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After recovery, patients may recall fragments of their psychotic experiences but often have amnesia regarding real-world events during the episode. [ 5 ] Oneiroid states can also be associated with Kandinsky-Clérambault syndrome , particularly in individuals with paranoid schizophrenia .
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Visual processing abnormalities in schizophrenia are commonly found, and contribute to poor social function. [ 1 ] There is evidence that schizophrenia affects perception of contrast and motion , control of eye movements , detection of visual contours, and recognition of faces or facial expressions .
Positive symptoms are those symptoms that are not normally experienced, but are present in people during a psychotic episode in schizophrenia, including delusions, hallucinations, and disorganized thoughts, speech and behavior or inappropriate affect, typically regarded as manifestations of psychosis. [36]
In McGorry’s conception, schizophrenia goes through a “prodrome” stage when symptoms gradually emerge, a “first episode” phase that covers, on average, the two years before the first break and finally a “chronic” phase when the disease causes a steady deterioration in many patients that can be difficult if not impossible to reverse.
Affected individuals believe that they are in the process of transforming into an animal, or have already transformed into an animal. Clinical Lycanthropy has been associated with the altered states of mind that accompany psychosis, the mental state that typically involves delusions and hallucinations, with the transformation only seeming to happen in the mind and behavior of the affected person.
Apophenia can be considered a commonplace effect of brain function. Taken to an extreme, however, it can be a symptom of psychiatric dysfunction, for example, as a symptom in schizophrenia, [6] where a patient sees hostile patterns (for example, a conspiracy to persecute them) in ordinary actions.
In the period leading up to the first episode of schizophrenia, uncharacteristic basic symptoms first appear and are followed by the onset of more characteristic basic symptoms and, finally, psychosis. [9] Basic symptoms often appear several years before the onset of psychosis, but are often preceded by the onset of self-disorders. [10]
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