tag:blogger.com,1999:blog-3125132926699584358.post2031552861370729633..comments2024-03-28T02:01:21.139-05:00Comments on Family Dysfunction and Mental Health Blog: Horror Stories in the Public Domain: Often More to the StoryDavid M. Allen M.D.http://www.blogger.com/profile/06280912088483192599noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-3125132926699584358.post-18499468455503316132014-01-11T05:31:10.245-06:002014-01-11T05:31:10.245-06:00Thanks for sharing this idea interesting blog, Ple...Thanks for sharing this idea interesting blog, Please continue this great work.<br /><br />http://www.huffingtonpost.com/tanya-young-williams/face-forward-to-confront-_b_1863468.htmlAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3125132926699584358.post-12882902271086431262014-01-06T03:13:08.970-06:002014-01-06T03:13:08.970-06:00Hi Ashley,
I think that you have to look more dee...Hi Ashley,<br /><br />I think that you have to look more deeply at how these manifest. For example, as one journal article shows, a patient saying they're "depressed, sad, or down" can have all sorts of meanings:<br /><br />"When a patient says “I feel depressed, sad, or down,” such statement may, if further explored, be found to indicate a bewildering variety of experiences with varying affinities to the concept of depression: not only depressed mood but also, for instance, irritation, anger, loss of meaning, varieties of fatigue, ambivalence, ruminations of different kinds, hyper-reflectivity, thought pressure, psychic anxiety, varieties of depersonalization, and even voices with negative content, and so forth."<br /><br />http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3668119/?report=classic<br /><br />I can think of one you can kinda pick at right now: "obsession." This by itself is actually a very broad term and can manifest itself in a number of distinct ways, such as:<br /><br />*True obsessions: Intrusive thoughts that produce fear, worry, anxiety, etc. (characteristic of OCD).<br />*Obsessive ruminations: Obsessive thinking about things that happened in the past. (Obsessive ruminations based on anger and sadness are common in BPD and depression.)<br />*Restricted interests: Enjoyable, but intense and highly focused study and discussion of favorite subjects, the pursuit of which possibly leads to neglect of other areas and social problems (characteristic of autism spectrum disorder and not at all a feature of BPD).<br /><br />There are other varieties of obsessive behavior.<br /><br />This was an example of the nuances that occur in psychiatry. As the journal article I linked to states, "[T]he phenomena of consciousness, which, unlike somatic [bodily] symptoms and signs, cannot be grasped on the analogy with material thing-like objects." Basically, you can't just take individual psychiatric signs and symptoms out of the nueropsychiatric and environmental context in which they appear: This is where symptom checklists often go wrong.<br /><br />Only a mental health professional, getting a good understanding of the patient's mental states and history and using their clinical judgment, can really make these determinations of differential diagnosis, find their way through these subtle nuances, I say.<br />beneficiihttps://www.blogger.com/profile/08107436044843445219noreply@blogger.comtag:blogger.com,1999:blog-3125132926699584358.post-23113892088003428602014-01-04T01:06:49.896-06:002014-01-04T01:06:49.896-06:00Well, it is not so much the social cues, it is the...Well, it is not so much the social cues, it is the other things: suicidality, meltdowns/tantrums, stormy relationships, mistrust, obsession, they both have neuro imaging changes with the prefrontal cortex, hippocampus, and amygdala...every time I think I have come across something that makes them different, I look it up and I find that people with both have whatever thing I thought was different. Also, DBT is starting to be used for Autism...it was created for BPD. Going back to the social cues, how can a person really know whether someone understands social cues or not? That seems like that would be subjective. Can you do a blog post about the differences between Borderline Personality Disorder and Autism? Anonymoushttps://www.blogger.com/profile/04491800083107966680noreply@blogger.comtag:blogger.com,1999:blog-3125132926699584358.post-49173803209237402882014-01-03T20:53:23.447-06:002014-01-03T20:53:23.447-06:00Hi Ms. Church,
