{"id":1036,"date":"2026-09-16T09:22:55","date_gmt":"2026-09-16T09:22:55","guid":{"rendered":"https:\/\/baarda.ch\/?p=1036"},"modified":"2026-09-16T09:26:34","modified_gmt":"2026-09-16T09:26:34","slug":"reint-jelger-gem-i-find-it-very-confusing-the-negative-and-positive-effects-of-schizophrenia-could-you-make-a-list-of-20-possible-negative-and-20-possible-positive-effects-and-then-to-describe-whe","status":"publish","type":"post","link":"https:\/\/baarda.ch\/?p=1036","title":{"rendered":"Reint Jelger: Gem, I find it very confusing the negative and positive effects of Schizophrenia could you make a list of 20 possible negative and 20 possible positive effects – and then to describe when a Schizophrenic person feels better or worse we need to use Up and Down effects. Could you make also a list of 20 UP and 20 Down effects."},"content":{"rendered":"\n

Google Gemini: To describe how a person actually feels or functions from day to day, clinicians look at «Up» periods (wellness, recovery, heightened mood\/clarity) and «Down» periods (relapse, depression, or severe symptom flare-ups).<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

«UP» Effects (20 Indicators of Wellness, Stability, and Good Days)<\/strong> These occur when symptoms are managed, cognitive clarity improves, and overall quality of life rises.<\/p>\n\n\n\n

    \n
  1. Clear cognitive focus:<\/strong> Ability to read, watch a full movie, or complete a book without disruption.<\/li>\n\n\n\n
  2. Strong reality testing:<\/strong> Recognizing an intrusive thought or voice as a symptom rather than reality.<\/li>\n\n\n\n
  3. Restorative sleep cycles:<\/strong> Falling asleep easily and waking refreshed on a consistent schedule.<\/li>\n\n\n\n
  4. Enhanced emotional warmth:<\/strong> Feeling genuine connection, empathy, and joy around loved ones.<\/li>\n\n\n\n
  5. High medication adherence:<\/strong> Consistently taking prescribed treatment without anxiety or resistance.<\/li>\n\n\n\n
  6. Active daily living (ADLs):<\/strong> Managing personal hygiene, meal preparation, and living spaces independently.<\/li>\n\n\n\n
  7. Social re-engagement:<\/strong> Proactively reaching out to friends or attending community activities.<\/li>\n\n\n\n
  8. Artistic or creative expression:<\/strong> Channeling imagination into writing, art, music, or crafting.<\/li>\n\n\n\n
  9. Consistent employment \/ volunteering:<\/strong> Successfully carrying out structured tasks or duties.<\/li>\n\n\n\n
  10. Sense of personal safety:<\/strong> Feeling relaxed, secure, and free from paranoid apprehension.<\/li>\n\n\n\n
  11. Effective coping strategy use:<\/strong> Applying grounding techniques when stress levels elevate.<\/li>\n\n\n\n
  12. Stable mood baseline:<\/strong> Experiencing steady emotional balance without sudden spikes or drops.<\/li>\n\n\n\n
  13. Open communication:<\/strong> Freely discussing internal experiences or needs with healthcare providers.<\/li>\n\n\n\n
  14. Physical energy levels:<\/strong> Feeling physically capable of exercising, walking, or running errands.<\/li>\n\n\n\n
  15. Improved working memory:<\/strong> Easily recalling recent conversations, names, and daily plans.<\/li>\n\n\n\n
  16. Appetite normalization:<\/strong> Enjoying regular, balanced meals with consistent hunger cues.<\/li>\n\n\n\n
  17. Future-oriented planning:<\/strong> Setting short-term and long-term goals for personal development.<\/li>\n\n\n\n
  18. Humor and laughter:<\/strong> Responding naturally to jokes, lighthearted situations, or comedy.<\/li>\n\n\n\n
  19. Financial self-management:<\/strong> Tracking personal spending, budgeting, and paying bills on time.<\/li>\n\n\n\n
  20. Resilience to stress:<\/strong> Handling minor daily setbacks without triggering symptom flare-ups.<\/li>\n<\/ol>\n\n\n\n

    «DOWN» Effects (20 Indicators of Flare-ups, Relapse, or Decline)<\/strong> These signify a worsening of the condition, increased distress, or severe functional struggle.<\/p>\n\n\n\n

