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This study examined hospitalizations in a large, all-payer, nationally representative sample of inpatient hospitalizations in the US and identified differences in rates of hospitalization for conditions by race and ethnicity in autistic adults. Conditions examined included mood disorders, epilepsy, schizophrenia, and ambulatory care sensitive conditions (ACSCs). Compared to white, non-Hispanic autistic adults, Black, Hispanic, Asian or Pacific Islander (API), and autistic adults of another race had lower prevalence of admission for a principal diagnosis of a mood disorder. Conversely, Black, Hispanic, API, and autistic adults of another race had higher odds of admission for epilepsy than white autistic adults. Black and Hispanic autistic adults were more likely to have schizophrenia as a principal diagnosis compared to white autistic adults, but only Black autistic adults had increased odds for admission for an ACSCs compared to white autistic adults. Differences in diagnosis prevalence among hospitalized autistic adults may suggest differential access to comprehensive outpatient care that could prevent such hospitalizations, while also pointing to concerns of differential validity of diagnostic tools and treatment approaches. Insurance policy and programs should prioritize optimizing outpatient care to ensure access to care and emphasize the need for equitable treatment.

Schizophrenic discourse is characterized by thought disorder, or a lack of coherence, prompting substantial research into identifying and measuring the incoherent discourse of schizophrenics. Much of this research has examined short extracts of elicited spoken data and used researcher judgments. This study examines the connectedness of naturally-occurring extensive written schizophrenic discourse using three methods of analysis: an automated analysis of cohesion, lexical cohesion analysis, and topic-based analysis focusing on propositional coherence. The results show that the schizophrenic texts are highly cohesive, especially in their use of connectives and the density of connections. The texts also show high proportions of topic shifts and a greater average distance of moves between concepts. These suggest that the topic structure of the schizophrenic texts consists predominantly of repetitive topic maintenance interspersed with short unrelated mini-topics, and it is this structure that manifests thought disorder.

In "Anti-Oedipus," Deleuze and Guattari saw the difficulty of disentangling the question of Spinoza and, later, of Reich from the very limit of a system of representation by which they mean Oedipus. As "A Thousand Plateaus" would emphasize later, this limit brings out the question of the desire for democracy ('democracies are majorities'). It desires Oedipus. In "What Is Philosophy?", the limit question (Oedipus) gave way to the concept of a people to come. Fifty years since its publication, "Anti-Oedipus" remains a relevant text (apropos of its 'strategic adversary' identified by Foucault) against the background of the social pathology of neofascism, populist politics, and the rise of the alt-right and neoconservative movements in recent years. The paper tries to locate this inflexion point where the desire for democracy modulates into the bi-univocal plasticity of Oedipal desire whose dangers people already seem to know. They have unmasked Oedipus' double impasse and have escaped it. They no longer desire fascism; they desire fascists, neocons, and right-leaning mob rousers. Fifty years since its publication, "Anti-Oedipus" confronts a type of people who have learned to behave like the enemies of capitalism, too careful not to overload desire and destroy its bi-univocality, its great balancing act on the Body without organs. Incidentally, in 'Postscript on the Societies of Control,' Deleuze spoke about a people who know how to 'surf' replacing the 'older sports.' This applies to people who could become either schizoidal or regress to its more familiar inversion, the simulacra of Oedipus.

In this experimental piece of writing I want to think about the pedagogy of contact and the plight of the hikikomori or social recluse in Japan. I am interested in exploring how the hikikomori practices a kind of contactlessness or what I will call a deadly ipseity of desire. What does it mean to resist contact, to be without contact, to be without desire? What does it mean to risk contact, to risk being tactile with the other, to risk affirming one's desires? I want to generate a discussion about what has happened to desire, to its promise and possibility and why it is so difficult to anticipate or forecast what is to come. For me the BwO of hikikomori is the ruin of desire, the collapse of desire, a disaster of desire. I am pursuing a line of thought which highlights the loss of the possibility of processual schizophrenic breakthrough and in its place the becoming-autistic of the self, the perilous breakdown of the self.

Background: The assessment of schizophrenia in autistic people with intellectual disabilities is challenging. This study aimed to explore the identification of schizophrenia in this population. Methods: Using data from a clinical multi-centre study, reported symptoms in 26 autistic individuals with intellectual disabilities diagnosed with co-occurring schizophrenia were explored. Scores on two checklists (Psychopathology in Autism Checklist [PAC], Aberrant Behaviour Checklist [ABC]) were compared with two comparison groups: autistic individuals with intellectual disabilities and other mental disorders (94), or no mental disorder (63). Results: Reported symptoms of schizophrenia in this population met the formal diagnostic criteria. For PAC/ABC scales, only PAC psychosis differed for the schizophrenia group. Among participants with schizophrenia, two were diagnosed with additional mental disorders. Elevated scores for anxiety and depression were common. Conclusions: Emphasising core symptoms seems necessary when assessing co-occurring schizophrenia in autistic people with intellectual disabilities. The PAC may serve as a helpful screening tool.

Autism (ASD) and schizophrenia spectrum disorders (SCZ) are neurodevelopmental conditions with overlapping and interrelated symptoms. A network analysis approach that represents clinical conditions as a set of "nodes" (symptoms) connected by "edges" (relations among symptoms) was used to compare symptom organization in the two conditions. Gaussian graphical models were estimated using Bayesian methods to model separate symptom networks for adults with confirmed ASD or SCZ diagnoses. Though overall symptom organization differed by diagnostic group, both symptom networks demonstrated high centrality of social communication difficulties. Autism-relevant restricted and repetitive behaviors and schizophrenia-related cognitive-perceptual symptoms were uniquely central to the ASD and SCZ networks, respectively. Results offer recommendations to improve differential diagnosis and highlight potential treatment targets in ASD and SCZ.

