New Psychiatry for 2021 and Beyond

Psychiatry has a long and difficult story, confining the most difficult cases in prisonlike conditions, though the medical specialty is dated to the middle of the nineteenth century.¹ The patients often have short lives due to these conditions, trying to commit suicide and injure themselves in various ways.

Now, 2021, a new line of efforts begin to break through due to my recent writing and I'm going to describe them here.

The Two Categories System of Depression and Schizophrenia

It starts with my finding of the 2 Categories System of depression and schizophrenia. Reading the ICD-10 through and through many times, I've come to the conclusion that depression and schizophrenia have to be basic, much in how the patients handle the questions of ethics and morality. Schizophrenics do not like these questions and patients with depression say ethics and morality are important to them, but that life proves too hard to be able to live, typically. Brain chemistry in these two groups of patients is thus two opposites and require different medication, mutually exclusive to each other. The varying degrees of depression and analysis of bipolar disorder in light of corruption to be placed at the beginning of the depression category, starting conventionally to fill the 2 categories. Schizophrenia has such a wide modus operandi among its patients that I've seen it best to name it a category, also placing psychopathy inside of it. The group has a tendency to be attracted to the wicked and therefore ignores the ethics and morality. Nowadays, we rate them by immune system count.

Plot Chart by Analysis of Cancer As Expression of Schizophrenia

So I've come to find the obsession with warts as growing cancer in these patients with schizophrenia. How it grows on them and becomes their gold that they can brag about to other patients with schizophrenia, milder types, and become their idols and people they work for, doing various services and taking part in sex with them. These warts of wickedness (or should we say plain evil in the most severe cases) create then circles of social behaviour, with the most wicked holding the most «expensive» warts in the innermost circles and the outermost circles being the milder cases, often seen as the new recruits, evil stays as objective for the entire play. Well, this is how cancer of all types are seen in them. More research can be made here.

But it develops and I've added other diseases and syndromes under the schziophrenia category, this category holding the most promise in being revolutionary in terms of treatment and other discoveries, like the incredible histories of these patients. So in addition to cancer, we find homosexuality, bulimia next to anorexia, asexuality, psychopathy, sociopathy, ALS, tetraplegia, multiple sclerosis . All these states and others are then various stages of deterioration of the nervous system. Clearly, my plot chart isn't complete, but one can OR gate data generate a complete plot chart possibly, again by immune system count (or alternatively, the electrometer value from the skin) as values for the chart, from the earliest onset of schizophrenia to the very deepest. Make no mistake about it. When I place them in the schizophrenia category, I'm saying at the same time patients should be treated as if patients with schizophrenia in addition to other medication pertaining to the specific illness/disease. This is part of the revolution.

Best Practice Psychiatry

Through history, I have found that patients with schizophrenia are best treated by scientific ECT, Olanzepine (for example Zyprexa®) or similar or better and medical sleep assistance, Diazepam (for example Vival®/Valium®) or similar or better. This has been found independently in search for treatment of an important group of patients who have been treated insufficiently in the past. See hsitory of psychiatry for this. Scientific ECT (undeveloped) has been found in 1 instance in New York City with a person practicing ECT on himself albeit not in pure form and combined with what we know as a type of electrical brain massage or stimulation, a cousin of the ECT, just lower voltage. This has been in the 80s. Olanzepine has also been developed and produced at this time for this patient group, those with schizophrenia thanks to analysis of this one case in New York. Diazepam has been identified at the same time and has a long history of being medicine for a variety of illnesses. Formerly, patients with schizophrenia have been treated with only one or two components of the 3-step best practice treatment.

Patients with depression are best treated with Escitalopram (for example Cipralex®) or similar or better. They often have problems outside psychiatry to deal with as they stay on medication. Compared to schizophrenia, depression is the less complicated, also because the patients want the medication and see its use directly, taking it voluntarily, nothing else needed for the psychiatry side problems.

