dave_a_mbs
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central california
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With due respect for Heirloom and Cricket, trying to find a diagnostic term from the DSM (Diagnostic and Srtatistical Manual of Psaychological Disorders) to "explain" subjective phenomena is a slippery slope that leads to dogmatic materialism, yet often is little more than change of definitions and expectations without any true insight. I suggest avoiding such labels unless you are a trained therapist in a clinical setting in which they are necessary.
When teaching psychopathology to grad students in psychotherapy programs there is a phenomenon that professors often call "psych student psychosis" (usually with a slight chuckle). This is the tendency of students to learn different diagnostic categories by rote description, and then to apply the description to themselves. As students, we have all gone through this, and we have all been terrified at the thought that we have had virtually EVERY ONE of the hundreds of psychopathological ailments and disorders. Amazingly, by the end of the cours, after a little study and insight have clarified how the disorders actually work in intrapsychic trms, we all seem to have had miraculous recoveries.
The reason for this uncomfortable phenomenon is that all disorders are nothing more than exaggerations of normal behaviors. In fact, they are so similar that it was necessary to create a manual of differential diagnostic methods in order to separate one from another. In therapy these manuals are generally of little or no use, because the name of an ailment is trivial, what is treated is not a diagnostic, but an entire person. Unless we are doing a statistical workup, or a formal diagnostic, to label a person as a "compulsive" or "paranoid" or suffering from "OCD" misses the point, because it substitutes a label for the warm and vibrant experience of the individual. (In the present case, after years of professional diagnostic experience for County Mental Health, as well as in my own clinic, I feel the label of "OCD" is inappropriate. If we were to do a differential diagnostic, a very different label would be selected, based on intrapsychic understanding, and that label would apply only at a sub-clinical level.) Labels are like handles, they are used to grasp things without regard to the rest of the shape of the object. When teaching psychodiagnostics, the first thing I emphasize is that a formal diagnosis is a potential liability to the psychotherapist. Too often we wind up looking at the label instead of the person, As a result, we often miss the content of the experiences and try to treat the diagnosis, not the human individual.
As an example, look at what we are doing! Already we have a discussion about the diagnosis! Where does that leave Juditha? Do we really wish to reduce her to an empty box filled with diagnostic definitions? If so, how about each of us - are we no more than a page of descriptive nomenclature? Do you really want your enjoyment of a good dinner to be reduced to Pavlovian conditioning to salivate on cue? When making love with your Significant Other and you feel the Earth move, do you really want to recall this as just another experience of reinforced skill acquisition? That's where this kind of thinking goes. Ugh! Yuck!
Respectfully, I suggest that use of diagnostic terms intended primarily for the psychiatric profession has no useful application when we are dealing with exotic human experiences.
dave
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