People who cope with major like stressors, like getting through what has been termed psychosis or recovering or coping with a physical illness which at one point was or is still considered life-threatening or significantly life altering experiences (e.g. resulting in major physical challenges) sometimes wind up developing adaptive skills that they might never have previously known the potential for. Their experience of gratitude might have changed as well.
Thank you for the transcript of your wonderful presentation.
I am glad that you wrote what you did, Alex. Theories are theories and not every clinician is going to conceptualize things in the same way. Dr. Berezin his one perspective, but it is not the only one.
I am looking forward to purchasing the book you’re writing.
I love the work of EJI. I think Bryan Stevenson’s efforts to promote equal justice in the U.S. have been remarkable.
Dr. Ostrow:
I didn’t understand your reason for including this comment in your post about the research:
“We are particularly interested in hearing from people of color and people who have experienced poverty. ”
I didn’t think you wanted to particularly encourage or discourage anyone who met the diagnostic criteria and medication stoppage you mentioned.
Bill,
My friend, a clinical psychologist, and I, a mental health counselor, have our hunches about why mental health professionals might be reacting in that way. We have been trying to receive support for the research we would like to do to see if our hunch is correct, hoping we would be able to facilitate some changes. We have been invited to submit proposals but have not received funding. We have more recently been given some suggestions about where else to look for funding and have been told by more professionals–two more psychologists–that they think our project is worthwhile and they hope we are able to undertake it and get it published. We’re hanging in there. The project is simple but getting funding for what we need has not been.
Good for you for trying to share your knowledge with your colleagues who have not shown receptivity.
Gail
Kudos to you Phil. You did a fabulous job of articulating what Dr. Frances was saying and was trying to communicate and shining a spotlight on why what Dr. Frances’s perspective was problematic.
I meant for this to be posted under Toward Social Justice Therapy, Let’s Keep Talking.
Bryan Stevenson’s TED presentation is extraordinary as is his work through EJI. When history is not accurately taught through the school system then ignorance is associated with some learners’ resistance to change. I hope enlightenment promotes social justice.
Yes, but Courtenay Harding’s research and about 10 longitudinal studies indicate that people with a diagnosis of schizophrenia sometimes “fully recover” or significantly improve. Does that mean that changes will again be seen at the biological level after marked improvement takes place?
There are a variety of models of CBT and the following one, I believe, cannot be likened to programming.
Yes, that kind of work is admirable. Since some fully recover without medication I hope the factors related to recovery, including what might be correlated with recovery at the biological level, is looked at. Are improved supports, social and economic circumstances or changed related to developmental processes correlated with changes for the better too?
Dr. Hickey,
Yes, I very much appreciated what you wrote in Behavior Therapist on the subject of prescription privileges for clinical psychologists. Thanks for writing the article in the first place and for giving us the link to it here.
Unfortunately, in the states of Louisiana, New Mexico and Illinois, clinical psychologists with additional training and certification are allowed to write drug prescriptions. I hope psychologists in other states are not lobbying to be able to do the same. I am sorry that psychologists in those states were ever granted permission to write prescriptions.
Noel,
Thank you for your thoughtful and scholarly article. I am unclear about what point you were trying to make in the paragraph below and was surprised that you described the behaviors as being suggestive of traits.
Recently, another study was published regarding “schizophrenia” that did not go viral through the media, but, some (i.e., me) might argue, should have. Anjnakina et al.14 built on several other recent studies to demonstrate specificity of childhood adversity and psychotic experiences as an adult. A robust association was found between childhood adversity, most notably childhood sexual abuse, and delusions and hallucinations. In a previous study, Bentall et al.15 found that bullying had a specific relationship with paranoia. Perhaps most importantly to the Sekar et al. study is the finding that being taken into custody (i.e., foster care, juvenile justice) as a child was associated directly and robustly with an “excited” dimension of psychosis, characterized by hostility, lack of impulse control and uncooperativeness. This builds on previous research demonstrating that children who experience abuse that comes to the attention of social services are more likely to behave in antisocial and impulsive ways.16 These traits are often associated with decreased activity in the prefrontal cortex.
