A new disorder comes to light. Get checked for PTED.

Pure

Fiel a Verdad
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ADDED: This thread is also generally about the DSM-V, the proposed new edition of the psychiatrists' handbook and compendium of 'psychological disorders', the worst of which were formerly called 'mental illnesses."
The DSM-V is apparently going to add many new diagnoses to the 300 odd ones already listed in DSM-IV.


Pure: A new disorder has surfaced and i don't think i have it, but that's apparently one of the symptoms. How about you?

American psychiatrists are debating whether to include Posttraumatic Embitterment Disorder {PTED} in the new DSM-V, the official list of disorders, officially recognized by the APA, and generally converable by insurance (as equivalent to medical conditions.)

Depression, after life's traumas, is endemic to these parts, so to have PTED you have to have, also, a conviction that an injustice has happened to you. you're angry about it and you want revenge. AND, most insidious, you tend to think nothing is wrong with you.

So ask your mate and/or friends about the tell tale signs. Any body think they have it, around here? Glad to find your niche?
==
Note: excessive sexual activity may well be listed as a disorder. Surely there's lots of that in these parts-- or talk of it at least. Perhaps there should also be a Delusional 'Excessive Sexual Activity' Disorder {DESAD}, where the talk far outruns the activity.
=====

http://www.slate.com/id/2223479/

Bitterness, Compulsive Shopping, and Internet Addiction: The diagnostic madness of DSM-V.

By Christopher Lane
Posted Friday, July 24, 2009, at 9:31 AM ET

//DSM's fourth editionThere's an awful lot of money to be made from compulsive shopping, judging by the career of Madeleine Wickham. Her Shopaholic series, written under the pen name Sophie Kinsella, is required reading for chick-lit enthusiasts, and the romantic comedy Confessions of a Shopaholic, the first of several planned big-screen adaptations, grossed more than $100 million worldwide. While the film, starring Isla Fisher, isn't terribly funny, it does make the valid point that to enjoy shopping for elegant clothes isn't a pathology. It's a style.

The American Psychiatric Association risks losing sight of that distinction by grimly—and rather inexpertly—debating whether avid shopping should be considered a sign of mental illness. The fifth edition of the association's Diagnostic and Statistical Manual of Mental Disorders is expected in 2012. The APA isn't just deciding the fate of shopaholics; it's also debating whether overuse of the Internet, "excessive" sexual activity, apathy, and even prolonged bitterness should be viewed, quite seriously, as brain "disorders." If you spend hours online, have sex more frequently than aging psychiatrists, and moan incessantly that the federal government can't account for all its TARP funds, take heed: You may soon be classed among the 48 million Americans the APA already considers mentally ill.

Quite how the association will decide when normal kvetching becomes a sickness—or reasonable amounts of sex become excessive—is still anyone's guess. Behind the APA's doors in Arlington, Va., the fine points of the debate are creating quite a few headaches. And they're also causing a rather public dust-up.

To linger anxiously, even bitterly, over job loss is all too human. To sigh with despair over precipitous declines in one's retirement account is also perfectly understandable. But if the APA includes post-traumatic embitterment disorder in the next edition of its diagnostic bible, it will be because a small group of mental-health professionals believes the public shouldn't dwell on such matters for too long.// {end excerpt}

===
Lane provides a link to the following article:

http://scienceblogs.com/grrlscientist/2009/06/posttraumatic_embitterment_dis.php

Post-Traumatic Embitterment Disorder: The Newest Mental Illness?


///Dr. Michael Linden, the German psychiatrist ... described and named Post-Traumatic Embitterment Disorder (PTED).

In his 2003 paper, Dr. Linden noted that PTED is similar to Post-Traumatic Stress Disorder (PTSD), except those with PTSD suffer intense fear and anxiety after experiencing a life-threatening event. Those with PTED were hard-working and mentally healthy people until a triggering event destroyed their core values and shattered their basic beliefs.