There have been blatant holes in psychiatry such as non-existence of watermarked logging files and lack of logging procedures. There's a general lack of possibility for having one's therapy sessions properly documented by video, possibly making this a quality criterium. This should be amended by requirements of state/nation. The whole psychiatric practices should be certified by some kind of ISO-standard what concerns document flows and quality criteria of these, possibly also quality-certifying other aspects of the psychiatry. There should be a possibility of having common spaces monitored by video in cases of rumbles and ensuring security for both staff and patients, possibly making any police work far easier. It's assumed psychiatry complies with best practices, that it's strictly legal and that this is reflected in the psychiatric hospital departments and institutions. This should include qualified transparency and the possibility to retrace history of treatment.

Modified Somatism

I regard the somatist psychiatry in combination with telepathy and telepathic effects, the only possible psychiatric position one can have for real. Modified Somatism is for healthy people who can then gain greater stability in their lives and seek help if problems should arise. I include it here as an entry point for the medical professional and healthy people alike. That said, we continue. I'd say a way to telepathy is hypersensitivity and the way to enhance those feelings is to be conscious about them. Not only that, but to make the necessary connection that if it's done correctly, puts the person into the telepathic domain, is to analyse the feelings the person has by lying on a bench, not being occupied with anything. Some of those feelings are clearly due to the person lying on a bench, a comfortable place, preferably, but others are sensations coming from somewhere else, most likely people who are inclined, as the Moon's inclination to the Earth is a natural relationship, to engage with the person emotionally or intellectually. There are, beside the telepathy of feelings, also visual, auditory and the combination of all three telepathy. The impressions vary from what the person makes in one's own mind to more reasonable results of various. Telepathy can be very inexact and it can be troubling to discern it all. With telepathy, one may want to investigate "quantum entanglement", "contextualism" and "chaos theory". All of this is just assertions based on personal experience, but I've written it so now anyone can find out themselves. Thus for the future, experiments concerning telepathy must include priming, hypersensitivity and open mind being central, of the participants. Some lie detection may also be included to rule out sabotage of the experiment, perhaps voice stress analyzers.

For the sake of orderliness:

somatist — ˈsōməd.ə̇st noun ( s) Etymology: International Scientific Vocabulary somat + ist 1. : an advocate of medical organicism 2. : one who seeks the causes of mental disorders in brain lesions and other physical conditions! [Typically such as violence and abuse.]²

somatist — somatism, n. /soh meuh tist/, n. Psychiatry. a psychiatrist who considers all mental illnesses to have physical origins. [Typically such as violence and abuse.] [1670 80, in sense materialist ; SOMAT + IST]³

References:
1) Shorter, E (1997), A History of Psychiatry: From the Era of the Asylum to the Age of Prozac, New York: John Wiley & Sons, Inc., p. 1.
2) http://dictionary.reference.com/browse/somatist

3) http://medicine.academic.ru/44344/somatist

(Finally a rewording, more coherent and less erratic. It has been hard to work under these conditions in Norway.)

The Psychologists' Insistence on Social Scheming and Murder (of Old)!

One voice says, telepathic or not, to its followers, that former pres. "de Gaulle" [a name relevant to France in this matter] is to die inside the next 10 years.

The psychologists follow up with the usual "gaming" of carnivore nature, vowing and displaying "much feelings", drama!

Then the former pres. of France actually dies within the next 10 years, but nobody can say whether it has occured naturally or whether it has been a murder, the circumstances are indeed obscured.

Not only this, but some time after, another "head in the clouds" take on the blame for what he says is murder and that he now holds this great man's murder in his soul, that he is THIS BIG!

Now what does this mean, that if I say it's my nature to kill people and to present myself as an insult to the public at the same time, what is the significance of this?

And as this must be said to be self-confirming prophesis, then what? Aren't they insults all in all if they are to say this in FULL seriousness, in full academic honesty?

What if one is managing to present another case "on the other side", that people are by and large law-abiding, what is the meaning of this to the above?

And finally, why do we then have something that we call "the legal system" and consider this to be a brand-mark of civilisation, the meter we measure civilisation by?

So I just keep questioning these "carnivore-notions of old fashioned psychology"! Let's see where this goes! Cheers!

