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Pan-Maturing Process may be a universal peculiar process that happens to human being at different age groups, cultural backgrounds, geographical locations and social environments. It will stimulate the mentality of individual to a higher level of mentality maturing. Maturing in the sense individual will fully synchronize to the environment and believe the cause of this synchronization is due to spiritual. This article attempts to explain this peculiar phenomenon from the perspective of science.

Relationship and differentiation between Pan Maturing Process and ICD-10 Classification of Mental and Behavioural Disorders

At this moment we still need to prove whether the Pan Maturing Process is existing, survey still need to be done and detail analysis is needed; therefore to have a definite or conclusive description on the relationship between the mental disorders classification in ICD/DSM and Pan Maturing Sequences will be too early.

However, base on the above sections, we roughly able to project the outline of this relationship: the relationship between the Pan Maturing sequences and ICD/DSM is rather simple, while the mental disorders classification in ICD and DSM are more on causes and symptoms, where as Pan Maturing sequences are acting as the linkages between the causes and symptoms.

The following diagram reflects the simple relationship of these three factors:

As we have discussed in the section of Possible Causes, the Inertia Survive may be the key link in this Relationship and Differentiation discussion.

The following diagram showed these relationships:

The above diagram seems simple and repeats the diagram in the section of Possible Causes; only the symptoms add to the diagram.

Although this diagram may express the simplest form of relationship, further detail of the relationship can be shown as follows:

Let us first start with the mental disorder classifications in ICD-10 Chapter V (source from Wikipedia):

1 F00-F99 - Mental and behavioural disorders
1.1 (F00-F09) Organic, including symptomatic, mental disorders
1.2 (F10-F19) Mental and behavioural disorders due to psychoactive substance use
1.3 (F20-F29) Schizophrenia, schizotypal and delusional disorders
1.4 (F30-F39) Mood (affective) disorders
1.5 (F40-F48) Neurotic, stress-related and somatoform disorders
1.6 (F50-F59) Behavioural syndromes associated with physiological disturbances and physical factors
1.7 (F60-F69) Disorders of adult personality and behaviour
1.8 (F70-F79) Mental retardation
1.9 (F80-F89) Disorders of psychological development
1.10 (F90-F98) Behavioural and emotional disorders with onset usually occurring in childhood and adolescence
1.11 (F99) Unspecified mental disorder

It will take tremendous work to cover all the classifications; we therefore make it simple by taken only one set of classifications from ICD 10 to demonstrate the relationship:

Let say; the (F20-F29) Schizophrenia, schizotypal and delusional disorders:

(F20.) Schizophrenia

(F20.0) Paranoid schizophrenia
(F20.1) Hebephrenic schizophrenia
(F20.2) Catatonic schizophrenia
(F20.3) Undifferentiated schizophrenia
(F20.4) Post-schizophrenic depression
(F20.5) Residual schizophrenia
(F20.6) Simple schizophrenia
(F20.8) Other schizophrenia
Cenesthopathic schizophrenia
Schizophreniform disorder NOS
Schizophreniform psychosis NOS
(F20.9) Schizophrenia, unspecified

(F21.) Schizotypal disorder

(F22.) Persistent delusional disorders
(F22.0) Delusional disorder
(F22.8) Other persistent delusional disorders
Delusional dysmorphophobia
Involutional paranoid state
Paranoia querulans
(F22.9) Persistent delusional disorder, unspecified

(F23.) Acute and transient psychotic disorders

(F23.0) Acute polymorphic psychotic disorder without symptoms of schizophrenia
(F23.1) Acute polymorphic psychotic disorder with symptoms of schizophrenia
(F23.2) Acute schizophrenia-like psychotic disorder
(F23.3) Other acute predominantly delusional psychotic disorders
(F23.8) Other acute and transient psychotic disorders
(F23.9) Acute and transient psychotic disorder, unspecified

(F24.) Induced delusional disorder
Folie à deux
Induced paranoid disorder
Induced psychotic disorder

(F25.) Schizoaffective disorders
(F25.0) Schizoaffective disorder, manic type
(F25.1) Schizoaffective disorder, depressive type
(F25.2) Schizoaffective disorder, mixed type
(F25.8) Other schizoaffective disorders
(F25.9) Schizoaffective disorder, unspecified