Interesting question. I must admi...Hi Ms. Church,<br /><br />Interesting question. I must admit I never thought BPD was at all similar to autism. I'd be curious to know what you think the commonalities are. <br /><br />(I find that my patients with BPD are actually extremely good at reading social cues rather than defective at it). David M. Allen M.D.https://www.blogger.com/profile/06280912088483192599noreply@blogger.comtag:blogger.com,1999:blog-3125132926699584358.post-65011085406341821422014-01-03T19:44:12.041-06:002014-01-03T19:44:12.041-06:00I have a question for you, Dr Allen...First, I mus...I have a question for you, Dr Allen...First, I must explain that I have Borderline Personality a Disorder and I am in a good place in dealing with it. Since I have this disorder, I do a lot of researching on it and have come to this conclusion: what many people call "Autism" is really the criteria for Borderline Personality Disorder. Many people are so offended when I tell them that...what are your thoughts on this? If you already discussed this, can you point me to the post about it? I haven't really found any differences between Borderline Personality Disorder and what people are calling "Autism". I believe it is the same disorder, but one is ok and the other is stigmatized....Anonymoushttps://www.blogger.com/profile/04491800083107966680noreply@blogger.comtag:blogger.com,1999:blog-3125132926699584358.post-19664165318445329472013-12-31T20:33:29.055-06:002013-12-31T20:33:29.055-06:00Great post, it seems so often that only one side o...Great post, it seems so often that only one side of stories get heard (usually the one claiming to have been unfairly wronged).<br /><br />It seems analogous to Freud's era, when he devised his seduction theory rather than face the fact some of his patients' fathers (who were his colleagues and paid his fees) were molesting their daughters.<br /><br />P.S. I used to be one of those people that hated psych meds in part because I *expected* nasty side effects (I think).Oliverhttps://www.blogger.com/profile/16553105730593842429noreply@blogger.comtag:blogger.com,1999:blog-3125132926699584358.post-25530747818078163902013-12-28T20:37:54.765-06:002013-12-28T20:37:54.765-06:00I do frequent a bipolar website here in France, bu...I do frequent a bipolar website here in France, but as you say it is definanteley biased towards the people in crisis, and very heavily pushes cbt therapy, the only way apparentely. It was good in the begining when i needed to feel less alone, understood like only another bi-polar can "understand" right?! Bah just like with ex-alcoholic friends it all becomes "us" and "them" and no responsibility its the disease, ex alcoholics are terrible for that.André pampelnoreply@blogger.comtag:blogger.com,1999:blog-3125132926699584358.post-17008399287321485332013-12-28T20:32:29.699-06:002013-12-28T20:32:29.699-06:00Yeah guess I was always taught, there are two side...Yeah guess I was always taught, there are two sides to every story. Of course nothing beat's public lynching, course we don't hang them for real these day's...André pampelnoreply@blogger.comtag:blogger.com,1999:blog-3125132926699584358.post-48869630735077226012013-12-28T20:14:03.705-06:002013-12-28T20:14:03.705-06:00Hi Anonymous,
An excellent question, but I do not...Hi Anonymous,<br /><br />An excellent question, but I do not know the answer. I suspect it varies widely with individual cases, so that one would not be able to make any generalizations one way or the other.<br /><br />As to the drugs, people with positive experiences may be just as compelled to share their experiences as those with negative experiences - they just are not going to do that on websites devoted to people who have had bad reactions.David M. Allen M.D.https://www.blogger.com/profile/06280912088483192599noreply@blogger.comtag:blogger.com,1999:blog-3125132926699584358.post-55865032357547365222013-12-28T14:31:58.347-06:002013-12-28T14:31:58.347-06:00You say that people with positive experience with ...You say that people with positive experience with drugs aren't going to be as compelled to share their experiences as those with negative experiences. How does this apply to those who write into advice columns or other forms of public/group support? Are there types of people - or roles - who are more and less likely to seek public validation? Would you say that those who seek out public validation (mother-in-law) tend to tell less complete stories than those who do not (daughter-in-law)?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3125132926699584358.post-84672099640823332262013-12-28T08:20:54.747-06:002013-12-28T08:20:54.747-06:00Another really insightful, intelligent post. Pleas...Another really insightful, intelligent post. Please keep up the great work you do on this blog. And a Happy New Year to you!Unknownhttps://www.blogger.com/profile/10116463853452010663noreply@blogger.com