Hans
As I said, we differ about terms. I would avoid a homonym for medical jargon when it could be mistaken for the medical term.
Then feel free to avoid it. I'm using the medical definition. E.g., see here,
http://www.medterms.com/script/main/art.asp?articlekey=26290
Or for that matter:
http://emedicine.medscape.com/article/292991-overview
http://www.mdguidelines.com/delusional-disorder/definition
That's a foreseeable hazard in a discussion like this one, whose title asks about whether exercising a skill is reliably a symptom of mental illness, Crazy...?
Well, that's another "sorry, nope" case. You jumped into a conversation that pretty much had nothing to do with the thread title -- yes, it was a derail, I confess -- and tried to shoehorn it into something that would have to do with WTH you want to talk about, without rhyme, reason, or apparently even deciding exactly which mold you're trying to shoehorn it into.
Sorry, but sometimes I talk about other things than whatever you think I should be talking about. Even worse, I will continue to. If you want to pretend it's about something else, it's your building a strawman, not my problem.
I don't really care much about whether you want it to be about "
whether exercising a skill is reliably a symptom of mental illness, Crazy". I was explicitly drawing the line between just exercising a skill and actually having a symptom. In fact it's exactly that pretense that the two are equivalent that I've been having a problem with for the last couple of messages. Plus, the original message you pounced on had nothing to do with people just learning to hear voices in their head anyway. But ok, let's skip that.
I can learn to cough very convincingly and exercise that skill, but that doesn't make me equivalent to someone with an actual respiratory infection. I can learn to spew profanities at random times, but that doesn't make me equivalent to someone who actually has Tourette's. Etc.
The idea that someone's basically learning to produce a symptom on demand makes it cease to be a symptom across the board is patently absurd.
Plus, again, see the medical definition linked above. Or any other medical definition you wish. The key ingredient is actually holding a belief. Just exercising a skill is not it. The very notion that you can talk about someone
NOT fitting the definition as a way to refute the symptom is bogus.
Or do you have your own special definition of crazy, too, something non-medical?
You mean do you have any other mis-understandings you wish to ascribe to me? I'm sure it makes your case so much easier if you can just postulate BS about what I mean instead of making your own case
Yes, that clears it right up that you didn't mean the medical term.
Nope, it just shows you have no idea what you're talking about, if you think all delusions are pathological.
That evidence exists tells me nothing about the mental condition of someone who doesn't know about that evidence. Some part of Professor Luhrmann's no doubt impressive paycheck can be attributed to there being a lot of people who don't know as much about this as she does. It is implausible that all such people are epileptics, schizophrenics and drug abusers.
Even without being a professor, someone would have to have lived under a rock to still somehow miss the fact that there are more people having hallucinations than actual messages from God. In fact, if anything, the very presence of the popular perception that, basically 'hearing voices=crazy' is enough to give one reasonable doubt that just in their case actual divine messages are the best explanation for hearing voices.
Sure, actually knowing that one can produce those hallucinations would add more evidence against their being real messages from God, which is what I was saying. But it's not like that's the only data that makes it unreasonable to conclude that hearing stuff means divine intervention.
Plus, I don't think having access to academic-level information was ever a condition in diagnosing any other delusion. One doesn't have to have a Ph.D. in cellular biology to be diagnosed with Cotard delusion if they think they're the walking dead, for example. It suffices that such a belief has no rational reason to be held, and is against any common sense.
And one doesn't need an academic study in why it's impossible for their wife to be replaced with an identical copy, to be diagnosed with Capgras delusion. Indeed it would be impossible to prove it impossible. Their wife could have an unknown twin, or could theoretically have swapped places with her double from another universe, or could actually be an impostor who had plastic surgery, or whatever. But as long as there is no rational basis to assume that such a swap actually happened, or that they'd actually be able to detect something which actually is an identical copy in all aspects, it's a delusion anyway.
I suppose you didn't intend those as medical terms, either.
Actually, I did.
I don't know anything in the Luhrmann research that fails to distinguish role-playing (which is featured in experiments that did pass human subject review) from people who believe that they are actually "being/doing" something or are uncertain about whether or not they are (who might be encountered in anthropological field work, where fewer investigator ethics concerns arise).
Well, that's just as well, since it's not the good professor who makes a hash of it in this thread
As it happens, however, vicarious practice is effective in acquiring this skill, probably because it so closely resembles "actually being/doing." But regardless of why, the effectiveness is a fact, which can be used to investigate the phenomenon experimentally,
I'm sure one could also train people to cough on demand and study that. It still wouldn't be an investigation of actual respiratory infections, nor deny its status of a symptom in such infections.
even though it would be unethical to do so in a situation where a subject was persuaded that they were "actually being/doing" almost the same thing, with the same results.
Probably, but I don't think you could persuade someone to actually believe they're paranoid schizophrenic, for example. One key thing there is that those with actual schizophrenia think they aren't. A major problem for example is that people don't take their medicine precisely because "they're not crazy", or because the medicine makes those voices that made them feel special go away.
But be that as it may, then you're still just studying how a symptom can be faked, not the actual cases when it's an actual symptom. It may be for ethical reasons, and it may still be praise-worthy that people stop short of crossing such ethical boundaries, but then basically they're still just studying someone taught to fake a symptom, not someone actually having it.
If anything, you are simply emphasizing what the difference so often actually is: the information available to the person about the nature of what they are "being/doing." Missing information and dissembled or otherwise false information will reliably lead rational people to mistaken conclusions.
I'd say that it remains to be proven whether that's what makes the difference, or rather, how much of the cases it accounts for.
It still seems to me like a patient's lack of an academic degree doesn't prevent them from being diagnosed with other delusions. The fact that someone doesn't have the knowledge to know why it's absurd to assume that billboards and TV news anchors are sending secret messages to/about them, doesn't prevent us from diagnosing people with delusions of reference.
Then it seems incorrectly. My case is that rational people resolve uncertainties according to the information available to them, something over which one individual may have less control than another. It follows that healthy rational people will sometimes draw conclusions that disagree with a healthy someone else's equally rationally held personal opinions.
That's a bit of a truism. It still doesn't say exactly why can you jump in a talk about people thinking God talks to them, and think that someone else's faking the symptom adds anything relevant.
Even granting that, yes, sane people do reach different conclusions from different data, it doesn't mean I'm going to think my pal Jake is anything but delusional when he thinks the world's led by a cabal of people so rich that they somehow slid upwards off the top X richest people lists, and they're onto him specifically. In fact, he's not going to a psychiatrist because he thinks the psychiatrists want to kill him. (True case, sadly.) One would first have to show how that would follow from any sane kind of data or reasoning, before we can just shrug and file it under different people reaching different conclusions.
Same here. One would have to first show how the heck does it count as anything else but delusional, if one thinks he's genuinely hearing God talking to him, even under the most common cultural stereotypes and baseline knowledge. THEN we can file it under different people reaching different conclusions.
No, it's mistaking it for the real thing when you have enough accurate and relevant information, and the computation cost of using the information is low enough compared to the cost of making a classification mistake, that makes a mistake a candidate for being delusional.
We could split hairs about that, but it still wouldn't change the fact that someone who doesn't hold the false belief doesn't qualify for the delusion either. Moving the bar higher for who qualifies for it, doesn't change the fact that at the other end, someone who doesn't have the false belief isn't qualifying anyway. Basically it's like splitting hairs about whether someone qualifies as a midget at 3 ft tall or 4 ft tall, while what was actually being said is that someone 6 ft tall isn't a midget. It's a red herring at best, for what I was actually saying.