Could someone please...

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tell Henry A. Nasrallah that a white collar with a blue shirt is the height of naivety. Someone needs to tell him that he looks like a used car dealer. Oh yes..... and current psychiatry is a comedy publication.

http://www.currentpsychiatry.com/pdf/1203/1203CP_FromTheEditor.pdf 🙂



He has a point but i don't think that this type of hardcore "medical approach" (with biomarkers and imaging) has anything valuable to say about mental health. Possibly because there is a very complex interplay between various predispositions and processes working in tandem and in non-linear chaotic ways. Even if you find 2-3-4 biomarkers, i doubt that they could predict the type, phenomenology and severity of the problem with any specificity or sensitivity (or reliability for that matter). Even with clear-cut brain neuropathology, you can do an extensive and detailed neuropsych assesment and you may still get different results between patients, despite the fact that they are categorized in the same disease category and sometimes get similar brain atrophy and chemical biomarkers.
 
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He has a point but i don't think that this type of hardcore "medical approach" (with biomarkers and imaging) has anything valuable to say about mental health..

You can't treat people like lumps of meat and then expect people to have any respect for you. Its the medical meat model.

Perhaps a petite bourgeoisie dress sense is the result of a genetic abnormality or a brain lesion he has. Either way we don't need to do a lumbar puncture to see he definitely has the crappy dresser disorder disease. It's horrible to see. I mean he should be locked up until he learns how to dress properly. Why should everyone else have to suffer.....bang him up I say. Get him a support package and a care plan.....holding the hope for this walking sartorial disaster.
 
You can't treat people like lumps of meat and then expect people to have any respect for you. Its the medical meat model.

Perhaps a petite bourgeoisie dress sense is the result of a genetic abnormality or a brain lesion he has. Either way we don't need to do a lumbar puncture to see he definitely has the crappy dresser disorder disease. It's horrible to see. I mean he should be locked up until he learns how to dress properly. Why should everyone else have to suffer.....bang him up I say. Get him a support package and a care plan.....holding the hope for this walking sartorial disaster.

But how does that make you feel, Ibid?
 
If we're looking for biological data I wonder if it might be more helpful to look at specific symptoms rather than broadly defined DSM diagnoses. For example, I would like to know if there is anything biologically involved when an individual is so severely disorganized it's like their brain's hard drive is scrambled; or extremely manic like the micromachines man and stringing ideas together so quickly you cannot even follow their train of thought; or experiencing out of this world bizarre delusions. Stuff like that interests me.
 
If we're looking for biological data I wonder if it might be more helpful to look at specific symptoms rather than broadly defined DSM diagnoses. For example, I would like to know if there is anything biologically involved when an individual is so severely disorganized it's like their brain's hard drive is scrambled; or extremely manic like the micromachines man and stringing ideas together so quickly you cannot even follow their train of thought; or experiencing out of this world bizarre delusions. Stuff like that interests me.



Yeah, this is in the right direction IMO.


Ibid seems a bit disturbed with the bureacratic market-based medical model though. I wonder if her amygdala overeacts a bit :laugh:
 
Isn't the attitude of the OP the kind that is detrimental to psychiatry? (at the risk of sounding controversial). Nowhere does Nasrallah mention that we need to just abolish the current model for the "biological" model - but that it needs to be more actively incorporated. Probably he's overshooting a bit based on the current evidence, but like, omg, is he really suggesting that we may need to investigate the brain for psychiatric disorders????? How dare he reduce people to brains?
 
I wish you could all have heard Kenneth Kendler's address to AADPRT this morning on this topic*. Most of your program directors did--so make sure you ask them about it!

*("Hard reductionist" neuroscience vs. Cartesian dualism--not Nasrallah's sartorial tastes...🙄.)
 
tell Henry A. Nasrallah that a white collar with a blue shirt is the height of naivety. Someone needs to tell him that he looks like a used car dealer. Oh yes..... and current psychiatry is a comedy publication.

http://www.currentpsychiatry.com/pdf/1203/1203CP_FromTheEditor.pdf 🙂

many in our field have been talking about biomarkers for 2+ decades now(maybe logner?).....and they still arent here, and we are probably no closer to them.
 
well. to be exact, we are exactly 2+ decades closer to them lol

that assumes(I guess one could say my post did as well) that they will ever come....which Im not sure is the case.
 
that assumes(I guess one could say my post did as well) that they will ever come....which Im not sure is the case.

Since none of us can tell the future, it is speculation either way.

