General Cognitive Behavioural
Process
Well, a psychologist has actually explained to me before that any
human actions / behaviours are generally dictated by a cognitive
mental process summarized such as follows, and it would apply as
well to the ones suffering from any mental disorders, but
nevertheless are still mentally and cognitively well-aware of their
surroundings and other objects / factors around them. Next, I find
that such reasonings really make great senses, and hence, I just
feel like to share it with the intended readers :-
Perceptions (anything we
see, we hear, we know, we taste, we touch etc from our surroundings
/ other people) => Feelings (the way we feel about our
surroundings and other people based on anything we see, hear, know,
taste, touch etc) => Thoughts (the types of views and
opinions that we form in our minds based on the types of feelings
we have for anything we perceive) => Actions (how we choose to react in
response to those surroundings / other people based on the feelings
and thoughts that arise in our minds).
In such a regard, the underlying problem faced by the ones with
schizophrenia, bipolar disorders and other mental disorders are
such that they would tend to treat their perceptions (as mentioned
above) in a very much negatively different way, and that in turn
results in them forming all those negative feelings, thoughts and
then all those negative actions of which others get to label them
as negative behavioural /
personality changes.
For example, a person suffering from schizophrenia may, after
'observing' his surroundings, (Perceptions), just in turn, for certain
reasons like past traumatic experiences, anxiety disorders, panic
attacks etc, would tend to spontaneously and directly feel very
much uncomfortable, anxious, scared and fearful for what they get
to see, hear, know, touch etc (Feelings) , and in extreme cases, maybe
they may get to hear 'voices' and feel very much threatened by
their surroundings then have such false and unreal imaginations of
which they subconsciously choose to firmly believe in that someone
out there is 'really' / 'actually' threatening his life
(Thoughts or in this case,
purely false hallucinations), and finally just try his very best
based on his own misguided judgements, to subconsciously become
violently defensive and hostile against the others in order to save
himself, from being killed etc (Actions).
Similarly, such an explanation to a certain extent would apply
as well to the ones having such disorders like Obsessive Compulsive
Disorder, Claustrophobia (a morbid fear of being closed in a
confined space) etc whereby a given surrounding, which may appear
normal to other people, would nevertheless and otherwise appear to
be abnormally unacceptable to them possibly because of past
traumatic experiences, anxiety disorders, panic attacks and other
reasons. Next, the feelings and thoughts that such people would
have based what they perceive for the given surrounding in turn
would be largely uncontrollable, if not subconciously involuntary,
while their subsequent responses/ reactions / actions based on
their such negative feelings and thoughts, would in turn be very
much the so-called reflex reactions which are substantially and in
most cases, totally beyond their self-control.
In this regard, it would be very much helpful for the ones
dealing with such persons to understand their basic underlying
problems and difficulties and in turn treat them considerately and
thoughtfully with care, respects and most importantly, compassion,
whilst at the same time, also try to be friendly and amicable to
them in such as a way that rather than feeling uncomfortable with a
given surrounding and becoming agitated, these persons would on the
other hand, feel more mind-easing, emotionally calm, placated,
pacified, soothed, comfortable and relaxing with that given
'uneasy' / 'uncomfortable' / 'threatening' surroundings that they
perceive. Subsequently, all these efforts will definitely be
tremendously conducive to the improvements of the conditions of
their disorders and possibly the final recovery in the end.
With all due respect, the antipsychotics and other neuroleptics just serve to temporarily block such negative nerve
impulses about their such negative perceptions from getting sent
to the brain of the ones
having such disorders so as to artificially block all those negative
feelings, thoughts, and then the actions. Hence, they are
simply not a conclusive and
permanent solution to such disorders.
Well, in such a context, the most direct way of treating
schizophrenia and bipolar disorder in the most effective, and maybe
largely hypothetical way would be for such persons to totally
change their perceptions about their surroundings, environments,
the other people in a positive way and to start having positive and
realistic thoughts and at the same time, to get rid of those
hallucinations, fanciful ideas, little by little gradually and
slowly out of their mind and replace them with anything normal,
practical, realistic and positive. Theorectically, positive perceptions => positive feelings =>positive thoughts => positive actions.
In this sense, a great deal of interpersonal, interactive, communications and
emotional supports from the ones genuinely willing to help
them would be very much essential in getting this achieved,
essentially in changing the ways they perceive, feel and think for
anything they deal with so as to enable them to come to a decision
on their own to have positive actions.
Nonetheless, above all these external constructive helps from
the others, all the self-initiatives, self-controls and self-disciplines that are meant to be
exercised, essentially on the parts of the ones suffering from such
a disorder, particularly to 'mentally-train' themselves to think
realistically, positively, optimistically and to cast out / expel
all those weird thoughts, hallucinations, fanciful imaginations and
preposterous urges and whims little by little out of their minds
and get them replaced with the positive, practical and realistic
ones, so as to slowly develop positive behavioural changes in
themselves, would in turn actually be the decisive factor in
determining whether their conditions will pracitcally improve or
not, slowly and gradually in the end.