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Autism and Disorganized Schizophrenia?

Question:
Are there any similarities, between Schizophrenia, and Autism? Cause sometime I think I have some traits from both.


Answer:
In brief, it goes something like this: A number of things have been referred to as schizophrenia through the years, as it is a rather imprecise word. Autism is one of them -- it used to be referred to as "childhood schizophrenia" (in some very backwards circles it still is). Some of the things that have been referred to as schizophrenia share traits in common with autism. Here are some traits quoted from the DSM and ICD definitions of schizophrenia that can be traits of autism as well:
* excessive motor activity (that is apparently purposeless and not influenced by external stimuli)
* extreme negativism (an apparently motiveless resistance to all instructions or maintenance of a rigid posture against attempts to be moved) or mutism
* peculiarities of voluntary movement as evidenced by posturing
(voluntary assumption of inappropriate or bizarre postures)
* stereotyped movements, prominent mannerisms, or prominent grimacing
* echolalia or echopraxia
* flat or inappropriate affect
* negative symptoms, i.e., affective flattening, alogia, or avolition
* disorganized speech (e.g., frequent derailment or incoherence) [Some characteristic speech patterns of autistic people fall under *some* of the same possible speech characteristics that have also been attributed to schizophrenia, especially "tangential speech"]
* negative symptoms, i.e., affective flattening, alogia, or avolition
* breaks or interpolations in the train of thought, resulting in incoherence or irrelevant speech, or neologisms
* "negative" symptoms such as marked apathy, paucity of speech, and blunting or incongruity of emotional responses, usually resulting in social withdrawal and lowering of social performance; it must be clear that these are not due to depression or to neuroleptic medication Or, for that matter, the entire set of ICD guidelines around catatonic schizophrenia:
(a) stupor (marked decrease in reactivity to the environment and in spontaneous movements and activity) or mutism;
(b) excitement (apparently purposeless motor activity, not influenced by external stimuli);
(c) posturing (voluntary assumption and maintenance of inappropriate or bizarre postures);
(d) negativism (an apparently motiveless resistance to all instructions or attempts to be moved, or movement in the opposite direction);
(e) rigidity (maintenance of a rigid posture against efforts to be moved);
(f) waxy flexibility (maintenance of limbs and body in externally imposed positions); and
(g) other symptoms such as command automatism (automatic compliance with instructions), and perseveration of words and phrases. To make matters more confusing:
1. Because many autistic people have difficulty understanding other people's minds, we may develop the idea that other people can read our thoughts. We might also develop extreme suspiciousness of other people because we have trouble reading their body language.
2. Much of the mythology around where autism came from (prior to a clear definition of autism, people made up their own explanations) has us characterized as not being human at all. This is a common view for undiagnosed autistic people, or autistic people who are not told of their diagnosis, to take -- robots, aliens, or changelings. (It also happens among diagnosed people, but it's way more common when you don't have any explanation for why you are how you are.)
3. Autism usually involves unusual sensory experiences. Synesthesia (one sense bleeding into another) is still seen by some psychiatrists as hallucinatory. Since we take a long time to process sensory information, we often do things like lie down to bed at night only to *finally* hear what everyone else was saying all day -- "hearing voices". We might also interpret distorted sensory information in ways that could be seen as hallucinatory, and some of us even develop ways of deliberately manipulating distorted sensory information as a kind of projected daydreaming. Odd body sensations may be seen as "tactile hallucinations" by some psychiatrists. Plus many people who are currently diagnosed as schizophrenic complain of sensory overload, which is common among autistics. (When I was handed a book on schizophrenia when that was my diagnosis, I highlighted every single section on sensory issues, and that was what convinced me the diagnosis was correct.)
4. Autistic people often experience burnout, especially given that we don't have the resources usually to continue coping in a world that is not designed for us. When this happens, we may lose skills, and this may be interpreted as a "psychotic break", especially if the form in which we lose skills basically takes the form of developing more problems with motor skills. (Some of the problems that are inherent to some people's autism *already* resemble catatonia, so becoming *more* that way entails becoming *more* catatonic, which can then be seen as adult onset of "catatonic schizophrenia".) When I was overloaded, I always went into my room, and that was interpreted in psych wards as "psychotic withdrawal" and discouraged -- burnout can involve more extreme social skills issues and social withdrawal than short-term overload does.
5. That burnout can appear (in fact may be more likely to appear) in people who were extremely good at dealing with the world and thus might not have been picked up as autistic in the first place. (Other people were not picked up as autistic despite being quite obvious about it, but in people who were really good at faking normalcy, burnout can basically look like they went from normal-looking to autistic-looking *fast* and people hunt around for a psychiatric term for it.)
6. Many of us are abused badly enough (autistic people are easy targets) that we develop whole storylines in our heads that help us survive, but if we start acting on those storylines in real life, people can assume all kinds of things.
7. Obviously, autistic people are not immune to hallucinations or unusual beliefs just because we are autistic. There are rules in the diagnoses of schizophrenia that it can only be diagnosed in an autistic person if we have "delusions" or "hallucinations". This is because the accepted criteria for each are pretty similar *except* for that part. (I'm sure even "disorganized behavior" is common among autistics, especially as they give examples like wearing a coat on a hot day, which many of us do things like.) However, given that we can develop some pretty strange beliefs and have some pretty strange perceptual experiences, it's not surprising that a lot of people can't tell the "two" (I don't think the things that get called schizophrenia are a single entity) apart. With alzeihmers, your brain turns to shit. Autopsies show their brains resemble dried up prunes. VERY "real" physical deteriotation of the brain. Szes brains may seemingly turn to shit but the sz brains do not resemble dried up prunes. Autism simply doesn't get it. Similar to being an air head. Or as some describe it, having shit for brains. Alzeihmers has dried up shriveled prunes for brains. Sz brains may have lesions but are still present within a cogniszent unverse. Autism has a bunch of air heads whose brains are shit. Thats the differences. Which shows that you are quite ignorant about schizophrenia. I hate it when my mouth won't keep up with my brain, so I just ooze mumble when I talk.



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