[FRIAM] The root of personality disorders

[Frank Wimberly]

About 30 years ago there was a long article in the New Yorker about
problems of mental health diagnosis and treatment.  It was based on a real
patient who was given the fictitious name of Sylvia Frumpkin.  The
consensus diagnosis for her was schizophrenia but one Asian Indian resident
said her diagnosis was bipolar disorder.  When he was asked why not
scizophrenia he said that it was because there was no evidence of severe
delusions.  His colleagues asked about the fact that she said she was
married to Mickey Mouse.  His reply was, "Who's that?". The point was that
cultural differences between Dr. and patient can cause communication
problems.


Frank Wimberly
Phone (505) 670-9918

On Jan 18, 2017 7:58 PM, "gepr" <gepropella at gmail.com> wrote:

>
>
> No worries. The thing is, though, with cancer and pneumonia we do have
> well evidenced, reproducible, mechanistic hypotheses. That makes those
> hypotheses way more robust and trustworthy than personality disorders. So
> while there may be some deeply embedded circular reasoning in any
> diagnosis, the circular reasoning in purely phenomenal diagnoses is much
> more obvious.
>
> Granted, I'm a big fan of parallax, as I've yapped about here before.
> When a mechanism is unavailable, we can approach it through circumscribing
> a small region of behavior space with many purely phenomenal models, which
> is why these diagnoses need multiple attributes. But there's still no
> hiding from the circularity.
>
> Also note that I regularly defend circular reasoning ala Robert​ Rosen,
> autopoiesis, non-well-founded sets, etc. But I wouldn't entertain a
> circular justification if there were good reasons to believe a well-founded
> explanation was out there somewhere.
>
>
> On January 18, 2017 5:35:24 PM PST, Frank Wimberly <wimberly3 at gmail.com>
> wrote:
> >I apologize, Glen.  Please replace "cancer" with "pneumonia".
> >
> >Frank Wimberly
> >Phone (505) 670-9918
> >
> >On Jan 18, 2017 6:16 PM, "Frank Wimberly" <wimberly3 at gmail.com> wrote:
> >
> >> Why is my husband unable to breathe and coughs all the time?  And
> >what is
> >> this large white area on his chest x-ray?
> >>
> >> He has lung cancer.
> >>
> >> How do you know?
> >>
> >> Because he has difficulty breathing, he coughs constantly, and he has
> >a
> >> positive chest x-ray.
>
> >> > Wife: Why is my husband so self-important; why does he have such a
> >sense
> >> of entitlement?
> >> > Psychiatrist: Because he has an illness called narcissistic
> >personality
> >> disorder.
> >> > Wife: How do you know he has this illness?
> >> > Psychiatrist: Because he is so self-important and has such a sense
> >of
> >> entitlement.
>
> --
> ⛧glen⛧
>
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