Background: Mental health literacy is important for awareness of mental illnesses in adolescence, which is the initial period of mental disorders. Determining the levels of mental health literacy guides studies in activities promoting mental health. This study aimed to determine the mental health literacy levels of high school students and teachers and related factors. Methods: Our study is a cross-sectional study. A total of 1051 people (students and teachers) were included in the Fatih District of Istanbul were included in our study. The mental health literacy levels of the participants were evaluated with the Mental Health Literacy Questionnaire. This questionnaire includes scenarios about mental problems called "vignettes" and questions about them. Results: Students' recognition percentages of depression, schizophrenia, and social phobia vignettes were found to be 28.1%, 46.5%, and 5.9%, respectively. For the person who was described in the vignettes, the "family physician" was chosen as the least by students and teachers. A statistically significant relationship was found between students' mental health literacy levels and sex, grade, father education levels, and experiencing vignette similar issues (p < 0.005). Additionally, teachers who were not school administrators and experienced vignette similar issues levels were higher (p < 0.005). Conclusions: These results showed us that mental health literacy levels are low in high schools. School-based intervention studies on this issue are of critical importance. In addition, it is seen that individuals do not consider asking for help with mental health problems from primary care services. This shows the inadequacy of the integration of primary health care services and mental health services.

This is a comparative analysis of everyday executive functioning between individuals with Autism Spectrum Disorder (ASD), Schizophrenia Spectrum Disorders (SSD) and controls using Dysexecutive Questionnaire-Spanish (DEX-Sp), to identify patterns of difficulties. Also we assessed the relationship between EF and adaptive behavior as measured by the Vineland Adaptive Behavioral Scale-II. Common areas of everyday executive functions were established as problematic in individuals with ASD and SSD related to Disinhibition and Apathy, while Disorganization and Impulsivity was gravely affected in ASD group only. The degree of Dysexecutive Syndrome was predictive of adaptive behavior in ASD group only. These suggest that DEX-Sp could be a useful tool in differentiating areas of strength and weaknesses in clinical groups such as ASD and SDD.

"Epigenetics" is the study of modifications to gene expression without an alteration to the DNA sequence. Currently there is limited translation of epigenetics to the counseling profession. The purpose of this article is to inform counseling practitioners and counselor educators about the potential role epigenetics plays in mental health. Current mental health epigenetic research supports that adverse psychosocial experiences are associated with mental health disorders such as schizophrenia, anxiety, depression, and addiction. There are also positive epigenetic associations with counseling interventions, including cognitive behavioral therapy, mindfulness, diet, and exercise. These mental health epigenetic findings have implications for the counseling profession such as engaging in early life span health prevention and wellness, attending to micro and macro environmental influences during assessment and treatment, collaborating with other health professionals in epigenetic research, and incorporating epigenetic findings into counselor education curricula that meet the standards of the Council for Accreditation of Counseling and Related Educational Programs (CACREP).

The study aimed to investigate the tendency of non-native instructors who teach English as a foreign language (EFL) in terms of their behavioral, emotional and speech disorders while teaching in a class, or while speaking in front of public. The study adopted a quantitative case study research design. The participants of the study comprised purposefully selected 45 volunteer instructors (32 females and 13 males) who were teaching at the School of Foreign Languages of a state university in Konya, Turkey in 2015-2016 academic year. The data were collected via a 5-point Likert type questionnaire developed by the researchers, and was composed of 30 items and 4 sub dimensions. The data about the demographic information of the participants were analyzed using non-parametric tests such as frequency, percentage and mean scores, and the relationships between the sub-dimensions were analyzed via some parametric tests such as One Way ANOVA, Kruskal Wallis, and Mann Whitney U Test. The results revealed that the participant EFL instructors were like to have behavioral, emotional and speech disorders in their first five years of the professional life due to several conditions, such as their personality, emotions, and working conditions.

Sensory abnormalities are characteristic of autism and schizophrenia. In autism, greater trial-to-trial variability (TTV) in sensory neural responses suggest that the system is more unstable. However, these findings have only been identified in the amplitude and not in the timing of neural responses, and have not been fully explored in schizophrenia. TTV in event-related potential amplitudes and inter-trial coherence (ITC) were assessed in the auditory mismatch negativity (MMN) in autism, schizophrenia, and controls. MMN was largest in autism and smallest in schizophrenia, and TTV was greater in autism and schizophrenia compared to controls. There were no differences in ITC. Greater TTV appears to be characteristic of both autism and schizophrenia, implicating several neural mechanisms that could underlie sensory instability.

Background: While pragmatic deficits are well documented in patients with schizophrenia (SCZ) and right hemisphere damage (RHD), there is a paucity of research comparing the pragmatic deficits of these two groups. Do they experience similar cognitive dysfunction or is there a dissociation between the two patient groups? Aims: To investigate the nature of pragmatic deficits in these two groups and to gain an understanding of the underlying cognitive mechanisms that might be associated with these deficits to further future investigations. Methods & Procedures: A total of 60 participants (15 patients with SCZ; 15 with RHD; 30 (15 + 15) healthy controls (HC) were administered the Bengali Audio-Visual Test-Battery for Assessment of Pragmatic Skills. Outcomes & Results: Both SCZ and RHD patients were found to have significant pragmatic deficits compared with their matched controls. SCZ patients were found to score significantly better than the RHD group in six out of the 10 pragmatic skills when controlled for age and education. Discriminant function analysis was performed and 86.7% of the cases (HC = 100%, SCZ = 73.3% and RHD = 86.7%) were correctly reclassified into their original categories using the test scores. Conclusions & Implications: The study suggests that there is heterogeneity in the nature of the pragmatic breakdown within and across patient groups. Therefore, individualized restorative measures targeting the disrupted cognitive mechanism(s) might help elevate pragmatic competence and enhance the social functioning of patients with pragmatic deficits.

