… come to think of it, you can’t get there from here.
Burt and I: Which way to Millinocket?
A Pervasive Mind Problem: Ask yourself this important question: “Why do so many fear/disdain psychiatric treatment and psychiatric medications?”
In A Word – Unpredictability: The standards for the use of psychiatric medications are based upon appearances, descriptions, and speculation encouraged by the recently “updated” DSM-5 Diagnostic Manual. Brain measures, neuroscience, hard biomedical data, real brain evidence, grows daily, but remains outside of the medical standard of care. However, real mind challenges do exist in measurable realities, beyond the current DSM-5 Diagnostic Manual, beyond current outdated diagnostic frameworks based upon impressions instead of data.
But those contemporary mind realities aren’t found in the extant diagnostic bible. Beliefs and dogma now outweigh fresh perceptions.
Overlooked: The complexity of functional biologically-based brain and body measurements. Our collective humanity lives in a complexity of coping with real life beyond standardized label-beliefs and orthodox dogma. That new, measurable cellular and subcellular set of variables includes Brain Function, Metabolic Challenges, Change, Cognition, Context and Working Memory.
Remember Galileo: Even today many hesitate to trust new discoveries. Today it’s not about revising the Geocentric Universe, the Sun rotating around Rome, it’s about the Diagnostic Manual and fresh metaphoric telescopes that provide real laboratory data for more street smart, more universal, more interesting, more precise applications. Our current system of mind care is, as Dr Edward de Bono notes, “Excellent, but not enough.”
Too often those accepted appearance criteria contradict the complexity of contemporary mind-science. Missing today: Critical Thinking – see this list of those actively considering the evolution of scientific thought, especially as related to new mind evidence. From Galileo to Walsh, critical thinking remains involved with new perceptions, new discoveries, from neuroscience. Our current understandings of biologic mind complexity today stretch far beyond those early days of dreams and fantasies in the mid 20th century. Yes, we’re still using those outdated criteria, while coincidentally ignoring hard laboratory data – from functional brain imaging to epigenetics and the subcellular activities of transporter proteins on presynaptic neurons.
Clarifying diagnostic mind targets simultaneously improves treatment protocols. If the sun isn’t rotating around the earth, then let’s use measurement technology to understand exactly what is happening in that outdated universe of mind speculation.
Old beliefs about causality, diagnosis, and how to correct mind imbalances now need serious revision. An additional exemplary, glaring psychiatric oversight: two remarkably significant mind challenges, Reality and Cognition, appear to have almost completely escaped the attempted recent corrections in the “revised” DSM-5 psychiatric diagnostic manual.
It’s important to note that the way humans cognitively deal with changing reality does improve our circumstances for safety and endurance among other species. Each individual’s relationship with change, from thinking about change to reacting to change, is what sets us apart both as individuals and as a species – but remains almost completely overlooked in 2014.
When you read “Executive Function” think: Self Management. Self management is a process over time, not a static label with rampant categorical implications.
Humans are different from cows. Cows live with nearly non-existent executive function. When it rains they simply continue to stand in the field and munch grass. You and I would go inside. Reality, context, does change in the lives of cows, but they don’t adjust to that change. Our brain, our executive function tool, lodged mostly in the prefrontal cortex, regularly cognitively identifies then adjusts to each changing reality, and makes helpful adjustments to our ever-changing circumstances in life.
Consider: If we humans need executive function tools for everything from corporate leadership to marital bliss why is executive function so dramatically neglected in contemporary psychiatry?
New mind science, neuroscience evidence, changes thinking.
Increasingly both professionals and the public can easily see the limitations of using only psychopharmacology and outdated appearance diagnoses for the complexity of mind challenges. Medications provide excellent answers for many, but too often dysfunctional mind activities stream on beyond the range of cut and paste medications answers.
The complexity of human life exists as separate perceptions in the lives of every human being, and disdains homogenized solutions. Psychiatric interventions require far more customization, less managed-care commoditization, and far more neuroscience-based medical precision. Without attention to those imperative details we can expect to continue the dark ages before data, before Galileo and informed telescopic interventions.
Nowhere in psychiatry are these several medical perplexities more fully realized than in the diagnosis and treatment of “ADHD,” only a small tip of the significantly larger Executive Function Iceberg. Nowhere in psychiatry is there more public outcry, medical confusion, labeling consternation and medication imprecision than in the current vagaries of ADHD diagnosis and treatment. Brain measures remain remarkably absent.
The current labeling system is logical, reasonable and often useful for short periods, however it, more frequently than not, disregards the peer-reviewed perceptions of modern brain science associated with informed self management over time. Drifting in the North Atlantic some ADHD icebergs are recognizable from the surface, but the real, the brain functional challenges float beneath the surface as manifest Executive Function Challenges.
Too often ADHD, when fully perceived at it’s depths below the surface, is actually Attention Abundance Disorder, the paradoxical opposite of Deficit. The actual functional/processing/reality problem: Abundance. The default/reductionistic/inadequate label: Deficit.
…90% of errors in thinking aren’t errors of thinking, but rather errors of perception.
Edward de Bono
These ADHD superficial assessments, unencumbered by real data, by underlying brain and body function connected to contemporary neuroscience, encourage everyone to continue to effortlessly speculate about both diagnosis and treatment for a number of other mind conditions as well – including depression, anxiety, bipolar, and PTSD. Without science everyone from your family practitioner, to cotton farmers in Possum Hollow become, by default of whimsy, board certified in psychiatry.
If interested in even more excellent information regarding Epigenetic change and Dr William Walsh Connect At This Link.
As an example, to show how to use brain science to create common sense solutions I’ve created this playlist that addresses measurable functional variables for assessing and treating ADHD. When you run though these videos notice how simple it is to connect the recognizable functional dots, beyond the veneer of description.
Wend your way through this playlist to see how easily Executive Function Challenges can play out in everyday life: 49 min for the entire list, but you can select specific topics by opening this one up in YouTube 💡 !
A four page PDF Summary of his Nutrient Power and Epigenetic challenges that directly change brain function:
If interested in more information on applied mind data connect here: http://corepsych.com/connect
Be well, and please consider leaving a comment below…
Dr Charles Parker
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