTH. So... What to do with them? Bentall uses this to argue for a dimensional classification system rather than a categorical one...

Anyway... Point being that when I hear 'schizoaffective' what I hear is someone who has some kind of affective issue (sometimes) like depression. Maybe some mania sometimes... And someone who has some of (and one can't tell from dx which) of the symptoms of schizophrenia... Probably delusions / hallucinations in times of stress... I'd say that would probably be most likely...

But that is something that is more common a bit more widely... For instance, I have psychotic episodes during times of intense stress. It is a feature of borderline personality. Apparently it is a feature of autistic spectrum. And so on... So...

There are a bunch of reasons why a person is given a dx... One major reason is so that they can access services. For instance... I get disability for my neurodevelopmental disorder. I learn that I was only ever dx'd with borderline personality because that was what I needed in order to access DBT treatment and they thought I'd benefit from skills training... Maybe they also thought that I would buddy up with a couple of the younger borderline girls who were lonely... That I might... Inspire? Them to return to university... Who knows what they were thinking...

Another major reason is to do with self-conception. Though I've never heard of anyone being dx'd with schizoaffective for that... Because there aren't really communities of people with that one all... Standing up and being inspiring or whatever...

I don't know.

Dx is... Rather arbitrary. I think... I think they were fairly wrong with their whole 'kinds of people' thing. Kinds of madness or whatever. But it's an industry now...

 

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URL: http://www.dr-bob.org/babble/social/20140621/msgs/1067444.html