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Who was the subject’s general practitioner?When was the subject’s last appointment with his general practitioner?Do the general practice records refer to the subject’s mental state at any time?Is there a diagnosis of autism spectrum disorder?Who made the diagnosis?When was the diagnosis made?Where was the diagnosis made?Was there a care plan?Who was the key worker?What was…
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To be or not to be, that is the question.To be in a world of one’s own, rather than not to be in the world of another, that is an answer. The consulting room is a place to be, and a place to remember having been, the more so with the therapist’s salutation: “Having reflected…
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Exposure of fantasies in medical research and in psychiatric research.
anosognosia, Audience effects on food caching in grey squirrels (Sciurus carolinensis): evidence for pilferage avoidance strategies, brain scan, brain-waves, criticism of peer review, critique of peer review, Diagnostic stability of psychiatric disorders in clinical practice, dominance hierarchy, DSM, EEG, electroencephalograph, ESS, evolutionarily stable strategy, exploitation, false positive result, fluoxetine, Heschl’s gyrus, ICD, intimation, lasers, lithium salts, masking procedures, MRI, peer review system, prozac, research bias, The Dominance Hierarchy and the Evolution of Mental Illness, The Link Between Structural and Functional Brain Abnormalities in Depression: A Systematic Review of Multimodal Neuroimaging Studies, transverse temporal gyrus, unreliable psychiatric diagnoses, vocalisation, Wikipedia: can eeg diagnose a mood disorder?The risk of accepting a psychiatric diagnosis is illustrated by the variant of ‘depression’ which is due to excessive inhibition in unequal relationships. Medical training conditions doctors to focus on the individual, but psychiatry requires a wider view of family and colleagues. General practitioners in an affluent area have been known to resist a family…
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Exploration of ‘hallucinations’.
apperception, autism, cancellation signals, Charles Dickens, corollary discharge, first-person singular pronouns, From sensation to cognition, hallucinations, illusion, magic, mind’s ear, mind’s eye, occult, perception, Psychology of Music C E Seashore 1938, psychosis, schizophrenia, supernatural, talismanic, The Pickwick Papers, The Stroller’s Tale, thought broadcasting, thought echo, thought insertionVisual hallucinations are due to activation of visual memory circuits by diffuse toxicity, as described in The Stroller’s Tale, from The Pickwick Papers. The auditory hallucinations of schizophrenia are not perceptions without stimuli, they are apperceptions without responses, specifically the corollary discharges of arousal that normally indicate apperceptive ownership of one’s responses to perception:…
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The adolescent who feared abandonment as a child has dissembled through crypsis and has dissimulated through camouflage and mimicry. Increased arousal causes the part of the adolescent that has survived through crypsis to surface as unconditioned responses, that is delusions, while the part of the adolescent that has been inhibited irretrievably is unable to take…
To be or not to be. 