Introduction: Mental health assessment in autistic individuals with intellectual disabilities may be challenging. Findings from non-autistic samples indicate overlap between obsessive-compulsive disorder (OCD) and psychotic disorder/schizophrenia, but little is known about this potential overlap in autistic people. Methods: Explorative, retrospective chart study involving comprehensive, multimodal assessments for 18 autistic individuals with suspected OCD in a specialized mental health department. All participants had an intellectual disability (12) or significant impairments in adaptive behavior (6). Results: While no participants had been diagnosed with psychotic disorder at referral, 7/18 participants were diagnosed with a psychotic disorder following assessment (schizophrenia or unspecified psychotic disorder). Conclusion: OCD symptoms may overshadow psychotic symptoms in autistic individuals with intellectual disabilities. A combination of conventional assessment tools and assessment tools developed for autistic people may be helpful in differentiating OCD and psychosis in this population, as well as prototypical symptom considerations and exploring the developmental trajectories of symptoms.

Purpose: Schizophrenia, a chronic mental disorder, poses enormous threat to the individual, family and society. The advent of deinstitutionalization of the mentally ill transferred the burden of care to families especially close relatives. Few studies have described the families' subjective views in this context. Hence, this study aimed to explore impacts of caregiving and coping strategies for family caregivers of patients with schizophrenia in Enugu, South East Nigeria. Design/methodology/approach: A descriptive qualitative design was employed, and 14 family caregivers of individuals with schizophrenia attending federal neuropsychiatric hospital Enugu were purposively selected. A semi-structured interview guide was used to generate information, and the transcribed data were content analyzed using a thematic approach. Findings: Three major themes and 16 subthemes were derived to reflect the perceived impact of caregiving and coping strategies of family caregivers, which include burden of care (physical-self neglect, ill health, sleep deprivation; psychological-gross irritability, ruminations; social-stigmatization, social restrictions, diminished connections, reduced productivity); positive aspects (heightened understanding; empathetic attitude, strengthened ties) and adaptive resources (acceptance, optimism, social support, spiritual devotion). Originality/value: Family caregivers of individuals with schizophrenia experience bio-psychosocial burden as a result of caregiving. Coping with challenges of caregiving can prevent distress and burnout. Hence, there is need for mental health professionals to recognize caregivers as person in need of emotional and practical support and care for the mentally ill in the context of a family-centered approach.

Background: Patients with schizophrenia present with both cognitive impairment as well as language difficulties. There are similarities in the language output of patients with schizophrenia and patients with aphasia, thus a differential diagnosis of patients who present with a question of dual diagnoses can be a clinical challenge. This case report highlights the importance of an interdisciplinary approach to a patient with schizophrenia who benefitted from intervention from both psychiatry and speech--language pathology services due to the patient's unique verbal output. Aims: The primary aim of this case report is to highlight the critical importance of interdisciplinary collaboration in this patient population. The secondary aim is to disseminate an interesting and unique clinical phenomenon whereby the patient demonstrated an awareness of two distinct speech patterns and the unique ability to 'code switch' between them, something not commonly appreciated in this clinical population. Methods & Procedures: This case report describes a patient seen as part of routine clinical care. Information shared was solely observational and involved dissemination of information regarding case history, assessment and treatment plan. No interventions were implemented as a part of this study. Outcomes & Results: Interprofessional communication was critical in order to diagnose a patient with schizophrenia with an atypical speech pattern. The patient's language output did not manifest as a true aphasia but rather as two distinct language patterns that the patient could use at will. This ability to 'code switch' between languages is a unique clinical profile that is atypical of patients with schizophrenia.

Autism spectrum disorder (ASD) and schizophrenia spectrum disorders (SZ) are characterized by difficulty with social cognition and atypical reception of facial communication - a key area in the Research Domain Criteria framework. To identify areas of overlap and dissociation between ASD and SZ, we review studies of event-related potentials (ERP) to faces across ASD and SZ populations, focusing on ERPs implicated in social perception: P100, N170, N250, and P300. There were many inconsistent findings across studies; however, replication was strongest for delayed N170 latency in ASD and attenuated N170 amplitude in SZ. These results highlight the challenges of replicating research findings in heterogeneous clinical populations and the need for transdiagnostic research that continuously quantifies behavior and neural activity across neurodevelopmental disorders.

Autism spectrum disorders (ASD) and schizophrenia represent different mental disorders, but intriguing similarities seem to appear.In the present meta-analysis, we examined theory of mind (ToM) impairments in adults with ASD or schizophrenia based on studies that have compared the two patient groups directly by using the same test-battery at the same time point.Ten studies were included with a total of 344 ASD patients and 339 schizophrenia patients. We found no significant difference in ToM, but patient characteristics such as severity of mental illness and disorder heterogeneity may have influenced the results.The limited number of studies emphasizes the need for further direct comparisons of ToM in ASD and schizophrenia with awareness of social cognitive subgroups in both disorders.

