Posts Tagged ‘diagnosis’

Psychologist John Rosemond—Just because kids lack certain skills or are a bit different doesn’t make them “mentally ill”

Tuesday, May 4th, 2010

KansasCity.com
By John Rosemond
May 4, 2010

Over the past 40 years or so, child advocates have given a good amount of lip service to the view that adults, especially educators, should respect children’s “individual differences.” In theory, this recognizes the fact that every trait is distributed in the general population in a manner represented by the bell-shaped curve. Whether the issue is general intelligence, sociability, optimism, musical aptitude, artistic ability, or mechanical skill (to mention but a few), relatively few people are “gifted” and relatively few people are disadvantaged. Whatever the characteristic, most folks are statistically “normal.” That is, they possess an adequate amount, enough to get by.

People gifted in more than a couple of areas are rare, and people gifted in one area but lacking in another are not unusual. A person with outstanding musical aptitude, for example, may be noticeably lacking in social skills, and a person with outstanding verbal skills may be mechanically inept.

The mere fact that a person is lacking in some characteristic or ability does not necessarily mean something is “wrong.” That a certain 10-year-old child is shy, lacks conversational skills, and prefers solitary activity to group play does not mean something is amiss inside the child’s brain. Nor does the mere fact that a child struggles with learning to read or do math mean his brain isn’t working properly. Furthermore, it is well known that the child who is “painfully” shy at ten may be outgoing at age forty-six, and a child who struggles to learn to read may grow up to be a best-selling author. Very little about a human being is set in stone.

All of this is to say that for all the prior lip service, today’s educators seem to have absolutely no respect for individual differences, no respect for the fact that “lack” is not synonymous with wrong. In today’s schools, the range of acceptability concerning an ever-increasing number of aptitudes has been getting narrower and narrower over the past couple of decades.

This narrow-mindedness on the part of educators has coincided with the proliferation of various supposed childhood “disorders.”

So the aforementioned shy 10-year-old is not just shy; he has Asperger’s syndrome. And the aforementioned slow reader is not just a bit behind the curve when it comes to decoding abstract symbols; he’s dyslexic. And the clumsy child has sensory integration disorder. And the child who has difficulty executing more than one command from his teacher at a time has an auditory processing disorder. In each case, the child supposedly has something wrong with his brain. Mind you, the something has never been discovered, much less measured. No matter. We live in the Age of Mass Credulity. Maybe credulity is a brain disorder. Who knows?

The American Psychiatric Association is even proposing that children who are sorta-kinda lacking in some characteristic (or have too much of it even) sometimes in certain situations may be “at risk” for some diagnosis (i.e., mental “illness”) and may therefore merit treatment. The fundamental problem is that America’s schools are buying into this hook, line, and sinker.

Read entire article:  http://www.kansascity.com/2010/05/04/1922219/living-with-children.html#ixzz0mzL3uSTa

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Illinois Department of Public Health: 5 things to know about psychotropics (including the right to informed consent)

Tuesday, October 27th, 2009

Illinois Dept. of Public Health
Chicago Tribune
October 27, 2009

Your rights: Nursing homes cannot give a psychotropic drug without a doctor’s order, informed consent and an adequate diagnosis, according to federal and state regulations. Drugs cannot be administered simply because a resident is disruptive or restless. Rules and guidelines dictate that staff must first try to calm patients; root causes of agitation, such as an infection, must be ruled out. When drugs are given, facilities must check for side effects and reduce dosages when possible.

The consent: Consent forms must be signed by patients or someone with power of attorney. In general, consents must say what drug will be given, how much and how often. If a doctor wants to add a drug, the consent must be re-signed. The patient must be fully informed of risks.

Read entire article: http://www.chicagotribune.com/health/chi-nursing-home-tips-27-oct27,0,7460931.story

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New book Doctoring the Mind says psychiatric diagnoses inaccurate, drugs over prescribed; psychiatry has failed

Saturday, July 25th, 2009

Daniel Freeman
The Guardian
July 25, 2009

While attending his grandmother’s funeral, Andrew – a former soldier in his mid-30s who had been diagnosed as suffering from schizophrenia – became very upset. Fearing a relapse, Andrew’s brother called a GP, who in turn alerted the psychiatric services. As a result, Andrew was admitted – against his wishes and with the assistance of six police officers – to a local psychiatric ward. It was here that his clinical psychologist, Richard Bentall, arrived to find Andrew sitting quietly, reading a novel, and apparently completely rational. The ward psychiatrist explained to Bentall that Andrew was to be kept in over the Christmas period for observation. Puzzled about the absence of any psychotic behaviour, Bentall asked the ward staff how Andrew had settled in. “He’s excessively polite,” a nurse commented, pointedly. “Can you be excessively polite?” Bentall wondered. “Well,” replied the nurse, “we’re trying to work out whether his politeness is part of his normal personality or his illness.”

This darkly comic anecdote, related in Bentall’s timely and compelling book, is unlikely to assuage general worries about the desirability of psychiatric treatment. How forcefully would you urge a depressed family member to see a psychiatrist? Almost certainly with less vigour than you’d encourage a trip to a specialist were that same relative to be suffering from a worrying physical problem. And in Bentall’s view, you’d be right to be cautious. In particular, he takes issue with the mainstream psychiatric view that mental problems are genetically determined brain diseases that must be treated with drugs. The diagnoses are inaccurate, the genetics and neurobiology overstated, and the drugs oversold and overprescribed. Bentall pulls no punches: “Psychiatry has failed.”

Read entire article: http://www.guardian.co.uk/books/2009/jul/25/doctoring-mind-richard-bentall-review

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Slate Exposes Psychiatry’s Billing Bible; “Bitterness, Compulsive Shopping, and Internet Addiction”

Friday, July 24th, 2009

Christopher Lane
Slate
July 24, 2009

There’s an awful lot of money to be made from compulsive shopping, judging by the career of Madeleine Wickham. Her Shopaholic series, written under the pen name Sophie Kinsella, is required reading for chick-lit enthusiasts, and the romantic comedy Confessions of a Shopaholic, the first of several planned big-screen adaptations, grossed more than $100 million worldwide. While the film, starring Isla Fisher, isn’t terribly funny, it does make the valid point that to enjoy shopping for elegant clothes isn’t a pathology.

It’s a style.The American Psychiatric Association risks losing sight of that distinction by grimly—and rather inexpertly—debating whether avid shopping should be considered a sign of mental illness. The fifth edition of the association’s Diagnostic and Statistical Manual of Mental Disorders is expected in 2012.

Read entire article: http://www.slate.com/id/2223479/pagenum/all/#p2

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