"People feel wronged, humiliated and that some injustice has been done to them," reports Dr. Linden. Dr. Linden first noticed an increase in angry, disillusioned and embittered patients after German reunification. But what is bitterness, and how are those who supposedly suffer from PTED different from people who are justifiably angry about the current state of their lives or their country?

"Embitterment is a violation of basic beliefs," Dr. Linden explains. "It causes a very severe emotional reaction. We are always coping with negative life events. It's the reaction that varies."

According to Dr. Linden, those with PTED suffer from intrusive thoughts and memories long after the triggering event, phobicly avoid places related to the event and are pathologically consumed by an intense desire for revenge.

"The critical part is this [long] lasting and very intensive emotional embitterment, a mixture of depression and helplessness and hopelessness. It's a very nasty emotion."

But Dr. Linden found that PTED patients also suffer from a suite of other emotional complaints: 68.8% of the patients fulfilled the criteria for adjustment disorders; 52.1% for major depression; 41.7% for dysthymia; and 35.4% for generalized anxiety disorders. This overlap in symptoms is known as comorbidity and serves to confuse diagnosis and treatment of mental disorders.

Further, those with PTED rarely seek out psychological help./// {end excerpt}
 
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OMG! And I've been laughing at them all these years.

This was after I went thru a period where I told my patients how boring their pathetic little problems were to listen to.

I think there should be a new disorder called POST ENTITLEMENT STRESS DISORDER. This is where you suffer the pangs of denied gratification and disappointments.
 
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An unfortunate byproduct of our increasingly industrialized, electronically augmented world is increasing amounts of leisure time. This allows people the freedom to navel gaze and reflect on every aspect of ones life. It's becoming increasingly obvious we're becoming a nation of neurotic, self-pitying, irrational cry-babies with low esteem and an exaggerated opinion of ones self worth.

Articles as the one cited here give another group of frustrated, overwrought individuals an 'A-HA!' moment. "So THAT'S what's wrong with me. I knew it." :rolleyes:
 
I think we should try and find some government money to help with their burden.
 
So do I have PTED if I'm mad at and want revenge against God? :eek:

The DSM is so ridiculous. It's essentially written by and for insurance companies.
 
The diagnosis was created to answer a problem the patients came to the doctor for help. The doctors think they can help by creating a label for which they can study. As for the most extreme cases, I assume it can be quite problematic, creating those disposed to possibly even delusional or paranoid levels of embitterment.

That's my gander.
 
i wonder

those with PTED rarely seek out psychological help says the article above.

as the article mentions, in a part i didn't quote,

Dr. Linden suggested that loving, normal individuals who suddenly snap, killing either their family or coworkers and then themselves may actually be suffering from post-traumatic embitterment syndrome. If so, this is certainly reason enough to pursue treatment and further research.

i've snapped; i've killed; i'm held. appearing at my cell door, a well-dressed man identifying himself at the state-appointed psychiatrist.

"i'm here to help you."
--------

xelebes said
The diagnosis was created to answer a problem the patients came to the doctor for help. The doctors think they can help by creating a label for which they can study. As for the most extreme cases, I assume it can be quite problematic, creating those disposed to possibly even delusional or paranoid levels of embitterment.
 
I really do think sometimes that this chat board is psychosis central. I often come here when I feel a little off just to feel quite normal again.
 