Background: The frequency and intensity of physical activity are directly related to health in the general population. However, to our knowledge, no study has looked at that relationship in people with intellectual disability. Method: The aim of this study was to determine whether there were differences in the health of 407 people with intellectual disability according to the frequency and intensity of physical activity. The method involved cross-sectional study of secondary data. Findings: Results showed that the ability to express pain, number of orthopaedic and physiotherapy consultations, body mass index and percentage of psychosis/schizophrenia diagnoses differed with the frequency and intensity of physical activity. Conclusion: Other studies are needed to learn more about physical activity factors that could improve the health of people with intellectual disability.

People with schizophrenia spectrum disorders (SSD) show anomalies in language processing with respect to "who is doing what" in an action. This linguistic behavior is suggestive of an atypical representation of the formal concepts of "Agent" in the lexical representation of a verb, i.e., its thematic grid. To test this hypothesis, we administered a silent-reading task with sentences including a semantic violation of the animacy trait of the grammatical subject to 30 people with SSD and 30 healthy control participants (HCs). When the anomalous grammatical subject was the Agent of the event, a significant increase of Gaze Duration was observed in HCs, but not in SSDs. Conversely, when the anomalous subject was a Theme, SSDs displayed an increased probability of go-back movements, unlike HCs. These results are suggestive of a higher tolerability for anomalous Agents in SSD compared to the normal population. The fact that SSD participants did not show a similar tolerability for anomalous Themes rules out the issue of an attention deficit. We suggest that general communication abilities in SSD might benefit from explicit training on deep linguistic structures.

Mitochondrial dysfunction has been linked to many psychiatric disorders. Ketogenic diets have been shown to reduce mitochondrial dysfunction and thus may be helpful to patients who suffer from these disorders. In this article, we review the effects of a ketogenic diet in patients with psychiatric disorders such as autism, depression, anxiety, and schizophrenia. Mitochondrial dysfunction, and its reversal by a ketogenic diet resulting in the relief of mental disorders, would be an excellent teaching topic on the consequences of altered cellular biology and a discussion of mitochondrial injury as one of the causes of cellular necrosis. Similarly, this information will be important in a discussion of how diet might be beneficial in the treatment of certain mental disorders.

Few studies have compared knowledge of the specific health risks of cannabis across jurisdictions. This study aimed to examine perceptions of the health risks of cannabis in Canada and US states with and without legal non-medical cannabis. Cross-sectional data were collected from the 2018 and 2019 International Cannabis Policy Study online surveys. Respondents aged 16-65 (n = 72 459) were recruited from Nielsen panels using non-probability methods. Respondents completed questions on nine health effects of cannabis (including two 'false' control items). Socio-demographic data were collected. Regression models tested differences in outcomes between jurisdictions and by frequency of cannabis use, adjusting for socio-demographic factors. Across jurisdictions, agreement with statements on the health risks of cannabis was highest for questions on driving after cannabis use (66-80%), use during pregnancy/breastfeeding (61-71%) and addiction (51-62%) and lowest for risk of psychosis and schizophrenia (23-37%). Additionally, 12-18% and 6-7% of respondents agreed with the 'false' assertions that cannabis could cure/prevent cancer and cause diabetes, respectively. Health knowledge was highest among Canadian respondents, followed by US states that had legalized non-medical cannabis and lowest in states that had not legalized non-medical cannabis (P < 0.001). Overall, the findings demonstrate a substantial deficit in knowledge of the health risks of cannabis, particularly among frequent consumers.

The clinical similarity among different neuropsychiatric disorders (NPDs) suggested a shared genetic basis. We catalogued 23,109 coding de novo mutations (DNMs) from 6511 patients with autism spectrum disorder (ASD), 4,293 undiagnosed developmental disorder (UDD), 933 epileptic encephalopathy (EE), 1022 intellectual disability (ID), 1094 schizophrenia (SCZ), and 3391 controls. We evaluated that putative functional DNMs contribute to 38.11%, 34.40%, 33.31%, 10.98% and 6.91% of patients with ID, EE, UDD, ASD and SCZ, respectively. Consistent with phenotype similarity and heterogeneity in different NPDs, they show different degree of genetic association. Cross-disorder analysis of DNMs prioritized 321 candidate genes (FDR < 0.05) and showed that genes shared in more disorders were more likely to exhibited specific expression pattern, functional pathway, genetic convergence, and genetic intolerance.

The differential diagnosis between schizophrenia spectrum disorders (SSD) and autism spectrum disorders (ASD) remains an important clinical question, because they have overlap in clinical diagnosis. This study explored the differences between ASD (n = 44) and SSD patients (n = 59), compared to typically developing peers (n = 63), in completing an advanced Theory of Mind (ToM) task. The outcome found several differences between groups. The SSD patients showed greater difficulty in understanding social scenarios, while ASD individuals understood the stories, but did not correctly identify the protagonist's intention. The interesting aspect of the results is that some ToM stories are more informative about the mentalistic reasoning of the two clinical groups, namely, the stories that investigate pretend, persuasion, double bluff and ironic joke constructs.

Objectives: International students face increased vulnerability for mental health challenges, but underutilize counseling compared to their domestic peers. We examined beliefs regarding the causes of mental illness, known as attributions, which may impact treatment-seeking and stigma. Participants: Surveys were collected from 680 international students at U.S. universities. Methods: We sent invitations to a computer-based survey disseminated via international student email lists. The survey explored mental health attributions for depression, alcohol use disorder, and schizophrenia. Results: Attributions differed significantly by disorder. Depression and alcohol use were attributed to social stress and perceived as controllable and influenced by personal weakness and lifestyle choices. Schizophrenia was often attributed to hereditary/biological causes. Differences also emerged based on the participants' acculturation, region of origin, and religiosity. Conclusions: Attributions influence perceptions of mental illness and may lead to stigma. Providers should incorporate discussions of attribution in student outreach and counseling to address potential impacts on care-seeking.