PS: Unnecessary to say perhaps that this places it with the demanded, of mine at least, Quality Revision of Psychology incl. the Erich Fromm dispositions and fascinations with diseases and the Scientism-Scientists debate against Resp.towardMysteries-Scientists, ethics in hand, soundly!

PS2: You may add some hidden assumptions by the police, the tacit "hate-management" assumptions of the old tradition, the "material" presented and the mSomatism of mine, relating to the cognition of right from wrong in describing Schizophrenia, a not-yet-dead-concept, to say it mildly!

Notes on Schizophrenia

Notes on Schizophrenia

Created: 23.10.2010. Updated: 25.10.2010.
Schizophrenia by ICD-10

Alright. I've organised it more gently now. Some little things remain. Cheers!

ICD-10 on Schizophrenia, F20-F29.

F20 - Schizophrenia
* The schizophrenic disorders are characterized in general by fundamental and characteristic distortions of thinking and perception, and affects that are inappropriate or blunted. Clear consciousness and intellectual capacity are usually maintained although certain cognitive deficits may evolve in the course of time. The most important psychopathological phenomena include thought echo; thought insertion or withdrawal; thought broadcasting; delusional perception and delusions of control; influence or passivity; hallucinatory voices commenting or discussing the patient in the third person; thought disorders and negative symptoms.

The course of schizophrenic disorders can be either continuous, or episodic with progressive or stable deficit, or there can be one or more episodes with complete or incomplete remission. The diagnosis of schizophrenia should not be made in the presence of extensive depressive or manic symptoms unless it is clear that schizophrenic symptoms antedate the affective disturbance. Nor should schizophrenia be diagnosed in the presence of overt brain disease or during states of drug intoxication or withdrawal. Similar disorders developing in the presence of epilepsy or other brain disease should be classified under F06.2, and those induced by psychoactive substances under F10-F19 with common fourth character.

Excludes: schizophrenia:
• acute (undifferentiated) (F23.2)
• cyclic (F25.2)
schizophrenic reaction (F23.2)
schizotypal disorder (F21)

F20.0 Paranoid schizophrenia
Paranoid schizophrenia is dominated by relatively stable, often paranoid delusions, usually accompanied by hallucinations, particularly of the auditory variety, and perceptual disturbances. Disturbances of affect, volition and speech, and catatonic symptoms, are either absent or relatively inconspicuous.
Paraphrenic schizophrenia

Excludes: involutional paranoid state (F22.8) paranoia (F22.0)

F20.1 Hebephrenic schizophrenia
A form of schizophrenia in which affective changes are prominent, delusions and hallucinations fleeting and fragmentary, behaviour irresponsible and unpredictable, and mannerisms common. The mood is shallow and inappropriate, thought is disorganized, and speech is incoherent. There is a tendency to social isolation. Usually the prognosis is poor because of the rapid development of "negative" symptoms, particularly flattening of affect and loss of volition.
Hebephrenia should normally be diagnosed only in adolescents or young adults.
Disorganized schizophrenia
Hebephrenia

F20.2 Catatonic schizophrenia
Catatonic schizophrenia is dominated by prominent psychomotor disturbances that may alternate between extremes such as hyperkinesis and stupor, or automatic obedience and negativism. Constrained attitudes and postures may be maintained for long periods. Episodes of violent excitement may be a striking feature of the condition. The catatonic phenomena may be combined with a dream-like (oneiroid) state with vivid scenic hallucinations.
Catatonic stupor
Schizophrenic:
• catalepsy
• catatonia
• flexibilitas cerea

F20.3 Undifferentiated schizophrenia Psychotic conditions meeting the general diagnostic criteria for schizophrenia but not conforming to any of the subtypes in F20.0-F20.2, or exhibiting the features of more than one of them without a clear predominance of a particular set of diagnostic characteristics. Atypical schizophrenia

Excludes: acute schizophrenia-like psychotic disorder (F23.2) chronic undifferentiated schizophrenia (F20.5) post-schizophrenic depression (F20.4)

F20.4 Post-schizophrenic depression A depressive episode, which may be prolonged, arising in the aftermath of a schizophrenic illness. Some schizophrenic symptoms, either "positive" or "negative", must still be present but they no longer dominate the clinical picture. These depressive states are associated with an increased risk of suicide. If the patient no longer has any schizophrenic symptoms, a depressive episode should be diagnosed (F32.-). If schizophrenic symptoms are still florid and prominent, the diagnosis should remain that of the appropriate schizophrenic subtype (F20.0-F20.3).

