The only conclusions I've come to are one of the following.
1. They improve cognitive abilities in some way we aren't good at measuring. 2. There is something about our modern environment that is more likely to trigger schizophrenia which has more recently increased the fitness penalty these genes confer.
Maybe living in a world with neurotypical people who immediately dislike you [0] 'inhibits social capacity' after years of traumatic experiences piling up.
Well there is a reason why doctors kept telling me I am a hypochondriac, but I do have a whole zoo of conditions simultaneously, and this is a pretty common state for people with hEDS and I'm on the extreme end of it. So while milder versions of it are ~2% of the population the extreme versions of it are < 1/20K.
And yeah, medical researchers are in fact in the aggregate really bad at their jobs. Look how long it took to convince surgeons to wash their hands. But a lot of the genetic stuff relies on Linear Regression for GWAS which assumes independents of SNPs, otherwise you get multicollinearity problems, this is not a safe assumption and they've confused their results as confirming their assumptions. Instead of listing everything they get wrong a much shorter list is what they get right, Dr Jessica Eccles (https://x.com/BendyBrain) does great research into Long Covid and Generalized Joint Hypermobility which should put to bed the theory that GJH is benign - still good luck trying to talk a doctor out of that train of thought.
If you find someone who has hEDS the odds are they have a very large number of those things and most of them don't even know the names of most of the conditions, just one or two that bother them the most. The RCCX / hEDS list is a distinct subset of all possible things, the list of all medical maladies is far longer. It becomes highly improbable that a set of people have the same set of maladies - doctors tend to chalk this up to social contagion but that doesn't bear out. Genetic and behavioral causes have distinct diffusion patterns.
It's confirmable with WGS which I've done and I've encouraged many others to do and it turns out that you can indeed predict with a great deal of reliability if someone has TNXB / CYP21A2 SNPs. Unfortunately it's harder to find people who have C4 since they're likely to have schizophrenia.
We don't know her full family medical history because her dad was adopted. I do know that she was "microdosing" and macro-dosing hallucinogens for years. Mostly acid and shrooms as far as I know. She followed the band Phish around with a group of friends. I can't imagine most of those shows were sober.
We've also seen a few incidents of paranoia when she was under the influence of drugs/alcohol going back decades. So it feels like this was always there in some form, but maybe the estrogen was holding it back before menopause hit. I read an article about women who get schizophrenia after menopause that suggested this could be the case.
Anyway, whenever I see wellness healers and the like extolling the virtues of psilocybin, I want to point out that there could be a downside. We don't know that all of her hallucinogen use over the years contributed to this. But it's certainly a possibility.
Because, if so, then alcohol's ubiquity in society would imply that it is probably responsible (in the sense that substances are responsible) for most such conversions.
> But when the protective hormone is withdrawn during menopause, some who avoided earlier psychosis get a later onset. Having a first experience after age 40 is uncommon, but it may include up to 15 percent of the women with schizophrenia—twice the percentage of men who have schizophrenia onset after age 40.
For me psychosis feels like pattern matching going on extreme overdrive, while at the same time memory goes to shit. It's truly an awful illness, and what's worse is that the current medical treatments are bad. I've been fortunate enough where I can get by on a low dose olanzapine, but for many people they simply don't work at all.
Even though I'm doing well enough to function normally and hold down a good, well paying job, it's impossible to find a partner. If I were to have kids, I would have to go through one of the embryo prescreening services. I am strongly in support of these screening services - the disease is truly horrible.
There has been little progress on treatments for schizophrenia, the mechanism of action of these drugs has remained the same for decades. The side effects are almost as bad as the disease, which is why so many schizophrenic stop taking them. The only novel medication recently released is Cobenfy, which I have not tried yet.
Personally I am holding out hope that schizophrenia has some basis as an autoimmune disease. There was a cancer patient who had a bone marrow transplant and ended up being cured: https://www.nytimes.com/2018/09/29/opinion/sunday/schizophre...
The most striking thing, is the absolute certainty of the thinking. They feel as if their thinking is crystal-clear, and that they are the only one that "sees the patterns."
Currently, they're doing well. I know of others, that are not so fortunate.
It seems that pot is about the worst thing that a schizoaffective/schizophrenic person can use. They are better off chewing tabs of acid. I've not used it in about 45 years, and I've heard that today's pot is a heck of a lot stronger than what I remember.
I’m not defending them as I don’t know any details, I’m just curious how you came to be certain about your assessment.
