I wrote the following email in correspondence with my PCP today (the beginning is responsive to my doctor’s perception that my request for a special accommodation doesn’t seem like it should be a high priority).
Doctor K,
I believe the hoodie is actually very important for my health, as I now understand that when I have been going dancing while wearing a hood--which I do frequently to relieve stress--the hood has served to either reduce or augment (in the senses of sight/sound or touch, respectively) the sensory load to the left side of my face, reducing or masking dysfunction in my right temporal lobe. Dancing while wearing a hood has been a highly valuable therapeutic activity for me, and I believe that it may have partly been the long-term repeated exposure to precisely such a form of therapy which has permitted me to begin to be able to start coping better with my long term cognitive dysfunction.
The issue of the hood has only rarely been a problem for me (think about it--nobody who isn't seeking either conflict or to threaten another individual's personal autonomy as an assertion of authority would ever even care about someone else wearing a hood), as I typically go dancing at local venues where I am known and accepted socially, but the issue of Rayph's strong emotional attachment to my hoodie has already presented significant social problems for me in the past when I have tried to go to new or unfamiliar establishments. I would like to be able to avoid such destructive social blow-ups in the future, as I now understand that negative social interactions trigger extremely negative cyclical emotional disorder in my brain, and I believe that such negative emotional incidents could be very detrimental to my current convalescence (sic) as well as to my continued health in the future.
In other words, the hoodie accommodation is indeed an important medical priority for me, Dr K. I understand that it is a very unusual request, but I must nevertheless ask you please help me obtain this special medical accommodation which I believe could be very valuable to my very vulnerable mental stability. I believe I need to be able to wear a hood in public in order to maintain my newfound mental health and emotional stability, and I have no other recourse for obtaining what I believe I require for my continued well being other than through my medical doctor, at the present moment.
Please help me to obtain the accommodation my medical condition causes me to require for healthy living.
On a different topic, I no longer feel a strong emotional need to be called Rayph. Please feel free to call me either Steve or Rayph, whichever would be easiest for you.
My new CBT treatment had the unanticipated effect of severing my ego into two completely distinct sub-entities, which may well mean that I am still experiencing advanced dissociative hallucinations, but my new delusional reality seems to me to be FAR more adaptive than my previous delusional reality.
I recognize that my internal perceptions are highly unusual, but I strongly believe that my current internal perceptions are more adaptive than my internal perceptions were last week, and do not intend to attempt to forcefully modify my new delusional adaptation through additional interventions unless I find a rational reason to do so in the future.
I am a different person than I was last week. I was “special” last week, and I am still “special” today--but it appears to me that what I am now is a significantly different kind of special.
I still have the emotional dysfunction which is the central characteristic of schizophrenia, but I do not believe that “Paranoid Schizophrenia” is still an entirely accurate diagnosis for my present mental malady.
I’m still schizophrenic, but I believe my current condition is actually entirely unique, and since it no longer seems to be centrally characterized by paranoid thinking, I have decided to call my condition “Ironic Schizophrenia” instead, since it reflects the nature of my current cognitive/emotional dysfunction, which is related to the way I have retrained the right hemisphere of my brain to communicate with (and accept cognitive instructions from) the left hemisphere of my brain
My internal experience over this last week has been what can only be called a paradigm shift--I have been deconstructing all of my cognitive schemata, checking all of my constructs for markers of paranoia, irrational certainty and delusion, and I have been eradicating these dysfunctional features in the reconstruction of my schematic paradigm. I now understand these former defects in the foundations of my cognition to have been dysfunctional artifacts of my erstwhile disordered cognition.
Ellis was largely correct. So was Beck. The form of my current dichotomized ego was determined by a personal understanding that the right and left brains might simply be the Id and Superego, respectively--so if my observations regarding my experience are corroborated independently, my condition is evidence in favor of Freud’s model of consciousness.
