22 January 2017

Notes - Chapter 5 nfd / delusions



       Mid-afternoon. You had a good dinner at Cracker Barrel -- Carol had her trout and you the fried chicken then you drove to Kenwood looking for First Watch where Carol will be having breakfast in two weeks. Now you are at Kroger's on Mason-Montgomery Road while Carol buys essentials like eggs, bananas and maybe cookies. Sister Cathy called to wish Carol a happy birthday a day early and they talked about Trump and the Pope's comments and the 'alternative facts' the press secretary put out yesterday on the size of the crowd. - Amorella

       1522 hours. I hit an 'n' instead of the 'd' -- Freudian slip no doubt. My error.

       You could have not mentioned it. - Amorella

       1524 hours. That would not be right. At first I thought I was writing because of the error and not you, but it makes more sense that you were writing and I was 'translating' as it were. So, I am cautioned by the incident.

       You are home and are going to finish up Carol's phone so she can have it fully loaded with the numbers she desires.

       1558 hours. I think I'll have over 150 numbers and names when completed. The voice is so much better than a couple of years ago, true HD. Most cool. It is not so much that she calls all the numbers but when they ring, the voice announcer says who is calling before answering. That, plus the one button 'call block' for all those seemingly endless calls we get, is what she likes. Carol has a few long-time charities, but her name has been sold over the years to countless others looking for money.  

       You had Graeter's for supper. Delicious. After  watching NBC News you both enjoyed the first two hours of last week's PBS "Victoria". You finished with Carol's phone and set it up at the kitchen desk. Carol is still placing books in an order in her bookcase before reading. Spooky is asleep in the living room for now and Jadah is up with you and Carol momentarily. Time to drop in Chapter Five and move on for now. - Amorella

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FIVE  ©2017 SC, rho
Untitled
         Yermey sits watching Ship’s vital signs to his left and his own vital signs to the right.  Surmising the situation, he concludes: One, the left-wingtip-cleansing-of-the-Cessna shouldn't be a problem as long as Ship agrees, but, why should he? Two, why does Ship record no change in my bio-registering vitals physically, emotionally or mentally? I do note a change in my sense of being but I can't place what it is. Three, I find no evidence that Ship knows I am monitoring and have been monitoring him this entire trip. Why? Is this a matter for our personal security?

         Yermey’s eyes return to his earth-built laptop where he reads the personal Facebook page of Pyl Williams-Burroughs. He realizes Pyl is pretty, and oddly that she appears to be in her mid-three-hundred fifties, while physically she is a mere thirty-five years old on Earth. Such a lack of experience these people have. How do we relate this problem in a polite, non-condescending manner?

         Pyl and all the others could live well so much longer if we would extend our knowledge to the people of Earth. Yermey suddenly feels a slight stirring at his groin. His small curled male organ quickly rises semi-erect to the length of an average adult earthworm. His scrotum with two full pea-sized testes begins aching wretchedly. Yermey mutters, "I have done nothing to provoke this erection." This uncalled-for- event lasts a terribly long five minutes.

         Ship registers Yermey's eye movements every second Yermey observes the amenable photos of the fully clothed Pyl Williams-Burroughs on her Facebook page. His maleness provokes the mind almost aloud, 'Pyl, has breasts on her chest rather than the natural teats-in-her-pouch. Breasts.’

         Yermey has never seen or heard of a male marsupial humanoid having a partial erection without at least an hour of physical stimulation. The marsupial humanoid penis is usually 'up and down' in less time than it takes to say the words aloud.

         Ship's response normalizes while Yermey reaches his sense of centeredness within, 'Ship understands me better than I do.' It takes an extreme patience of will for Yermey not to perspire. He slowly closes the laptop and gets up from the chair and pushanpulls his bedinabox-open as his desk-folds-over-the-laptop and slides quietly under the floor. 'I am almost five hundred years old and I have this revelation; a sudden attraction for a female earthling's breasts. Nearly exhausted from physical thoughts he immediately fell asleep. 