(F28.) Other nonorganic psychotic disorders
Chronic hallucinatory psychosis

(F29.) Unspecified nonorganic psychosis

Now, let us put them in the form of diagram; the following diagram indicates each classification of F20-F29 has a set of symptoms:

Let us now shown the missing linkage; the Inertia Survive and Pan Maturing Process as in the following diagram:

Let us narrow down the set of classifications to F20.0- F20.9 Schizophrenia only; now the diagram will be as follow:

Before we go further to the next diagram, let us review the F20.0-F20.9 description:

(F20.0) Paranoid schizophrenia
(F20.1) Hebephrenic schizophrenia
(F20.2) Catatonic schizophrenia
(F20.3) Undifferentiated schizophrenia
(F20.4) Post-schizophrenic depression
(F20.5) Residual schizophrenia
(F20.6) Simple schizophrenia
(F20.8) Other schizophrenia
Cenesthopathic schizophrenia
Schizophreniform disorder NOS
Schizophreniform psychosis NOS
(F20.9) Schizophrenia, unspecified
All the above Schizophrenia descriptions have common set of symptoms and they are slightly different from each other. Let us take a section of description from a book “Pocket Guide to the ICD-10 Classification of Mental and Behavioural Disorders” by John Edward Cooper:
“(F20) Schizophrenia
The Schizophrenic disorders are characterized in general by fundamental and characteristic distortion of thinking and perception, and affects that are inappropriate or blunted. Clear consciousness and intellectual capacity are usually maintained, although certain cognitive deficits may evolve in the course of time. The most important psychopathological phenomena include thought echo; thought insertion or withdrawal; thought broadcasting; delusional perception and delusions of control; influence or passivity; hallucinatory voices commenting on or discussing the patient in the third person; thought disorders and negative symptoms.
The course of schizophrenic disorders can be either continuous or episodic with progressive or stable deficit, or there can be one or more episodes with complete or incomplete remission. The diagnosis of schizophrenia should not be made in the presence of extensive depressive or manic symptoms unless it is clear that schizophrenic symptoms antedate the affective disturbance. Nor should schizophrenic be diagnosed in the presence of overt brain disease or during states of drug intoxication or withdrawal. Similar disorder developing in the presence of epilepsy or other brain disease should be classified under F06.2 and those induced by psychoactic substances under F10-F19, with common fourth characters.
Excludes: schizophrenia:
Acute (undifferentiated) F23.2
Cyclic (F25.2)
Schizophrenic reaction (F23.2)
Schizotypal disorder (F21)”
Base on the above description, in various forms of F20.0 –F20.9 Schizophrenia they have symptoms (syndrome) close related to each other:
“The most important psychopathological phenomena include thought echo; thought insertion or withdrawal; thought broadcasting; delusional perception and delusions of control; influence or passivity; hallucinatory voices commenting on or discussing the patient in the third person; thought disorders and negative symptoms.”
Now, we progress to fix these symptoms (syndrome) to the Pan Maturing Process Sequences model. (Where blue arrows represent a smooth progress to Submissive and other sequences, and red arrow lines represent failure in the Learning sub sequences hence symptoms of clinical disorders emerge).