The fact that science continues to do research even as imprecise as it all can be, means we're at least not further from answers. Probably.
 
You can't treat people like lumps of meat and then expect people to have any respect for you. Its the medical meat model.

Perhaps a petite bourgeoisie dress sense is the result of a genetic abnormality or a brain lesion he has. Either way we don't need to do a lumbar puncture to see he definitely has the crappy dresser disorder disease. It's horrible to see. I mean he should be locked up until he learns how to dress properly. Why should everyone else have to suffer.....bang him up I say. Get him a support package and a care plan.....holding the hope for this walking sartorial disaster.



Dr. Nasrallah looks like a very elegant gentleman with glimmering smile and classy well-mannered luxurious appearance.



You are possibly cought within some psychodynamic defence mechanism of style-envy
 
But how does that make you feel, Ibid?

Well, it's the way I always feel when I've decided to approach a subject with ridicule rather than a reasoned argument. Some people you can talk to and have a reasonable conversation with. Others you can't. The joker at hand isn't interested in discourse anyway, he is setting himself up with a Hello magazine publicity photo as a cheerleader for what amounts to an ideological position as much as anything else.

If one is going to engage the gutter press then its only demeaning if on does it in a way that takes the source seriously. Ridicule is an appropriate response in this case. imo

I don't feel bad at poking fun of him for not knowing he looks like a car salesman. I'm betting he drives a two tone Cadillac with whitewall tires a vinyl roof. 🙂
 
I wish you could all have heard Kenneth Kendler's address to AADPRT this morning on this topic*. Most of your program directors did--so make sure you ask them about it!

*("Hard reductionist" neuroscience vs. Cartesian dualism--not Nasrallah's sartorial tastes...🙄.)

Kendler is a different kettle of fish. He approaches the subject matter like the philosopher he is rather like a Jesuit priest discussing theology.

Here is a quotation.
"There is a deep tension between the basic scholarly approach – to carefully and self-critically seek to understand – that we theoretically value in academic psychiatry and the self-promotional, entrepreneurial style that is actually often more rewarded. We are at risk of confusing our goals (to produce knowledge) and the means to those goals (to obtain research funding). Sometimes the means appear to be more important than the goals."

Nassrallah might take note of these wise words.

Here Kendler again.

"We are currently at some risk of becoming mindless. We have the challenge of integrating the advances that will be coming our way from genetics, imaging and molecular and systems neuroscience without losing our way as an integrative discipline. Although my ‘day job' is studying genetic risk factors for psychiatric illness, it is clear that the environment is very important for most disorders and some of the critical aetiological factors in disease are tied up in deeply human processes such as meaning.


There is a mind at work here and below we see the contrast between the self publicist and the measured humble approach to his own work.

"Problems of multiple testing continue to dog our field and lead to overzealous claims about ‘genes for' various disorders."

No hubris here.

The fact is that modern mathematical wizardry has enabled the finding of statistical significance in factors which themselves are entirely irrelevant. Study on but at least he seems to be owning up to this.

Just for balance. Mind champion Chalmers dresses like a hippie because, well he is a bit of a hippy.
tumblr_mga4zvB3HJ1r71q5io1_500.jpg


Dennet dresses like a likable boring old white guy who has spent a lot of time in the lab, mainly because he is a boring old white guy who has spent a lot of time in a lab....
220px-Daniel_Dennett_in_Venice_2006.png


Nassrallah looks like a cheap sales person because he is a cheap sales person.
 
If we're looking for biological data I wonder if it might be more helpful to look at specific symptoms rather than broadly defined DSM diagnoses. For example, I would like to know if there is anything biologically involved when an individual is so severely disorganized it's like their brain's hard drive is scrambled; or extremely manic like the micromachines man and stringing ideas together so quickly you cannot even follow their train of thought; or experiencing out of this world bizarre delusions. Stuff like that interests me.

It's not exactly the same as what's going on biologically but by coincidence the author of this blog, an academic who has experienced madness, posits the same question in a Feb 15 post.

It's not a journal but I enjoy it anyway.
http://phenomenologyofmadness.wordpress.com/
 
I really like your style of writing Ibid. Where do you learn to write like that?

Oh...thankyou...thats very kind. I'm guessing that writing style is a reflection of what we have read...so I can't take any credit....
 
Here Kendler again.

"We are currently at some risk of becoming mindless.

"What a waste it is to lose one's mind. Or not to have a mind is being very wasteful. How true that is."

- Dan Quayle, 1989

Yeah, I am pretty dubious when people make vague statements about the mind.
 
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