We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
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Tuesday, June 19. 2007
That is, "Post-traumatic stress disorder." Our readers don't know me, or my credentials, so you have no reason to believe me. I will tell you anyway: "PTSD" is a highly dubious diagnosis about which there is little agreement - but much recent discussion - in Psychiatry.
Because "trauma" is entirely subjective, and "stress" is entirely subjective - and often a positive thing - the notion of PTSD is difficult to discuss.
My colleagues are known to use it as a "diagnosis of convenience." We may put it down on a form, but that doesn't mean that we mean it. Psychiatrists are forced to write diagnoses on government forms and insurance forms, but human difficulties do not commonly lend themselves to such labels, and we tend not to take them overly seriously.
Life events impact people. Life is traumatic, by definition, unless you live in bubble-wrap. That is not a disorder; it is normal. Many jobs are scary and "stressful", whatever "stress" is. Recent work shows that those who cope poorly with life events - and end up diagnosed with PTSD - generally have pre-existing, underlying vulnerabilities which may deserve attention.
PTSD is on its way to becoming a legal scam, in my opinion. In fact, the entire movement to create new diagnoses, and to label more folks "disabled," is destructive to human dignity.
Wasn't the whole idea of the "Americans with Disabilities Act" to get the disabled back to work, and to help them regain their autonomy and dignity? Switzerland recently decided that "job therapy" might be a good treatment for the disabled, and I think most shrinks would agree with that.
I wrote a piece on Post-Traumatic Stress Disorder earlier this week, in which I suggested that some new diagnoses are being invented in psychiatry more for insurance and pursuit-of-disability reasons than because new diseases are being discovered. Perhaps
Weblog: Maggie's Farm
Tracked: Jun 22, 07:04
Psychology, Mind and Neuroscience Roundup For Friday
Dr. Bliss at Maggie's Farm says that Post Traumatic Stress Disorder is on its way to becoming a legal scam, in my opinion. In fact, the entire movement to create new diagnoses, and to label more folks disabled, is destructive to human dignity. Modern Psychoanalysis comments on causes of schizophrenia. PsyBlog reports on a notorious stuttering study conducted by MA
Weblog: Dr. X's Free Associations
Tracked: Jun 22, 11:42
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Have you ever been in an automobile accident, particularly one in which you could see the accident coming--if only for just a flash of a second? It takes weeks to get the effects of the adrenaline and other physical reactions out of the system. I would not call it "stress" : I will always think of it as "Trauma" PTTD. I agree that those guys who do base operations are not eligible--but those guys who gear up and walk into the fire--they do come home with a terrible trauma. Some recover quicker, because of the psychology of the surrounding family, because of thie connection to a religion, etc. But they do come home with something that is a condition that needs to be addressed by professionals. The problem is that too many states are licensing people to practice psychology, without their having had enough clinical training in the university that issued them their paperwork!
Having grown up surrounded by WWII Marines, both ground pounders and aviators I side with Dr. Bliss on this issue.
Having spent almost ten years as a covert operator with the CIA often times way behind enemy lines and being in some dicey situation along the way I would have to side with Dr. Bliss.
I have known women Marines who survived the Bataan Death March, generally known for it truma. I have know Marine Aviators who were downed and captured by the Japanese and tortured..no less than the infamous "Pappy" Boyington.
My father made four island assaults in WWII leading his Marines. He won the Siver Star for some of that action. Later in his career, as an aviator he strafted the ground at such a low proximity that mud covered his cockpit. he earned the Distinguished Flying Cross.
In all of these cases and men tht I have known, including my generation of Marines in Vietnam none of them ever talked of PTSD..it wasn't known. When talk began to develop about it during the end of the Vietnam war the marines I knew laughed at it. Laughed at it. War is hell.
But as the good Dr. points out if you drill down a bit deeper into the individual you find an underlying pre existing condition.