Background: Positive symptoms of schizophrenia are associated with significant difficulties in daily functioning, and these difficulties have been associated with impaired executive functions (EEFF). However, specific cognitive and socio-emotional executive deficits have not been fully established. Objective: The present study has several objectives. First, we aimed to examine the specific deficits in cognitive and socio-emotional EEFF in a group of patients with schizophrenia with a predominance of positive symptoms, as well as to determine if these patients present clinically significant scores in any of the three fronto-subcortical behavioral syndromes: Dorsolateral, Orbitofrontal, or Anterior Cingulate. Method: The sample consisted of 54 patients, 27 with a predominance of positive symptoms, and 27 healthy controls matched for gender, age, and education. The two groups completed four cognitive and three socio-emotional EEFF tasks. In the group of patients, positive symptoms were evaluated using the scale for the Evaluation of Positive Symptoms (SANS), while the behavioral alterations associated with the three fronto-subcortical syndromes were evaluated using the Frontal System Behavior Scale (FrSBe). Results: The patients, in comparison with a control group, presented specific deficits in cognitive and socio-emotional EEFF. In addition, a high percentage of patients presented clinically significant scores on the three fronto-subcortical syndromes. Conclusion: The affectation that these patients present, in terms of both cognitive and emotional components, highlights the importance of developing a neuropsychological EEFF intervention that promotes the recovery of the affected cognitive capacities and improves the social and emotional functioning of the affected patients.

Recent meta-analytic work has highlighted lower creativity in schizophrenic patients as compared to control participants, but the cognitive and affective underpinnings of this difference still need to be fully understood. To this purpose, we adopted a multi-measure approach and compared a group of schizophrenic outpatients and a group of demographically-matched controls (N = 34) on the Alternative Uses Test (AUT) and the Remote Association Test (RAT), assessing divergent and convergent thinking respectively. The participants' cognitive status, affective status, and response inhibition skills were also appraised. The results showed a significantly worse performance in patients vs. control participants in both tests of creativity. Performance was also negatively correlated with patients' symptoms, being lower in more severe clinical conditions. The difference between groups in the RAT was no more significant when controlling for individuals' cognitive functioning, in line with previous studies in healthy populations. In contrast, the difference in AUT fluency remained significant even when controlling for cognitive and affective measures. Our findings suggest that creativity reduction in schizophrenic patients involves both convergent and divergent thinking, and that the latter aspect is not simply the consequence of a general cognitive or inhibitory impairment.

This philosophy of education paper describes a schizophrenic situation. A new airport is being planned in the locale of a university which is a Centre of Excellence of Education for Sustainable Development (ESD), and the university is a major partner. The airport involves an investment in jobs, resources, and will encourage further economic development. The planners have named the inter-connected developments around the airport as the 'Aerotropolis', including new university facilities. One could argue that the airport is a classic example of the 'Capitalocene', where capital rushes into a new project, and environmental costs are ignored. This paper will execute a schizoanalytic critique of the process, from the perspective of a university education researcher caught up in the rushing flows of capital. Schizoanalysis has been chosen as the educational methodology to analyse this situation, because the researcher is part of what is happening, and is turned inside out (schizo) by the designation in their region of the new airport. This paper is positioned in education between capital and the environment -- it will describe from an insider's perspective what it is like to be possessed, evacuated, sold out, and exploited by capital.

Schizophrenia is a devastating mental disorder that affects thought, language and communication. Considering the language disorders, the aim of this study is to examine the average sentence length of patients with Schizophrenia and compare the results with a control group by using four different language tests. Fifty patients with schizophrenia diagnosed according to DSM-IV criteria have been included in the study and compared to fifty healthy subjects matched for age, sex and education level with the patients. The subjects' speech has been evaluated in four stages. These are narration, story picture sequencing, semi-structured speech and free speech. The data consists of 8-10 minute recorded interviews. The recordings have been transcribed based on DuBois' Discourse Transcription Symbols. The statistical and linguistic analyses have shown significant differences between sentence length's of patients with schizophrenia and control group. Patients with schizophrenia have produced shorter sentences than the control group. In sum, this study concludes that the speech patterns used by Turkish Schizophrenia patients are different in terms of sentence length,and they prefer short and less complicated sentences in communication as a result of their cognitive disorders, including impairment to their attention and abstract thinking abilities.

Positive implications of schizotypal personality have been discussed in the literature in the last few years, higher creativity being one of them. Specifically, positive and negative schizotypy dimensions have been respectively related to higher and lower creativity levels. However, a considerable amount of null associations between these two constructs have also been reported. This heterogeneity could be due to the multidimensionality of both constructs. The aim of this study is to go deeper into the general relationship between creativity and schizotypy, disentangling the associations between specific dimensions of these two constructs. We assessed schizotypy in a sample of 154 volunteers. They also filled out creative personality and creative products questionnaires. Regression analyses showed no effect of scores in the positive dimension of schizotypy over either of the two creativity measures. Interestingly, lower scores in the negative dimension were associated with more creative products, whereas lower scores in the disorganized dimension were associated with a more creative personality. Our results point toward the need to use assessment tools tapping into the different aspects of creativity and to take into account the multidimensional nature of schizotypal personality in order to clarify the relationship between these two complex constructs.

