Thursday, December 1, 2022

Comments by ILNC

Showing 27 of 27 comments.

  • Here’s the thing- different people can derive various meanings when reading articles no matter how terminology used on this site. I’m not naive about the system but I do realize multiple lenses exist amongst readers. As for how the DSM is used or not used we can go back and forth about that. However I don’t think this platform is the best way and in the end I think that we would agree more than not. My intention is to point out that people have different experiences. Things can be viewed from all different angles- about how terminology is being used as well as the changes that are being proposed. I understand the mission of this site as well as understand the articles without further explanation needed, avoiding labels, or quotation marks around words. If changes like that are made it won’t completely eliminate confusion- it can in ways create confusion for some people.

  • It’s understood that diagnoses are constructs. I don’t think people place much value on the DSM because they recognize that. I don’t think a diagnosis implies medical or biological causes or that drugs are the answer. If you don’t believe in using labels like binge eating disorder or anorexia or bulimia that is fine. I would have a difficult time telling someone who said they had an eating disorder that they didn’t have one because a label is a construct. Some people may perceive that as hurtful. Everyone derives a different meaning and significance from having a diagnosis or not having one. If you want to put a diagnosis in quotation marks, go ahead. I think that is confusing and can suggest something else that what I think you intend.

  • I don’t think clinicians are taught to use the DSM as the bible or as a cookbook. It’s understood that categories can change as knowledge develops and society changes. Having a diagnosis does not mean that the cause(s) is known or that it’s necessarily lifelong. Saying a diagnosis doesn’t exist, trying to use other words to describe it, or putting a diagnosis in quotations can be hurtful to some people. Proclaiming that mental health professionals are either all bad or good is not productive. The questions that Dr. Caplin suggest people should ask providers about a diagnosis or whether needing to be diagnosed at all are excellent. An individual should ultimately be the one to decide what is aligned with one’s own perspective and what is or is not helpful.

  • I’m not sure why my original post didn’t show up. I also appreciate having an open space for diversity of thought. I don’t think a diagnosis implies the source of one’s challenge, difference, or experience. Different meanings can be derived from having a label/diagnosis depending on the person’s perspective. I don’t think a bad outcome is always the result.

  • Financial success rarely happens instantly but unfortunately that’s not what youtube or instagram stars portray. This generation has been bombarded with overnight success stories and many teens and young adults have unrealistic expectations. Big dreams are great but you still have to put some grit behind them. He might be comparing himself to others and feel defeated already. It may be one factor why he is not putting forth the energy. He might need to learn that “failing” is okay as long as he is taking action. Just a thought. Hope it helps.

  • Can anyone call themselves a psychotherapist still? Or is that no longer the case? Disequilibrium1, your response is brilliant. I also think people can change depending on the context whether they act more introverted or extroverted.

  • I agree with your thoughts. The handful of regular commenters, however, make quick statements about how conditions don’t exist with sometimes a poor choice of words unless it’s about post traumatic stress disorder or eating disorders or something else that fits their own comfort level. At times it seems disrespectful to the authors’ efforts in addition to others that share different opinions. I agree with Ms. Spencer in that it distracts from the intended main focus of articles and it possibly shuts down conversation about them.

  • What if a label and the word disorder is meaningful to some people. Maybe some people think it helps describe the disruption that their thoughts and responses are causing in their life. To not use it or to attempt to use words in replace of it is perceived as being flippant about their experience. Is that point of view included in cultural training along the opposite point of view? I’m not saying one is better than the other. It’s easy to see the semantic war is way overdone.

  • It does not come from a “personality part” but rather stems from anxiety. Completing a compulsion can relieve anxiety in a fleeting moment but there is an awareness that it strengthens the pattern at the same time- which creates more anxiety. People with it don’t think it’s beneficial. People with it think it’s annoying, time consuming, tend to hate it, and would describe their obsessions and compulsions as illogical. The author clearly explains why trying to use a reasoning strategy often doesn’t work and offers some practical strategies that are worth giving a try for children and adults alike.

  • That point is spot on! Unfortunately sometimes those people contributing to the anxious thoughts don’t have the insight, “can’t” or won’t change. If they do change, the pattern of thinking/responses might still persist for the child. Thus, the Gremlin analogy might be helpful for some children in breaking that pattern. Totally agree with you though.

  • This is a nice series. I wonder if it’s not the amount of time that you speak of that’s concerning for some (having too much) but rather the feeling of unfulfillment or frustration that it’s not spent pursuing a passion due to competing priorities as well as perceived or real lack of resources, social connections, energy, or additional time required.

  • Thanks ebl! There are a ton of driving factors why kids are being labeled and drugs are recommended but you seem to be navigating your position well. Having a supportive admin is so important. I know of one district that has a written policy that frowns upon labeling children and “medications” can’t be recommended. It was written because the community and parents demanded it. The teachers fear loosing their jobs so they don’t cross that line regardless if their personal opinion is otherwise. Yes, it’s one district, but I learned that change is possible.

  • Just as well, an organization can highight personal stories that reflect it in a good light for marketing. A variety of means should be available to illuminate the experience. Transparency is key. To your point, not many places provide this and it can take a lot of investigating. Research is just a piece of the overall picture but an important one in which not every organization partakes. Additionally, what is being measured and why it’s being measured is important. Perhaps I have been blessed with working within an organization that has the best interest in clients in mind when gathering data and making use of it- one reason why they remain successful and have a good reputation.

  • Personal stories can certainly affect others. That is not being disregarded. Not everyone, however, wants to share their personal story in a narrative format. Research, done ethically and responsibly, is a way to capture the critical information that is needed to make well informed decisions. It can help organizations be accountable, get funding for clients, improve professional education, and provide better service. The process is continuous. There is no claim that personal stories, positive or negative, should be “thrown out”. Rather, there is an emphasis of the importance of choosing meaningful outcome data and reaching out to as many people as possible as a way to provide rationale for current practices and future selected interventions. If an organization does this with the best intensions in mind, it can give more credibility to their practice and at the same time become more client focused and driven.

  • Completely agreed! You definitely point out the critiques made in prior comments well in your original blog. I have experience first hand working with an another organization (in pediatrics)- the value of collecting data as the way you described…using standardized assessments, documenting intervention, choosing outcomes, follow-up, and so forth. It’s an ongoing process. It can help therapists advocate for clients by using this data to continue to improve and push for program development. It can also help with making referrals to other organizations and disciplines as needed for individuals who may need it. It’s nice to hear of the program and efforts of ATMC. Well done and thank you!

  • Thank you Peter. Love is powerful! I wonder if some of the people that you have worked with felt “unlovable” due to past experiences and thus their perception was that they could not give or receive love. For some, it may help learn to love yourself first (through actions of self-care and being kind to oneself). Giving/receiving love will follow.

  • The author (Peter Simons) mentioned that strangely it was not reported whether the participants took medication. You have to read the linked article to find out that 88% of the participants did take medication. It also points out that 3 of the 207 probands died by suicide. To some people, there is value in looking at the details. Different people will learn different things by doing so.