F20.5 Residual schizophrenia
A chronic stage in the development of a schizophrenic illness in which there has been a clear progression from an early stage to a later stage characterized by long- term, though not necessarily irreversible, "negative" symptoms, e.g. psychomotor slowing; underactivity; blunting of affect; passivity and lack of initiative; poverty of quantity or content of speech; poor nonverbal communication by facial expression, eye contact, voice modulation and posture; poor self-care and social performance.
Chronic undifferentiated schizophrenia
Restzustand (schizophrenic)
Schizophrenic residual state

F20.6 Simple schizophrenia
A disorder in which there is an insidious but progressive development of oddities of conduct, inability to meet the demands of society, and decline in total performance. The characteristic negative features of residual schizophrenia (e.g. blunting of affect and loss of volition) develop without being preceded by any overt psychotic symptoms.

(Note: where is F20.7? Is it the cardinal sin?)

F20.8 Other schizophrenia
Cenesthopathic schizophrenia
Schizophreniform:
• disorder NOS
• psychosis NOS

Excludes: brief schizophreniform disorders (F23.2).

F20.9 Schizophrenia, unspecified

F21 Schizotypal disorder
A disorder characterized by eccentric behaviour and anomalies of thinking and affect which resemble those seen in schizophrenia, though no definite and characteristic schizophrenic anomalies occur at any stage. The symptoms may include a cold or inappropriate affect; anhedonia; odd or eccentric behaviour; a tendency to social withdrawal; paranoid or bizarre ideas not amounting to true delusions; obsessive ruminations; thought disorder and perceptual disturbances; occasional transient quasi-psychotic episodes with intense illusions, auditory or other hallucinations, and delusion-like ideas, usually occurring without external provocation. There is no definite onset and evolution and course are usually those of a personality disorder.
Latent schizophrenic reaction
Schizophrenia:
• borderline
• latent
• prepsychotic
• prodromal
• pseudoneurotic
• pseudopsychopathic
Schizotypal personality disorder

Excludes: Asperger's syndrome (F84.5)
schizoid personality disorder (F60.1)

F22 Persistent delusional disorders
Includes a variety of disorders in which long-standing delusions constitute the only, or the most conspicuous, clinical characteristic and which cannot be classified as organic, schizophrenic or affective. Delusional disorders that have lasted for less than a few months should be classified, at least temporarily, under F23.-.

F22.0 Delusional disorder
A disorder characterized by the development either of a single delusion or of a set of related delusions that are usually persistent and sometimes lifelong. The content of the delusion or delusions is very variable. Clear and persistent auditory hallucinations (voices), schizophrenic symptoms such as delusions of control and marked blunting of affect, and definite evidence of brain disease are all incompatible with this diagnosis. However, the presence of occasional or transitory auditory hallucinations, particularly in elderly patients, does not rule out this diagnosis, provided that they are not typically schizophrenic and form only a small part of the overall clinical picture.
Paranoia
Paranoid:
• psychosis
• state
Paraphrenia (late)
Sensitiver Beziehungswahn

Excludes: paranoid:
personality disorder (F60.0)
psychosis, psychogenic (F23.3)
reaction (F23.3)
schizophrenia (F20.0)

F22.8 Other persistent delusional disorders
Disorders in which the delusion or delusions are accompanied by persistent hallucinatory voices or by schizophrenic symptoms that do not justify a diagnosis of schizophrenia (F20.-).
Delusional dysmorphophobia
Involutional paranoid state
Paranoia querulans

F22.9 Persistent delusional disorder, unspecified

F23 Acute and transient psychotic disorders
A heterogeneous group of disorders characterized by the acute onset of psychotic symptoms such as delusions, hallucinations, and perceptual disturbances, and by the severe disruption of ordinary behaviour. Acute onset is defined as a crescendo development of a clearly abnormal clinical picture in about two weeks or less. For these disorders there is no evidence of organic causation. Perplexity and puzzlement are often present but disorientation for time, place and person is not persistent or severe enough to justify a diagnosis of organically caused delirium (F05.-). Complete recovery usually occurs within a few months, often within a few weeks or even days. If the disorder persists, a change in classification will be necessary. The disorder may or may not be associated with acute stress, defined as usually stressful events preceding the onset by one to two weeks.