People who cope with major like stressors, like getting through what has been termed psychosis or recovering or coping with a physical illness which at one point was or is still considered life-threatening or significantly life altering experiences (e.g. resulting in major physical challenges) sometimes wind up developing adaptive skills that they might never have previously known the potential for. Their experience of gratitude might have changed as well.
Thank you for the transcript of your wonderful presentation.
I am glad that you wrote what you did, Alex. Theories are theories and not every clinician is going to conceptualize things in the same way. Dr. Berezin his one perspective, but it is not the only one.
I am looking forward to purchasing the book you’re writing.
I love the work of EJI. I think Bryan Stevenson’s efforts to promote equal justice in the U.S. have been remarkable.
Dr. Ostrow:
I didn’t understand your reason for including this comment in your post about the research:
“We are particularly interested in hearing from people of color and people who have experienced poverty. ”
I didn’t think you wanted to particularly encourage or discourage anyone who met the diagnostic criteria and medication stoppage you mentioned.
Bill,
My friend, a clinical psychologist, and I, a mental health counselor, have our hunches about why mental health professionals might be reacting in that way. We have been trying to receive support for the research we would like to do to see if our hunch is correct, hoping we would be able to facilitate some changes. We have been invited to submit proposals but have not received funding. We have more recently been given some suggestions about where else to look for funding and have been told by more professionals–two more psychologists–that they think our project is worthwhile and they hope we are able to undertake it and get it published. We’re hanging in there. The project is simple but getting funding for what we need has not been.
Good for you for trying to share your knowledge with your colleagues who have not shown receptivity.
Gail
Kudos to you Phil. You did a fabulous job of articulating what Dr. Frances was saying and was trying to communicate and shining a spotlight on why what Dr. Frances’s perspective was problematic.
I meant for this to be posted under Toward Social Justice Therapy, Let’s Keep Talking.
Bryan Stevenson’s TED presentation is extraordinary as is his work through EJI. When history is not accurately taught through the school system then ignorance is associated with some learners’ resistance to change. I hope enlightenment promotes social justice.
Yes, but Courtenay Harding’s research and about 10 longitudinal studies indicate that people with a diagnosis of schizophrenia sometimes “fully recover” or significantly improve. Does that mean that changes will again be seen at the biological level after marked improvement takes place?
There are a variety of models of CBT and the following one, I believe, cannot be likened to programming.
http://myemail.constantcontact.com/Cognitive-Therapy-for-Schizophrenia.html?soid=1105231688833&aid=bufvSe5iCE0
Yes, that kind of work is admirable. Since some fully recover without medication I hope the factors related to recovery, including what might be correlated with recovery at the biological level, is looked at. Are improved supports, social and economic circumstances or changed related to developmental processes correlated with changes for the better too?
Dr. Hickey,
Yes, I very much appreciated what you wrote in Behavior Therapist on the subject of prescription privileges for clinical psychologists. Thanks for writing the article in the first place and for giving us the link to it here.
Unfortunately, in the states of Louisiana, New Mexico and Illinois, clinical psychologists with additional training and certification are allowed to write drug prescriptions. I hope psychologists in other states are not lobbying to be able to do the same. I am sorry that psychologists in those states were ever granted permission to write prescriptions.
Noel,
Thank you for your thoughtful and scholarly article. I am unclear about what point you were trying to make in the paragraph below and was surprised that you described the behaviors as being suggestive of traits.
Recently, another study was published regarding “schizophrenia” that did not go viral through the media, but, some (i.e., me) might argue, should have. Anjnakina et al.14 built on several other recent studies to demonstrate specificity of childhood adversity and psychotic experiences as an adult. A robust association was found between childhood adversity, most notably childhood sexual abuse, and delusions and hallucinations. In a previous study, Bentall et al.15 found that bullying had a specific relationship with paranoia. Perhaps most importantly to the Sekar et al. study is the finding that being taken into custody (i.e., foster care, juvenile justice) as a child was associated directly and robustly with an “excited” dimension of psychosis, characterized by hostility, lack of impulse control and uncooperativeness. This builds on previous research demonstrating that children who experience abuse that comes to the attention of social services are more likely to behave in antisocial and impulsive ways.16 These traits are often associated with decreased activity in the prefrontal cortex.