I had an argument with my doctor today which I'm happy to say got my blood boiling a little. Heard all that BS about how the side effects of invega sustenna are actually due to "negative symptoms." My doctor even said he'd change my diagnosis from delusional disorder to schizophrenia because my "negative symptoms" were so bad, and the med student sitting in on the appointment nodded in agreement. I think that part of why so many people have gotten the invega sustenna shot and the side effects go unrecognized is because they look awfully similar to negative symptoms of psychosis from the outside. Poor memory is a symptom of psychosis, but the memory loss caused by invega sustenna is an entirely different beast. The memory difficulties of psychosis are due to the way that one filters information. You forget stuff because you weren't paying attention to it in the first place, because you were so focused on the objects of your psychosis. Some scientists in the past have even thought that schizophrenia heightens memory. I think that the memory difficulties of psychosis are due to attention rather than an inherent defect in memory. The memory difficulties of invega sustenna are much less discriminating; they infect every area of memory to some extent. With psychosis, I can at least remember things that are important to me, but that's not the case on invega sustenna.
I'm happy that my doctor was at least engaging with me on these topics. One of the things that pisses me off about how mental health professionals treat psychosis patients is how they refuse to engage with you on matters concerning your own treatment, and they don't even attempt to argue with your delusions. I think that a lot of people just forget proper communication skills when they talk to someone with psychosis and they beat around the bush on everything. I think that psychosis patients are open to reason and argument just like everyone else, but they're treated as if they aren't and as if all argument is a lost cause. I get that it is difficult to argue someone out of their delusions, but that is just because the incentive to believing them is so high. All effective argument has to properly deal with the incentives and stakes of a belief. Then psychosis patients end up so confused because their autonomy is usurped from them without an explanation and then it's blamed on the illness. I really think that social integration and kindness are the best solutions to psychosis, but that there is just such a high barrier to obtaining those things once you reach a certain tipping point where your beliefs are too odd. People have such a difficult time connecting with people who disagree with them, and they have such a hard time disagreeing with the in-group. Anyway, I'm happy I have a rant and did some philosophizing. I might post more, but I'm kind of exhausted and might go for a walk. I really think that psychosis is an epicenter for a lot of ethical, political, and epistemological concerns.