Dr Thomas Szasz, to me a brilliant thinker , but to the pyschiatric world a heretic puts it this way...give this sime thought. Dr. Szasz's work has influenced thinkers as diverse as Karl Popper, Milton Friedman, and Michel Foucault.
The myth of mental illness: It is a medical metaphor to describe a behavioral disorder, such as schizophrenia, as an "illness" or "disease". Szasz wrote: "If you talk to God, you are praying; If God talks to you, you have schizophrenia. If the dead talk to you, you are a spiritualist; If you talk to the dead, you are a schizophrenic." While people behave and think in ways that are very disturbing, this does not mean they have a disease. To Szasz, people with mental illness have a "fake disease," and these "scientific categories" are in fact used for power controls. Schizophrenia is "the sacred symbol of psychiatry". To be a true disease, the entity must somehow be capable of being approached, measured, or tested in scientific fashion. According to Szasz, disease must be found on the autopsy table and meet pathological definition instead of being voted into existence by members of the American Psychiatric Association. Mental illnesses are "like a" disease, argues Szasz, putting mental illness in a semantic metaphorical language arts category. Psychiatry is a pseudo-science that parodies medicine by using medical sounding words invented over the last 100 years. To be clear, heart break and heart attack belong to two completely different categories. Psychiatrists are but "soul doctors", the successors of priests, who deal with the spiritual "problems in living" that have troubled people forever. Psychiatry, through various Mental Health Acts has become the secular state religion according to Thomas Szasz. It is a social control system, which disguises itself under the claims of scientificity. The notion that biological psychiatry is a real science or a genuine branch of medicine has been challenged by other critics as well, such as Michel Foucault in Madness and Civilization (1961).
Separation of psychiatry and the state: If we accept that "mental illness" is a euphemism for behaviours that are disapproved of, then the state has no right to force psychiatric "treatment" on these individuals. Similarly, the state should not be able to interfere in mental health practices between consenting adults (for example, by legally controlling the supply of psychotropic drugs or psychiatric medication). The medicalization of government produces a "therapeutic state," designating someone as "insane" or as a "drug addict". In Ceremonial Chemistry (1973), he argued that the same persecution which has targeted witches, Jews, Gypsies or homosexuals now targets "drug addicts" and "insane" people. Szasz argued that all these categories of people were taken as scapegoats of the community in ritual ceremonies. To underscore this continuation of religion through medicine, he even takes as example obesity: instead of concentrating on junk food (ill-nutrition), physicians denounced hypernutrition. According to Szasz, despite their scientific appearance, the diets imposed were a moral substitute to the former fasts, and the social injunction not to be overweight is to be considered as a moral order, not as a scientific advice as it claims to be. "Health" is a moral concept, argues Szasz. As with those thought bad (insane people), those who took the wrong drugs (drug-addicts), medicine created a category for those who had the wrong weight (obeses). Szasz argued that psychiatrics was created in the 17th century to study and control those who erred from the medical norms of social behavior; a new specialisation, "drogophobia", was created in the 20th century to study and control those who erred from the medical norms of drug consumption; and then, in the 1960s, another specialization, "bariatrics", was created to deal with those who erred from the medical norms concerning the weight which the body should have. Thus, he underscores that in 1970, the American Society of Bariatic Physicians (from the Greek baros, weight) had 30 members, and already 450 two years later.
Presumption of competence: Just as legal systems work on the presumption that a person is innocent until proven guilty, individuals accused of crimes should not be presumed incompetent simply because a doctor or psychiatrist labels them as such. Mental incompetence should be assessed like any other form of incompetence, i.e., by purely legal and judicial means with the right of representation and appeal by the accused.
Death control: In an analogy to birth control, Szasz argues that individuals should be able to choose when to die without interference from medicine or the state, just as they are able to choose when to conceive without outside interference. He considers suicide to be among the most fundamental rights, but he opposes state-sanctioned euthanasia.
