Diagnose Quotes

Politics is the art of looking for trouble, finding it whether it exists or not, diagnosing it incorrectly, and applying the wrong remedy.

I told Augustus the broad outline of my miracle: diagnosed with Stage IV thyroid cancer when I was thirteen. (I didn’t tell him that the diagnosis came three months after I got my first period. Like: Congratulations! You’re a woman. Now die.)

Before you diagnose yourself with depression or low self-esteem, first make sure that you are not, in fact, just surrounded by assholes.

Declare the past, diagnose the present, foretell the future.

I began to realize that coming in such close contact with my own mortality had changed both nothing and everything. Before my cancer was diagnosed, I knew that someday I would die, but I didn’t know when. After the diagnosis, I knew that someday I would die, but I didn’t know when. But now I knew it acutely. The problem wasn’t really a scientific one. The fact of death is unsettling. Yet there is no other way to live.

Everybody against me. Why? Why me? I have not brought violence to you. I have not brought Thug Life to America. I didn't create Thug Life. I diagnosed it.

I did the only thing I knew how to do: I built my own walls of silence to disguise my desperation and what later came to be recognized and diagnosed as depression.

Sorry to burst your bubble, but you were actually pointing at the old guy a few seats over. He totally freaked out and started shouting to everyone that you scored that goal for him, and then I heard him ask his wife if maybe you knew that he was just diagnosed with diabetes, so I didn’t have the heart to tell him who the goal was really for.

An algorithm that expedites care to a stroke patient in a chaotic emergency room (ER) has a good chance of adoption. An algorithm that reads a routine scan and provides some quantification of what the physicians can already estimate won’t be in as much demand. There are good reasons for algorithms to parse patient records to look for signs of rare diseases, but there are fewer good reasons for using them to evaluate clinical symptoms. It’s cool that AI tools can make diagnoses from scratch, but for most clinical encounters doctors are already pretty good at it.

I've been clinically diagnosed with sociopathy,' I said. 'Do you know what that means?' 'It means you're a freak,' he said. 'It means that you're about as important to me as a cardboard box,' I said. 'You're just a thing - a piece of garbage that no one's thrown away yet. Is that what you want me to say?' 'Shut up,' said Rob. He was still acting tough, but I could see his bluster was starting to fail. He didn't know what to say. 'The thing about boxes,' I said, 'is that you can open them up. Even though they're completely boring on the outside, there might be something interesting inside. So while you're saying all of these stupid, boring things I'm imagining what it would be like to cut you open and see what you've got in there.

What, I ask, drives me to disorder? How can I diagnose myself? All I feel, most immediately, is the most anguished need for physical love and mental companionship -

Always remember, if you have been diagnosed with PTSD, it is not a sign of weakness; rather, it is proof of your strength, because you have survived!

If the modern world were a patient in my care... I would diagnose it suicidal." - Dr. Sofia Lamb

Irony and cynicism were just what the U.S. hypocrisy of the fifties and sixties called for. That’s what made the early postmodernists great artists. The great thing about irony is that it splits things apart, gets up above them so we can see the flaws and hypocrisies and duplicates. The virtuous always triumph? Ward Cleaver is the prototypical fifties father? "Sure." Sarcasm, parody, absurdism and irony are great ways to strip off stuff’s mask and show the unpleasant reality behind it. The problem is that once the rules of art are debunked, and once the unpleasant realities the irony diagnoses are revealed and diagnosed, "then" what do we do? Irony’s useful for debunking illusions, but most of the illusion-debunking in the U.S. has now been done and redone. Once everybody knows that equality of opportunity is bunk and Mike Brady’s bunk and Just Say No is bunk, now what do we do? All we seem to want to do is keep ridiculing the stuff. Postmodern irony and cynicism’s become an end in itself, a measure of hip sophistication and literary savvy. Few artists dare to try to talk about ways of working toward redeeming what’s wrong, because they’ll look sentimental and naive to all the weary ironists. Irony’s gone from liberating to enslaving. There’s some great essay somewhere that has a line about irony being the song of the prisoner who’s come to love his cage.

People who are diagnosed as having "generalized anxiety disorder" are afflicted by three major problems that many of us experience to a lesser extent from time to time. First and foremost, says Rapgay, the natural human inclination to focus on threats and bad news is strongly amplified in them, so that even significant positive events get suppressed. An inflexible mentality and tendency toward excessive verbalizing make therapeutic intervention a further challenge.

As a child, Zaphod had been diagnosed with ADHDDAAADHD (ntm) ABT which stood for Always Dreaming His Dopey Days Away, Also Attention Deficit Hyperflactulance Disorder (not to mention) A Bit Thick.

Used in combination with genomics, AI could help pharma companies to develop new drugs for rare diseases. The rarer a disease is, the smaller the market is and so the less likely it is to have been addressed. Big pharma is hesitant to take on the high development costs for new drugs if there’s no sign of a return on investment. Biological processes are complex, and that means that they lead to multidimensional data that human beings struggle to wrap their heads around. The good news is that AI is the perfect tool to spot patterns in this kind of data.

Some people dislike diagnoses, disagreeably calling them, boxes and labels, but I've always found comfort in preexisting conditions; I like to know that I'm not pioneering an inexplicable experience.

I am not the heroine of this story. And I'm not trying to be cute. It's the truth. I'm diagnosed borderline and seriously fucked-up. I hold grudges. I bottle my hate until it ferments into poison, and then I get high off the fumes. I'm completely dysfunctional and that's the way I like it, so don't expect a character arc where I finally find Redemption, Growth, and Change, or learn How to Forgive Myself and Others.

Are you insane?" "Never diagnosed," the guy said.

Any actor who tells you that they have become the people they play, unless they’re clearly diagnosed as a schizophrenic, is bullshitting you.

I diagnosed brain overload and set up a spreadsheet to analyze the situation.