Personally, I believe the more mental disorders these guys can dream up, the more the money their members can make. :eek: They certainly ain't crazy. :cool:
 
So do I have PTED if I'm mad at and want revenge against God? :eek:

The DSM is so ridiculous. It's essentially written by and for insurance companies
.

~~~

An equal amount from drug companies goes to finance the entire field of medicine, psychiatry especially, as the answer to all psychological ills can be contained by the proper prescription, dintya know?

:)

Ami
 
new disorders

an article by a psychologist, on the proposed revisions:

http://forensicpsychologist.blogspot.com/2008/10/dsm-makeover-what-will-they-come-up.html

she supplies the following numbers:

from DSM I, in 1952 (130 pages), to DSM IV, in 1994 (886 pages), the number of diagnoses has increased from about 100 to about 300.

pure adds: at the same growth rate one would expect 350-400 as the new total number of diagnoses in DSM-V, and surely at least a 1000 pages.
 
So do I have PTED if I'm mad at and want revenge against God? :eek:

The DSM is so ridiculous. It's essentially written by and for insurance companies.

Youre half right. The other half of it is perfessers. All of them wanna be expert at something, and they cook up stuff thats not in the manual, so they can get grants and such from the government.

Also, its almost impossible to get a disorder your insurance wont pay for. There's a direct correlation to this.
 
This is insane! It diminishes the plight of people who are genuinely suffering from mental illnesses. The symptoms being described are normal reactions to change, especially for the reluctant. The DSM is and has always been seriously flawed. Remember not so long ago, homosexuality was listed in it as an illness.
 
Very true.

In 1967 the DSM only covered debilitating disorders like schizophrenia, bipolar disorder, organic brain disorders, depression, and the most severe adjustment disorders.

My training was based on the severe pathology model. If the disorder didnt knock you on your ass, you didnt need a shrink. But now students are trained according to the Chic Boutique Model. There's something for everyone and every purse.
 
disorders related to motherhoood

disorders related to motherhoood are the subject of ongoing debate

http://www.beforeyoutakethatpill.com/index.php/2009/07/13/being-a-mom-is-not-a-medical-disorder/

http://www.beforeyoutakethatpill.com/index.php/2009/07/15/test-2/

the valid entity of 'post partum depression' is being worked and possibly enlarged.


for example, on the table is a proposal to screen all new moms for port partum depression.

further, from what i gather, the "treatment" for post partum depression can begin before birth. iow, the diagnosis is incipient post partum depression (not yet manifest).

the "point" of all this is to get soon to be mom on prozac or paxil, to head off the problem.
==

nice weblog, www.beforeyoutakethatpill.com

it is operated by Doug Bremner MD, physician, researcher, Professor of Psychiatry and Radiology at Emory University School of Medicine and the Atlanta VAMC in Atlanta GA. He is author of Before You Take That Pill: Why the Drug Industry May Be Bad for Your Health,
 
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I love it when people leave out important pieces of information. The DSM-IV states, more or less, that showing symptoms of a mental illness and having a mental illness are two different things. For the most part, you're considered reasonably mentally healthy until whatever symptoms you're showing interfere with your daily life (work, family, friendships, etc.) over a specified period of time, and/or interfere with what your normal thoughts patterns are/were (note that I qualified the phrase "thought patterns" with the word *your*) over a specified period of time. For the latter, this is where cognitive therapy can be very helpful and also possibly necessary. I have little doubt that the DSM-V will keep these qualifications in place.

With regard to PTED, I can see what they're talking about. One of my co-workers was fired from his last job two years ago. He believes he was lied to at the time he was hired, and because of that, it's his employer's fault that he couldn't do the job he was hired to do. He frequently talks about being unable to enjoy things he used to enjoy since this guy ruined his life, and has been going to attorney after attorney after attorney seeking legal retribution for something that, and he's said he knows this, is perfectly legal even if it's unethical. He's gone after the guy's rabbi, hoping to ruin him in the eyes of his congregation. He frequently drives past the guy's house trying to think of some way, any way, to get revenge. He admits that he dwells on it constantly and has said that he needs revenge in order to have some closure.