Abolition of the insanity defense: Szasz believes that testimony about the mental competence of a defendant should not be admissible in trials. Psychiatrist testifying about the mental state of an accused person's mind have about as much business as a priest testifying about the religious state of a person's soul in our courts. Insanity was a legal tactic invented to circumvent the punishments of the Church, which, at the time included confiscation of the property of those who committed suicide, which often left widows and orphans destitute. Only an insane person would do such a thing to his widow and children, it was successfully argued. Legal mercy masquerading as medicine, said Szasz.
Abolition of involuntary hospitalization: No one should be deprived of liberty unless he is found guilty of a criminal offense. Depriving a person of liberty for what is said to be his own good is immoral. Just as a person suffering from terminal cancer may refuse treatment, so should a person be able to refuse psychiatric treatment.
Our right to drugs: Drug addiction is not a "disease" to be cured through legal drugs (Methadone instead of heroin; which forgets that heroin was created in the first place to be a substitute to opium), but a social "habit". Szasz also argues in favor of a drugs free-market. He criticized the "war on drugs", arguing that using drugs was in fact a victimless crime, or a crime without a victim. Prohibition itself constituted the crime. He shows how the "war on drugs" lead states to do things that would have never been considered half a century before, such as prohibiting a person from ingesting certain substances or interfering in other countries to impede the production of certain plants (e.g. coca eradication plans, or the campaigns against opium; both are traditional plants opposed by the Western world). Although Szasz is skeptical about the merits of psychotropic medications, he favors the repeal of drug prohibition. "Because we have a free market in food, we can buy all the bacon, eggs, and ice cream we want and can afford. If we had a free market in drugs, we could similarly buy all the barbiturates, chloral hydrate, and morphine we want and could afford." Szasz argued that the prohibition and other legal restrictions on drugs are enforced not because of their lethality, but in a ritualistic aim (he quotes Mary Douglas's studies of rituals). He also recalls that pharmakos, the Greek root of pharmacology, originally meant "scapegoat". Szasz dubbed pharmacology "pharmacomythology" because of its inclusion of social practices in its studies, in particular through the inclusion of the category of "addictiveness" in its programs. "Addictiveness" is a social category, argued Szasz, and the use of drugs should be apprehended as a social ritual rather than exclusively as the act of ingesting a chemical substance. There are many ways of ingesting a chemical substance, or "drug" (which comes from pharmakos), just as there are many different cultural ways of eating or drinking. Thus, some cultures prohibit certain types of substances, which they call "taboo", while they make use of others in various types of ceremonies.
Szasz has been associated with the anti-psychiatry movement of the 1960s and 1970s, although he has resisted being identified as an anti-psychiatrist. He is not opposed to the practice of psychiatry if it is non-coercive. He maintains that psychiatry should be a contractual service between consenting adults with no state involvement. He favors the abolition of involuntary hospitalization for mental illness. In a 2006 documentary film called Psychiatry: An Industry of Death released on DVD Szasz stated that involuntary mental hospitalization is a crime against humanity. Szasz also believes that, if unopposed, involuntary hospitalization will expand into "pharmacratic" dictatorship.
Szasz's work has influenced thinkers as diverse as Karl Popper, Milton Friedman, and Michel Foucault.
Habu, off the top o me head, I think Szasz's laudable disgust with psuedo-science goes too far. See it trivialize the conditions of people who in fact, in plain sight (we see 'em every day), can't cope 'normally' with life.
Tom Szasz is smart, and intentionally provocative - and thought-provoking. He always liked to pose issues in the most extreme form, which sometimes carried his writings outside reality.
Though, I agree, a lot of the pain is due to a sense of failure-to-conform.
My grandpa used to say that a feeling of accomplishment is all a person needs to feel good. The only problem with that, he would add, is that you can't fool yourself so you really do have to "do" something, or else you'll never really feel good.
This can be seen in addicts. They need to bottom out, so that they can struggle back to reasonableness, so that they can have that feeling of accomplishment. Maybe the Swiss "jobs therapy" program has realized that a short-cut might bypass some of the havoc.
