It's not a disorder, it's just bad behaviour
source: http://canwest.com
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- PepsiJuror
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By Naomi Lakritz, Calgary HeraldApril 28, 2010 7:09 AMBe the first to post a comment
A cute cartoon in the recent edition of The New Yorker shows a psychiatrist telling a prison inmate that he has good news for him -- he's found a syndrome for the inmate's behaviour; the implication being, of course, that he'll get him off the hook in court. That cartoon may be good for a laugh, but it reflects what's going on in the study of human behaviour these days. It seems that negative behaviours are being reclassified as mental illnesses, and therefore open to treatment with a variety of powerful drugs.
"Psychiatry should not be in the business of inadvertently manufacturing mental disorders," says Dr. Allen Frances, a professor emeritus at Duke University, who headed the task force that wrote the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders. Enter edition five, which appears to do just that.
Frances suggests the fourth edition contributed to what the public has suspected all along -- that the reason there are suddenly so many kids with attention deficit disorder is that normal variations of behaviour are being pathologized, given labels and medicated. It's not that the book itself is to blame, Frances points out, but it fuelled "a runaway fad led by thought leaders and pushed by drug companies and advocacy groups." Children who 30 or 40 years ago were rambunctious or fidgety were not considered to be suffering any kind of syndrome -- they were thought to be acting as children do. They'd grow up, and grow out of it. Now it's to the point where, as a friend of mine who is a teacher says, three-quarters of the children entering kindergarten at her school have been diagnosed with some syndrome or disorder related to their behaviour, and are either on medication or in therapy for it. How did we get to such a sorry state? Maybe the self-help movement has helped promote this type of thinking with the cult of victimization it fostered, which let people off the hook for their bad behaviours by reclassifying them as disorders.
And now, with this fifth edition of the DSM, it's possible that a perfectly normal two-year-old's temper tantrums could be reclassified as "temper dysregulation disorder with dysphoria." By the time you can say that mouthful of words, the tantrum could be over. But it's certainly enough to dysregulate your own temper to think that one by one, normal childhood behaviours are being relabelled as abnormal. Soon, there won't be a normal child left in the world because the range of "normal" will have shrunk to the point that nobody will fit into such narrow parameters. Everyone will be a candidate for a diagnosis and for treatment -- and the drug companies will be rubbing their hands in glee.
Apparently, TDD -- maybe it's a disorder in its own right to reduce everything to a trendy acronym -- could replace childhood bipolar disorder, since that syndrome has gotten way out of hand in terms of the number of cases being diagnosed. Time to move on to something else, I guess. Temper tantrums, sure, that'll work. If your toddler throws a fit in the grocery store because he wants a cookie, soon you'll be able to hand him a pill instead.
Maybe people shouldn't be so surprised at the levels of drug use among teenagers. It seems so many of them have been medicated for one syndrome or another since they were small children, that illicit drugs are no big deal; they're just a welcome change from the licit ones.
Two types of fallout are inevitable when every sort of negative behaviour morphs into a pathological condition. The first is that genuine mental illness gets trivialized. People suffering from depression have known that for years, hence the barrage of awareness campaigns aimed at ending the stigmatization of being depressed. The second bit of fallout feeds right into the cult of victimization -- if I'm behaving badly, it's not my fault; it's a disorder and I can't be held responsible for my actions. The spread of that flawed reasoning should be enough to make anyone throw a temper tantrum.
nlakritz@theherald. canwest.com
Read more: http://www.calgaryherald.com/health/disorder+just+behaviour/2959459/story.html#i...
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PepsiJuror
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A particular point needing to be made is; Psychiatric diagnoses of disorders (stated by the APA) purely deals in and is based solely on subjective opinion. Psychiatric diagnoses of disorders are solely based on manifestations and observed symptoms.
Without a doubt though, people do factually experience stress, ups and downs, mania, etc. (an assortment of mental problems)
To draw a parallel, anyone who has ever owned a computer has undoubtedly experienced problems of a stressful nature! Such symptoms are the tell-tale roadmap all “real” professions uses to diagnose and remediate problems. Could we agree these observations are nothing more than symptoms? (examples: pain in the tooth can be a symptom of a cavity, lethargy could be a symptom of Anemia. foot numbness is a symptom of the possible onset of diabetes bloodshot eye(s) is a symptom of Conjunctivitis or pink eye, agitation could be a symptom of lack of food, sleep, low blood sugar, et al.)
If you have ever followed another’s “trial and error” advice or perhaps installed some “Fix Everything” software and noticed perhaps a slight improvement in say performance or not at all, there is a strong chance the problem simply shifted elsewhere, but unequivocally has proven only in masking the true underlying source (solely object).