F23.0 Acute polymorphic psychotic disorder without symptoms of schizophrenia
An acute psychotic disorder in which hallucinations, delusions or perceptual disturbances are obvious but markedly variable, changing from day to day or even from hour to hour. Emotional turmoil with intense transient feelings of happiness or ecstasy, or anxiety and irritability, is also frequently present. The polymorphism and instability are characteristic for the overall clinical picture and the psychotic features do not justify a diagnosis of schizophrenia (F20.-). These disorders often have an abrupt onset, developing rapidly within a few days, and they frequently show a rapid resolution of symptoms with no recurrence.
If the symptoms persist the diagnosis should be changed to persistent delusional disorder (F22.-).
Bouff�e d�lirante without symptoms of schizophrenia or unspecified
Cycloid psychosis without symptoms of schizophrenia or unspecified

F23.1 Acute polymorphic psychotic disorder with symptoms of schizophrenia
An acute psychotic disorder in which the polymorphic and unstable clinical picture is present, as described in F23.0; despite this instability, however, some symptoms typical of schizophrenia are also in evidence for the majority of the time. If the schizophrenic symptoms persist the diagnosis should be changed to schizophrenia (F20.-).
Bouff�e d�lirante with symptoms of schizophrenia
Cycloid psychosis with symptoms of schizophrenia

F23.2 Acute schizophrenia-like psychotic disorder
An acute psychotic disorder in which the psychotic symptoms are comparatively stable and justify a diagnosis of schizophrenia, but have lasted for less than about one month; the polymorphic unstable features, as described in F23.0, are absent. If the schizophrenic symptoms persist the diagnosis should be changed to schizophrenia (F20.-).
Acute (undifferentiated) schizophrenia
Brief schizophreniform:
disorder
psychosis
Oneirophrenia
Schizophrenic reaction

Excludes: organic delusional [schizophrenia-like] disorder (F06.2)
schizophreniform disorders NOS (F20.8)

F23.3 Other acute predominantly delusional psychotic disorders
Acute psychotic disorders in which comparatively stable delusions or hallucinations are the main clinical features, but do not justify a diagnosis of schizophrenia (F20.-). If the delusions persist the diagnosis should be changed to persistent delusional disorder (F22.-).
Paranoid reaction
Psychogenic paranoid psychosis

(Note: where are F23.4-F23.7? Is it the hand of sin, of psychopathic control schemes?)

F23.8 Other acute and transient psychotic disorders
Any other specified acute psychotic disorders for which there is no evidence of organic causation and which do not justify classification to F23.0-F23.3.

F23.9 Acute and transient psychotic disorder, unspecified
Brief reactive psychosis NOS
Reactive psychosis

F24 Induced delusional disorder
A delusional disorder shared by two or more people with close emotional links. Only one of the people suffers from a genuine psychotic disorder; the delusions are induced in the other(s) and usually disappear when the people are separated.
Folie a (�, to be replaced) deux
Induced:
• paranoid disorder
• psychotic disorder

F25 Schizoaffective disorders
Episodic disorders in which both affective and schizophrenic symptoms are prominent but which do not justify a diagnosis of either schizophrenia or depressive or manic episodes. Other conditions in which affective symptoms are superimposed on a pre-existing schizophrenic illness, or co-exist or alternate with persistent delusional disorders of other kinds, are classified under F20-F29. Mood-incongruent psychotic symptoms in affective disorders do not justify a diagnosis of schizoaffective disorder.