I work for a group that's studying federal disability benefits for veterans, and while I understand the hesitancy to accept PTSD, it's starting to irritate me that a disbelief in it, or other mental disorders, has become so prevalent today.
It's one thing to say that "life is traumatic." I'm sorry that your dog died. But we're talking about guys driving a truck down a street, only to have it suddenly explode, killing the driver's three friends in the back. This is not everyday trauma here, and to assume that everybody is naturally capable of dealing with such trauma as if it were a day-to-day occurance is, frankly, naive.
The statistics supporting PTSD are unassailable. The "existence" of PTSD is simply no longer debated in the medical community. There is certainly disagreement over how exactly to define it, how to diagnose it, and even more debate over how to treat it, but the fact that such a disorder "exists" isn't really debated.
Now, it's one thing to question the prevalence of the PTSD diagnosis- it very well may be being diagnosed too often and too easily. But PTSD actually covers a range of diagnoses, from those suffering only mild effects to those who are effectively incapacitated by it, so citing a single number of diagnoses is misleading. The majority of PTSD diagnoses are for mild cases.
Nor does the existence of pre-existing conditions make PTSD less viable. Diabetes can make you more prone to a range of conditions, but that doesn't make those conditions less believable. Sure, some people are more prone to certain kinds of mental disorders, just as others are more prone to certain kinds of physical disorders. That doesn't cancel out those disorders, though.
Ultimately, the argument that you seem to be making comes down to the claim that soldiers who are diagnosed with PTSD simply aren't "healthy" or "strong" enough to deal with stress that is comparable to what everybody deals with in their jobs and lives. If you honestly believe that the stress the average American will face today is comparable to the stress the average soldier in Iraq will face today, then I don't know what to say. Maybe Connecticut has gotten more dangerous since I moved, but I don't think so.
As for those who point out how many soldiers have experienced the violence of war without getting PTSD, there are two points. First, just because some people are capable of dealing with traumatic events, doesn't mean that others should be able to. There's a reason we call people heroes- if everyone could do it, there'd be no reason to invent the word. Some people can be tortured, survive, and never really deal with PTSD. But that doesn't mean that everyone can.
Second, I think it's entirely possible that soldiers in previous generations did deal with PTSD, but it was called something else. In most cases it was probably mild, and since it can be lived with at that level, they probably hid it under the culturally-required 'manliness.' Could they have used someone to talk to for a few months about what they had to go through? Probably, but they could also make it on their own.
And, shucks, I'm just shocked that a bunch of war-veteran Marines laughed at the concept that they might be dealing with anxiety because the war. Veterans being macho around each other? Surely, you must be joking.
Just because one acknowledges that PTSD exists, doesn't mean that everybody diagnosed with it is going through the same thing. In most cases, it just means that that person is, understandably, dealing with anxiety and stress that does go beyond the everyday, but that just requires a bit of therapy to deal with. PTSD which requires more intensive treatment is actually pretty rare. But it's just ridiculous to argue that incredibly traumatic events never cause clinical issues.
Dr. Szasz underlying message is that most if not all psychiatric and phychological problems have their fons et origo in pre-existing though possibly dormant physiological problems.
"The statistics supporting PTSD are unassailable..it's no longer debated etc'
Well, sure it is debated, by Dr Szasz for one. The notion that biological psychiatry is a real science or a genuine branch of medicine has been challenged by other critics as well, such as Michel Foucault in Madness and Civilization (1961). As far as the statistics suppoerting it I would say that if you go looking for statistics to support your theory you will find them every time. Particularly when there's research dollars on the line and mortgages to be paid. Sounds cynical but thats the way the government salt lick works.
What will be said when it is discovered that those with PTSD have in their genetic makeup a makeup of the human genome, which is composed of 24 distinct chromosomes (22 autosomal + X + Y) with a total of approximately 3 billion DNA base pairs containing an estimated 20,000–25,000 genes. And that this links a physiological predisposition toward PTSD just as Dr Szasz has said?
