Anyone Else Feel Like They Have Asperger Syndrome?

It is every practitioners job to teach. No it was not in his job description, but I go beyond my job description on a daily basis. (and even though you are correct about the laws, a subsequent review instigated at the request of my supervisor, indicated she would have benifited by more pain meds) It was a lucky guess on my part based on green horn school training and yes I could just have easily have been wrong. But we were taught to question and learn.
This was really a communication problem because she did not know any English. I saw pain, and admitedly that is entirely subjective.

No, it is not. It is a practitioner's job to practice. It is a teacher's job to teach. You were not a medical student interning toward your M.D. You were a nursing student doing clinicals. The teaching falls to your nursing school instructors, and quite possible to the charge nurse. Not to the physician. If you want the physician to be responsible for your teaching, I would siuggest medical school instead of nursing school. A doctor's first and foremost resposibility is to the treatment of his patients, not the instruction of student nurses. That is why they have nursing schools.
 
Flawed reasoning based on personal experiance and education?
My reasoning is different than yours. Not flawed.

No it is flawed. You are assuming conclusions based on a lack of evidence and knowledge.
 
Yes, fatigue is correlated with several physical illnesses. However, it is not idicative of a physical illness in of, and by itself. You presented with depressive symptoms and fatique. You did not present with symptoms of any physical illness that could account for the fatigue.

It is not the diagnostic process that is so flawed as is your reasoning. And that is "holistically".

thanks for the spelling correction, but I still think it ought to be spelled whole, as in a whole and complete diagnostic work up.
 
It is every practitioners job to teach. No it was not in his job description, but I go beyond my job description on a daily basis. (and even though you are correct about the laws, a subsequent review instigated at the request of my supervisor, indicated she would have benifited by more pain meds) It was a lucky guess on my part based on green horn school training and yes I could just have easily have been wrong. But we were taught to question and learn.
This was really a communication problem because she did not know any English. I saw pain, and admitedly that is entirely subjective.

And your supervisor was not a physician, was she? She was a nurse.

And showing that she would have benefitted from more pain meds, which is nothing more than a post hoc conlcusion, does nothing to explain the physician's reasons for not having prescribed more pain meds, now, does it?

Yes, pain is subjective. And for that very reason, you cannot come to an objective conclusion regarding the treatment decisions of a physician based on your subjective interpretation of very subjective information.
 
No it is flawed. You are assuming conclusions based on a lack of evidence and knowledge.

Admittedly alot of my knowledge is old, but I do try to stay current, on my own. (I am currently reviewing the DSM-V) The new one isn't expected to be out untill 2012 BTW. And evidence is bountiful. Personal experience, work related experience, and volunteer experience. Now you are the one who is making assumptions because I do not agree with you.
 
And your supervisor was not a physician, was she? She was a nurse.

And showing that she would have benefitted from more pain meds, which is nothing more than a post hoc conlcusion, does nothing to explain the physician's reasons for not having prescribed more pain meds, now, does it?

Yes, pain is subjective. And for that very reason, you cannot come to an objective conclusion regarding the treatment decisions of a physician based on your subjective interpretation of very subjective information.

But you can through subjective information provide information showing the need for further investigation. Any doctor who dismisses subjective information like this one did is not being thorough.
 
Admittedly alot of my knowledge is old, but I do try to stay current, on my own. (I am currently reviewing the DSM-V) The new one isn't expected to be out untill 2012 BTW. And evidence is bountiful. Personal experience, work related experience, and volunteer experience. Now you are the one who is making assumptions because I do not agree with you.

Uh, the DSM V is not due out until 2012. The edition currently being used in the professsion is the DSM IV (TR).

No, I am not making assumptions based on the fact that you do not agree with with me. I am pointing out the fallicy in your reasoning based on gaps in your knowledge and understanding.
 
But you can through subjective information provide information showing the need for further investigation. Any doctor who dismisses subjective information like this one did is not being thorough.

