Stressed by one’s over-reactions<br />Extreme reaction to un-anticipated stressor<br />Cope by forming bias toward comfort...
Stressed by one’s unpreparedness for external threat & betrayal<br />Blame the new problems on external sources<br />Cope ...
Maps of Self<br />Note that maps of self are prone to similar distortions<br />Bias to see self as competent protects agai...
Relationship between paranoid and grandiose distortions<br />Both types of distortion can be seen as a “correction” for th...
Attempted solutions that lack balance:<br />Sometimes try to consciously think one’s way out<br />Resulting in too much re...
Better solution:<br />When lots of bias exists, need a fresh look at things<br />A look that balances spontaneous interpre...
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Source of two types of distortion in psychosis

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Where do all the distortions that are common to what we see as psychosis come from? That’s the question I took on in a short series of PowerPoint slides that I created this morning. In these slides, I suggest that these distortions come about out of attempts to resolve two kinds of stress. One type is stress that can result when we are over-estimating the level of external threat, and the second is stress that can result when we under-estimate such threat and so are vulnerable to jarring encounters that we hadn’t anticipated.

I will be using these slides in presentations I do, where I will be able to explain the concepts in more detail. But I just thought I would post them here, to see how much sense they might make to you standing on their own.

Published in: Health & Medicine
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Source of two types of distortion in psychosis

  1. 1. Stressed by one’s over-reactions<br />Extreme reaction to un-anticipated stressor<br />Cope by forming bias toward comforting perceptions & beliefs<br />Notice the possibility of, or actually run into, harsh parts of reality that weren’t on one’s map<br />Map of reality becomes unrealistically positive or even grandiose<br />Feel better for awhile, living in a rosy bubble<br />Cycle of Grandiose Delusions<br />
  2. 2. Stressed by one’s unpreparedness for external threat & betrayal<br />Blame the new problems on external sources<br />Cope by forming bias toward seeing signs of threat & betrayal<br />Encounter problems due to one’s exaggerated response to imagined dangers<br />Map of reality becomes unrealistically threatening<br />Feel safer for awhile, because it seems all threats are anticipated<br />Cycle of Paranoid Delusions<br />
  3. 3. Maps of Self<br />Note that maps of self are prone to similar distortions<br />Bias to see self as competent protects against problems caused by lack of self confidence<br />Bias to see self as incompetent protects against being surprised by unexpected threats<br />
  4. 4. Relationship between paranoid and grandiose distortions<br />Both types of distortion can be seen as a “correction” for the other type<br />So when people feel overwhelmed by one cycle, they may switch to the other<br />Creating inconsistency, flip/flops, from one kind of distortion to another<br />Or they may do some of each simultaneously<br />Creating an overall mess<br />
  5. 5. Attempted solutions that lack balance:<br />Sometimes try to consciously think one’s way out<br />Resulting in too much reliance on conscious control of perception<br />Sometimes try to escape by relinquishing conscious thought, just being spontaneous, dreamy<br />Resulting in a willingness to accept highly irrational interpretations<br />
  6. 6. Better solution:<br />When lots of bias exists, need a fresh look at things<br />A look that balances spontaneous interpretations with conscious reflection<br />This “fresh look” is sometimes seen as a rebirth of the self<br />Needs a safe place to occur<br />The therapy relationship is one way of creating this safe place<br />

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