Psychiatry in the US is to medicine as voodoo is to Haiti ....Freud gave way to Jung who gave way to younger Dr. with newer theories. The field however still uses electroshock on people, does it not? Seems rather paleolithic.
Finally you make the point "Nor does the existence of pre-existing conditions make PTSD less viable" which is exactly what Dr. Szasz states.
"What will be said when it is discovered that those with PTSD have in their genetic makeup... and that this links a physiological predisposition toward PTSD just as Dr Szasz has said?"
So what? To be honest, I didn't read the Szasz quote, because it was a bit ridiculously long and I'm at work. I was responding to the original post. Nor am I remotely interested in a debate over the merits of psychiatry in general, (not least because I'm talking about psychology, not psychiatry) because that particular debate has been so overrun by rhetoric that it's become a rather pointless exercise.
That said, I don't think a 1961 text questioning the validity of psychiatry itself is of much use in a conversation about PTSD in 2007, particularly when the National Institutes of Health recognize PTSD as a clinical disorder, and the American Psychological Association has included it in their Diagnostic and Statistical Manual since 1980.
But really, so what? What does it matter if people suffer from PTSD after a traumatic event because of a physical pre-condition, or a mental one, or none at all? The point is, they're suffering from it.
I don't know where PTSD originates, and at the moment I don't particularly care. I'm not debating its origins. The post seems to question its very existence, and that's what I'm responding to.
Whatever the reason, lots of people are responding to tremendous trauma in statistically similar ways. It's more than just day-to-day stress, and it's not just an over-reaction to what "healthy" people would otherwise deal with. It is almost certainly affected by a host of biological, environmental, and psychological factors in addition to the event in question. But whatever those factors are, they don't change the fact that some people need clinical help after dealing with tremendous trauma.
If I may for a moment extend this conversation into the school yard. What I do see as being overdone to the point of ridiculous is this need to bring a team, or squad if you will, of psychologists to help children deal with an "event". So, if there is a bad car accident and three teens die--here come the counselors. If there is a hurricane and the school building is destroyed--here come the counselors. If a kid goes postal with a pistol--here comes the counselors. Which, if any, of these events requires tax payers to spend millions of dollars on poorly qualified "grief" counselors? There may be some reason for some "availability" of real counselors (not en masse with the PC pre-recorded message of Clinton/Pelosi, etc.) if the shooting takes place on campus. But, what if the kid shoots the local pastor at the local church--what then? It probably would not merit a team of grief counselors on the school campus.
But AP, one can hardly send in teams of stand-up comics. Tho that would be the best thing probably.
You guys sure do think a lot. Great discussion.
But PTSD is real and easily provably so. Just go to my house and piss off my wife. Your head will be ringing for days.
There is no other explanation than some reaction to traumatic stress suffered at the hands of (a good woman mind you) that crazy bitch.
Seriously, if the Great Depression II or WWIII happens, or G_d forbid BOTH happen, there won't be enough pill factories in the world to keep up with the traumas and stresses our soft citizens would endure, or not endure ...
The diagnostic concept of Post Traumatic Stress Disorder was first introduced into DSM-III in the mid-l970s, rep-
resenting a major step forward in our definition and understanding of psychiatric conditions. Since then, various
modifications have been introduced, such as Acute Stress Disorder (ASD) and Complex PTSD or Disorders of
Extreme Stress, Not Otherwise Specified (DESNOS), in order to more precisely identify etiological issues and tar-
get early, effective interventions.
Toni Luxemberg, PsyD, Joseph Spinazzola, PhD, Bessel A. van der Kolk, MD
I'm with Kurt, but I'll expand a little into complex PTSD and DESNOS to say dismissing this 'condition' is cold. For the "get over it" crowd, you haven't been there. We don't all have the language to tell our damn, funked-up brains to stop making us sad, fearful, anxious, or depressed much less the language to tell our pits to stop with the sweating.