And you are complaining that you were not ordered to have medical tests based on the fact that subjective symptoms did not indicate the need for such. So which is it? Do we give credibility to the assessment of subjective symptomology, or don't we?
 
thanks for the spelling correction, but I still think it ought to be spelled whole, as in a whole and complete diagnostic work up.

But a whole daignostic work up, and holistic treatment are 2 different concepts. A whole diagnostic work up would include any tests/procedures that are indicated by presenting symptomology. If the symptoms are not presenting in the patient, there is no indication for testing outside that criteria.
 
But a whole daignostic work up, and holistic treatment are 2 different concepts. A whole diagnostic work up would include any tests/procedures that are indicated by presenting symptomology. If the symptoms are not presenting in the patient, there is no indication for testing outside that criteria.

Correct and I was being facetious. I've never been good at spelling. on the other hand, I think there should be a basic blood diagnostic when any problem is presented and especially if the problem is presumed to be psychiatric in origin. There should be standard, perhaps there is one now and because of costs it is not being applied?
 
And you are complaining that you were not ordered to have medical tests based on the fact that subjective symptoms did not indicate the need for such. So which is it? Do we give credibility to the assessment of subjective symptomology, or don't we?

We do not listen enough to the patient and we do not do enough assessments on family health history. Perhaps a cheaper way to do this would be to train intake specialists to do these assessments in addition to doing vitals. A family health history questionnaire, and asking the patient what their opinions are.
 
Uh, the DSM V is not due out until 2012. The edition currently being used in the professsion is the DSM IV (TR).

No, I am not making assumptions based on the fact that you do not agree with with me. I am pointing out the fallicy in your reasoning based on gaps in your knowledge and understanding.

Diagnostic and Statistical Manual of Mental Disorders - Wikipedia, the free encyclopedia


This is what I was reviewing. Also articles on potential flaws in the new one. Since we were discussing Axis issues I decided to see if a draft was available yet for the new one, but the draft won't be available till 2009

Next I plan to study the current one.
 
We do not listen enough to the patient and we do not do enough assessments on family health history. Perhaps a cheaper way to do this would be to train intake specialists to do these assessments in addition to doing vitals. A family health history questionnaire, and asking the patient what their opinions are.

Who exactly is this "we" you are speaking of? I wasn't aware that you were a professional in the field. Unless you are, you really have no concept of what goes on on a daily basis in the field. You have no idea what asssessments are used, what information if asked for at intitial interview, how a diagnosis is arrived at, etc. etc. etc.
 
Diagnostic and Statistical Manual of Mental Disorders - Wikipedia, the free encyclopedia


This is what I was reviewing. Also articles on potential flaws in the new one. Since we were discussing Axis issues I decided to see if a draft was available yet for the new one, but the draft won't be available till 2009

Next I plan to study the current one.

You are using a Wiki site to tell you what the DSM is. And your information is in error. The DSM IV (TR) is the current issue, and the one used by professionals in the field. The DSM V will not be published until 2012. Since it has not even been compiled yet, it is impossible to discuss potential flaws.

Your errors are an indication that you certainly do have many gaps in your knowledge regarding this topic.

If you want to study the DSM, I would suggest that you actually obtain a copy of the actual manual that is used in practice, and get some training in its use. Relying on Wiki is unreliable, and probably one of the reasons that you are making some of the errors you are.
 
Who exactly is this "we" you are speaking of? I wasn't aware that you were a professional in the field. Unless you are, you really have no concept of what goes on on a daily basis in the field. You have no idea what asssessments are used, what information if asked for at intitial interview, how a diagnosis is arrived at, etc. etc. etc.

Just a measely little AA degree in psychology. I quickly decided the psychiatric field was full of pseudo science and people who were getting paid to do the job a best friend should be doing. You know as well as I that people who have a trusted best friend do much better emotionally than those who see therapists.
 
You are using a Wiki site to tell you what the DSM is. And your information is in error. The DSM IV (TR) is the current issue, and the one used by professionals in the field. The DSM V will not be published until 2012. Since it has not even been compiled yet, it is impossible to discuss potential flaws.