I could not begin to count the number friends or companies seeking to resolve computer disorders or abnormalities with the purchase of this or that “software remedy”, or the Fortune 500+ businesses’ $5 million dollars panaceas, to only be shelved and labeled as ineffective.
The only thing, besides age, which adversely affects a computer, are exterior elements(i.e. software, viruses, etc.).
Until a professional becomes involved to properly diagnose and alleviate the source of these tell-tale symptoms, one will continue patching and masking the problem until the system experiences a meltdown (who hasn’t had this happen?).
It is commonly observed flourishing start-up companies monopolizing on those less fortunate providing obscure and unclear learned computer explanations of universal remedies to “Fix Everything”– why? … just like Psychiatry; they ONLY deal in those less fortunate (making money) by addressing only the symptoms.
To boil it down to a humanly basic or Axiom - if the true source(s) or cause(s) were fully isolated and addressed, the problem(s) or symptom(s) would NOT persist.
- 2 years ago
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PepsiJuror
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Saladin
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PepsiJuror:
Exactly, great post.
- 2 years ago
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Saladin
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Xenzaka
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Besides, I would expect one to be upset, depressed, "bi-polar" during the time we are in now. How could you not? With how we continue to treat each other, left and right, with optimal ignorance. I mean, really...critically think about it.
Critically think about "disorder".
Is disorder truly just the person to blame, because of their personal imbalances, what about the people that are more sensitive to their environment?
Our soldiers do not leave here, to "war" with PTSD...they come back with PTSD. Is it the person, or the environment? Of course it is the person...
But without the environment, there is no person. Because the person is apart of the environment.
And without the person, then there is no existence.
So obviously there are two fundamental roles in our reality. Extremely fundamental.
Next time you decide it's a need to classify someone as a specific disorder, whether you are right or wrong, take time to this of the disorder of Human beings.
Look at us...trying to control planet, thinking war is going to bring infinite positive change, thinking murder solves our problems...we're a big group of mindless morons, running around blindly submitting to whoever we agree/accept as an authority figure.
Besides, for all you know you're God playing hide-and-seek with yourself. So what do we know?
- 2 years ago
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Xenzaka
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Xenzaka
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Disorder:
50% Innate Personality 50% Collective Unconscious / Collective Environment
Disorder is not just the person.
Disorder is a reflection of who we are, as a totality.
deep shit.
- 2 years ago
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Xenzaka
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ablindeye
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works in all sorts of ways don't it...
http://current.com/news/92395404_joshua-kors-when-the-army-uses-enhanced-interro... - 2 years ago
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ablindeye
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ampersand
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This should be in opinion, not news.
- 2 years ago
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ampersand
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feefer2010
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Their are some mental disorders that can explain a person's behavior but it shouldn't excuse it. Drugs can sometimes cause people to do things they normally woldn't do but the meth addict who commits armed robbery can't use his addiction or the fact that he may have been under the influence as a means to get charges dropped or reduced
- 2 years ago
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feefer2010
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Saladin
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I agree with the author's points about psychiatry being out of control, but I'd advise against pulling the "personal responsibility" card.
It's true that medication and classification are completely out of line, almost to the point where I don't even think there is an actual condition that can be classified as ADD or ADHD. Many of these psychiatrists are just poorly trained psychologists with an itchy prescription finger.
But one of the things we've learned in recent times, and you don't have to learn much psychology or neuroscience to see it, is that humans make far fewer choices about their behavior than they think they do. A great deal of behavioral mechanisms are not conscious choices.
And far from criminals walking free because of insanity pleas, jails (and even death row) are overflowing with people who are proven to be either mentally retarded or completely insane. It's gotten so bad that the Supreme Court had to intervene in Texas where they were executing people with IQ's below 60.
I agree with the sentiment of the article, but advise caution against its blatant anti-science and anti-intellectual tone. Your common sense is NOT an acceptable judgment when it comes to matters like this.
- 2 years ago
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Saladin
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Dagum
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Saladin:
One of my friends is a social worker for a counseling agency. The FIRST time a patient comes through the door the company REQUIRES her to diagnose the patient with a mental disorder before they leave. After only one 30 minute session, the patient is given a label from the DSM that will be on their heatlh record for the rest of their lives, preventing employment in the military and some government jobs.
(It’s easy to do. What was once considered a personality trait, is now a mental disorder according to the Diagnostic and Statistical Manual of Mental Disorders.. There is something for everyone, as anybody on earth could be categorized as having one of the DSM’s 300 + labels.)
After the patients meet with her, they are sent to the psychiatrist for a 5 minute appointment in which he prescribes the latest and most marketed Pharmaceutical to numb away the effects perceived to be affiliated with whatever arbitrary label the patient was given.