To all the talented young men who wander about feeling that there is nothing in the world for them to do, I should say: 'Give up trying to write, and, instead, try not to write. Go out into the world; become a pirate, a king in Borneo, a labourer in Soviet Russia; give yourself an existence in which the satisfaction of elementary physical needs will occupy almost all your energies.' I do not recommend this course of action to everyone, but only to those who suffer from the disease which Mr Krutch diagnoses. I believe that, after some years of such an existence, the ex-intellectual will fin that in spite of is efforts he can no longer refrain from writing, and when this time comes his writing will not seem to him futile.

And yet, despite repeated assurances that women aren't particularly sexual creatures, in cultures around the world men have gone to extraordinary lengths to control female libido: female genital mutilation, head-to-toe chadors, medieval witch burnings, chastity belts, suffocating corsets, muttered insults about "insatiable" whores, pathologizing, paternalistic medical diagnoses of nymphomania or hysteria, the debilitating scorn heaped on any female who chooses to be generous with her sexuality...all parts of a worldwide campaign to keep the supposedly low-key female libido under control. Why the electrified high-security razor-wire fence to contain a kitty-cat?

All of the diagnoses that you deal with - depression, anxiety, ADHD, bipolar illness, post traumatic stress disorder, even psychosis, are significantly rooted in trauma. They are manifestations of trauma. Therefore the diagnoses don't explain anything. The problem in the medical world is that we diagnose somebody and we think that is the explanation. He's behaving that way because he is psychotic. She's behaving that way because she has ADHD. Nobody has ADHD, nobody has psychosis - these are processes within the individual. It's not a thing that you have. This is a process that expresses your life experience. It has meaning in every single case.

All parents set out with expectations, hopes and dreams for their child. When a child is diagnosed with a health problem, these aspirations are altered. While one parent is hoping to see their child graduate from university, another is praying that they can live pain free

Kästner was one reason I called my book barge the Literary Apothecary,” said Perdu. “I wanted to treat feelings that are not recognized as afflictions and are never diagnosed by doctors. All those little feelings and emotions no therapist is interested in, because they are apparently too minor and intangible. The feeling that washes over you when another summer nears its end. Or when you recognize that you haven’t got your whole life left to find out where you belong. Or the slight sense of grief when a friendship doesn’t develop as you thought, and you have to continue your search for a lifelong companion. Or those birthday morning blues. Nostalgia for the air of your childhood. Things like that.

focus on clarifying what is being observed, felt, and needed rather than on diagnosing and judging,

In 2005, a man diagnosed with multiple myeloma asked me if he would be alive to watch his daughter graduate from high school in a few months. In 2009, bound to a wheelchair, he watched his daughter graduate from college. The wheelchair had nothing to do with his cancer. The man had fallen down while coaching his youngest son's baseball team.

THE MAXIMS OF MEDICINE Before you examine the body of a patient, Be patient to learn his story. For once you learn his story, You will also come to know His body. Before you diagnose any sickness, Make sure there is no sickness in the mind or heart. For the emotions in a man’s moon or sun, Can point to the sickness in Any one of his other parts. Before you treat a man with a condition, Know that not all cures can heal all people. For the chemistry that works on one patient, May not work for the next, Because even medicine has its own Conditions. Before asserting a prognosis on any patient, Always be objective and never subjective. For telling a man that he will win the treasure of life, But then later discovering that he will lose, Will harm him more than by telling him That he may lose, But then he wins. THE MAXIMS OF MEDICINE by Suzy Kassem

Joan was nothing more than a friend. He was not in love with her. One does not fall in love with a girl whom one has met only three times. One is attracted, yes; but one does not fall in love. A moment's reflection enabled him to diagnose his sensations correctly. This odd impulse to leap across the compartment and kiss Joan was not love. It was merely the natural desire of a good-hearted young man to be decently chummy with his species.

I think my mom is manic, but Chinese people don't believe in psychologists. We just drink more tea when things go bad. Sometimes I agree; I think we're all over diagnosed.

His fee was $300 an hour, and for clients who couldn’t afford that, he had a sliding scale that was never less than $250— except for crying old ladies facing terminal diagnoses.

Today, over 50 percent of prison and jail inmates in the United States have a diagnosed mental illness, a rate nearly five times greater than that of the general adult population.

I have met countless patients who told me that they “are” bipolar or borderline or that they “have” PTSD, as if they had been sentenced to remain in an underground dungeon for the rest of their lives, like the Count of Monte Cristo. None of these diagnoses takes into account the unusual talents that many of our patients develop or the creative energies they have mustered to survive.

The DSM-IV-TR is a 943-page textbook published by the American Psychiatric Association that sells for $99...There are currently 374 mental disorders. I bought the book...and leafed through it...I closed the manual. "I wonder if I've got any of the 374 mental disorders," I thought. I opened the manual again. And instantly diagnosed myself with twelve different ones.

If I have fully diagnosed the cause and nature of your condition, you are wasting away in pining and longing for your former good fortune. It is the loss of this which, as your imagination works upon you, has so corrupted your mind. I know the many disguises of that monster, Fortune, and the extent to which she seduces with friendship the very people she is striving to cheat, until she overwhelms them with unbearable grief at the suddenness of her desertion

If you expand the boundaries of mental illness, which is clealry what has happened in this country during the past twenty-five years, and you treat the people so diagnosed with psychiatric medications, do you run the risk of turning an anger-ridden teenager into a lifelong mental patient?

I've been diagnosed as being bi-polar but so have Florence Nightingale and King David...which kinda leaves me in pretty dam good company...if I must say so.

…growing a little tiresome on account of some mysterious internal discomfort that the local practitioner diagnosed as imagination

I am diagnosed with not having enough insanely-addictive drugs coursing through my body.

To look at the work of your peers, and learn how to explain with kindness and precision, the nature of their mistakes is, in fact, how you learn to diagnose your own work.

Well, they never know they're ill, do they? You can't diagnose yourself with the same organ that has the disease, just like you can't see your own eyeball. So, I suppose you just feel normal and the rest of the world seems to go crazy around you.

