วันเสาร์ที่ 22 สิงหาคม พ.ศ. 2552

university south alabama medical center

university south alabama medical center
The announcement by the Duke University Medical Center clinic that therapists had considerable success treating a nine-year-old boy with a severe case of Tourette's syndrome, with behavioral therapy for habit reversal, has for some reactions, the TS from skepticism to sarcasm and ridicule.

Rick Shocket has suffered so badly with TS symptoms that could be the case as disability. Among a variety of other TS-tik, the boy found himself forced to do deep knee bends between almost every step on foot. The impetus of therapy, he was with was at Duke that he had knowledge of the evidence that prior to its characteristics and then against the urge to them.

Here is a quote from an Associated Press article:

"It is a controversial development. For decades, Tourette's patients have been told that tics are involuntary and that they are doing their best to ignore. Habit-reversal training, the type of behavioral therapy Rick does, preaches the exact opposite. It instructs patients to hyper-ing known, they may learn to anticipate and suppress.

"Duke has been a leader in the creation of a behavioral treatment for children who have neurocognitive disorders such as forced. ""

Patients with TS, as these youngsters learn to "surf the urge," which sounds like the advice of my older characters in my story, the boy with a mild case of TS. He advises him to learn "" float "through repetitive thought patterns that before the beginning of its characteristics.

This development at Duke is of great interest to me. I never understood why the Tourette Syndrome was always by a new mental health problem to a "neurological disorder", "seems to give the impression that the TS has some physical cause. If there is ever a need less likely due to some physical disorder, I think it would be a TS, which, in my opinion, is nothing more than a variant of obsessive-compulsive disorder.

Even though I might be able to do, to understand how some Errant neural impulses in my brain were responsible for the head jerks and facial grimaces, I was concerned, as a boy, for the life of me, I do not see how someone could attribute any physical cause for verbal tics (shouting inappropriate words aberrant times) and features along the lines that are affected this boy, like his feeling compelled to deep knee bends for no apparent reason.

My concern is that if TS is thought of as a physical condition, those suffering with the distress are left feeling as if their characteristics are inevitable and are left waiting for some magic bullet of a cure, such as a drug or surgery. I believe that this behavioral approach is the exciting new development in TS treatment after some time, although apparently the staff at Duke does not seem willing to "inherited neurological condition" "Description of the TS, their own treatment and the results seem to undermine (if it means that TS is a physical
Condition).

The only way I see preserved for the identification of TS is a physical condition to accept as valid, the equation that "brain = mind, in the long-standing brain / mind duality debate. If the brain is identical with the spirit, then nobody has control over all measures of behavior so extreme as crime, forced to feel, for example, to constantly wash your hands or pick up the glass from outside. The adoption of this equation, it seems to me that psychiatrists would basically consist of employment, unless diagnostician and prescription of drugs, unless they wish to begin practicing neurosurgery.

I can not accept the equation that brain = mind, and I prefer using a computer analogy to explain what I believe. The brain is analogous to the hardware, while the spirit of the software. What are the "software", "Results can be generated by the brain in relation to each of the brain is determined by the composition, by genetic inheritance. It is this individual software of the mind that mental health therapists try to understand and to help, hopefully right for the patient if it functions in a manner harmful to the patients' welfare.

Inherent within the spirit of self-analytical skills, the mental health doctor tries to connect with so that a patient can insights on the functioning of his mind, and hopefully learn, regardless of remedial measures which can eliminate or at least mitigate , the symptoms of obsessive-compulsive disorders.

To TS "inherited" condition is certainly not controversial. All our facilities are provided by our parents and their many precursor cells. Everything from our hair and eye color to our different abilities and weaknesses, which are on the doorstep of genetic inheritance. Finally, the scientists also the individual genes responsible for every aspect of our physical and spiritual works. Therefore, the fact that the researchers are currently working to identify the genes ( "Hardware"), allowing an easy suffering TS seems pointless, because it is a cause for every effect.

But the brain, the software of the mind is capable of producing a myriad of events in the context of inherited genetic composition. The same spirit that leads to a TS sufferer to TIC, could possibly be able to adapt within the mind in the direction of self-correction, the habit reversal method, the Duke approach.