      \n
    1. Acute psychotic episode:<\/strong> Total disruption of reality perception requiring crisis intervention.<\/li>\n\n\n\n
    2. Severe paranoia:<\/strong> Overwhelming fear that prevents leaving home or trusting caregivers.<\/li>\n\n\n\n
    3. Insomnia \/ Sleep deprivation:<\/strong> Days of minimal sleep, which directly exacerbates hallucinations.<\/li>\n\n\n\n
    4. Extreme social isolation:<\/strong> Completely shutting off communication with all external contacts.<\/li>\n\n\n\n
    5. Severe cognitive fragmentation:<\/strong> Complete inability to organize thoughts into basic sentences.<\/li>\n\n\n\n
    6. Medication non-compliance:<\/strong> Stopping prescribed treatments, often due to lack of insight.<\/li>\n\n\n\n
    7. Profound depressive states:<\/strong> Deep sadness, hopelessness, and intense feelings of worthlessness.<\/li>\n\n\n\n
    8. Panic and severe anxiety:<\/strong> Persistent bodily panic triggered by frightening voices or visions.<\/li>\n\n\n\n
    9. Catatonic stupor:<\/strong> Becoming completely unresponsive, immobile, and silent for extended periods.<\/li>\n\n\n\n
    10. Severe self-neglect:<\/strong> Refusing food, water, or basic sanitary care due to symptom severity.<\/li>\n\n\n\n
    11. Sensory overload:<\/strong> Inability to tolerate basic room lighting, television, or household sounds.<\/li>\n\n\n\n
    12. Aggressive or defensive outbursts:<\/strong> Physical or vocal reactivity driven by intense fear or delusions.<\/li>\n\n\n\n
    13. Substance use relapse:<\/strong> Turning to drugs or alcohol to self-medicate distressing voices or thoughts.<\/li>\n\n\n\n
    14. Cognitive breakdown:<\/strong> Forgetting basic skills like using household appliances or managing money.<\/li>\n\n\n\n
    15. Depersonalization:<\/strong> Feeling entirely detached from one’s physical body or identity.<\/li>\n\n\n\n
    16. Derealization:<\/strong> Perceiving the surrounding world as fake, artificial, or dreamlike.<\/li>\n\n\n\n
    17. Frequent emergency admissions:<\/strong> Requiring hospital stays or crisis center stabilization.<\/li>\n\n\n\n
    18. Complete loss of insight:<\/strong> Denying the existence of symptoms and rejecting medical care.<\/li>\n\n\n\n
    19. Agitated pacing:<\/strong> Walking incessantly for hours in deep distress without rest.<\/li>\n\n\n\n
    20. Suicidal ideation:<\/strong> Overwhelming desire to escape distressing internal voices or persecutory thoughts.<\/li>\n<\/ol>\n\n\n\n

      <\/p>\n\n\n\n

      Clinical Positive Symptoms (20 Added Experiences)<\/strong> These represent added perceptions, altered thoughts, or heightened internal behaviors.<\/p>\n\n\n\n

        \n
      1. Auditory hallucinations:<\/strong> Hearing voices, sounds, or music that others cannot hear.<\/li>\n\n\n\n
      2. Visual hallucinations:<\/strong> Seeing shapes, figures, light flashes, or people not present.<\/li>\n\n\n\n
      3. Tactile hallucinations:<\/strong> Feeling sensations on the skin (tingling, burning, bugs crawling).<\/li>\n\n\n\n
      4. Olfactory hallucinations:<\/strong> Smelling distinct odors with no physical source.<\/li>\n\n\n\n
      5. Gustatory hallucinations:<\/strong> Experiencing unusual or metallic tastes without eating.<\/li>\n\n\n\n
      6. Persecutory delusions:<\/strong> Believing individuals, groups, or organizations are targeting them.<\/li>\n\n\n\n
      7. Grandiosities \/ Grandiose delusions:<\/strong> Believing one possesses special powers, fame, or secret knowledge.<\/li>\n\n\n\n
      8. Referential delusions:<\/strong> Believing environmental cues (TV broadcasts, billboards) carry hidden personal messages.<\/li>\n\n\n\n
      9. Somatic delusions:<\/strong> Believing internal organs are altered, diseased, or missing without physical cause.<\/li>\n\n\n\n
      10. Thought insertion:<\/strong> Feeling that external thoughts are being forced into one’s mind.<\/li>\n\n\n\n
      11. Thought withdrawal:<\/strong> Believing an outside force is removing thoughts from one’s memory.<\/li>\n\n\n\n
      12. Thought broadcasting:<\/strong> Believing private thoughts are audible or visible to surrounding people.<\/li>\n\n\n\n
      13. Delusions of control:<\/strong> Feeling that body movements or impulses are driven by external forces.<\/li>\n\n\n\n
      14. Disorganized speech (Loose associations):<\/strong> Rapidly shifting between unrelated topics in conversation.<\/li>\n\n\n\n
      15. Word salad:<\/strong> Incoherent stringing together of words that lack grammatical connection.<\/li>\n\n\n\n
      16. Neologisms:<\/strong> Coining entirely new words or phrases that hold meaning only for the individual.<\/li>\n\n\n\n
      17. Catatonic agitation:<\/strong> Unprovoked, purposeless, hyperactive physical movement.<\/li>\n\n\n\n
      18. Echopraxia:<\/strong> Involuntarily mimicking another person’s body movements.<\/li>\n\n\n\n
      19. Echolalia:<\/strong> Repeating spoken words or phrases of surrounding people.<\/li>\n\n\n\n
      20. Hyper-reactivity \/ Agitation:<\/strong> Heightened, extreme emotional sensitivity to sensory environment.<\/li>\n<\/ol>\n\n\n\n

