In Schizophrenia Bulletin, an anonymous writer describes becoming convinced that his thoughts and actions were dangerously fused together, and his consequent years of struggling to control his thoughts.
“Thought-action-fusion is the belief that thoughts will directly transcend into actions and is common among patients with psychotic disorders,” writes Anonymous. “During my episodes there were quirks and involuntary movements I was experiencing and disliked that I believed were a direct result of my thoughts. Sometimes I moved into people when I had no desire to move into them at all. I strove to filter and control every single thought I had and became extremely paranoid if I began thinking anything unscrupulous for fear it would become an action. It was odd I had an irrational fear of unscrupulous actions because I never made any major mistakes at any point before or during my episodes which could incriminate me on any level or cause me or anyone else any harm…”
Anonymous. “Thought-Action-Fusion.” Schizophrenia Bulletin, May 7, 2015, sbv057. doi:10.1093/schbul/sbv057. (Full text)