It has been established that the single most factor - most important predictor in who will develop PTSD, or its variants, long term is the ability to derive comfort from another human being.
Think about a little kid who is in an abusive situation for years and years, maybe 18 years or more. What do you figure his coping skills are like? Think maybe his brain is a little hardwired for stress?
It's not just soldiers -
Sending grief counselors: They have them in Iraq to waylay severe stress reactions from the battlefield. If they can break down the trauma early, it seems to help process the memories so they don't float around waiting for a trigger to make you sweat.
Oh well. Can't drop my discourse and knowledge into the frigid zone here so best quit.
So the studies, growing like mutant mushrooms find the causation of all these varients to be the ability to derive comfort from another human being or rather the inability to derive comfort from another human being. So if I dislike liberal socialists what trauma am I suffering from?
"It has been established that the single most factor - most important predictor in who will develop PTSD, or its variants, long term is the ability to derive comfort from another human being." Shouldn't that read inability to derive comfortfrom another human being?
If we just all have a big group hug will PTSD, etc go away?
Is there an etiology in your studies that identify any underlying physical varients in the human genome that explain a pathogenic causation or has the identification and palliative administration of these disorders been the depth of the studies to date. Certainly I have heard of no curative.
It's not that frigid--I do believe there's a strong link between childhood abuse and basically ruined adults. For one thing, the prisons are basically full of grown-up abused children. I hate to sound like I'm making excuses ("I pointed the pistol, pulled the trigger, and suddenly shots rang out"), so hasten to add that criminals still make the choice to do crime.
No, but a bit cool now and again. I admit too a split personality on the discussion here. Too say that this dysfunction does not exist is foolish, I think. Perhaps a name change would help.
Regardless, I also think the more roles we place on the stage the more individuals we find too fill them. It's a fine line at times between empathy and enabling.
Just now saw your 10.1 H. Your prerogative, but I think you're being a little harsh. What was the dropout rate at Quantico and PI, pretty high if I remember right. Not everyone's cut out to be a Marine and have Marine toughness. Yeah, maybe the country would be better for it, in a way, but not worth what we would lose. No cure for cancer yet either.
I'll thank Luther straight up for saving me a little writing.
Look at the quotation. The key word is 'long-term'. If an individual is hardwired not to trust, to feel deeply insecure, to feel unexplained fear, chances are that person will have PTSD or DESNOS long-term. Probably for life as there is no cure. When I say 'hardwired' it could be anything. What traumatizes one person, you might laugh off. People are predisposed at birth to be sensitive or cool or cantankerous....or any kind of inherited trait you can think of. But if you take a child who is sensitive and continually abuse him, physically or emotionally or both, you've got an individual who probably has had very little comfort and probably doesn't trust enough to allow it when it's given sincerely. Life sentence.
No. A group hug would not work. The damage is hardwired in the brain.
They have not found a genetic cause. Trauma happens outside the helix. Someone noted it: The Great Generation was also the silent generation. Ever watch those guys talk on War Stories? Sixty years later they still cry? I suppose it could be sentiment, but those tough guys probably really don't want to cry on national TV.
"has the identification and palliative administration of these disorders been the depth of the studies to date. Certainly I have heard of no curative."
Yes. They called it shell-shock. After Vietnam, they called it PTSD. They found many people diagnosed as bipolar as being misdiagnosed as they fit better the criteria of PTSD. Since then, they've broken down the single-trauma of PTSD into 'complex PTSD' when they found people with multiple and sometimes chronic trauma. That has evolved into DESNOS when the criteria for PTSD or complex PTSD doesn't quite fit. So, yes, the disorder is still in the identification process.
As there is no cure, all work done with those who suffer from these disorders is palliative. They've found propanolol helps quiet the adrenergic system during a flashback, and that seems to show great promise in helping process memories. Cognitive behavioral therapy helps the patient reframe the trauma, but for those with multiple traumas, not so much.