.        Ship has intuitively senses the shadowy hidden dimensions of Yermey’s human spirit, his heartansoulanmind; this to his analytical delight. Ship savors the revelation and saves a singular physiological experience for his personal benefit.

         Ship being singularly modified for travel through a partially destabilized dark-matter oriented hyper-string-field, a permanent wormhole, also senses sensitivities in mind and heart. A marsupial humanoid physically moved by an alien species, thinks Ship, what can this mean?

         Earlier on travel from point A to point B across the Milky Way galaxy, I was encased in a photon bubble and moving to light speed, becomes surrounded by a push or pull through dark energy. Bubble infused, I moved. Settling down below light speed along this hyper-stringed field I awoke from a dreamless sleep to think on the physical death of machinery. So, rare it used to be to travel across the galaxy. Now this added dimension. Now the body marsupial reckons the entire galaxy is but a single marsupial humanoid pouch. I know better, surmises Ship. We are all in less an electric form than supposition allows.

         Were I, Ship transposes as a thought, a mere conscious spark in quantum entanglement, I could be in two galaxies at once. The smaller we become the faster we go. Dark matter eats us for dinner. We go in the tunnel, and are digested through the great divide of light and faster-than-light, faster than light and down below, we are eliminated by the dark; making us here and in Earth’s atmosphere inside of a month of Earth time. I do feel eaten. Yet it is I who spark the indigestion of who is doing the eating, the smallest and darkest of matter. Ship considers this and concludes for the moment: It’s a matter of who is living off the consciousness of whom. An attention into thought must be paid.
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         At this moment Yermey awakes wondering. He smiles, I planted a homing reference beacon pulsating a light greater than four-dimensional light speed. No one knows this but Ship. We have stabilized a dark mattered traversable wormhole, a secret highway from Home to Here and no one knows but the two of us.

         Once fully awake Yermey realizes Friendly and Hartolite will shortly be returning from Put-in-Bay. He smirks, Ship has his orders but I am the captain here and Ship knows it.

         Meanwhile, Ship keeps an honest and fully updateable bio tracking of Friendly, Hartolite, the earthlings and Yermey. Two-dimensional heartanmind tracking will do the trick. If only Yermey understood what I, Ship, along with H omen-Partner on ThreePlanets, can do.
        
         Soki here, Intent is the real key, be sheorhe shipped and souled by heartanmind or no. Intent. Who knows one's real intent? The Soki knows what others do not -- the nakedness, the real entanglement within the deepest deep in self. The Soki knows the innocence becoming or not. There is no mystery of any highly conscious heartansoulanmind for a Betweener such as myself. Innocence and intent can demonstrate the surreal inside out and outside in. Poetry is a fact in life and death. Science too, because both are so ordered.

         55.8 ease / 9.1 class / 878 words

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       2217 hours. At least it looks like I did something. I enjoy this work, this writing project, but I do not hold the passion I did especially for the original Merlyn trilogy self-published as it was as a strong second draft not a professionally written first draft.

       Indeed, you had passion for all your writings. You believed deep down that there was more to them than you knew. - Amorella

       2227 hours. Secret delusions of grandeur I suppose. I don't really know what that is. Here's what Wikipedia has to say.

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Grandiose delusions (GD), delusions of grandeur, expansive delusions or megalomania are a subtype of delusion that occur in patients suffering from a wide range of psychiatric diseases , including two-thirds of patients in manic  state of bipolar disorder,  half of those with schizophrenia, patients with the grandiose subtype of delusional disorder, and a substantial portion of those with substance abuse disorders. GDs are characterized by fantastical beliefs that one is famous, omnipotent,  wealthy, or otherwise very powerful. The delusions are generally fantastic and typically have a religious, science fictional, or supernatural theme. There is a relative lack of research into GD, in contrast to persecutory delisions and auditory hallucinations.  About 10% of healthy people experience grandiose thoughts but do not meet full criteria for a diagnosis of GD.