Devoted to the late Paul Virilio (1932-2018) and in the advent of debates surrounding the Anthropocene and in light of corresponding changes to conceptions of scale and image, this paper attempts to extrapolate a Virilian pedagogy of the image. It is Virilio's work which remains timely and singularly fecund in this area and it is for this reason that it may help to shape a new pedagogy of scale and image. This may allow us to better grasp the decentring of human conceptions of time and space as we come to better understand the vastness of cosmological space and time. To demonstrate this, his work is read in tandem with Félix Guattari's work on ecosophy and Bernard Stiegler's work on negentropy to show how Virilio's critique of the diminishment of perspective diverges from their respective approaches to forge an arresting pedagogy of the image vis-à-vis geographical and ecological conceptions of Earthly spatial and temporal scale. The perceived poverty of Earthly perspective is read in the light of a scalar perspectivism which understands the enormity of the universe and humanity's microscopic place within it. As Virilio is concerned with the changes in scale which manifest with the onset of globalization, the question arises as to how an applied dromology (that is the philosophy of speed) may work alongside both Guattari's schizoanalytic and ecosophical research and Stiegler's pharmacology of the image in a way that mounts a robust and unique critique of the mental pollution of the image as such. Here the pedagogical implications are significant as the diminishment of world perspective for Virilio -- a consequence of the singular global time of capital -- devastates our understanding of the cosmos. This understanding of the poverty of scale and perspective is contrasted with a multiscalar approach to the world, which is itself searching for a philosophical and pedagogical response to the reduction of the world to nothing.

Assessment of schizophrenia (SCZ) in people with autism spectrum disorder (ASD) is complicated due to confounding symptoms between ASD and SCZ. These confounding factors are aggravated when the patient has sparse verbal skills. A selective review was conducted to identify behavioural equivalents when assessing SCZ in individuals with ASD with sparse verbal skills, from 16 years of age. Only clinical papers were reviewed. Eight relevant articles were analysed for the use of behavioural equivalents in clinical settings. The results showed that especially disorganized speech and behaviour and negative symptoms can be observed in patients with SCZ and ASD who speak sparsely. It is not possible to observe delusions, but they may be reported by the patients when treated adequately for some time, usually months. Hallucinations cannot be observed directly, but 'hallucinatory behaviour' may be interpreted as hallucinations when observed concurrently with other SCZ symptoms. Additionally, age of onset and marked impaired global functioning compared to habitual functioning may constitute a diagnosis of SCZ in ASD. ASD is considered a lifelong condition and may be identified within the first 3-4 years, while SCZ onset is usually in adolescence or early adulthood.

Deborah Britzman's remarkable question, 'What holds education back?', appears more urgent than ever in a world of accelerating environmental crises, climate change, and what has been described as "omnicide" -- the annihilation of everything. What, then, holds education back from initiating radical change under these urgent conditions? This paper introduces the notion of 'institutional anxiety' as a consolidating force and explores how it may condition possibilities for resistance. Bringing examples from ethnographic fieldwork and experiences of course development in conversation with psychoanalytic and schizoanalytic thought, a key catalyst of institutional anxiety is discussed: Anxiety related to 'the question of the animal' as a threat to human exceptionalism in educational practice and research. Confronting these anxieties could open new modes of being and acting in academic space and give interspecies ethics, justice and sustainability a chance to develop in omnicidal times.

Introduction: Intellectual disability (ID) and co-morbid mental health problems are more common in developing countries such as Bangladesh. However, little is known about how Bangladeshi health practitioners diagnose mental health disorders in people with an ID. Studies in developed countries have explored the impact of the diagnostic overshadowing bias (DOB): the tendency for health practitioners to misattribute mental health symptomology to a client's ID, rather than a separate mental health disorder. To date, no study has investigated the presence of the DOB in Bangladesh. Method: A range of Bangladeshi health practitioners (N = 243) were randomly assigned a clinical vignette describing a client displaying symptoms of a mental health disorder. Vignette 1 described a client with an IQ of 105 who graduated from secondary school. Vignette 2 described a client with an IQ of 55 who attended special education. All other details were identical. Participants rated the likelihood of seven mental health diagnoses on a 5-point Likert scale. Results: Practitioners were more likely to diagnose schizophrenia, drug problems and being bullied in people with a typical IQ compared to those with an ID. Doctors, psychiatrists, and psychologists appeared to be more affected by the DOB than community health workers, traditional healers, and allied health practitioners. Conclusion: Findings indicate that the bias may be present in Bangladesh healthcare professionals. The development and implementation of specific training programs to meet the differing needs of practitioners, across the health fields are recommended.

Previous research has attempted to understand why countries with relatively favorable conditions and high estimated average IQs (such as Finland and Japan) have a relatively low per capita number of scientific Nobel prizes. In the present study, we examine whether there is a relationship between national schizophrenia and left-handedness prevalence, on the one hand, and per capita scientific and literary achievement, on the other hand, in countries with IQ estimates of at least 90. We found that per capita science and literature Nobel prizes and scientific publications are strongly negatively associated with schizophrenia and strongly positively correlated with left-handedness. There also was a very pronounced negative correlation between schizophrenia rate and left-handedness rate. These results suggest that genius can be regarded as a combination of very high IQ, aspects of high-functioning autism (specifically low empathy) plus relatively low impulse control, consistent with observations of intellectually outstanding individuals, and the fact that schizophrenia appears to constitute the opposite pole of these aspects of autism spectrum. We posit differences in androgen levels as a possible underlying explanation for these findings.

