Originally Posted by Persephone The Dread
Oh like Casadastraphobia? My brother mentioned he used to know someone with that phobia.
Yeah. I've been doing more research
and this is all starting to make sense now.
Casasdastraphobia is, by its nature, a fantasy phobia, or a phobia for which the probability of the event described in the fear happening is zero, or near zero. This means that there is some amount of fantastical thinking involved in the precipitation of this phobia, which points to possible psychosis, as might be observed in schizotypal or schizophrenic thinking (or in bipolar disorder with psychotic features.)
^ the one thing they left off that list is: OCD with Poor Insight or Psychotic Features
According to the DSM-V, a person with OCD may be characterized as having “good insight,” “fair insight,” “poor insight,” or “absent insight/delusional thoughts.” Previous DSMs required that the individual have an “awareness” that their intrusive thoughts, images, fears and ritualistic behaviors (compulsions) are unfounded, possibly unnecessary, and irrational to be diagnosed with OCD.
The latest version of the DSM, the DSM-V, however, states that the individual can have “absent insight/delusional thoughts ” or psychotic features” and still be diagnosed with OCD. The previous criteria that stated that the individual must, at some point, recognize that his or her obsessions and compulsions are “extreme” or “unwarranted” to be diagnosed with OCD was removed from the DSM-V.
Keep in mind, however, that the degree of insight that people with OCD have fluctuates or varies, depending on the situation. For instance, at first Dan had “OCD with good insight.” He was “aware” that his obsessions and compulsions were unrealistic and highly unlikely to actually occur.
However, by the time Dan met with the psychiatrist, his OCD symptoms had worsened, causing him to have “OCD with poor insight or psychotic features.” That is why the psychiatrist originally diagnosed Dan with OCD and borderline psychosis. Later, the psychiatrist realized that Dan had “OCD with poor insight or psychotic features.”
So, as you can see, the degree of insight a person with OCD has can change. For instance, Mark, logically discussed a specific obsession (like making sure everything is neat and orderly) and compulsion (like his incessant need to constantly organize things) with his doctor.
During the session, he even acknowledged that his thoughts were not logical and his actions were unnecessary. However, 30-minutes later, he reverted back to illogical, irrational, and delusion thinking patterns. Once Mark got home, he was exposed to a “trigger.” A knife that is out of place in the drawer. The missing knife caused him to panic.
He truly believed that his wife, Belle, hid the knife and was planning to stab him to death once he fell asleep. So, Mark forced himself to stay awake because, in his mind, if he fell asleep his wife would kill him. This is “OCD with poor insight or psychotic features.”
Re the BIB: Most of the time, I know my thoughts are irrational, but I often reach a point where I'm no longer sure if they are. I don't think I've ever gotten to the point Dan gets, where he believes that his wife is going to kill him. A point I have often got to, though, is not knowing
if my gf is going to kill me. I would often lie awake in bed afraid to go to sleep because I was afraid my ex was going to kill me in my sleep. I didn't believe that she had a plan to murder me (which would be a delusion); it was that I didn't know if she would. (I also push a little table in front of my bedroom door when I sleep. Not because I think my brother is going to come into my room, but because I don't know that he won't.)
I always get to a point of doubt and then stop. I don't believe that aliens are coming to abduct me (a delusion), but I do get to a point where I'm convinced that if I think about aliens they will take notice of me, so I try not to think about aliens. At one point "aliens don't exist" and then at another point "well, maybe aliens do exist and I've just never met one because I haven't thought about them enough". Which I guess is also a delusion now that I'm saying it, but it's a different kind of delusion. It's a delusion about the nature of reality itself (or something) as opposed to a belief that I'm currently being abducted. Other examples are like when I take out the garbage I'm afraid that I'll be attacked by a bear, even though I've literally never seen a bear anywhere but in a zoo. I've stopped walking anywhere at night because I'm so afraid of running into a bear. But I know the odds of running into one must be close to nil. Phobias and OCD are really sort of indistinguishable at a lot of points for me.
This one's old
Although most patients are certain that their obsessions are senseless (N 18 ), some have a partial belief in the obsession (N=4). When asked what would happen (disease, death, etc.) if a ritual was not performed, many of the 18 who had expressed “insight” into the absurdity of the obsessive idea were less than certain about the unlikelihood of dire consequences. This difference illustrates the gap between intellectual and emotional insight. In addition, resistance to the obsessional idea or urge varied across the range of the scale from never present to always present, with the greatest number of subjects falling in the “sometimes” category (N=6). In fact, resistance varied considerably within certain patients, often increasing at work and decreasing with fatigue. The obsessional ideas were noted by our rater to be bizarre in every case. One possible interpretation of these results is that insight and resistance are continuous rather than dichotomous variables. At the severe end of this continuum are patients who intellectually describe their obsessions as senseless but behaviorally appear to embrace rather than resist the obsessional idea.
I can sit here and talk about how my fears are completely irrational and yet when I'm in the grip of them they stop seeming completely irrational.
Yeah that sounds difficult to deal with. I guess your brain just makes you aware of all the possibilities even if it's very unrealistic. I guess there's a fear of losing control and feeling like you have a lot of control as well like you're responsible for other people's actions.
I said I felt like I was "losing control" so many times my therapist devoted a whole session to it.
I always feel like things are out of control and like everything is going to descend into chaos at any second. This is why I like Silent Hill so much. Because I have these shifts from "rational but bleak" to "omg monsters are real" in my own life.
I have a lot of weird auditory processing stuff. I hate the sound of vacuum cleaners.
I can't listen to ASMR. It makes me so tense that I eventually turn into a demon of pure rage. I find it the exact opposite of relaxing.
Mm I'm not sure I guess it's because they're satisfied with the end result somewhat like it's an improvement even if not ideal. So even if they dislike how they look before they feel better later. I actually don't here many people talk about these topics that often though. Most common thing I hear is people crying in the shower/while being naked but not much about when they have clothes on (and also it's mostly trans masc people I hear that from so that might be different.)
Yeah, idk. I just find it hard to relate to other trans people sometimes. I don't think I've ever cried in the shower. I don't cry about that sort of thing. I just get cold and angry. I understand the desire to smash mirrors perfectly.
Yeah that makes sense. I identify with my body somewhat so when other people interpret it I often dislike their conclusions/how they react to it but I want them to basically view it/me differently like the reaction it gets bothers me, but I don't see it as separate mostly. The only time I see it more as a separate person is when I'm topless/naked sometimes if I'm paying attention, because it's very different than with clothes.
I also don't have a clear idea of who I am internally like self image wise. Sometimes I'm someone who's significantly different but it's not impacted the body thing too much. What I think happens more is that I become what I've internalised about my body around others, which I also dislike (although it doesn't always happen since some people can see through that or around it,) but that's part of why I prefer being alone.
I have a pretty clear/consistent self-representation. To the point where I have often tried to Google whoever it must be that I've cloned. I feel like I must have seen this person somewhere. Otoh, it's been aging right along with me, so idk. But I know the mind is tricksy so that's not beyond its powers.
See the complete freak out to Harry Styles simply wearing a dress
The freak-out over Harry Styles is absurd. Good grief.