Your errors are an indication that you certainly do have many gaps in your knowledge regarding this topic.

If you want to study the DSM, I would suggest that you actually obtain a copy of the actual manual that is used in practice, and get some training in its use. Relying on Wiki is unreliable, and probably one of the reasons that you are making some of the errors you are.

Just been quite a while since I was exposed to the field. Its still pseudo science.
 
Just a measely little AA degree in psychology. I quickly decided the psychiatric field was full of pseudo science and people who were getting paid to do the job a best friend should be doing. You know as well as I that people who have a trusted best friend do much better emotionally than those who see therapists.

First, I may be mistaken, but a course in psychology would be (I didn't even know they issue such degrees at associate level!) an AS, not an AA.

Second, if you honestly cannot make the distinction between psychology and psychiatry and view whatever it was you learned in such a poor light, your teachers have most seriously failed you.

A trusted best friend is not a professional- they don't have the education or equipment to handle the whole host of very serious disorders.
 
You don't have to have Asperger symptoms to be a finatic about cars. i do not have asperger at all and i love cars. i love their smell , the way they look shiny and new,and clean. i love the smell of them when they are new. Different colors, WoW!, their rims, the way certain cars rev their engines, the way the engine sounds Wow!, the way certain cars drive on the freeway, certain cars with certain shapes,certain colors wow sometimes i think i look more at cars then i do men... i was driving one day on the freeway onto another freeway and this 5 series BMW came right up behind me, i was in the far left driving lane and for about 20 miles we played cat and mouse. WHOOOOO!, i think if he would have pulled me over i might have had to go to the hospital, i was in such Awe.. i can feel the excitement rush right through not only my bones but right deep into my gut. so finatism not the same . i think we all can be a little finatic about something. everybody has a different finatic side, to some women it may be shoes, or men or other stuff. So relax about the cars sydrome. be at peace about that.
EsthersCrown

when I get out to AZ I will put some open headers on my truck (no mufflers) and give you a ride. youll feel the vibrations of the exhaust through your body
 
You mixed me up with the other Doug. I was wondering where this thread went. I cant believe how big it got. Im gonna read it tomorow after I get some sleep

Following is the Diagnostic Criteria for Avoidant Personality Disorder:

1) avoids occupatioanal activities that have significant interpersonal contact because of fears of criticism, disapproval, or rejection.

(Given that you are a nurse, you obviously don't meet that criterion)

2) is unwilling to get involved with people unless certain of being liked

(I've seen you risk considerable disapproval by honestly stating your opinions on this forum, so you don't meet that criterion)

3) shows restraint within intimate relationshios because of the fear of being shamed or ridiculed

(I'd need more input from you on this one, but have seen nothing from you to date that would indicate that you would meet this criterion, either)

4) is preoccupied with being criticized or rejected in social situations

(Again, you would have to clarify, but the fact that you even started this thread would be an indication that this criterion does not hold true for you)

5) is inhibited in new interpersonal situations because of feelings of inadequacy

(You have given no indication of feelings of inadeqaucy in any situation, so again, I'm going to give this criterion a "no")

6) views self as socially inept, personally unappealing, or inferior to others

(A possible "yes" to the first qaulifier in this criterion)

7) is unusually reluctant to take personal risks ir to engage in new activities because they may prove embarrassing.

(the key here is "unusually" which means more than the normal amount of fear, and the "because". I'm going to give you a "no" on this one, too)

So, you possibly meet one of the criertia for Avoidant Personality Disorder. However, you would need to establish a pervasive pattern, and meet 4 or more of the criteria. So, you can relax. You don't have Avoidant Personality Disorder.:P
 
First, I may be mistaken, but a course in psychology would be (I didn't even know they issue such degrees at associate level!) an AS, not an AA.

Second, if you honestly cannot make the distinction between psychology and psychiatry and view whatever it was you learned in such a poor light, your teachers have most seriously failed you.