A family in my sister's neighborhood was recently stricken with a double tragedy, when both the young mother and her three-year-old son were diagnosed with cancer. When Catherine told me about this, I could only say, shocked, "Dear God, that family needs grace." She replied firmly, "That family needs casseroles," and proceeded to organize the entire neighborhood into bringing that family dinner, in shifts, every single night, for an entire year. I do not know if my sister fully recognizes that this IS grace.

Mother Teresa diagnosed the world's ills in this way: we've just "forgotten that we belong to each other." Kinship is what happens to us when we refuse to let that happen.

Comparing ourselves to people on social media is as risky as using WebMD to diagnose yourself. You’ll end up way more stressed than before - just don’t even go there.

Relying on his own strength and the support of his family and community, Paul faced each stage of his illness with grace—not with bravado or a misguided faith that he would “overcome” or “beat” cancer but with an authenticity that allowed him to grieve the loss of the future he had planned and forge a new one. He cried on the day he was diagnosed. He cried while looking at a drawing we kept on the bathroom mirror that said, “I want to spend all the rest of my days here with you.” He cried on his last day in the operating room. He let himself be open and vulnerable, let himself be comforted. Even while terminally ill, Paul was fully alive; despite physical collapse, he remained vigorous, open, full of hope not for an unlikely cure but for days that were full of purpose and meaning.

Jack? It’s Margeaux.” “My sister? Why would my sister be calling me? How did she get my number? Crazy questions blipped through my head. I knew she had married and was living in New Orleans, but we rarely spoke and have never been close by any means” “Margeaux?” “I’m calling from the police station. Dad was just brought in and I thought I should let you know.” “What! Why was he brought in?” “Jack, he’s been diagnosed with Alzheimer’s. He drove himself into New Orleans to Quest Diagnostic for some blood tests and he was waiting to be called. Apparently, they took other people back that had come in after him. He got upset and made a scene. The staff tried to explain that those people all had appointments and he didn’t. He became so abusive, they called security, but before they even got there, Dad knocked down one of the technicians. That’s when they called the police. They came and took him.

I had never been diagnosed with an anxiety disorder, but Dr. Howell said that anxiety and depression often went hand in hand. Comorbidity, he called it. It was an ominous-sounding word. It made me anxious.

Well,” she said, getting more comfortable, “Here’s what I’ve got so far. I’m going to college and getting a Ph.D. in being awesome. That’s a thing, right? Everyone will call me Dr. Kitten and pay me megabucks to diagnose all their problems. Because, of course, I will have all the answers.

schools assume that children are not interested in learning and are not much good at it, that they will not learn unless made to, that they cannot learn unless shown how, and that the way to make them learn is to divide up the prescribed material into a sequence of tiny tasks to be mastered one at a time, each with it's approrpriate 'morsel' and 'shock.' And when this method doesn't work, the schools assume there is something wrong with the children -- something they must try to diagnose and treat.

Something as trivial as a little gift of candy to medical residents improves the speed and accuracy of their diagnoses. In general, positive emotion enables us to broaden our understanding of what confronts us. This

Many empaths are diagnosed with chronic illnesses such as fibromyalgia, CFS, lupus, and various autoimmune diseases, as well as psychological disorders such as agoraphobia, social anxiety, ADHD, depression, sensory processing disorder, among many others.

A psychiatrist would diagnose Jolene—and possibly every member of Cade Chase’s team—as having a benign form of psychosis. Benign, because she had not experienced a psychotic break. She was far short of being psychotic, but only because her brain and soul allowed her to manage her dissociative behavior well. The unconscious guides such people.

The sociologist Elise Boulding diagnosed the problem of our times as “temporal exhaustion”: “If one is mentally out of breath all the time from dealing with the present, there is no energy left for imaging the future.

As they climbed it, the various Healers called out to them, diagnosing odd complaints and suggesting horrible remedies. Ron was seriously affronted when a medieval wizard called out that he clearly had a bad case of spattergroit. “And what’s that supposed to be?” he asked angrily, as the Healer pursued him through six more portraits, shoving the occupants out of the way. “ ’Tis a most grievous affliction of the skin, young master, that will leave you pockmarked and more gruesome even than you are now —” “Watch who you’re calling gruesome!” said Ron, his ears turning red. “The only remedy is to take the liver of a toad, bind it tight about your throat, stand naked by the full moon in a barrel of eels’ eyes —” “I have not got spattergroit!” “But the unsightly blemishes upon your visage, young master —” “They’re freckles!” said Ron furiously.

Don’t use “below-the-belt” tactics. These include: blam- ing, interpreting, diagnosing, labeling, analyzing, preaching, moralizing, ordering, warning, interrogating, ridiculing, and lecturing. Don’t put the other person down.

Eighty two percent of the traumatized children seen in the National Child Traumatic Stress Network do not meet diagnostic criteria for PTSD.15 Because they often are shut down, suspicious, or aggressive they now receive pseudoscientific diagnoses such as “oppositional defiant disorder,” meaning “This kid hates my guts and won’t do anything I tell him to do,” or “disruptive mood dysregulation disorder,” meaning he has temper tantrums. Having as many problems as they do, these kids accumulate numerous diagnoses over time. Before they reach their twenties, many patients have been given four, five, six, or more of these impressive but meaningless labels. If they receive treatment at all, they get whatever is being promulgated as the method of management du jour: medications, behavioral modification, or exposure therapy. These rarely work and often cause more damage.

When he had promised himself that he wouldn't try to repair Jude, he had forgotten that to solve someone is to want to repair them: to diagnose a problem and then not try to fix that problem seemed not only neglectful but immoral.

I guess the fact that the three of us have had these diagnoses hanging over our heads makes us empathetic toward one another. When it is just us three, it is so much easier to be ourselves because we don’t have to try so hard. We all just understand each other and have become inseparable ever since.