They've found the hippocampus of PTSD sufferers to be smaller than normal. In bipolar patients the cingulate and a part of the pre-frontal cortex is not normal size, and they've found lithium plumps them up. Did the small size cause the problem in the first place? They think so because when lithium is discontinued, the brain sections go back to their small size. That means the brain might cause the disorder. Lots of work to be done yet.
I read something when I studied this that up to 70% of our population has some kind of trauma/30% manifest symptoms of trauma. In New Orleans, the PTSD rate is approximately 60-70%.
Cont. from bipolar comment machine:
In New Orleans, the PTSD rate is approximately 60-70%.
Maybe some Adderall for the comment machine?
In New Orleans, the PTSD rate is approximately 60-70%.
Right about the old duffers on the "War Stories" shows. When they get asked a certain sort of question, it is as though 60 years ago was six hours ago.
Depending on if you let it go, or not, its always six hours ago. And sometimes you have no choice, no matter the years passed. It is an indelible imprint.
Maybe some comment-machine Prozac? My comment never took.
I can't remember it all, but I can finish the New Orleans thing and tie it into the comfort from another human. The people of New Orleans most ravaged by the storm and who did not relocate suffer terribly from PTSD because not only did they lose the identity they associated with their life, they cannot get help. They go for help and get sent somewhere else and on and on. Kind of like the VA. People at the VA are trained not to answer the phone. Anyway - no resolution to a series of horrible events to already traumatized people just keeps it going.
Just read the two articles Dr. B linked. The Washington Post is a good one for Habu to read. It's about the soldiers.
It would be very interesting, based on what Dr. B has written, to see a compilation of personalities/character of psychiatrists. What kind of people are they and what drives them..... That would be interesting. I thought of this because I am troubled by the divisiveness within ranks she describes and by the casual use of "PTSD" because some shrinks can't figure out anything else to put. Sad stuff.
Aren't they just like us :-) As for casual, empathy and enable, as mentioned, fine line.
Let's set up a psychiatry business. Hang a shingle so to speak:
McLEOD & PHOENIX - SHRINKAGE X 2 GUARONTEEED.
Come on in, sad people. Bring us your troubles and we will help you. We have a brand new therapy called SNORT.
Dr. McLeod will talk and Dr. Phoenix will listen. When you get to the sad part and start whining, Dr. Phoenix will snort. This will make Dr. McLeod laugh, and then, you, our patient, will laugh, too. Dr. Phoenix will laugh for you if you can't. She will say something funny about your issues and then all of us will laugh. I know the reflective pronouns suck in this ad, but that's part of the therapy. The world sucks. We will help you laugh at the suckage.
Great idea! Can we charge'em double if it works? Though you are correct again re humor. It could cure the world if given a chance.
I read reflexive anyway...
i think for sure y'all's patients would sense after being treated for awhile that they weren't so nutz after all, relatively speaking.
Speaking of relatively speaking, that's all you ever hear at family reunions.
"Can we charge'em double if it works?"
Hell yeah. And laugh all the way to the bank.
har arr ar...
PTSD - It's real, very real but it is also a scam. In the Military before PTSD we had back injuries. Back injuries couldn't really be proven so the scammer received a certain percentage of pay for the rest of their lives. Same is true with PTSD...word gets around to other potential scammers how to play the game and get a higher percentage on their retirement. So many need the help for both of these injuries...scammers really make it hard for those in need and for all of us tax payers who served their country in the Armed Forces and lived to tell about it.
Treatment for PTSD? U.S. veteran medical care is a labyrinth of inadequacy. As reported by a brand new study in the Journal of the American Medical Association, the drugs are not working as advertised. The study suggests that post-traumatic stress disorder drugs are generally no better than placebos for treating the condition, but all the bad unwanted effects remain. Source for this article: Antipsychotics fail to alleviate PTSD symptoms in veterans . Unhelpful and ineffective medical treatment, I think.