The above diagram has set the relationship in a clearer order, except the severity is not included in this diagram.
We further progress to narrow down the above diagram to a more specific syndrome; the (F20.0) Paranoid schizophrenia. Now, we go back to take another section of description from the book “Pocket Guide to the ICD-10 Classification of Mental and Behavioural Disorders” by John Edward Cooper:
“ DCR-10
F20.0-F20.3 General criteria for paranoid, hebephrenic, catatonic and undifferentiated schizophrenia.
G1. Either at least one of the syndromes, symptoms and signs listed under (1) below or at least two of the symptoms and signs listed under (2) should be present for most of the time during an episode of psychotic illness lasting for at least 1 month (or at some time during most of the days).
(1) At least one of the following must be present:
(a) thought echo, thought insertion or withdrawal, or thought broadcasting;
(b) delusion of control, influence or passivity, clearly referred to body or limb movements or specific thoughts, actions or sensation; delusional perception;
(c) hallucinatory voices giving a running commentary on the patient’s behaviour, or discussing the patient between themselves, or other types of hallucinatory voices coming from some part of the body;
(d) persistent delusions of other kinds that are culturally inappropriate and completely impossible (e.g. being able to control the weather, or being in communication with aliens from another world).
(2) Or at least two of the following:
(a) persistent hallucinations in any modality, when occurring everyday for at least 1 month, when accompanied by delusions (which may be fleeting or half formed) without clear affective content, or when accompanied by persistent overvalued ideas;
(b) neologisms, breaks or interpolation in the train of thought, resulting in incoherence or irrelevant speech;
(c) catatonic behaviour, such as excitement, posturing or waxy flexibility, negativism, mutism and stupor;
(d) ‘negative’ symptoms, such as marked apathy, paucity of speech and blunting or incongruity of emotional responses (it must be clear that these are not due to depression or neuroleptic medication).
G2. Most commonly used exclusion clauses
(1) If the patient also meets the criteria for manic episode (F30) or depressive episode (F32), the criteria listed under G1(1) and G1(2) above must have been met before the disturbance of mood developed.
(2) The disorder is not attributable to organic brain disease (in the sense of F00-F09) or to alcohol or drug-related intoxication (F1x.0), dependence (F1x.2) or withdrawal (F1x.3 and F1x.4).”
Base on the above description there are 8 sets symptoms divided into 2 groups, each group has 4 sets and it needs at least 3 sets of them in a ratio of 1 set from group1 and 2 sets from group2 to classify as F20.0 Paranoid schizophrenia. Then with counter check for no exclusion symptoms shall present; the above diagram will then become the following two diagrams:




Again, the above two diagrams have set the relationship even more clearer in the specific classification of F20.0 Paranoid schizophrenia, except the dynamic severity scenario is still not included in these diagrams.
Now, we go for another few diagrams with only G1(1) set of symptoms:

“G1(1) At least one of the following must be present:
(a) thought echo, thought insertion or withdrawal, or thought broadcasting;
(b) delusion of control, influence or passivity, clearly referred to body or limb movements or specific thoughts, actions or sensation; delusional perception;
(c) hallucinatory voices giving a running commentary on the patient’s behaviour, or discussing the patient between themselves, or other types of hallucinatory voices coming from some part of the body;
(d) persistent delusions of other kinds that are culturally inappropriate and completely impossible (e.g. being able to control the weather, or being in communication with aliens from another world).”



(Where blue arrows represent a smooth progress to Submissive and other sequences, and red arrow lines represent failure in the Learning sub sequences hence symptoms of clinical disorder emerge.)

Now, let us stop for a while, and go back to our previous diagram in the section of "Sequences, Severity of Clinical Disorders":



The green broken line encircles the stage 3 to stage 7 of the Pan Maturing Process, and this green broken line reflects the analogy of the set of symptoms in diagram 8.

Note: The reading of the diagram 9 should not be confused with the ICD 10 classification, the severity in diagram 9 is mainly for easy reference and sets of symptoms are exclusively designed for Pan Maturing Process. The progressing from stage 1 till stage 7, are not for as well as not according to ICD 10, as I stated at the beginning.

The above diagram 9 will now be modified to the following diagrams to differentiate from ICD 10:





Now, we can see the proper relationship: where the severity in Pan Maturing Process are actually stage 1 to stage 7, and for each stage of severity there are chances for the under processed individual to learn the right basis skills in order to survive into the mature phase of Pan Maturing Process: the Submissive, Justification and Co-existing sequences.

The stages of severity in Pan Maturing Process also have sets of symptoms which are corresponding to the ICD-10 Classification of Mental and Behavioural Disorders.

In the case of F20.0 Paranoid Schizophrenia, the G1 (1) a, b, c and d:

“G1(1) At least one of the following must be present:

(a) thought echo, thought insertion or withdrawal, or thought broadcasting;

(b) delusion of control, influence or passivity, clearly referred to body or limb movements or specific thoughts, actions or sensation; delusional perception;

(c) hallucinatory voices giving a running commentary on the patient’s behaviour, or discussing the patient between themselves, or other types of hallucinatory voices coming from some part of the body;

(d) persistent delusions of other kinds that are culturally inappropriate and completely impossible (e.g. being able to control the weather, or being in communication with aliens from another world).”

Based on the above descriptions G1 (1) set of symptoms match the stage 3, and similarly G1 (2) set of symptoms match stage 5 and stage 6. What a good match!

The symptoms in stages of severity from 1 to 7 for Pan Maturing Process need to be further surveyed, detailed, analyzed and even expand further stages are necessary in order to have a better matching and workable list.

