Psychotic ideation is delusional and illusory. One cannot simply convey to a psychotic individual that he has a valid perspective. To an extent, it has been traditionally asserted in the field of mental health that one should not affirm the psychotic beliefs of the schizophrenic. Contrarily, some clinicians believe that one should persistently deny the schizophrenic any validation in this regard.
The proverbial beautiful mind of the proverbial schizophrenic resides in a brain that has abnormalities. This includes diminished frontal lobe activity, resulting in deficits in the brain’s ability to process information in a cognitively organized way and stopping people from screening out irrelevant stimuli. These deficits are considered to be deleterious to the brain functioning of the schizophrenic.
Anna Freud (1937) created a theory of defense mechanisms that implicated the use of repression in protecting the ego or the self from psychic pain. She theorized that these defense mechanisms are used by what Sigmund Freud termed “the ego” to reduce anxiety when the wishes of “the id" conflicts with those of society.
I've argued before that all or most diagnoses of severe psychopathology involve trauma. Trauma represents an aspect of diagnosed psychopathology, even though it may not meet the criteria for a diagnosis of post-traumatic stress disorder. Trauma often involves confrontation with death, and fear of death can bolster trauma. It's a vicious cycle.
- The Broken Mirror
- Surprising Role of Prions in Neurodegenerative Diseases