In and out of schizophrenia: activation and deactivation of the negative and positive schemas – Article 1
Schizophrenia has positive and negative symptoms that are both analysed using a traditional cognitive model. The model exists of the cognitive triad: schemas about self, world and the future. When interventions are made, they should target the meaning behind both positive and negative symptoms. However, in the current system, the content for both symptoms is similar. The view of the self is weak, vulnerable, ineffective and worthless. The view of others as controlling, dangerous and rejecting.
What are cognitive schemas?
Cognitive schemas are responsible for cognitive organization. The content originates from the cognitive triad. If schemas interfere with accommodation in life situations, they are called dysfunctional. If schemas are extreme of fantastic, they are called delusional.
How do cognitive schemas affect symptoms of schizophrenia?
Schizophrenia can develop due to a genetic predisposition in combination with the development of negative thoughts and stressful life-events. These negative thoughts become embedded into cognitive schemas and a person can develop negative symptoms, such as withdrawal, violence and isolation. On the other hand, positive symptoms can come from dysfunctional symptoms and get transformed into delusions. These symptoms start with an overstimulation of the HPA axis which leads to an excessive output of cortisol. That leads to an overflow of dopamine and the development of hallucinations.
Motivation is one of the main factors in developing negative symptoms. There are two ways that motivation affects the symptoms, in belief and expression.
- Factor 1 of negative symptoms: amotivation factor. This symptom comes from a dysfunctional belief about the self. The self-image is focused on weakness, worthless and helplessness. To avoid pain and frustration, symptoms like avoidance and distancing arise. It is possible to get above these thoughts, for example when
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