Even at this very moment the data are not perfect, the relationship between Pan Maturing Process and ICD 10 if prove to be exist, there will be a tremendous impact in the ICD-10 Classification of Mental and Behavioural Disorders.

In this outline of relationship and differentiation, the dynamic progress and confusion areas for the development of mental and behavioual clinical disorders can be studied in detailed. The dynamic and the linkages between causes and inertia survive can be studied too, for example in G2 of F20.0:

“G2. Most commonly used exclusion clauses

(1) If the patient also meets the criteria for manic episode (F30) or depressive episode (F32), the criteria listed under G1(1) and G1(2) above must have been met before the disturbance of mood developed.

(2) The disorder is not attributable to organic brain disease (in the sense of F00-F09) or to alcohol or drug-related intoxication (F1x.0), dependence (F1x.2) or withdrawal (F1x.3 and F1x.4).”

The exclusion clause: “depressive episode (F32), the criteria G1 (1) and G1 (2) above must have been met before the disturbance of mood developed”.

If a person at the Inertia Survive trigging state has continuously reacted to the undesired event in a stage of weak physiological responses and has depressive mood only, until the accumulation is strong enough to trigger the process, then this individual will be in another classification F32….., how about if this person never express his depression due to some how in the Muting sub sequence learnt to keep silent…. he will then be classified as F20.0, will this reflect the truth?

Mental and behavioral disorder classifications in ICD-10 Chapter V will then be an unsatisfied classification if Pan Maturing Process proves to be exist yet not being taken into account.

Similarly this can also apply to other G2 exclusion; F30, F00-F09, F1x.0, F1x.2, F1x.0, F1x.3 and F1x.4.

The rest of classifications in ICD-10 of Mental and Behavioural Disorders as well as DSM IV can use the similar methodology to link with the stages of severity in Pan Maturing Process, then look into the problematic and criticized areas. (There may be symptoms not able to be explained by Pan Maturing Process.)

Another aspect of relationship: Ignoring of Pan Maturing Process in Classification

The ignoring of Pan Maturing sequences in the classification of Mental and Behavioural Disorders may due to the nature of segregation in Pan Maturing Process, which has blocked all the facts to be analyzed, yet does this segregation really has such strong influence to the truth?

Let us look into the commonness of segregation; the segregation between non-living things and living things, the segregation between plants and animals, the segregation between marine lives and lives on land, the segregation between different species, the segregation between human races, the segregation between men and women….and so on of endless list….the world surrounds us are full of segregations….we may argue all these segregations just described were in physical forms….yes, they were…now let us pick up two simple segregations that analogy to Pan Maturing Process in physiological form:

1) The segregation between those who knew how to cycle a bicycle and those who do not know how to cycle.

2) The segregation between those who knew how to swim and those who do not know how to swim.

The above two segregations are all involve in a learning process and certain fear and panic have to be overcome until we are able to adjust our whole body physiologically right tune to the condition for cycling and swimming….these two learning processes in the beginning may be easily felt by the beginners yet once they acquired the skills they have no awareness any more…..and it takes shorter time for them to learn these skills.

For Pan Maturing Process the Process may take a longer time and the awareness is traumatized and the memory is long lasting…..

Yet, the learning process and the physiological responses for the Pan Maturing Process may be same as the learning processes and physiological responses of cycling and swimming …. except the pathways for the necessary neurotransmitters to balance or counter the synchronized environment may take place in different pathways and in different areas of the brain; of course, this hypothesis is yet to be proven……

Although the final physiology of the Pan Maturing Process is yet to be proven but the phenomenon of the Pan Maturing Process and its segregation may easily be proven and it may be a simple learning process which is as simple as swimming and cycling, then why shall we so scare of this process and dare not to confess it? Recognize it as a simple learning skill for us to survive during the crisis of the changing environment. If we recognize this process exists then we will have a better understanding of the mental and behavioral disorders as well as better understanding the progress for human civilization (I will discuss this topic in the next section: Pan Maturing Process and Other Topics).

If we are solving a simple math (mental and behavioural disorders) like X + Y = 2, where X= 1, Y= 1, yet because we try to avoid and ignore the Pan Maturing Process then we are only able to get; let say X= 0.5, then we will never able to solve this simple math (mental and behavioural disorders)……why should we so stupid…….