In my essay on TS and ADHD, I have continued my theory that the cause of all mental suffering, even as a "neurotic" is the acute self-consciousness and the chronic (and sometimes acute) fear that the results are often from him. But what exactly can I do with "acute self-awareness, and what is it?

Those who suffer from acute self-consciousness could be compared to vehicles, their engines "idles too high. In any live animal, it's an instinct to survive and an inherent fear of pain and death (at least in the latter Fall of Man). The sympathetic nervous system (responsible for the "fight-or-flight response" in moments of danger or perceived threat) of persons with acute self-consciousness is genetically hyper-sensitized, so that the person is aware of inner feelings and perceived environmental threats, how they internally on a normal threshold. The person that attention be directed inwards inappropriate.

Behaviorism is a utilitarian school of psychology. It stresses self-knowledge, understanding and behavior as a means to redress suffering and many of the mind.

Dr. Claire Weekes was a truly remarkable woman who I had the privilege once to speak with on the phone. She was the first female doctor in Australia and was a pioneer in the field of nervous diseases, the treated shell-shocked World War I veterans. She spoke for a behavioral approach to stress that the patient is knowledge about the causes of his trouble with nervous disease and to use that knowledge to learn the symptoms.

She wrote in one of her books, which, if it is just the exact point at which a person suffers a nervous breakdown it would be the point at which the person becomes aware of his symptoms. A nervous breakdown begins when the person is no longer afraid of the first conditions which cause stress precipitated his nervous agitation, but if the person is afraid of the stress symptoms.

For example, a person to fear that he or she is to suffer a heart attack as a result of his or her heart beating after the first cause of the stress. The emergence of these secondary anxiety is when a nervous breakdown can be said, may occur. This leads to a vicious circle of anxiety feeding anxiety.

Dr. Weekes' approach was to reassure the sufferer that the heart is a muscle that wonderfully thick can maintain a very fast heart beat for a longer period of time without adverse effects. The comfort of this knowledge (and similar such advice) is to secondary anxiety and allows the patient to have confidence in his personal survival and the ability to create the conditions that initially due to the acute response.

As such, they seemed to anticipate the President Franklin Roosevelt warning that: "We have nothing to fear but fear! "" She has her patients and readers learn to "float" with anxiety and not with the symptoms or try to fight (yet more adrenaline), the knowledge and techniques they had learned, under her leadership.

Just as in the case of those who have lost control of their nervous system, by linking it to more fear, anxiety, I think, with OCD and TS can learn to recognize that as much as it might seem different, their tics or constraints are not really involuntary. Rather, they have almost involuntarily from learned behavior through repetition and reinforcement as an attempt by the defense and the concentration of mechanisms, the underlying state of acute self-consciousness.

I think the Duke University clinical staff of the therapy is that it is an accurate control, and if their actions remain significant results with their behavior-modification method of learning, then perhaps it is time to rethink prevailing attitudes towards TS and perhaps even OCD.

Albert Einstein once observed: "All it would take to disprove my theory [special relativity] is an observation to the contrary." "If Duke approach is still significantly alleviate the symptoms of the young Rick Shocket, if such a result proves to be replicated in other affected with Tourette's syndrome, it seems as if it is time once again TS and reevaluate their approaches to treatment. No degree of talk therapy, self-insight or strength of will could always, for example, re-look at a person with a damaged optic nerve, severe condition.

This is not to say that other approaches, such as medication, must be discarded, but only to say that it must be recognized that the goal of only one value for those concerned about people with Tourette's syndrome should be comprehensive, though the approach to eliminate or mitigate, to be fully possible, the problems and pain associated with this disease.

****

Note: I am not in a medical or mental health, and my views are based on my personal experiences. Those who are not with the views expressed in this essay have every right to do, and it is always advisable to every topic fully research before the final conclusions.

Donald Schneider is the author of "Pride's Prison", "a brief history of Tourette's syndrome and the effects of the resulting school bullying on a youthful character. The story is linked to on his personal website, which are both completely free access . He also writes about the literary and philosophical questions.
His website URL: http://wwwdnschneidercom.xbuild.com/

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