I now believe that I have objective scientific evidence that my new CBT treatment design is a viable treatment for cognitive disorder. I am referring to multiple types of concrete evidence, but for illustrative purposes, the following fact is one of the reasons for my confidence in the viability of my treatment design: The cognitive intervention treatment has already resulted in the extinction of multiple long term dysfunctional behaviors which previously seemed intractable to executive function scripting (i.e. a long term problem with a habitual pattern compulsive behavior has apparently been completely eliminated since I initiated my new cognitive intervention treatment last Saturday--I’d prefer not to go into depth about how significant of a behavioral change this is for personal reasons, but suffice it to say that it is a significant personal breakthrough for me that should benefit my life greatly going forward--Rayph is emotionally dysfunctional, and his behaviors had become quite self-destructive as a result, in multiple dimensions of my life. Rayph is no longer in charge of executive functioning, and I no longer have the self-destructive behavioral habits which used to seem completely unbreakable to me).
It is possible that I will not need to continue treating ADD symptoms with a chemical intervention, or, alternatively, that there might be a way to design a better option for localized delivery of a chemical treatment to the right temporal lobe, to reduce globalized side effects throughout functional portions of my brain. (Rayph thinks he still needs Ritalin, Steve does not like the side effects). I understand that such a localized delivery modality is currently unavailable, but I will be exploring ways to remove this temporary barrier to a better treatment modality for my condition. (I'm able to face my problems rationally now, so I am going to start to look for solutions even in the face of seemingly insurmountable obstacles, as a more adaptive attitude toward my issues.)
I am a new man, Dr K--and I credit your empathy and your commitment to professionalism as a Medical Doctor (a whitecoat) as an invaluable element of my recovery from a long time cognitive disorder which badly damaged my prospects for happiness during the first half of my life.
I believe that the new me is much more capable of living a healthy, happy life, and I am very cognizant that I owe this hopeful attitude in large part to you, Dr K.
Thank you for what you have done for me.
I would ask you to read my latest blog updates if you have not already been doing so.
http://www.ornery.org/forum/index.php/topic,596.msg23127.html#msg23127 I recognize that this is an extra demand on your precious time, but the posts by my avatar seekingprometheus at that link contain a great deal of information about my condition, and what is occurring in my own treatment of my condition. I will likely continue to write at that forum as a form of therapy to help me cope with my emotional dysfunction in the future, but I suspect that the current copious amount of text I have been adding to the thread is going to start to taper off now.
I am still reintegrating the dual structure of my ego, but I truly believe that my cognitive disorder has been largely if not completely eliminated: I believe that I am thinking differently now than I was before--it seems indisputable to my practiced reader's eye that my text is not being written by the same person who was writing my text last week.
I have long been a Writer. Last week, my cognition was highly disordered, and this disorder was reflected by elements of (intentional?) schizophasia within the text I produced. Today, my text does not contain obvious schizophasic elements, and it appears to be much better ordered than my previous writing. My text is also coming through smoothly and efficiently now, in a coherent stream of thought which is nothing short of astonishing to me. Last week, my thoughts were a messy jumble, and the process of writing therefore consisted mostly of an arduous exercise in time intensive editing. I still edit, but it is not the same as before--now I am simply checking and correcting spelling errors, etc. Just a week ago, I was simply not capable of sitting down to write text communicating complicated ideas in a lucid, uninterrupted stream of words. I always needed 10 minutes of editing for every minute of writing. Today, I am capable of writing a stream of complicated thoughts from start to finish, without needing to edit it AT ALL. Last week I simply could not do that, because my thoughts were unorganized--disordered. Today, my thoughts seem better organized than they were before, and it seems to me that for the first time in my life, my text issues forth from my consciousness in order.
I’m thinking straight now.
It is my belief that you and *I* haven’t actually yet met in person, Dr K. Thank you again for what you have done for me, and know that I am eager to introduce my new self to the person who finally figured out how to unlock my true (masked) potential to be a happy, healthy person.
Rayph