Objectives: To investigate the relationship between stressful life events at the time of relapse in schizophrenic patients at psychiatric hospitals in Baghdad city. Methodology: A purposive (non-probability) sampling of 50 schizophrenic patients who have relapsed was involved in the present study. Data were collected through the use of the constructed questionnaire and the process of the interview as means for data collection. The questionnaire was constructed by the researcher to achieve the objectives of the study, which consisted of two parts; the first one is concerned with the demographic and clinical characteristics; the second part consists of the Factors related to the patients exposure to the recent life events which include (17) items. Data were analyzed through the application of descriptive statistical analysis (Frequency, Percentage, Mean and Mean of Scores) and the relative sufficiency and inferential statistic (Multiple Logistic Regression). Results: The findings of the study indicated that there was a more than half of the patients had 30% chance of relapse related to the recent exposure to recent life events, and there was a significant relationship between the factors related to recent life events and the person responsible for the patients.Recommendations: The researcher recommends that patients and families should be educated about the particular and society about, accepting mentally ill as a member in the society, and dealing with stress and basic home care.

Social cognition impairment is a core shared phenotype in both schizophrenia spectrum disorders (SSD) and autism spectrum disorders (ASD). This study compares social cognition performance through four different instruments in a sample of 147 individuals with ASD or SSD and in healthy controls. We found that both clinical groups perform similarly to each other and worse than healthy controls in all social cognition tasks. Only performance on the Movie for the Assessment of Social Cognition (MASC) test was independent of age and intelligence. Proportionately, individuals in the control group made significantly more overmentalization errors than both patients group did and made fewer undermentalization errors than patients with SSD did. AUC analyses showed that the MASC was the instrument that best discriminated between the clinical and control groups. Multivariate analysis showed negative symptom severity as a potential mediator of the association between social cognition deficit and poor global functioning.

Continued human and animal research has strengthened evidence for aberrant excitatory-inhibitory neural processes underlying autism and schizophrenia spectrum disorder psychopathology, particularly psychosocial functioning, in clinical and nonclinical populations. We investigated the extent to which autistic traits and schizotypal dimensions were modulated by the interactive relationship between excitatory glutamate and inhibitory GABA neurotransmitter concentrations in the social processing area of the superior temporal cortex using proton magnetic resonance spectroscopy. In total, 38 non-clinical participants (20 females; age range = 18-35 years, mean (standard deviation) = 23.22 (5.52)) completed the autism spectrum quotient and schizotypal personality questionnaire, and underwent proton magnetic resonance spectroscopy to quantify glutamate and GABA concentrations in the right and left superior temporal cortex. Regression analyses revealed that glutamate and GABA interactively modulated autistic social skills and schizotypal interpersonal features (p[subscript corr] < 0.05), such that those with high right superior temporal cortex glutamate but low GABA concentrations exhibited poorer social and interpersonal skills. These findings evidence an excitation-inhibition imbalance that is specific to psychosocial features across the autism and schizophrenia spectra.

Background: Addressing goals of care involves an added layer of complexity in never-competent patients. The concept of best interests is used to guide decision-making for these patients; however, this can be difficult for many reasons. To help providers recognise and minimise these challenges, we recommend steps that can be taken to support decision-makers and identify a patient's best interests. Method: We describe a 61-year-old man with complex past medical and psychiatric history who lacked capacity to make complex medical decisions his entire life and outline the struggles faced when trying to make decisions regarding his care. Results: Data are lacking regarding the best approaches to shared medical decision-making in never-competent patients. It is reasonable to approach such decisions using currently available communication tools. Conclusion: More studies need to be conducted to determine the best approaches to shared medical decision-making in never-competent patients.

Parents of children with autism spectrum disorder appear to experience high levels of psychological distress, yet little is known about the prevalence of psychological disorders in this population. The aim of this systematic review and meta-analysis was to estimate the proportion of these parents who experience clinically significant psychopathology. Articles reporting proportions of psychological disorders in a sample of parents of children with autism spectrum disorder were located. The initial search returned 25,988 articles. Thirty-one studies with a total sample of 9208 parents were included in the final review. The median meta-analytic proportions were 31% (95% confidence interval = [24%, 38%]) for depressive disorders, 33% (95% confidence interval = [20%, 48%]) for anxiety disorders, 10% (95% confidence interval = [1%, 41%]) for obsessive-compulsive disorder, 4% (95% confidence interval = [0%, 22%]) for personality disorders, 2% (95% confidence interval = [1%, 4%]) for alcohol and substance use disorders and 1% (95% confidence interval = [0%, 5%]) for schizophrenia spectrum disorders. Significant heterogeneity was detected in these categories. Further research is needed to gain more insight into variables that may moderate parental psychopathology. This review and meta-analysis is the first to provide prevalence estimates of psychological disorders in parents of children with autism spectrum disorder.

Objective: To examine changes in diagnoses/treatment for 12 mental health (MH) conditions, previous use of campus MH services, and willingness to seek MH services in the future. Participants: ACHA-NCHA II participants from 2009 to 2015 (n = 454,029). Methods: Hierarchical binary logistic regression with step 1 controlling for demographics and step 2 considering time. Results: Time was significant except for bipolar disorder, bulimia, and schizophrenia with increases for all conditions except substance abuse. Anxiety (OR = 1.68), panic attacks (OR = 1.61), and ADHD (OR = 1.40) had the highest odd ratios. Use of MH services at current institution (OR = 1.30) and willingness to utilize services in the future (OR = 1.37) also increased over time. Conclusions: Based on a national sample, self-reported diagnoses/treatment of several MH conditions are increasing among college students. This examination of a variety of MH issues can aid college health professionals to engage institutional stakeholders regarding the resources needed to support college students' MH.