Remember, this situation has been going on for two years now and hasn't gotten ANY better. If anything, in the year and a half that I've been working with him, it's gotten worse. Can any of you say that this is normal?
 
KATYUSHA

Its common. Is it normal? If 'normal' means 2/3rds of the people do it, it prob'ly is normal. In the 50s and earlier, people used to get their asses stomped when they screwed other prople over. I was there! People played for keeps when you fucked with their jobs, their wives, their trucks, and their dogs.
 
note to kat

kat I love it when people leave out important pieces of information. The DSM-IV states, more or less, that showing symptoms of a mental illness and having a mental illness are two different things. For the most part, you're considered reasonably mentally healthy until whatever symptoms you're showing interfere with your daily life (work, family, friendships, etc.) over a specified period of time[...] I have little doubt that the DSM-V will keep these qualifications in place.

pure: yes, these are standard qualifiers for most 'disorders' in later DSMs. i'm not sure it comes up especially for the alleged 'embitterment' disorder, but yes, it's there: if you're so obsessed with injustice and finding revenge that your job or relationships are affected, that is 'excessive' (disordered).

were you embittered, but without impairment, you wouldn't have the disorder, though you might be classified as 'prodromal' or incipient or 'hidden PTED'.

kat With regard to PTED, I can see what they're talking about. One of my co-workers was fired from his last job two years ago. He believes he was lied to at the time he was hired, and because of that, it's his employer's fault that he couldn't do the job he was hired to do.

pure: i think we've all seen or heard of embittered, vengeful people. the question is do we need an additional diagnosis? are you saying that among the 300 odd diagnoses of DSM IV, NOTHING fits this case?

further, i can see, up the road, subtypes emerging: PTED with vengeful thoughts/impules, and PTED without such things.

it might be added that PTED presumably shares all the problems of PTSD. i refer you for example, to the Princeton website and newly published:

The Harmony of Illusions: Inventing Post-Traumatic Stress Disorder [1997]by Allan Young

Winner of the 1998 Wellcome Medal for Anthropology as Applied to Medical Problems, presented by the Royal Anthropological Institute

[Reviewer's summary] As far back as we know, there have been individuals incapacitated by memories that have filled them with sadness and remorse, fright and horror, or a sense of irreparable loss. Only recently, however, have people tormented with such recollections been diagnosed as suffering from "post-traumatic stress disorder." Here Allan Young traces this malady, particularly as it is suffered by Vietnam veterans, to its beginnings in the emergence of ideas about the unconscious mind and to earlier manifestations of traumatic memory like shell shock or traumatic hysteria. In Young's view, PTSD is not a timeless or universal phenomenon newly discovered. Rather, it is a "harmony of illusions," a cultural product gradually put together by the practices, technologies, and narratives with which it is diagnosed, studied, and treated and by the various interests, institutions, and moral arguments mobilizing these efforts.
===

pure: again the question can be asked: why weren't the existing categories adequate, before the inclusion of PTSD? also, isn't it contrary to the general approach of the later DSMs, to have labels that include causality?

after all, we don't have "grief-induced depression" and "firing-induced depression" and "disappointed-love-induced depression" as distinct categories.

so the obssessional, hostile, and anxiety symptoms following trauma should arguably be classifed by *their appearance*, NOT by their cause.
 
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Being a Vietnam Vet I dont believe PTSD exists. I never saw it in Vietnam, and I havent seen it here in 40 years. The research indicates that most of the Vietnam Vets with PTSD arent vets and most never served in the military. Theyre bull shitters.
 
Sure, it's no big deal for you to wake up in the middle of the night screaming: "I said, form DD579-19611001 dammit! And you better have a DD707-19530301 too! In triplicate!"

I don't need to get checked, I have 'em all, ESAD, DESAD, PTED, you name it.
 
Very true.

In 1967 the DSM only covered debilitating disorders like schizophrenia, bipolar disorder, organic brain disorders, depression, and the most severe adjustment disorders.

My training was based on the severe pathology model. If the disorder didnt knock you on your ass, you didnt need a shrink. But now students are trained according to the Chic Boutique Model. There's something for everyone and every purse.


I think you have an adjustment disorder. :D
 
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