It's not easy to diagnose because depending where the endometrial deposits are, the symptoms can be quite different. It's an unrecognized problem among teenage girls, and it's something that every young woman who has painful menstruation should be aware of ... it's a condition that is curable if it's caught early. If not, if it's allowed to run on, it can cause infertility, and it can really mess up your life. [Author Hilary Mantel on being asked about being a writer with endometriosis, Nov 2012 NPR interview]

I know many people who are suspicious of diagnoses—they think of them as labels that reduce or stigmatize. I knew, already, that a diagnosis was not going to answer all my questions. But I craved a diagnosis because it is a form of understanding.

When he first said my diagnosis, I couldn't believe it. There must be another PTSD than post-traumatic stress disorder, I thought. I have only heard of war veterans who have served on the front lines and seen the horrors of battle being diagnosed with PTSD. I am a Beverly Hills housewife, not a soldier. I can't have PTSD. Well, I was wrong. Housewives can get PTSD, too, and yours, truly did.

That dead-eyed anhedonia is but a remora on the ventral flank of the true predator, the Great White Shark of pain. Authorities term this condition clinical depression or involutional depression or unipolar dysphoria. Instead of just an incapacity for feeling, a deadening of soul, the predator-grade depression Kate Gompert always feels as she Withdraws from secret marijuana is itself a feeling. It goes by many names — anguish, despair, torment, or q.v. Burton's melancholia or Yevtuschenko's more authoritative psychotic depression — but Kate Gompert, down in the trenches with the thing itself, knows it simply as It. It is a level of psychic pain wholly incompatible with human life as we know it. It is a sense of radical and thoroughgoing evil not just as a feature but as the essence of conscious existence. It is a sense of poisoning that pervades the self at the self's most elementary levels. It is a nausea of the cells and soul. It is an unnumb intuition in which the world is fully rich and animate and un-map-like and also thoroughly painful and malignant and antagonistic to the self, which depressed self It billows on and coagulates around and wraps in Its black folds and absorbs into Itself, so that an almost mystical unity is achieved with a world every constituent of which means painful harm to the self. Its emotional character, the feeling Gompert describes It as, is probably mostly indescribable except as a sort of double bind in which any/all of the alternatives we associate with human agency — sitting or standing, doing or resting, speaking or keeping silent, living or dying — are not just unpleasant but literally horrible. It is also lonely on a level that cannot be conveyed. There is no way Kate Gompert could ever even begin to make someone else understand what clinical depression feels like, not even another person who is herself clinically depressed, because a person in such a state is incapable of empathy with any other living thing. This anhedonic Inability To Identify is also an integral part of It. If a person in physical pain has a hard time attending to anything except that pain, a clinically depressed person cannot even perceive any other person or thing as independent of the universal pain that is digesting her cell by cell. Everything is part of the problem, and there is no solution. It is a hell for one. The authoritative term psychotic depression makes Kate Gompert feel especially lonely. Specifically the psychotic part. Think of it this way. Two people are screaming in pain. One of them is being tortured with electric current. The other is not. The screamer who's being tortured with electric current is not psychotic: her screams are circumstantially appropriate. The screaming person who's not being tortured, however, is psychotic, since the outside parties making the diagnoses can see no electrodes or measurable amperage. One of the least pleasant things about being psychotically depressed on a ward full of psychotically depressed patients is coming to see that none of them is really psychotic, that their screams are entirely appropriate to certain circumstances part of whose special charm is that they are undetectable by any outside party. Thus the loneliness: it's a closed circuit: the current is both applied and received from within.

And what physicians say about consumptive illnesses is applicable here: that at the beginning, such an illness is easy to cure but difficult to diagnose; but as time passes, not having been recognized or treated at the outset, it becomes easy to diagnose but difficult to cure.

After all, it is easy to forget that psychiatric diagnoses are human constructs, and not handed down from an all-knowing God on stone tablets; to “have schizophrenia” is to fit an assemblage of symptoms, which are listed in a purple book made by humans.

Her face crashes. She hasn't dealt with a single transfusion or lumbar puncture. She wasn't allowed near me for the bone-marrow transplant, but she could have been there for any number of diagnoses, and wasn't. Even her promises to visit more often have faded away with Christmas. It's her turn to taste some reality.

The disorder is more common in women." Note the construction of that sentence. They did not write, "The disorder is more common in women." It would still be suspect, but they didn't bother trying to cover their tracks. Many disorders, judging by the hospital population, were more commonly diagnosed in women. Take, for example, "compulsive promiscuity." How many girls do you think a seventeen-year-old boy would have to screw to earn the label "compulsively promiscuous"? Three? No, not enough. Six? Doubtful. Ten? That seems more likely. Probably in the fifteen-to-twenty range, would be my guess - if they ever put that label on boys, which I don't recall their doing.... In the list of six "potentially self-damaging" activities favored by the borderline personality, three are commonly associated with women (shopping sprees, shoplifting, and eating binges) and one with men (reckless driving). One is not "gender specific," as they say these days (psychoactive substance abuse). And the definition of the other (casual sex) is in the eye of the beholder.

Healthy people, I have concluded, including myself, do not understand how everything changes once you have been diagnosed with a fatal illness. How you cling to hope, however false, however slight, and how reluctant most doctors are to deprive patients of that fragile beam of light in so much darkness. Indeed, many people develop what psychiatrists call ‘dissociation’ and a doctor can find himself talking to two people – they know that they are dying and yet still hope that they will live. I had noticed the same phenomenon with my mother during the last few days of her life. When faced by people who are dying you are no longer dealing with the rational consumers assumed by economic model-builders, if they ever existed in the first place.

We need a revolution in the research and the practice of medicine, and we need it yesterday. We need to train doctors to listen to women, and to recognise that their inability to diagnose a woman may not be because she is lying or being hysterical: the problem may be the gender data gaps in their knowledge. It’s time to stop dismissing women, and start saving them.

