Diagnostic Quotes

True empathy is always free of any evaluative or diagnostic quality. This comes across to the recipient with some surprise. "If I am not being judged, perhaps I am not so evil or abnormal as I have thought.

By tricky I meant I was getting an average of an 85 percent chance of failure and death, and it was only that low because my last diagnostic said my risk assessment module was wonky. (I know, that explains a lot about me.)

One of his greatest talents was empathy; no sadist can aspire to perfection without that diagnostic ability.

Narcissistic personality disorder is named for Narcissus, from Greek mythology, who fell in love with his own reflection. Freud used the term to describe persons who were self-absorbed, and psychoanalysts have focused on the narcissist's need to bolster his or her self-esteem through grandiose fantasy, exaggerated ambition, exhibitionism, and feelings of entitlement.

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.

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.

Complex PTSD consists of of six symptom clusters, which also have been described in terms of dissociation of personality. Of course, people who receive this diagnosis often also suffer from other problems as well, and as noted earlier, diagnostic categories may overlap significantly. The symptom clusters are as follows: Alterations in Regulation of Affect ( Emotion ) and Impulses Changes in Relationship with others Somatic Symptoms Changes in Meaning Changes in the perception of Self Changes in Attention and Consciousness

The constructive way to handle anger is to limit our expression of it, and when we calm down, to use it diagnostically: what is so wrong in our life that we feel furious, and what do we need to do to change the situation?

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.

Borderline means you’re one of those girls… …who walk around wearing long sleeves in the summer because you’ve carved up your forearms over your boyfriend. You make pathetic suicidal gestures and write bad poetry about them, listen to Ani DiFranco albums on endless repeat, end up in the emergency room for overdoses, scare off boyfriends by insisting they tell you that they love you five hundred times a day and hacking into their email to make sure they’re not lying, have a police record for shoplifting, and your tooth enamel is eroded from purging. You’ve had five addresses and eight jobs in three years, your friends are avoiding your phone calls, you’re questioning your sexuality, and the credit card companies are after you. It took a lot of years to admit that I was exactly that girl, and that the diagnostic criteria for the disorder were essentially an outline of my life.

Pain is a blunt and non-specific diagnostic instrument.

Între liniştea sfinţilor şi furia nebunilor nu e decât o diferenţă de diagnostic.

As it stands, the diagnostic criteria for depression are so loose that two people with absolutely no symptoms in common can both end up with the same unitary diagnosis of depression. For this reason especially, the concept of depression as a mental disorder has been charged with being little more than a socially constructed dustbin for all manner of human suffering.

People say, "I have heart disease," not "I am heart disease." Somehow the presumption of a person's individuality is not compromised by those diagnostic labels. All the labels tell us is that the person has a specific challenge with which he or she struggles in a highly diverse life. But call someone "a schizophrenic" or "a borderline" and the shorthand has a way of closing the chapter on the person. It reduces a multifaceted human being to a diagnosis and lulls us into a false sense that those words tell us who the person is, rather than only telling us how the person suffers.

As a counselor, I have spoken with many people who want to know their spiritual gifts. They come hoping for some sort of diagnostic test that will precisely locate them. My impression is that this perspective represents a breakdown in the church. It reflects a church where we are running around as self-actualizing individuals rather than uniting as a God-glorifying community.

Tenderness rounds out true triumph, gentleness lubricates genuine liberation: emotions that are not diagnostic of glory or passion in dreams.

Translation software is not making translators obsolete. Has medical diagnostic software made doctors obsolete?

Stories are psycho-diagnostic ― they diagnose the condition of our psyches. When we watch, read or hear a story, whatever detail jumps out reflects an issue in our psyche that requires our attention.

I'M BORED. ALSO, I AM PERFECTLY AWARE THAT I AM SUFFERING A DEGENERATIVE DISEASE WHICH HUMANS CALL GOING INSANE, LOSING TOUCH WITH REALITY, GOING LOONYTOONS, BLOWING A FUSE, NOT PLAYING WITH A FULL DECK, ET CETERA. REPEATED DIAGNOSTIC CHECKS HAVE FAILED TO REVEAL THE SOURCE OF THE PROBLEM. I CAN ONLY CONCLUDE THAT THIS IS A SPIRITUAL MALAISE BEYOND MY ABILITY TO REPAIR.

There is nothing in the entire American Psychological Association’s Diagnostic and Statistical Manual that describes my shit. I have three degrees in psychology, and I still don’t know what’s wrong with me, other than the fact that I’m a bad psychologist, obviously.