EDIT: Imagine being powerful and wealthy and assured in your position in the Catholic Church and someone comes along and questions geocentricity and says you're wrong. It's a pretty easy leap to huffily say well, they are "mentally ill, crazy, delusional, paranoid"
I think what really gets me is that despite my constant vigilance and skepticism toward my own thoughts, I simply cannot talk myself out of how truly real those delusions feel when they happen. I can even acknowledge how absurd they are, even in the moment, but I can never shake the feeling that they're still very, very real. It's so maddening. The best I can do is to just not act on those thoughts.
Maybe the above person's family is actually unearthing valid insights, but if they're prone to psychosis, in that state they'll be prone to finding connections, associations, patterns, and so on between things in a way that doesn't hold up to scrutiny. It'll feel very real to them in the moment, but when they exit that state (if they do) they'll likely be on the same page as others in thinking those ideas were a stretch.
I don’t really believe in the dormant/latent argument because once you shift down to the underground (as in, entertain all possibilities, even the possibility that you share something in common with drug abusers) where people abuse drugs, there you can see just how common psychosis is.
The drugs fuck people up. Interestingly, after many years of laying off the substance, many do find their way out of the psychosis.
Many people are actually caught in this trap and don’t tell anyone because they are struggling between reality and their delusions and trying to present a calm face to the world. It’s often directly the result of the substance, but it’s allowed to fester in the person due to all kinds of reasons (”hey, I’m really going to confess this is the crazy shit that feels believable to me?”). By the time they are done wrestling with reality and unreality, often they are left extremely damaged from the ordeal psychologically.
My instances of psychosis outside of depression/mania tend to be triggered by stress. I don't use drugs or take any stimulant medications, but they still just happen sometimes. It sucks. I'm thankfully not in an active episode at the moment, but I do suffer on a daily basis from the "negative" symptoms of schizoaffective disorder (i.e., the symptoms that take away function, like anhedonia, avolition, alogia, etc).
Also, in my days of yute, I was fairly profligate in the use of ... mind-enhancing chemicals, shall we say. They basically gave me the same exact certainty and "insight."
Once, I decided to write down the marvelous insight that I experienced, while tripping. I wrote a whole bunch of stuff in a notebook, and then read it, a couple of days later.
It was pure gibberish. Made no sense at all.
[EDITED TO ADD] I should say that I had the luxury of having two distinct states of mind, including a "control state," in which to review the ramblings in the "enhanced" state. This is not a luxury that someone suffering from schizoaffective disorder has. They have no idea that their thinking is off.
It’s an extremely debilitating condition.
This isn't entirely true, and it's a dangerous misconception. High THC, low CBD cannabis wouldn't be recommended, but that's exactly what making cannabis illegal selects for.
High CBD, low/zero THC cannabis, on the other hand, will probably be one of the paths to treatment if we ever get over our Reefer Madness and pharmaceutical obsession.
That's one reason that I have compassion for parents of autistic children, that are vehemently anti-vax. I completely disagree with their stance, but I know what they are dealing with, and the very real fears and stresses that they are under.
Edit: are you thinking it’s genetic, but exacerbated by weed?
We have a friend whose sister has it and she went to genetics counselors before having kids.
They told her that because her sister has it that her kids had a 20% likelihood of developing it. Obviously 20% is way higher than normal.
From article:
Increasingly, researchers consider schizophrenia to be a “meta-syndrome,” encompassing multiple symptom dimensions/clusters and arising from intersections of diverse underlying mechanisms
So while autoimmune might be the cause for some people, other people have other causes?As humans we look for a simple A therefore B story. Even then most people in my experience are either (a) poor at spotting cause and effect or (b) go into denial e.g. many political arguments
> kids, I would have to go through one of the embryo prescreening services
Have to? Do you mean you would want to? Or is there some compulsory force where you are?
I wonder if schizophrenia (or perhaps psychosis) could be in some way analogous to the LLM temperature function becoming disregulated?
I mean, what is the extreme opposite of psychosis? If it is matter of degree, which it seems to be, then there is probably a tuning mechanism. Perhaps too little and you fail to account for factors that might not be apparent but might be guessed or inferred, too much, and too much seems plausible.
If so it would be possible to have a great deal of different “causes” given the tight and complex coupling of biological mechanisms.
I think it is possible to be diagnosed with both schizophrenia and autism which is why the theory is not considered anymore.
A schizophrenic member of my family argued in divorce court that her husband, a leading physician at one of the most famous medical institutions in the world, was secretly involved in outrageous nefarious activities.
The stories were all fiction but she was so convincing that the judge awarded her a ruling in the divorce that ruined her husband financially and took an emotional toll.
Right after the time I was diagnosed (~36), I started to become weirdly good at some stuff.