A trusted best friend is not a professional- they don't have the education or equipment to handle the whole host of very serious disorders.

The short answer is a psychologist is not a medical doctor and a psychiatrist is. They are both full of themselves. And perhaps it has changed but an AA degree in psychology used to be what was given 25 years ago. Alot of the degree program initials have been altered recently. I will look through my files though.

And a trusted friend doesn't have to be a professional. Active listening skills are often intuitive in these situations and clergy are trained in these skills. I think in the future we will find that all so called mental illness is simply physical in origin and that is what needs to be addressed. We are wasting time and money on drugs that are still a shot gun approach to therapy the only thearpy I have seen that is effective is short term CBT and it is really only a skilled guiding of a persons thought processes and disrupted thought processes are usually learned behaviors.


The Myth of Biological Depression
2000 UPDATES
"Brain scans cannot distinguish a depressed person from a nondepressed person and they have not located a cause for any psychiatric disorder. Indeed, they are mainly used in biopsychiatry to promote the profession to lay audiences by giving the false impression that radiological technology can distinguish between normal people and those with psychiatric diagnoses. The usual sleight of hand involves comparing photographs of a brain scan of a depressed patient and a nondepressed patient where there happen to be other differences between the two brains. Sometimes the differences simply reflect normal variation and sometimes they reflect drug damage. Brain scans cannot show differences between the brains of depressed and normal patients because no such differences have been demonstrated." Peter R. Breggin, M.D., in his book Reclaiming Our Children (Perseus Books, Cambridge, Mass., 2000), page 293.

"A serotonin deficiency for depression has not been found. ... Still, patients are often given the impression that a definitive serotonin deficiency in depression is firmly established. ... The result is an undue inflation of the drug market, as well as an unfortunate downplaying of the need for psychological treatments for many patients." Joseph Glenmullen, M.D., clinical instructor in psychiatry at Harvard Medical School, in his book Prozac Backlash (Simon & Schuster, New York, 2000), pages 197-198.


2001 UPDATE
"Part 6/Psychiatric Disorders
"ENDOGENOUS DEPRESSION AND MANIC-DEPRESSIVE DISEASE
"Etiology
...
"Biochemical Theories The biogenic monoamines (norepinephrine, serotonin, and dopamine) are the key elements in these theories. ... However, the aforementioned CSF [cerebro-spinal fluid] findings have not been consistent; in some patients with depressive illness, the CSF concentrations of bioamine metabolites are entirely normal. Most of the neurochemical theories of depression have been the result of reasoning backwards from the known effects antidepressants on various neurotransmitters. ...serotonin and its pathways are currently most strongly implicated in the genesis of depression; however, the reader should be reminded that only a decade ago it was widely held that depletion of norepinephrine fulfilled this role. ...
"[T]he biogenic amine hypothesis...leaves several fundamental questions unanswered. ... Why are the therapeutic results so inconsistent with the use of tricyclic antidepressants, the MAO inhibitors, and the serotonin reuptake inhibitors, all of which should favorably influence the balance of biogenic amines at the proper receptor sites? And why are the clinical effects of these drugs delayed for weeks while the biochemical reactions are almost immediate? ... At the present time, it must be conceded that there is no reliable biologic test for depression. ...
Psychosocial theories ... Among patients with primary depressive disorders, life events of a stressful nature were found to have occurred more frequently in the months preceding the onset of depression than in matched control groups. In the study of Thomson and Hendrie, this was equally true of patients with a positive family history of depression and those without such a history. Nor did patients with endogenous depression differ in this respect from those with reactive depression." (In other words, even people with supposedly endogenous depression had good reason, in terms of life-experience, to feel despondent or "depressed.")
Maurice Victor, M.D., Professor of Medicine and Neurology, Dartmouth Medical School; and Allan H. Ropper, M.D., Professor and Chairman of Neurology, Tufts University School of Medicine, Adams and Victor's Principles of Neurology - Seventh Edition, McGraw-Hill Medical Publishing Division, New York, 2001, pp. 1616-1618.
 
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