The core predicament of medicine - the thing that makes being a patient so wrenching, being a doctor so difficult, and being a part of society that pays the bills they run up so vexing - is uncertainty. With all that we know nowadays about people and diseases and how to diagnose and treat them, it can be hard to see this, hard to grasp how deeply uncertainty runs. As a doctor, you come to find, however, that the struggle in caring for people is more often with what you do not know than what you do. Medicine's ground state is uncertainty. And wisdom - for both the patients and doctors - is defined by how one copes with it.

We're all afraid of the same stuff. Mostly we're afraid that we're secretly not okay, that we're disgusting, or frauds, or about to be diagnosed with cancer. ... We want to teach you how to quiet the yammer ... how you can create comfort, inside and outside, how you can get warm, how you can feed yourself. And even learn to get through silence. ... There is a wilderness inside you, and a banquet. Both. [p. 253]

If you put these three principles of design together, you get a pretty plausible explanation of the human predicament as diagnosed by the Buddha. Yes, as he said, pleasure is fleeting, and, yes, this leaves us recurrently dissatisfied. And the reason is that pleasure is designed by natural selection to evaporate so that the ensuing dissatisfaction will get us to pursue more pleasure. Natural selection doesn’t “want” us to be happy, after all; it just “wants” us to be productive, in its narrow sense of productive. And the way to make us productive is to make the anticipation of pleasure very strong but the pleasure itself not very long-lasting.

Before you examine the body of a patient, be patient to learn his story. For once you learn his story, you will also come to know his body.

The love object occupies the thoughts of the person diagnosed as 'in love' all the time despite the probability that very little is actually known about it. To it are ascribed all qualities considered by the obsessed as good, regardless of whether the object in question possesses those qualities in any degree. Expectations are set up which no human being could fulfill. Thus the object chosen plays a special role in relation to the go of the obsessed, who decided that he or she is the right or the only person for him. In the case of a male this notion may sanction a degree of directly aggressive behavior either in pursuing the object or driving off competition.

If there are still honest-smart men and women within those old and noble traditions, they should think carefully, observe and diagnose the illness. They should face the contradiction. Discuss the conflation. And then do as Warren Buffett and Bill Gates and many others have done. Choose the miracle of creative competition over an idolatry of cash. They should stand up..

In the spring of 2009, I was the 217th person ever to be diagnosed with anti-NMDA-receptor autoimmune encephalitis. Just a year later, that figure had doubled. Now the number is in the thousands. Yet Dr. Bailey, considered one of the best neurologists in the country, had never heard of it. When we live in a time when the rate of misdiagnoses has shown no improvement since the 1930s, the lesson here is that it’s important to always get a second opinion. While he may be an excellent doctor in many respects, Dr. Bailey is also, in some ways, a perfect example of what is wrong with medicine. I was just a number to him (and if he saw thirty-five patients a day, as he told me, that means I was one of a very large number). He is a by-product of a defective system that forces neurologists to spend five minutes with X number of patients a day to maintain their bottom line. It’s a bad system. Dr. Bailey is not the exception to the rule. He is the rule.

I was diagnosed a thirteen. Paranoid got tacked on about a year later, after I verbally attacked a librarian for trying to hand me propaganda pamphlets for an underground communist force operating out of the basement of the public library. (She'd always been a very suspect type of librarian--I refuse to believe donning rubber gloves to handle books is a normal and accepted practice, and I don't care what anyone says.)

He had also gone through a bad divorce, become estranged from his only daughter and been diagnosed with skin cancer, but he insisted that all of that, however painful, was secondary to the sudden realization that it was mathematics—not nuclear weapons, computers, biological warfare or our climate Armageddon—which was changing our world to the point where, in a couple of decades at most, we would simply not be able to grasp what being human really meant.

Well, you've done it now," was her sisterly opening shot. Jaine rubbed between her eyebrows; a definite headache was forming. After the exchange with David, she waited to see where this one was going. "I won't be able to hold up my head in church." "Really? Oh, Shelley, I'm so sorry," Jaine said sweetly. "I didn't realize you have the dreaded Limp Neck disease. When were you diagnosed?

when people hear anything that sounds like criticism, they tend to invest their energy in self-defense or counterattack. If we wish for a compassionate response from others, it is self-defeating to express our needs by interpreting or diagnosing their behavior. Instead, the more directly we can connect our feelings to our own needs, the easier it is for others to respond to us compassionately.

While deeply admiring and affirming past prophets, the Qur’an casts a critical eye on human misapplication of their revelations. “Our prophetic guides came to them with clarifying signs, yet many among them soon lapsed, spreading disorder in the land” (5:32). The perpetual dynamic of monotheistic values revived by prophets only to be subsequently squandered by humans is what concerns the Qur’an. It diagnoses a range of repeated failures, including: losing a close relationship with the Divine and reverting to idolatry; debating minutiae as an excuse to avoid bold action; imposing dogma not found in scripture and turning petty disputes over dogma into deadly violence; and elites selfishly abusing their leadership positions to mislead and manipulate.

Postmodernism's specifically academic appeal comes from its being another in the sequence of all-purpose "unmasking" strategies that offer a way to criticize the intellectual efforts of others not by engaging with them on the ground, but by diagnosing them from a superior vantage point and charging them with inadequate self-awareness. Logical positivism and Marxism were used by academics in this way, and postmodernist relativism is a natural successor in the role. [The Sleep of Reason]

Boys’ aggressiveness is increasingly being treated as a medical problem, particularly in schools, a trend that has led to the diagnosing and medicating of boys whose problem may really be that they have been traumatized and influenced by exposure to violence and abuse at home. Treating these boys as though they have a chemical problem not only overlooks the distress they are in but also reinforces their belief that they are “out of control” or “sick,” rather than helping them to recognize that they are making bad choices based on destructive values. I have sometimes heard adults telling girls that they should be flattered by boys’ invasive or aggressive behavior “because it means they really like you,” an approach that prepares both boys and girls to confuse love with abuse and socializes girls to feel helpless.