Prevalence

Research suggests that the severity of the delusions of grandeur is directly related to a higher self-esteem in individuals and inversely related to any individual’s severity of depression and negative self-evaluations. Lucas et al. found that there is no significant gender difference in the establishment of grandiose delusion. However, there is a claim that ‘the particular component of Grandiose delusion’ may be variable across both genders. Also, it had been noted that the presence of GDs in people with at least grammar or high school education was greater than lesser educated persons. Similarly, the presence of grandiose delusions in individuals who are the eldest is greater .than in individuals who are the youngest of their siblings

Symptoms

According to the DSM-IV-TR  diagnostic criteria for delusional disorders, grandiose-type symptoms include grossly exaggerated beliefs of:
·       self-worth
·       power
·       knowledge
·       identity
·       exceptional relationship to a divinity or famous person.
For example, a patient who has fictitious beliefs about his or her power or authority may believe himself or herself to be a ruling monarch who deserves to be treated like royalty. There are substantial differences in the degree of grandiosity linked with grandiose delusions in different patients. Some patients believe they are God, the Queen of England, a president's son, a famous rock star, and so on. Others are not as expansive and think they are skilled sports-persons or great inventors.

Expansive delusions

Expansive delusions may be maintained by auditory hallucinations, which advise the patient that they are significant, or confabulations,  when, for example, the patient gives a thorough description of their coronation or marriage to the king. Grandiose and expansive delusions may also be part of fantastic hallucinosis in which all forms of hallucinations occur.

Positive functions

Grandiose delusions frequently serve a very positive function for the person by sustaining or increasing their self-esteem. As a result, it is important to consider what the consequences of removing the grandiose delusion are on self-esteem when trying to modify the grandiose delusion in therapy. In many instances of grandiosity it is suitable to go for a fractional rather than a total modification, which permits those elements of the delusion that are central for self-esteem to be preserved. For example, a woman who believes she is a senior secret service agent gains a great sense of self-esteem and purpose from this belief, thus until this sense of self-esteem can be provided from elsewhere, it is best not to attempt modification.

Causes of delusion

There are two alternate causes for developing grandiose delusions:
·       Delusion-as-defense: defense of the mind against lower self-esteem and depression.
·       Emotion-consistent: result of exaggerated emotions.

Epidemiology

In researching over 1000 individuals of vast range of backgrounds, Stompe and colleagues (2006) found that grandiosity remains as the second most common delusion after persecutory delusions. A variation in the occurrence of grandiosity delusions in schizophrenic patients across cultures has also been observed. In research done by Appelbaum et al. it has been found that GDs appeared more commonly in patients with bipolar disorder (59%) than in patients with schizophrenia (49%), followed by presence in substance misuse disorder patients (30%) and depressed patients (21%).
A relationship has been claimed between the age of onset of bipolar disorder and the occurrence of GDs. According to Carlson et al. (2000), grandiose delusions appeared in 74% of the patients who were 21 or younger at the time of the onset, while they occurred only in 40% of individuals 30 years or older at the time of the onset.

Diagnosis

Patients with a wide range of mental disorders which disturb brain function experience different kinds of delusions,  including grandiose delusions. Grandiose delusions usually occur in patients with syndromes associated with secondary mania,  such as Huntington's disease, Parkinson's disease, and Wilson's disease. Secondary mania has also been caused by substances such as levodopa and isoniazid which modify the monoaminergic neurotransmitter function. Vitamin B12 deficiency, uremia, hyperthyroidism as well as the carcinoid syndrome have been found to cause secondary mania,  and thus grandiose delusions.
In diagnosing delusions, the MacArthur-Maudsley Assessment of Delusions Schedule is used to assess the patient.