This is how the mental health profession and portions of the pharmaceutical industry perpetuate themselves.
- 2 years ago
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Dagum
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ampersand
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Saladin:
Saladin, my brother, I respect your opinion, but I do have to point out that ADD, and ADHD, is a very real condition.
It's a current whipping boy of commentators suspicious or ignorant of science no doubt, because it is relatively new on the scene.
The original break-through neurological research for it only dates from the very late 1980's. And, contrary to several facile, but poorly researched pop culture articles, if anything, the diagnosis and treatment for it is still well under the actual understood prevalence of it in the general population.
I'm not for medicating all and I don't have any connections to Big Pharma or to doctors prescribing anything for the condition, I just wanted to point out, there are some real conditions out there regardless of our understandably but still sadly, knee-jerk opinions about how the world should be, rather than how it actually is.
My suggestion is that you contact a few professionals in the field for a casual chat on the prevalence of ADD/ADHD in the population and efficacy of its various forms of treatment.
Best,
Amp. - 2 years ago
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ampersand
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Saladin
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ampersand:
Amp, my girlfriend is majoring in psychology and I know that there's a lot of shake-ups in the field about ADD and ADHD medication.
People aren't arguing that it doesn't exist, rather that it shouldn't be called a disease. Children are hyperactive by nature, some far more so than others. Even if that wasn't true, medicating someone for the "disease" with seriously risky mind-altering medication for LIFE is a treatment that's more insane than the symptoms.
I know first-hand that it exists, my friend has been on medication for it since he was 12. But now he has to take anti-depressants to deal with the ADHD medication and his body has developed a need for both drugs such that if he were to stop it would do serious damage to his mental well-being. I don't know what to do about that, but something is clearly fucked up there ya know?
- 2 years ago
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Saladin
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ampersand
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Saladin:
Saladin,
I think the key to understanding this issue is to look to the origins of ADD/ADHD.
There are specific observable differences in the brains of individuals diagnosed with ADD/ADHD. These differences are profound and have life-long consequences in learning and behavior if not treated.A central fact in refuting the idea that ADD/ADHD is merely a common or transitory personality quirk, not requiring treatment, is it's genetic basis. ADD/ADHD can be observed occurring in three successive generations of family now.
Medication for any condition is difficult and subject to change from person to person, and of course, subject to the knowledge and skill of the physician. Being a neurological condition, ADHD involves a "constellation" of effects that can differ from person to person.Few would now call dismiss a person with autism as just being just "difficult" or "slow."
As the origins of ADHD spring from the same neurochemical roots, some symptoms of autism are often found in individuals diagnosed with ADHD.Given the excesses of Big Pharma in this country, and the perceived eagerness of some doctors to medicate for borderline or even questionable conditions, I know it's the fashion to dismiss almost any medication as being "unnatural" and unnecessary.
That's often not the case in reality.Mostly what I want to do here is to speak to the anti-science posters who don't bother to become familiar with the science and reality behind an issue before expressing an uninformed opinion.
I know you are not one of those, and I know you heart's in the right place to be concerned about issues of over-medication or misdiagnosis. But, to leave those opinionated but uninformed posters completely unchallenged can have eventual serious consequences in the real world. - 2 years ago
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ampersand
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Saladin
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ampersand:
I definitely understand where you're coming from and I addressed the anti-science problem with the article with my first post, but I'm still not convinced that ADD or ADHD's genetic basis makes it a qualifier for being labeled a disease. Ambition, intelligence, shyness, aggression etc. are also all personality traits with some degree of genetic inheritance and some of them might even be based on serious brain abnormalities, but they are not similarly diagnosed and medicated.
First, we must mention that no matter what we say, there is an inevitable degree to which the labeling of mental diseases is a subjective discipline based on social norms.
Even the most objective form of mental disease classification, neuroscience, relies on a modern standard of what a "normal" brain should look like. Modern scientists have even speculated that MRI's taken of people who lived in ancient societies would likely be almost universally schizophrenic looking to us.
In that regard, I do -not- question the validity of ADHD as an actual condition of the brain which (typically) negatively impacts peoples' lives.
I also don't dispute that the medication of these individuals has significantly improved some of their lives.
What I -do- dispute, is the notion that ADHD is a mental disease in the same way we might consider depression, autism (as you mentioned) or paranoid schizophrenia as mental diseases.
ADHD is only labeled a mental disease because it represents a typically undesirable set of behavioral characteristics in young school children or adults who work in offices. Much how other character traits, say the ability to overcome stage fright or homosexuality, might have genetic components and usually are the result of a physical abnormality in the brain are not considered mental diseases and of course do not require treatment.
The other thing I dispute is that permanent heavy medication is a remotely sane or even desirable way to treat ADHD.