        Clinical Negative Symptoms (20 Missing Capabilities)<\/strong> These represent functional deficits\u2014normal behaviors or emotional responses that have diminished or vanished.<\/p>\n\n\n\n

          \n
        1. Flat affect:<\/strong> Facial expressions remain rigid, unmoving, and emotionally neutral.<\/li>\n\n\n\n
        2. Monotone voice (Aprosody):<\/strong> Absence of vocal inflection, rhythm, or tone variation.<\/li>\n\n\n\n
        3. Avolition:<\/strong> Complete loss of motivation to initiate or complete goal-directed tasks.<\/li>\n\n\n\n
        4. Anhedonia:<\/strong> Inability to experience pleasure from previously enjoyed activities or hobbies.<\/li>\n\n\n\n
        5. Asociality:<\/strong> Withdrawal from social interactions and lack of desire to build relationships.<\/li>\n\n\n\n
        6. Alogia (Poverty of speech):<\/strong> Producing brief, minimal, or empty responses in conversation.<\/li>\n\n\n\n
        7. Poverty of thought content:<\/strong> Speaking with sufficient word volume, but conveying zero clear meaning.<\/li>\n\n\n\n
        8. Lack of eye contact:<\/strong> Avoiding direct eye gaze during interpersonal conversations.<\/li>\n\n\n\n
        9. Decreased physical spontaneity:<\/strong> Sitting stationary for extended hours without intentional movement.<\/li>\n\n\n\n
        10. Impaired personal hygiene:<\/strong> Neglecting bathing, hair care, grooming, and clothing changes.<\/li>\n\n\n\n
        11. Loss of goal-directed activity:<\/strong> Inability to maintain routines, appointments, or work tasks.<\/li>\n\n\n\n
        12. Emotional blunting:<\/strong> Decreased intensity of felt emotions across both sadness and joy.<\/li>\n\n\n\n
        13. Apathy:<\/strong> Complete indifference to surrounding events, outcomes, or personal news.<\/li>\n\n\n\n
        14. Cognitive slowing:<\/strong> Delayed processing speed when responding to simple questions.<\/li>\n\n\n\n
        15. Executive dysfunction:<\/strong> Inability to plan, organize, prioritize, or sequence daily tasks.<\/li>\n\n\n\n
        16. Attentional impairment:<\/strong> Inability to focus or sustain concentration on a single activity.<\/li>\n\n\n\n
        17. Loss of libido:<\/strong> Substantial reduction or absence of sexual interest and drive.<\/li>\n\n\n\n
        18. Reduced spatial orientation:<\/strong> Difficulty navigating familiar physical routes or places.<\/li>\n\n\n\n
        19. Lack of insight (Anosognosia):<\/strong> Inability to recognize that one has a medical condition.<\/li>\n\n\n\n
        20. Emotional detachment:<\/strong> Feeling disconnected from friends, family members, or caregivers.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          Google Gemini: To describe how a person actually feels or functions from day to day, clinicians look at «Up» periods (wellness, recovery, heightened mood\/clarity) and «Down» periods (relapse, depression, or severe symptom flare-ups). «UP» Effects (20 Indicators of Wellness, Stability, … Weiterlesen →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1036","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/baarda.ch\/index.php?rest_route=\/wp\/v2\/posts\/1036","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/baarda.ch\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/baarda.ch\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/baarda.ch\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/baarda.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1036"}],"version-history":[{"count":2,"href":"https:\/\/baarda.ch\/index.php?rest_route=\/wp\/v2\/posts\/1036\/revisions"}],"predecessor-version":[{"id":1039,"href":"https:\/\/baarda.ch\/index.php?rest_route=\/wp\/v2\/posts\/1036\/revisions\/1039"}],"wp:attachment":[{"href":"https:\/\/baarda.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1036"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/baarda.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1036"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/baarda.ch\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}