Comorbidity

Schizophrenia


Schizophrenia is a mental disorder distinguished by a loss of contact with reality and the occurrence of psychotic  behaviors, including hallucinations and delusions (unreal beliefs which endure even when there is contrary evidence). Delusions may include the false and constant idea that the person is being followed or poisoned, or that the person’s thoughts are being broadcast for others to listen to. Delusions in schizophrenia often develop as a response to the individual attempting to explain their hallucinations. Patients who experience recurrent auditory hallucinations can develop the delusion that other people are scheming against them and are dishonest when they say they do not hear the voices that the delusioned person believes that he or she hears.
Specifically, grandiose delusions are frequently found predominantly in paranoid schizophrenia, in which a person has an extremely exaggerated sense of his or her significance, personality, knowledge, or authority. For example, the person may possibly declare to own IBM and kindly offer to write a hospital staff member a check for $5 million if they would only help them escape from the hospital. Other common grandiose delusions in schizophrenia include religious delusions such as the belief that one is Jesus Christ.

Bipolar disorder

Bipolar I disorder can lead to severe affective dysregulation, or mood states that sway from exceedingly low (depression) to exceptionally high mania. In hypomania or mania, some bipolar patients can suffer grandiose delusions. In its most severe manifestation, days without sleep or auditory and other hallucinations and uncontrollable racing thoughts can reinforce these delusions. In mania, this illness not only affects emotions but can also lead to impulsivity and disorganized thinking which can be harnessed to increase their sense of grandiosity. Protecting this delusion can also lead to extreme irritability, paranoia and fear. Sometimes their anxiety can be so over-blown that they believe others are jealous of them and, thus, are undermining their "extraordinary abilities," persecuting them or even scheming to seize what they already have.
The vast majority of bipolar patients rarely experience delusions. Typically, when experiencing or displaying a stage of heightened excitability called mania, they can experience, joy, rage, a flattened state in which life has no meaning and sometimes even a mixed state of intense emotions which can cycle out of control along with thoughts or beliefs that are grandiose in nature. Some of these grandiose thoughts can be the expressed as strong beliefs that the patient is very rich or famous or has super-human abilities, or can even lead to severe suicidal ideations. In the most severe form, in what was formerly labeled as megalomania, the bipolar patient may hear voices which support these grandiose beliefs. In their delusions, they can believe that they are, for example, a king, a creative genius, or can even exterminate the world's poverty because of their extreme generosity.

Anatomical aspects

Grandiose delusions are frequently and almost certainly related to lesions of the frontal lobe. Temporal lobe lesions have been mainly reported in patients with delusions of persecution and of remorse, while frontal and frontotemporal involvement have been described in patients with grandiose delusions, Cotard's syndrome, and delusional misidentification syndrome. 

Treatment

In patients suffering from schizophrenia, grandiose and religious delusions are found to be the least susceptible to cognitive behavioral interventions. Cognitive behavioral intervention is a form of psychological therapy, initially used for depression,  but currently used for a variety of different mental disorders, in hope of providing relief from distress and disability. During therapy, grandiose delusions were linked to patients' underlying beliefs by using inference chaining. Some examples of interventions performed to improve the patient's state were focus on specific themes, clarification of neologisms, and thought linkage. During thought linkage, the patient is asked repeatedly by the therapist to explain his/her jumps in thought from one subject to a completely different one.
Patients suffering from mental disorders that experience grandiose delusions have been found to have a lower risk of having suicidal thoughts and attempts.
Selected and edited from Wikipedia
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           2304 hours. After reading and evaluating the above I can see I do have some symptoms of grandeur. 

           Feel better now? - Amorella

           2306 hours. Basically, I feel most human beings experience delusions of one kind or another during their lifetimes. I think they help us survive one terrible crisis or another. Well, I think they have helped me survive what I thought was one terrible crisis or another.

       Post. Sleep well, boy. - Amorella

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