F25.0 Schizoaffective disorder, manic type
A disorder in which both schizophrenic and manic symptoms are prominent so that the episode of illness does not justify a diagnosis of either schizophrenia or a manic episode. This category should be used for both a single episode and a recurrent disorder in which the majority of episodes are schizoaffective, manic type.
Schizoaffective psychosis, manic type

F25.1 Schizoaffective disorder, depressive type
A disorder in which both schizophrenic and depressive symptoms are prominent so that the episode of illness does not justify a diagnosis of either schizophrenia or a depressive episode. This category should be used for both a single episode and a recurrent disorder in which the majority of episodes are schizoaffective, depressive type.
Schizoaffective psychosis, depressive type

F25.2 Schizoaffective disorder, mixed type
Cyclic schizophrenia
Mixed schizophrenic and affective psychosis

F25.8 Other schizoaffective disorders

F25.9 Schizoaffective disorder, unspecified
Schizoaffective psychosis NOS

(Note: where are F26-F27? Is this the couple of sin, sinful sex activities?)

F28 Other nonorganic psychotic disorders
Delusional or hallucinatory disorders that do not justify a diagnosis of schizophrenia (F20.-), persistent delusional disorders (F22.-), acute and transient psychotic disorders (F23.-), psychotic types of manic episode (F30.2), or severe depressive episode (F32.3).
Chronic hallucinatory psychosis

F29 Unspecified nonorganic psychosis
Psychosis NOS

Excludes: mental disorder NOS (F99) organic or symptomatic psychosis NOS (F09)
DSM IV TR Definition of Schizophrenia:

Some good information conveyed by shinxy on the PN forum for which I'm thankful.

A. Characteristic symptoms: Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated):

(1) delusions

(2) hallucinations

(3) disorganized speech (e.g., frequent derailment or incoherence)

(4) grossly disorganized or catatonic behavior

(5) negative symptoms, i.e., affective flattening, alogia, or avolition

Note: Only one Criterion A symptom is required if delusions are bizarre or hallucinations consist of a voice keeping up a running commentary on the person's behavior or thoughts, or two or more voices conversing with each other.

B. Social/occupational dysfunction: For a significant portion of the time since the onset of the disturbance, one or more major areas of functioning such as work, interpersonal relations, or self-care are markedly below the level achieved prior to the onset (or when the onset is in childhood or adolescence, failure to achieve expected level of interpersonal, academic, or occupational achievement).

C. Duration: Continuous signs of the disturbance persist for at least 6 months. This 6-month period must include at least 1 month of symptoms (or less if successfully treated) that meet Criterion A (i.e., active-phase symptoms) and may include periods of prodromal or residual symptoms. During these prodromal or residual periods, the signs of the disturbance may be manifested by only negative symptoms or two or more symptoms listed in Criterion A present in an attenuated form (e.g., odd beliefs, unusual perceptual experiences).

D. Schizoaffective and Mood Disorder exclusion: Schizoaffective Disorder and Mood Disorder With Psychotic Features have been ruled out because either (1) no Major Depressive, Manic, or Mixed Episodes have occurred concurrently with the active-phase symptoms; or (2) if mood episodes have occurred during active-phase symptoms, their total duration has been brief relative to the duration of the active and residual periods.

E. Substance/general medical condition exclusion: The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.

F. Relationship to a Pervasive Developmental Disorder: If there is a history of Autistic Disorder or another Pervasive Developmental Disorder, the additional diagnosis of Schizophrenia is made only if prominent delusions or hallucinations are also present for at least a month (or less if successfully treated).
My addition to the Schizophrenia illness:

Bizarre cognition and behaviour
Believing in demons and angels as reality
Being commanded by voices in their heads
Primacy to blind violence
Impaired language, both speech and written and general cognitive breakdown
Display general bodily ignorance to own pain and bodily harm
Fixation of energies, sniffing the energies of other people and acting upon this as also a primacy for perception, whatever it is supposed to represent...

Concerning bodily awareness: it's true that this may be the case of depressive people too, but mostly in the suicidal situation, thus depressed people are able to restore good bodily awareness, emotionally and otherwise.

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