Remember your math: an anecdote is not a trend. Remember your history: the fact that something is bad today doesn't mean it was better in the past. Remember your philosophy: one cannot reason that there's no such thing as reason, or that something is true or good because God said it is. And remember your psychology: much of what we know isn't so, especially when our comrades know it too. Keep some perspective. Not every problem is a Crisis, Plague, Epidemic, or Existential Threat, and not every change is the End of This, the Death of That, or the Dawn of a Post-Something Era. Don't confuse pessimism with profundity: problems are inevitable, but problems are solvable, and diagnosing every setback as a symptom of a sick society is a cheap grab for gravitas. Finally, drop the Nietzsche. His ideas may seem edgy, authentic, baad,while humanism seems sappy, unhip, uncool But what's so funny about peace, love, and understanding?

Lenin is said to have declared that the best way to destroy the capitalist system was to debauch the currency. By a continuing process of inflation, governments can confiscate, secretly and unobserved, an important part of the wealth of their citizens. By this method they not only confiscate, but they confiscate arbitrarily; and, while the process impoverishes many, it actually enriches some. The sight of this arbitrary rearrangement of riches strikes not only at security but [also] at confidence in the equity of the existing distribution of wealth. Those to whom the system brings windfalls, beyond their deserts and even beyond their expectations or desires, become "profiteers," who are the object of the hatred of the bourgeoisie, whom the inflationism has impoverished, not less than of the proletariat. As the inflation proceeds and the real value of the currency fluctuates wildly from month to month, all permanent relations between debtors and creditors, which form the ultimate foundation of capitalism, become so utterly disordered as to be almost meaningless; and the process of wealth-getting degenerates into a gamble and a lottery. Lenin was certainly right. There is no subtler, no surer means of overturning the existing basis of society than to debauch the currency. The process engages all the hidden forces of economic law on the side of destruction, and does it in a manner which not one man in a million is able to diagnose.

The cause of the Party’s defectiveness must be found. All our principles were right, but our results were wrong. This is a diseased century. We diagnosed the disease and its causes with microscopic exactness, but whenever we applied the healing knife anew sore appeared. Our will was hard and pure, we should have been loved by the people. But they hate us. Why are we so odious and detested? We brought you truth, and in our mouth it sounded a lie. We brought you freedom, and it looks in our hands like a whip. We brought you the living life, and where our voices is heard the trees wither and there is a rustling of dry leaves. We brought you the promise of the future, but our tongue stammered and barked…

from the Basement tapes Eric outdid Dylan with the apologies. To the untrained eye, he seemed sincere. The psychologists on the case found Eric less convincing. They saw a psychopath. Classic. He even pulled the stunt of self-diagnosing to dismiss it. "I wish I was a fucking sociopath so I didn't have any remorse," Eric said. "But I do." Watching that made Dr. Fuselier angry. Remorse meant a deep desire to correct a mistake. Eric hadn't done it yet. He excused his actions several times on the tapes. Fuselier was tough to rattle, but that got to him. "Those are the most worthless apologies I've ever heard in my life," he said. It got more ludicrous later, when Eric willed some of his stuff to two buddies, "if you guys live." "If you live?" Fuselier repeated. "They are going to go in there and quite possibly kill their friends. If they were the least bit sorry they would not do it!

Why, I ask, can I not finish the letter that I am writing? For my room is always scattered with unfinished letters. I begin to suspect, when I am with you, that I am among the most gifted of men. I am filled with the delight of youth, with potency, with the sense of what is to come. blundering, but fervid, I see myself buzzing round flowers, humming down scarlet cups, making blue funnels resound with my prodigious booming. How richly I shall enjoy my youth (you make me feel). And London. And freedom. But stop. You are not listening. You are making some protest, as you slide, with an inexpressibly familiar gesture, your hand along your knee. By such signs we diagnose our friends' diseases. "Do not, in your affluence and plenty," you seem to say, "pass me by." "Stop," you say. "Ask me what I suffer.

Psychiatric diagnoses are getting closer and closer to the boundary of normal,” said Allen Frances. “That boundary is very populous. The most crowded boundary is the boundary with normal.” “Why?” I asked. “There’s a societal push for conformity in all ways,” he said. “There’s less tolerance of difference. And so maybe for some people having a label is better. It can confer a sense of hope and direction. ‘Previously I was laughed at, I was picked on, no one liked me, but now I can talk to fellow bipolar sufferers on the Internet and no longer feel alone.’” He paused. “In the old days some of them may have been given a more stigmatizing label like conduct disorder or personality disorder or oppositional defiant disorder. Childhood bipolar takes the edge of guilt away from parents that maybe they created an oppositional child.

People who suffer from alexithymia tend to feel physically uncomfortable but cannot describe exactly what the problem is. As a result they often have multiple vague and distressing physical complaints that doctors can't diagnose. In addition, they can't figure out for themselves what they're really feeling about any given situation or what makes them feel better or worse. This is the result of numbing, which keeps them from anticipating and responding to the ordinary demands of their bodies in quiet, mindful ways. If you are not aware of what your body needs, you can't take care of it. If you don't feel hunger, you can't nourish yourself. If you mistake anxiety for hunger, you may eat too much. And if you can't feel when you're satiated, you'll keep eating.

The fatal combination of indulgence without feeling disgusts me. Strange to be both greedy and dead. For myself, I prefer to hold my desires just out of reach of appetite, to keep myself honed and sharp. I want the keen edge of longing. it is so easy to be a brute and yet it has become rather fashionable. Is that the consequence of leaving your body to science? Of assuming that another pill, another drug, another car, another pocket-sized home-movie station, a DNA transfer, or the complete freedom of choice that five hundred TV channels must bring, will make everything all right? Will soothe the nagging pain in the heart that the latest laser scan refuses to diagnose? The doctor's surgery is full of men and women who do not know why they are unhappy. "Take this", says the Doctor, "you'll soon feel better." They do not feel better, because, little by little, they cease to feel at all.