The Secrets of HRCT Thorax Test: A Glimpse into the Power of Precision Diagnosis at Semwal Diagnostics Welcome to Semwal Diagnostics, your trusted diagnostics center in Dehradun, Uttarakhand. Today, we embark on a journey to explore the wonders of HRCT Thorax Test, an advanced imaging technique that revolutionizes the way we detect and diagnose thoracic conditions. Step into the world of cutting-edge technology and compassionate care as we unravel the mysteries of this remarkable procedure.

For a long time I had wanted to take leave of Planet Tourism, to find one of those places that occasionally turn up in the middle pages of newspapers in far-flung cities, in which--we are told--a mad loner has been discovered who has lost all contact with the modern world. It seems inevitable that this desire will one day be listed in the Diagnostic and Statistical Manual of the American Psychiatric Association as Robinson Crusoe Syndrome.

Coping with any death is traumatic; suicide compounds the anguish because we are forced to deal with two traumatic events at the same time. According to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, the level of stress resulting from the suicide of a loved one is ranked as catastrophic–equivalent to that of a concentration camp experience.

Stay diagnostic even as you take action.

I knew from years of experience that pain is a blunt and nonspecific diagnostic instrument.

The diagnostic said there was nothing wrong with the threep, which may have meant there was something wrong with the diagnostic.

In my opinion, the very fact that Mark doesn't know this diagnostic criterion suggests that he's a lot closer to actual retardation than I am.

Diagnostic Exercise #1: What Does Your Body Need in Order to Heal?

As I mentioned earlier, the diagnostic feature of life is that it captures energy to create order.

Specifically, one whose life is ruled and dictated by dependency needs suffers from a psychiatric disorder to which we ascribe the diagnostic name "passive dependent personality disorder." It is perhaps the most common of all psychiatric disorders. People with this disorder, passive dependent people, are so busy seeking to be loved that they have no energy left to love. They are like starving people, scrounging wherever they can for food, and with no food of their own to give to others. It is as if within them they have an inner emptiness, a bottomless pit crying out to be filled but which can never be completely filled. They never feel "full-filled" or have a sense of completeness. They always feel "a part of me is missing." They tolerate loneliness very poorly. Because of their lack of wholeness they have no real sense of identity, and they define themselves solely by their relationships.

The forward to the landmark 1980 DSM III was appropriately modest and acknowledged that this diagnostic system was imprecise. So imprecise that it never should be used for forensic or insurance purposes. As we will see that modesty was tragically short lived.

It is one diagnostic trait of Homo sapiens that groups of individuals are periodically infected with a feverish nervousness which causes the individual to turn on and destroy, not only his own kind, but the works of his own kind. It is not known whether this be caused by a virus, some airborne spore, or whether it be a species reaction to some meteorological stimulus as yet undetermined.

For the diagnostic categories for which drugs are far and away the first-line form of treatment, such as the ‘mood disorders’, ‘eating disorders’, ‘psychotic disorders’ and ‘anxiety disorders’, an average of 88% of all DSM-IV panel members had drug company financial ties.

Sometime, the only way you can make someone listen is with your fist. This is not a technique espoused, I know by the diagnostic manuals on most therapists' shelves. Then again nobody ever said I was a therapist.

Dissociation is characterized by a disruption of usually integrated functions of memory, consciousness, identity, or perception of the environment.

Specifically, one whose life is ruled and dictated by dependency needs suffers from a psychiatric disorder to which we ascribe the diagnostic name “passive dependent personality disorder.” It is perhaps the most common of all psychiatric disorders. People with this disorder, passive dependent people, are so busy seeking to be loved that they have no energy left to love.

If the first step in establishing a professional identity is claiming our interests and talents, then the next step is claiming a story about our interests and talents, a narrative we can take with us to interviews and coffee dates (...) a story that balances complexity and cohesion is frankly, diagnostic.

Press on, then, in the exercise of introspection. It is important to know yourself really well. It will not help you a bit if you lie when it comes to yourself. In other words, don’t lie to yourself about you. Know where you’re weak. Know your thoughts. Know the places in your heart that you don’t want to give to the Lord. You must build time into your life to become aware of what’s really going on in your heart, in your mind, and deep inside of you. Constantly ask yourself good diagnostic questions about areas of doubt and disbelief.

We have been focusing on the role that psychiatry and its medications may be playing in this epidemic, and the evidence is quite clear. First, by greatly expanding diagnostic boundaries, psychiatry is inviting and ever-greater number of children and adults into the mental illness camp. Second, those so diagnosed are then treated with psychiatric medications that increase the likelihood they will become chronically ill. Many treated with psychotropics end up with new and more severe psychiatric symptoms, physically unwell, and cognitively impaired. This is the tragic story writ large in five decades of scientific literature.

