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I firmly belief in a solid two-way causality—for those who have a vulnerability for BP.
Same for unipolar depression, SZA, SZ and ASD vulnerability, but with a gradient from "pure" intelligence to "pure" wisdom for the psychotic spectrum, with mild BP being most purely intelligent and severe SZ most purely wise. At the edge of the spectrum there is clearly much intelligence.
A similar gradient may exist for the autism spectrum, but maybe from intelligence to unintelligence (severe autism often being co-morbid with ID, but it may just be an inability to give expression to either intelligence or wisdom).
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Mania kills cells. Brain cells die. Memories become more reduced conceptually, making more efficient use of limited means. Memories shape our reality. Our memories are more or less split in two by abstractions, conceptual reductions. Mood states with memories, concepts, attached. Memories of pain and those of joy. It causes instability, changeability. Fearing that will leave an emptiness between pain and joy and a greater divide.
See Me, Feel Me, Touch Me, Heal Me.
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