Friday, July 18, 2014

Out of Curiosity

     When being treated in intensive care treatment for the mentally ill patient,
I came across the term psychotic.  Thinking the worst of this particular word,
I would rebel against treatment and even be more effusive against having the 
word psychosis within my diagnosis.

     After many years of treatment, I finally looked up what it actually is as 
defined for my disorder.  The term, "psychosis" is actually used for 
different symptoms. Consequently, it has different meanings depending
on the diagnosis described.

     The different applications to different diagnosis were described in the 
surgeon general's 1999 report on mental health issues.  Apparently listed
as the first ever report on the subject. The link found to further study is:

http://www.surgeongeneral.gov/library/mentalhealth/chapter1/sec1.html#roots_stigma

    As was read within the first and second set of twenty-five pages in 
the 494 page report.

     On page 42, it mentions psychotic symptoms to be- manifestations of 
disturbances in the flow, processing and interpretation of information in the 
central nervous system.  

     Close by, within this report, there is also differing explanations pertaining to:

          schizophrenia- psychosis is disturbances of thought and perception.
                                         interpreted by me, this translated into 
                                         the patient sees things differently.

          bipolar or depression- psychosis is severe disturbances in expression 
                                        of affect and regulation of mood.
                                        interpreted by me, this translated into 
                                        the patient reacts to things differently.

                                      again, out of  curiosity and hearing in lecture-

            the difference between positive symptoms and negative symptoms-

                                       in the report, it mentions:
                                                            positive symptoms are often acute...
                           
                             whereas, negative symptoms are often chronic/long-term

      Further study showed no known pathology and etiology explainations for 
mental illness.  So there are diagnoses not diseases.  Clinicians have been 
using a particular manual with explicit diagnostic criteria called the DSM-IV.
Sort as a compendium of all mental health disorders.

     Internationally there is the ICD-9CM that the World Health Organization
and the Health Care Financing Administration use as their "official classification".

     Yet, now I hear that just last year, a new set of standards has been passed 
about.  The DSM-5 and the ICD-10CM
     
     To touch on a few frequently asked questions about the DSM-5 one can
use the following:

                          http://www.dsm5.org/Pages/Default.aspx


                             http://psychcentral.com/dsm-5/


     Just at a cursory glance, there are new names for classifications that might
have before sounded discriminatory and demeaning to the mental health patient.

     This DSM-5 compendium manual of disorders is critical since it is rare 
for a new manual to come out redefining diagnostic criteria for doctors and
clinicians.

     These links are hopefully helpful for your curiosity.