The artist's transcendence is achieved through success at diagnosing and naming the maladies of the age. Artists tell a different sort of truth than scientists do. The truth of the scientist is a generalizing truth, while the artist or writer's is a particular truth. It is the truth about particular persons in particular situations. The poet or the novelist reveals truths about human lives by embodying these truths in concrete characters, in specific situations. Readers recognize their own reality in the work. We find ourselves saying, as we read, 'Yes! This is how it is for me.' Both those who enjoy the work of artists and the artists themselves achieve transcendence through this identification of the particular truths about selves in the world.

I recently consulted to a therapist who felt he had accomplished something by getting his dissociative client to remain in her ANP throughout her sessions with him. His view reflects the fundamental mistake that untrained therapists tend to make with DID and DDNOS. Although his client was properly diagnosed, he assumed that the ANP should be encouraged to take charge of the other parts at all times. He also expected her to speak for them—in other words, to do their therapy. This denied the other parts the opportunity to reveal their secrets, heal their pain, or correct their childhood-based beliefs about the world. If you were doing family therapy, would it be a good idea to only meet with the father, especially if he had not talked with his children or his spouse in years? Would the other family members feel as if their experiences and feelings mattered? Would they be able to improve their relationships? You must work with the parts who are inside of the system. Directly.

By listening to the “unspoken voice” of my body and allowing it to do what it needed to do; by not stopping the shaking, by “tracking” my inner sensations, while also allowing the completion of the defensive and orienting responses; and by feeling the “survival emotions” of rage and terror without becoming overwhelmed, I came through mercifully unscathed, both physically and emotionally. I was not only thankful; I was humbled and grateful to find that I could use my method for my own salvation. While some people are able to recover from such trauma on their own, many individuals do not. Tens of thousands of soldiers are experiencing the extreme stress and horror of war. Then too, there are the devastating occurrences of rape, sexual abuse and assault. Many of us, however, have been overwhelmed by much more “ordinary” events such as surgeries or invasive medical procedures. Orthopedic patients in a recent study, for example, showed a 52% occurrence of being diagnosed with full-on PTSD following surgery. Other traumas include falls, serious illnesses, abandonment, receiving shocking or tragic news, witnessing violence and getting into an auto accident; all can lead to PTSD. These and many other fairly common experiences are all potentially traumatizing. The inability to rebound from such events, or to be helped adequately to recover by professionals, can subject us to PTSD—along with a myriad of physical and emotional symptoms.

I have always been told that a person has to accept that the illness is chronic," she says, at the end of our interview. "You can be 'in recovery,' but you can never be 'recovered.' But I don't want to be on disability forever, and I have started to question whether depression is really a chemical thing. What are the origins of my despair? How can I really help myself? I want to honor the other parts of me, other than the sick part that I'm always thinking about. I think that depression is like a weed that I have been watering, and I want to pull up that weed, and I am starting to look to people for solutions. I really don't know what the drugs did for me all these years, but I do know that I am disappointed in how things have turned out." Such is Melissa Sances's story. Today it is a fairly common one. A distressed teenager is diagnosed with depression and put on an antidepressant, and years later he or she is still struggling with the condition. But if we return to the 1950s, we will discover that the depression rarely struck someone as young as Melissa, and it rarely turned into the chronic suffering that she has experienced. Her course of illness is, for the most part, unique to our times.

Having DID is, for many people, a very lonely thing. If this book reaches some people whose experiences resonate with mine and gives them a sense that they aren't alone, that there is hope, then I will have achieved one of my goals. A sad fact is that people with DID spend an average of almost seven years in the mental health system before being properly diagnosed and receiving the specific help they need. During that repeatedly misdiagnosed and incorrectly treated, simply because clinicians fail to recognize the symptoms. If this book provides practicing and future clinicians certain insight into DID, then I will have accomplished another goal. Clinicians, and all others whose lives are touched by DID, need to grasp the fundamentally illusive nature of memory, because memory, or the lack of it, is an integral component of this condition. Our minds are stock pots which are continuously fed ingredients from many cooks: parents, siblings, relatives, neighbors, teachers, schoolmates, strangers, acquaintances, radio, television, movies, and books. These are the fixings of learning and memory, which are stirred with a spoon that changes form over time as it is shaped by our experiences. In this incredibly amorphous neurological stew, it is impossible for all memories to be exact. But even as we accept the complex of impressionistic nature of memory, it is equally essential to recognize that people who experience persistent and intrusive memories that disrupt their sense of well-being and ability to function, have some real basis distress, regardless of the degree of clarity or feasibility of their recollections. We must understand that those who experience abuse as children, and particularly those who experience incest, almost invariably suffer from a profound sense of guilt and shame that is not meliorated merely by unearthing memories or focusing on the content of traumatic material. It is not enough to just remember. Nor is achieving a sense of wholeness and peace necessarily accomplished by either placing blame on others or by forgiving those we perceive as having wronged us. It is achieved through understanding, acceptance, and reinvention of the self.

