Diagnostic and Statistical Manual of Mental Disorders Five – DSM V released 2013. http://www.dsm5.org/Pages/Default.aspx This is THE checklist for mental disorders, used throughout western “medicine”. They have recently decided that the childs test for ADHD is okay for adults, but in kids you need a score of six or more. In adults you only need five or more. (http://www.dsm5.org/Documents/ADHD%20Fact%20Sheet.pdf)
The main guy Jerry Springer… No, hang on. Not Jerry Springer….
The main guy Robert_Spitzer had a outpatient mum so he, like all fucked over kids, became a psych expert. He got all his paperwork in order, lobbied for homosexuality to be removed from the DSM2 as a mental disorder and subsequently applied for and got the job to do version 3 in the late 70’s. (No one else wanted the job by the way)
They basically accepted everything and categorized it.
More recently they have denied “Internet Addiction” (good article about it to be found here ) which just seems absolutely fucken nuts. Someone should run some tests on the bastards who edit this thing. Of course internet addiction is a bloody mental problem you half wits. Look at this blog as a classic example.
Here is a stolen excerpt from Jon Ronsons book, PSYCHOPATH TEST…
“Were there any proposals for mental disorders you rejected?” I asked Spitzer.
He thought for a moment.
“Yes”, he finally said. “I do remember one. Atypical Child Syndrome.“
There was a short silence.
“Atypical Child Syndrome?” I said.
“The problem was when we tried to characterise it. I asked, what are the symptoms? The man proposing it replied ‘that is hard to say as the children are very atypical…….
“We were going to include Masochistic Personality Disorder, but there were a bunch of feminists who were violently opposed…”
“They thought we were labelling the victim.”
“What happened to it?”
“We changed the name to Self-Defeating Personality Disorder and put it in…“
Hahahahhahahahahahahahahah. Good effort to categorise everything under the sun and take the guesswork out of the mental labelling system. But then it is so easy to fail. And fail badly.
NZFIEND says that external events, pressures or positive influences should be included in these scales. Instance – recent events could ruin all these tests. (death in family, extreme hate or simply turning up to the test fully expecting to be fucked up the arse and walking out showing no emotion as you prepared earlier….)
Sam McBride, psych at A&D services in Wellington was “impressed by NZFiend’s capacity to tolerate this obviously frustrating news” (denial of detox help). Yeah mate, you fuckwit. I fully expected to be shafted by the system, as I have so many times before. I walked out shafted. Surprise surprise. Am I going to smash windows over this? Maybe I should have. Maybe that was the test that I didn’t understand.
Some of the tests are silly. Like – DOES HE LIE? 0-1-2
There is no anti lie question. DOES HE TELL THE TRUTH? 0-1-2
This is a bad example. But relevant enough to get me thinking. Yes, he tells the truth. 2. The two cancel each other out somewhat. With weightings and percentages, let us call it a 1.
My god, they actually did a study into how long people stay in hospital with spine operations and opiate dependence (me). I was gone within 48 hours. Which was f’ing stupid, I admit. Pig headed. Nuts even. Pity they didn’t have me as part of their test, but I would have been removed as being the 2.5 percentile idiot.
Basically, it comes down to this – They were trying to work out if giving people more pain meds would get them out the hospital faster (economic reasons… customer care is way off these guys agenda…) and found that opiate addicts did not leave quicker if you gave them more drugs.
GO FIGURE. Idiots. I did. I left. But I worked out how to shoot up the oxycodone pretty quickly.
Prevalence of opioid dependence in spine surgery patients and correlation with length of stay.
Medical Center of Central Georgia, Macon, USA.
We addressed the prevalence of opioid dependence (OD) in spine surgery patients and its correlation with length of stay (LOS) as the most important determinant of hospital cost.
The study took place at Georgia Neurosurgical Institute and the Medical Center of Central Georgia between March 2006 and January 2007. A prospective convenience sample of 150 spine surgery patients (48 lumbar diskectomy, 60 cervical decompression and fusion, and 42 lumbar decompression and fusion [LDF]) was assembled. Patients were interviewed before surgery using a questionnaire designed in accordance with the World Health Organization and DSM-IV-TR criteria for the diagnosis of OD. The prevalence of OD was calculated based on questionnaire results. Pain intensity was quantified during admission using a 0-to-10 pain scale. We used pain intensity multiplied by duration of pain in months (WR index) as a new parameter. Lengths of stay were collected following patients’ discharge from hospital. Pearson correlation and regression analysis were performed using SPSS software.
Thirty (20.00 percent) patients were opioid dependent. The prevalence was highest among LDF patients (23.81 percent), females (22.78 percent), and, to a lesser degree, Caucasians (20.87 percent). There was no correlation between OD and age (r = 0.08, p > 0.1) or between OD and LOS (r = 0.09, p > 0.1). This study proved a very significant positive correlation between OD and pain intensity (r = 0.24, p < 0.01) and between OD and the WR index (r = 0.30, p < 0.01). On the other hand, there was a significant positive correlation between LOS and age (r = 0.42, p < 0.01), between LOS and the number of previous spine surgeries (r = 0.28, p < 0.01), and between LOS and duration of pain (r = 0.18, p < 0.05). Regression analysis showed that age, ethnicity, and type of surgery were the main determinants of LOS.
Chronic pain and prolonged use of opioids raise the prevalence of OD in spine surgery patients to 20 percent. The lack of effect of OD on LOS after surgical intervention means that efforts to decrease LOS by trying to satisfy patients’ craving for opioids will not be fruitful