tag:blogger.com,1999:blog-2012499708688254847.post149826623606157634..comments2024-02-19T21:16:14.878-08:00Comments on Prozac Monologues: PTSD and DSM: Science and Politics -- AgainWilla Goodfellowhttp://www.blogger.com/profile/05816752444634576606noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-2012499708688254847.post-39658882574462709142010-03-31T12:14:08.296-07:002010-03-31T12:14:08.296-07:00What? You're not up to a little light paradigm...What? You're not up to a little light paradigm-shifting? :)John McManamyhttps://www.blogger.com/profile/11857174305041382349noreply@blogger.comtag:blogger.com,1999:blog-2012499708688254847.post-71486035454889709822010-03-30T07:07:59.250-07:002010-03-30T07:07:59.250-07:00Nope -- That's your blog, not mine, and I'...Nope -- That's your blog, not mine, and I'm not helping you with your homework. I dropped that class after paradigm-shifting in the church for the last five years. You might even say I changed my major and am now in the intro classes of the new one.<br /><br />Best of luck!Willa Goodfellowhttps://www.blogger.com/profile/05816752444634576606noreply@blogger.comtag:blogger.com,1999:blog-2012499708688254847.post-6623792523644533502010-03-29T21:46:34.561-07:002010-03-29T21:46:34.561-07:00Hey, Willa. How about blowing the categories wide ...Hey, Willa. How about blowing the categories wide open? Why not come up with something called "Stress Disorders," and see what we can fit into it? Think of this as a mind exercise for right now.<br /><br />Here goes:<br /><br />Anxiety<br />PTSD<br />Some other version of trauma<br />Stress-induced depression (I have this down in the People's DSM as "reactive depression)<br />Stress-induced psychosis<br />Stress-induced substance/alcohol abuse<br />Borderline personality disorder<br />Antisocial behavior<br /><br />In many ways, this goes back to the DSM-I of 1952 with "schizophrenic reaction" and "manic-depressive reaction," but now we have some brain science to lend support to this.<br /><br />Do you want to take it from there?John McManamyhttps://www.blogger.com/profile/11857174305041382349noreply@blogger.comtag:blogger.com,1999:blog-2012499708688254847.post-17913304125186299362010-03-29T09:04:30.101-07:002010-03-29T09:04:30.101-07:00Readers: Here is the context to this discussion: ...Readers: Here is the context to this discussion: Since the DSM V turned out to be a piss-poor job, John has been writing the People’s DSM. It’s a work in progress at http://knowledgeisnecessity.blogspot.com/ It begins on the post for March 15, and I recommend it to your reading.<br /><br />John: You’re going in one of two directions. The simpler is to keep it under Anxiety Disorders, but to rewrite that section in a more general way. The more radical is to subsume PTSD under Anxious Depression. The really radical is to subsume the whole of anxiety disorders under anxious Depression. I await further installments. :-)<br /><br />While I would eliminate the specificity of the traumatizing event, there IS reason to retain its significance. There are three reasons: symptoms, treatment, politics.<br /><br />Okay -- that's where I started in response to your comment. After I expanded on each, I then wanted to add research as a fourth, and realized it was time to turn it into a future post.<br /><br />So just one more specific answer: Most brains ARE more resilient. But the vulnerability of the brain isn't enough to account for the illness. For those with PTSD, it is the event that makes the brain's vulnerability a problem. Now the most traumatic event may have been in the past, but for a diagnosis of PTSD, the more recent event is the trigger.Willa Goodfellowhttps://www.blogger.com/profile/05816752444634576606noreply@blogger.comtag:blogger.com,1999:blog-2012499708688254847.post-7831917945359912502010-03-28T22:28:10.556-07:002010-03-28T22:28:10.556-07:00Hey, Willa. Very interesting piece. Question for y...Hey, Willa. Very interesting piece. Question for you: why should the significance of the event matter? Isn't it more about the vulnerability of the brain? Yes, the event is the proximate cause. But some brains are resilient to even the worst event.<br /><br />I think you can see where I'm going with this ...John McManamyhttps://www.blogger.com/profile/11857174305041382349noreply@blogger.com