Background: There is no study to date that has examined the association between history of abuse and adaptive functioning deficits in youth with co-occurring and psychotic disorders or mood disorders. Method: This study used a retrospective chart review of 98 youth under the age of 18 (Mean age = 16.06 years) with co-occurring intellectual impairment (Mean IQ = 63.9) and psychotic disorders, mood disorders, or other psychiatric disorders. Using multimediation models in the path analytic framework, this study examined the relationships between psychiatric diagnosis (based on DSM-IV criteria), cognitive functioning (Full Scale IQ Scores), adaptive functioning (Socialization, Communication, Motor Skills, Daily Living Skills), and the presence of the history of physical, sexual, and/or emotional abuse/neglect. Results: A very high incidence of all three forms of abuse was present in the study sample, with more than three-quarters of the youth having experienced at least one form of abuse and more than half having experienced two or the three forms of abuse. A history of sexual abuse was significantly and directly associated with an increased incidence of mood disorders. Mood disorders were the strongest predictors of adaptive functioning deficits. Youth with schizophrenia spectrum disorder scored significantly lower in communication skills than those with bipolar disorder. Conclusion: Results are discussed in terms of the need for treatment studies and further investigations of the relationship between childhood maltreatment and adaptive functioning in youth with intellectual impairment and psychiatric disorders.

The links between schizotypy and creativity remain ill-defined. This study assessed creative competencies and cognitive processes associated with creativity in groups of individuals with distinct levels of schizotypy dimensions. Groups were obtained through cluster analysis of a large student sample (N = 946). All dimensions of creative competencies (Capturing, Broadening, Surrounding, Challenging) were higher in a pure positive schizotypy cluster than in clusters characterized by negative schizotypy or low schizotypy. Regarding creative processes associated with creativity, two dimensions, namely Imagery and Incubation, were higher in the pure positive schizotypy cluster than in negative schizotypy or low schizotypy clusters, while other dimensions (Brainstorming, Idea manipulation, Imagery, Incubation) were higher in positive schizotypy cluster when compared with negative schizotypy groups. This supports the notion that creative cognitive processes are more developed in positive than in negative schizotypy. Most interestingly, it also suggests that positive schizotypy can be beneficial even when compared with non-schizotypal individuals, since all dimensions of creative competencies and two dimensions of creative cognitive processes were higher in individuals with high positive schizotypy than in those with low schizotypy. This could have implications to improve the difficult and stigmatizing personal experience of individuals with high positive schizotypy about their own symptoms.

This study examined whether thinking style mediated relationships between belief in conspiracy and schizotypy facets. A UK-based sample of 421 respondents completed the Generic Conspiracist Beliefs Scale (GCBS), Oxford-Liverpool Inventory of Feelings and Experiences Short (O-Life), and measures indexing preferential thinking style (proneness to reality testing deficits and Need for Cognition). Path analysis revealed direct and indirect relationships between Conspiracy Beliefs and schizotypy facets. Unusual Experiences had a direct effect on Conspiracy Beliefs and predicted Reality Testing and Need for Cognition. Preferential thinking style mediated the schizotypy-belief in conspiracy relationship. This pattern of results (higher experiential-based processing and lower Need for Cognition) was consistent with intuitive thinking. Introverted Anhedonia and Impulsive Nonconformity predicted Reality Testing and had indirect effects on Conspiracy Beliefs. Finally, Reality Testing predicted Conspiracy Beliefs, whereas Need for Cognition did not. These results confirm that cognitive processes related to thinking style mediate the schizotypy-conspiracist beliefs relationship.

This study examined if personality types of gifted students predicted their psychiatric symptoms and if the type of giftedness and gender moderated the relationship between the personality and psychiatric manifestations. "The Murphy-Meisgeir Type Indicator for Children" and "the Minnesota Multiphasic Personality Inventory-Adolescent" were used to measure the personality types and psychiatric symptoms of 232 gifted middle-school students in South Korea. Results found that introversion predicted all of the symptoms but hypomania. Intuition predicted the symptoms of psychopathic deviance and schizophrenia and feeling predicted those of depression and conversion hysteria. Other predictive relationships were found between perceiving and hypomania and between judging and depression and social introversion. Creatively gifted students with introverted and intuitive personality types exhibited several symptoms than were academically gifted students of the same personality. Regarding gender, introverted males were more vulnerable to psychiatric symptoms compared to introverted females, and perceptive females had a higher chance to show hypomania than perceptive males. This study supported that personality characteristics partly accounted for the indications of psychological distress among gifted students. Further studies need to examine causal relationships between the two and to corroborate the current results involving adolescents.

Research suggests that biological explanations of mental illness include the promotion of the effectiveness of medication, and that such explanations lead to greater attributions of responsibility and potentially greater stigmatizing emotional and behavioral reactions. This study examined whether college students' attitudes toward a fellow student with mental illness are affected by whether the latter is described as having benefitted previously from medication. Results suggest that the promotion of psychiatric medications as helpful may increase stigmatizing attitudes by peers against fellow students with mental illness.

Mental health in children and adults has always been a controversial topic, however, recent mass shootings in schools have heightened the concern of many and raise questions for how to interact with the mentally ill. Schools, have the capacity to be one of the key stakeholders in delivering services to students with mental health concerns, therefore it is critical to understand the dispositions of teachers toward these students to ensure that they understand the needs of these students. The purpose of this study is to examine specific characteristic of preservice teachers' attitudes towards individuals with mental illnesses. The study sample consisted of 173 preservice teachers enrolled in a four-year teacher education program at a public research university located in the southeastern United States. Results indicated that four demographic variables contributed to preservice teacher's attitudes on the Community Attitudes toward Mental Illness (CAMI) measure and its various subscales: political orientation, knowing someone with a mental illness, and believing ADHD and ASD were mental illnesses. Implications for future research are discussed.