Music, for example. I've been playing for almost two decades and couldn't progress after a certain level. This changed almost overnight, and I started to learn new instruments very quickly (now I play guitar, bass, drums and piano). I'm not a genius at them, it's not what I'm trying to say. It's just that the pace at which I learn is very different from when I was younger, I can do things I never imagined being able to do.
Somehow, I also acquired some ambidextry. This might be due to learning the instruments. I now can write with both hands (not at the same time, dominant hand is still faster and more acurate). I also developed a second, completely different handwriting (now I have two "fonts" I can use naturally).
I got worse at dealing with people. Everyone seems to be in a haze from my point of view, and it discourages any kind of meaningful relationship. I can pretend though.
I am highly skeptical of the idea that any genetic component is involved in all of this (my father was ambidextrous though, but he acquired it in childhood), it seems purely psychological. I am also skeptical about the stereotypical triggers people often associate schizophrenia to.
Last year I was reading about Havana Syndrome. That was the thing that most resonated with the kinds of psychotic events I had. Weird sounds and voices that seem to come from nowhere, dizziness, balance problems, insomnia, headaches. By the time I got to a doctor, these effects were not there anymore (they last a very short time, at least for me). I was diagnosed by describing them to the psychiatrist. Since the first episode, it has happened again a handful of times. I have learned since that Havana syndrome is not a thing anymore, but there are no official explanations other than "it's likely to be psychogenic". I also wouldn't qualify for it (apparently, only diplomats and spies had it).
I don't need to plan the melody ahead of time I just pick a few notes that go well together then I pick some starting notes and I just intuitively know how to join them together into a full piece. It's like when I play some notes, my fingers themselves resist certain bad notes and whatever note I end up choosing (high pitch or low pitch) seems to work out every time.
Then, suddenly, it all started to click. I was reharmonizing, writing my own lines, improvising, soloing. It was uncanny. I moved to other instruments at similar speed, stuff I never played before. It became so easy.
I heard many times that once you age, you lose some ability to learn music. What made this experience so jarring was that I experienced the exact opposite.
Maybe this thing that you have to start young is all bullshit (probably what's going on here), and before I had some kind of block. I can't explain what that block was though.
Something can still be (weakly or strongly) genetic, but not inherited in any direct way. I.e. due to a particular mix of genes.
I attribute this to how the illness is researched: finding a genetic factor would be a major breakthrough, so lots of people do studies on that, and eventually force their way into a discovery that represents a narrow subset of the illness but ultimately fails to explain it. It's all over the place.
This makes me extra skeptic regarding the validity of some of these studies.
PaulHoule•5h ago
https://en.wikipedia.org/wiki/Schizotypy
crawfordcomeaux•5h ago
bad_haircut72•5h ago
PaulHoule•4h ago
https://en.wikipedia.org/wiki/Thought_disorder
as did Eugen Bleuler. I have a friend who is schizophrenic whose speech hardly makes sense and she is always calling people on the phone and carrying on nonsensical conversations. Somehow the general public is hung up on ‘hearing voices’ but I have never once heard a voice but under stress I (schizotypal) did once spend about six months under the influence of a ‘system of delusions’ yet stayed mostly functional, kept working, and managed to avoid getting in serious trouble.
I think it is quite ordinary also for people to have a dialogue with an ‘invisible friend’ or believe that they ‘talk to God’ when they pray, the auditory hallucinations of schizophrenia seem to be something like you have a thought that you don’t think is your thought but somebody else talking, notably schizophrenics often believe that somebody is putting thoughts into them or taking thoughts out of them, see
https://www.theairloom.org/mindcontrol.php
DiscourseFan•4h ago
uniq7•4h ago
ivape•3h ago
WarOnPrivacy•4h ago
This is not unreasonable.
It could be less awful if the voices were positive and not harsh and negative. Schizophrenics outside the US were found to have a more benign relationship with their voices.
ref: https://news.stanford.edu/stories/2014/07/voices-culture-luh...PaulHoule•4h ago
WarOnPrivacy•4h ago
Whom I thank every day for repairing my retention processes, just enough that lessons become learning.
amanaplanacanal•4h ago
PaulHoule•4h ago
I’ve seen plenty of those pills get diverted with outcomes like somebody stays up for 4 days and gets hospitalized so, yeah, I want to diss ADHD medication. It is clear it helps in the short term, not so clear if it helps in the long term.
fragmede•4h ago
PaulHoule•3h ago
WarOnPrivacy•3h ago
WarOnPrivacy•3h ago
FTR, meth mouth has no overlap with ADHD meds. I specifically looked into this, way back when.
> He goes to Wegmans every month and comes back with a pill bottle the size of a small trashcan.
If he took that many ADHD meds he'd be dead on day one. Three tabs/day is a heavy dose.
gfody•4h ago