It seems right now that all I’ve ever done in my life is making my way here to you.’ I could see that Rosie could not place the line from The Bridges of Madison County that had produced such a powerful emotional reaction on the plane. She looked confused. ‘Don, what are you…what have you done to yourself?’ ‘I’ve made some changes.’ ‘Big changes.’ ‘Whatever behavioural modifications you require from me are a trivial price to pay for having you as my partner.’ Rosie made a downwards movement with her hand, which I could not interpret. Then she looked around the room and I followed her eyes. Everyone was watching. Nick had stopped partway to our table. I realised that in my intensity I had raised my voice. I didn’t care. ‘You are the world’s most perfect woman. All other women are irrelevant. Permanently. No Botox or implants will be required. ‘I need a minute to think,’ she said. I automatically started the timer on my watch. Suddenly Rosie started laughing. I looked at her, understandably puzzled at this outburst in the middle of a critical life decision. ‘The watch,’ she said. ‘I say “I need a minute” and you start timing. Don is not dead. 'Don, you don’t feel love, do you?’ said Rosie. ‘You can’t really love me.’ ‘Gene diagnosed love.’ I knew now that he had been wrong. I had watched thirteen romantic movies and felt nothing. That was not strictly true. I had felt suspense, curiosity and amusement. But I had not for one moment felt engaged in the love between the protagonists. I had cried no tears for Meg Ryan or Meryl Streep or Deborah Kerr or Vivien Leigh or Julia Roberts. I could not lie about so important a matter. ‘According to your definition, no.’ Rosie looked extremely unhappy. The evening had turned into a disaster. 'I thought my behaviour would make you happy, and instead it’s made you sad.’ ‘I’m upset because you can’t love me. Okay?’ This was worse! She wanted me to love her. And I was incapable. Gene and Claudia offered me a lift home, but I did not want to continue the conversation. I started walking, then accelerated to a jog. It made sense to get home before it rained. It also made sense to exercise hard and put the restaurant behind me as quickly as possible. The new shoes were workable, but the coat and tie were uncomfortable even on a cold night. I pulled off the jacket, the item that had made me temporarily acceptable in a world to which I did not belong, and threw it in a rubbish bin. The tie followed. On an impulse I retrieved the Daphne from the jacket and carried it in my hand for the remainder of the journey. There was rain in the air and my face was wet as I reached the safety of my apartment.

I was diagnosed with ADHD in my mid fifties and I was given Ritalin and Dexedrine. These are stimulant medications. They elevate the level of a chemical called dopamine in the brain. And dopamine is the motivation chemical, so when you are more motivated you pay attention. Your mind won't be all over the place. So we elevate dopamine levels with stimulant drugs like Ritalin, Aderall, Dexedrine and so on. But what else elevates Dopamine levels? Well, all other stimulants do. What other stimulants? Cocaine, crystal meth, caffeine, nicotine, which is to say that a significant minority of people that use stimulants, illicit stimulants, you know what they are actually doing? They're self-medicating their ADHD or their depression or their anxiety. So on one level (and we have to go deeper that that), but on one level addictions are about self-medications. If you look at alcoholics in one study, 40% of male adult alcoholics met the diagnostic criteria for ADHD? Why? Because alcohol soothes the hyperactive brain. Cannabis does the same thing. And in studies of stimulant addicts, about 30% had ADHD prior to their drug use. What else do people self-medicate? Someone mentioned depression. So, if you have been treated for depression, as I have been, and you were given a SSRI medication, these medications elevate the level of another brain chemical called serotonin, which is implicated in mood regulation. What else elevates serotonin levels temporarily in the brain? Cocaine does. People use cocaine to self-medicate depression. People use alcohol, cannabis and opiates to self-medicate anxiety. Incidentally people also use gambling or shopping to self-medicate because these activities also elevate dopamine levels in the brain. There is no difference between one addiction and the other. They're just different targets, but the brain systems that are involved and the target chemicals are the same, no matter what the addiction. So people self-medicate anxiety, depression. People self-medicate bipolar disorder with alcohol. People self-medicate Post-Traumatic-Stress-Disorder. So, one way to understand addictions is that they're self-medicating. And that's important to understand because if you are working with people who are addicted it is really important to know what's going on in their lives and why are they doing this. So apart from the level of comfort and pain relief, there's usually something diagnosible that's there at the same time. And you have to pay attention to that. At least you have to talk about it.

When he wrote back, he pretended to be his old self, he lied his way into sanity. For fear of his psychiatrist who was also their censor, they could never be sensual, or even emotional. His was considered a modern, enlightened prison, despite its Victorian chill. He had been diagnosed, with clinical precision, as morbidly oversexed, and in need of help as well as correction. He was not to be stimulated. Some letters—both his and hers—were confiscated for some timid expression of affection. So they wrote about literature, and used characters as codes. All those books, those happy or tragic couples they had never met to discuss! Tristan and Isolde the Duke Orsino and Olivia (and Malvolio too), Troilus and Criseyde, Once, in despair, he referred to Prometheus, chained to a rock, his liver devoured daily by a vulture. Sometimes she was patient Griselde. Mention of “a quiet corner in a library” was a code for sexual ecstasy. They charted the daily round too, in boring, loving detail. He described the prison routine in every aspect, but he never told her of its stupidity. That was plain enough. He never told her that he feared he might go under. That too was clear. She never wrote that she loved him, though she would have if she thought it would get through. But he knew it. She told him she had cut herself off from her family. She would never speak to her parents, brother or sister again. He followed closely all her steps along the way toward her nurse’s qualification. When she wrote, “I went to the library today to get the anatomy book I told you about. I found a quiet corner and pretended to read,” he knew she was feeding on the same memories that consumed him “They sat down, looked at each other, smiled and looked away. Robbie and Cecilia had been making love for years—by post. In their coded exchanges they had drawn close, but how artificial that closeness seemed now as they embarked on their small talk, their helpless catechism of polite query and response. As the distance opened up between them, they understood how far they had run ahead of themselves in their letters. This moment had been imagined and desired for too long, and could not measure up. He had been out of the world, and lacked the confidence to step back and reach for the larger thought. I love you, and you saved my life. He asked about her lodgings. She told him. “And do you get along all right with your landlady?” He could think of nothing better, and feared the silence that might come down, and the awkwardness that would be a prelude to her telling him that it had been nice to meet up again. Now she must be getting back to work. Everything they had, rested on a few minutes in a library years ago. Was it too frail? She could easily slip back into being a kind of sister. Was she disappointed? He had lost weight. He had shrunk in every sense. Prison made him despise himself, while she looked as adorable as he remembered her, especially in a nurse’s uniform. But she was miserably nervous too, incapable of stepping around the inanities. Instead, she was trying to be lighthearted about her landlady’s temper. After a few more such exchanges, she really was looking at the little watch that hung above her left breast, and telling him that her lunch break would soon be over.