A lot of modern psychologists have taken over cases of children who have ADHD and have found that solutions to hyperactivity and lack of attention can often be solved as easily as enrolling the child in an intensive sport and spending lots of extra time paying attention to and nurturing them.
I hope that came across clearly, sorry it was so long.
- 2 years ago
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Saladin
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ampersand
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Saladin:
Well said.
As to adaptability of ADHD I've always told my friends that some energetic individuals with ADHD (bright, perceptive, catch a-fly, or any movement for that matter, out-of-the air attentive, with rapid, sometimes over-the-top responses), would make absolutely excellent pirate captains.
Who knows, in the farther flights of fantasy, perhaps ADHD is the next stage in human evolution. - 2 years ago
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ampersand
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ZMuller
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There is no real science to back any of these so-called "diseases". Honestly, I am saddened when someone tells me they have a "disease" and that they are taking mind-altering drugs to "fix" it, when there is no reason to take these in the first place.
I am also saddened to see all those whose lives have been cut short by psychiatric (and prescription) drug coctails. And to see that criminals are being allowed to take no responsibility for their actions due to some "mental illness"; where is the logic? It is just not logical people.
I agree: "The spread of that flawed reasoning should be enough to make anyone throw a temper tantrum." I sometimes feel like this.
In the 80's I went through school rambunctious, fidgety and going through the motions of growing up. Acting as a chld did. Normal. And, lo and behold, I grew up, grew out of it. No drugs.
Criminals are criminals. They do not have some "disease" or "mental disorder" which "caused them to act irrationally". And they MUST be made to take responsibility for their actions; not blame it on something else, drug them, and send them back out on the streets. Not cool. Not logical.
Please, for the love of humanity, stop.
- 2 years ago
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ZMuller
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Saladin
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ZMuller:
"Criminals are criminals. They do not have some "disease" or "mental disorder" which "caused them to act irrationally". And they MUST be made to take responsibility for their actions; not blame it on something else, drug them, and send them back out on the streets. Not cool. Not logical."
Far less than 1% of criminals actually get off on the insanity plea and going through a mental rehabilitation or an asylum is NOT a picnic. It's not as if there's some rampant problem with criminals running free.
We currently incarcerate more people than any other country in the world, chew on that for a minute before you cry foul about prisoners who are supposedly running free, because they aren't.
And there are, in fact, a number of psychological or basic physical conditions which on a basic level could not make a person responsible for their crime. As I mentioned above, Texas had to be stopped as it was executing prisoners who were proven to be mentally retarded, who had the functional capacity of toddlers.
Also, I'd advise against calling something "not logical" if you couldn't even define what that's supposed to mean.
- 2 years ago
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Saladin
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ZMuller
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Saladin:
Hey - no reason to get upset; I was just stating my opinion, not policy or law; opinion. And everyone is entitled to their opinion.
It is not logical, there are real solutions for these problems.
Psychiatry has not found the correct solutions. Do you see this changing the world for the better? No. (Again, my opinion.)
I see children being overmedicated, people addicted to an array of things (albeit prescription drugs, street drugs, alcohol, etc), persons who are on these drugs attacking schools, their families or committing suicide and no correct solution being applied.
To drug someone to get them off drugs (another so-called "solution" to these problems) is ILLOGICAL. Definition of. Look at it. We are putting children in schools on DRUGS, getting them hooked and then they are dependant for life. That is how big pharma wants it. No different (again this is all my OPINION) than big tobacco. Sorry, my opinion.
Anyhow, I am not expecting to change the world here and I am not trying to upset people. No, just place my opinion out there for people to debate and perhaps look into this just a little closer... And maybe even change their mind about getting onto the next "miracle drug" and perhaps look into a real way to get off these drugs (I am NOT saying cold-turkey, that can kill someone) but not by taking more drugs, etc.
Since when does someone "ask their Doctor" about the newest miracle drug? Isn't that illogical? Isn't a Doctor supposed to diagnose and prescribe? Not the patient going in and asking? Check out the commercials on TV.
My father-in-law told me that he saw that (the "ask your Doctor about...") and immediately knew it was big pharma working to get more money from people. Again, our OPINIONS.
Those are my definitions of illogical.
Anyhow, there are solutions and I think (opinion) that people are looking to the wrong people; the co-called "experts" for the "solutions". Dig deeper and the solution will arise. I am not one to force such things on others but I have found my solution and I am sticking to it.
As for criminals, check the statistics, on the amount of people reincarcerated. Obviously, the "solutions" there are not solutions either, never mind the amount of criminals.
All my opinion.
Communication, love and real understanding can go a LONG way. But maybe some are not capable of that. I hope this changes in the world.
- 2 years ago
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ZMuller