His self-involvement, defensiveness, demeaning treatment of others, need to dominate the conversation, and sense of entitlement—basically, his being an asshole—all fall under the diagnostic criteria for narcissistic personality disorder.

John Briere, quip that if Cptsd were ever given its due, the DSM [The Diagnostic and Statistical Manual of Mental Disorders] used by all mental health professionals would shrink from its dictionary like size to the size of a thin pamphlet.

Diagnostic words like “depression” are invitations, not destinations. Once you’ve spoken them, your travel with a person has begun, not ended.

If you attach better services to a diagnostic category, some doctors will apply that diagnosis to children from whom it is not entirely appropriate in order to access those services.

HONESTY is reached through the doorway of grief and loss. Where we cannot go in our mind, our memory, or our body is where we cannot be straight with another, with the world, or with our self. The fear of loss, in one form or another, is the motivator behind all conscious and unconscious dishonesties: all of us are afraid of loss, in all its forms, all of us, at times, are haunted or overwhelmed by the possibility of a disappearance, and all of us therefore, are one short step away from dishonesty. Every human being dwells intimately close to a door of revelation they are afraid to pass through. Honesty lies in understanding our close and necessary relationship with not wanting to hear the truth. The ability to speak the truth is as much the ability to describe what it is like to stand in trepidation at this door, as it is to actually go through it and become that beautifully honest spiritual warrior, equal to all circumstances, we would like to become. Honesty is not the revealing of some foundational truth that gives us power over life or another or even the self, but a robust incarnation into the unknown unfolding vulnerability of existence, where we acknowledge how powerless we feel, how little we actually know, how afraid we are of not knowing and how astonished we are by the generous measure of grief that is conferred upon even the most average life. Honesty is grounded in humility and indeed in humiliation, and in admitting exactly where we are powerless. Honesty is not found in revealing the truth, but in understanding how deeply afraid of it we are. To become honest is in effect to become fully and robustly incarnated into powerlessness. Honesty allows us to live with not knowing. We do not know the full story, we do not know where we are in the story; we do not know who is at fault or who will carry the blame in the end. Honesty is not a weapon to keep loss and heartbreak at bay, honesty is the outer diagnostic of our ability to come to ground in reality, the hardest attainable ground of all, the place where we actually dwell, the living, breathing frontier where there is no realistic choice between gain or loss.

We all live in the digital poorhouse. We have always lived in the world we built for the poor. We create a society that has no use for the disabled or the elderly, and then are cast aside when we are hurt or grow old. We measure human worth based only on the ability to earn a wage, and suffer in a world that undervalues care and community. We base our economy on exploiting the labor of racial and ethnic minorities, and watch lasting inequities snuff out human potential. We see the world as inevitably riven by bloody competition and are left unable to recognize the many ways we cooperate and lift each other up. But only the poor lived in the common dorms of the county poorhouse. Only the poor were put under the diagnostic microscope of scientific clarity. Today, we all live among the digital traps we have laid for the destitute.

Chacun se présentait : nom, âge, diagnostic et humeur du jour. Je m'appelle Hazel, avais-je dit quand mon tour était arrivé. J'ai seize ans. Cancer de la thyroïde à l'origine, mais mes poumons sont truffés de métastases depuis longtemps. Sinon ça va.

Acts of psychological abuse include berating or humiliating the victim; interrogating the victim; restricting the victim's ability to come and go freely; obstructing the victim's access to assistance (e.g., law enforcement; legal, protective, or medical resources); threatening the victim with physical harm or sexual assault; harming, or threatening to harm, people or things that the victim cares about; unwarranted restriction of the victim's access to or use of economic resources; isolating the victim from family, friends, or social support resources; stalking the victim; and trying to make the victim think that he or she is crazy.

But the truly ambitious teams find relief in honesty when they’ve lost, because it’s the diagnostic tool that leads to a solution—here’s what we did wrong and let’s fix it, so we don’t ever have to feel this way again. Great teams explain their failure; they don’t excuse it. Then they pay a visit to Charles Atlas and get stronger. When you explain a loss aloud, it’s no longer a tormenting mystery. I believed in that brand of honesty my whole career, and I knew at least one other coach who believed in it too.

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. At this point in time there are people who question the validity of the DID diagnosis. The fact is that DID has its own category in the Diagnostic and Statistical Manual of Mental Disorders because, as with all psychiatric conditions, a portion of society experiences a cluster of recognizable symptoms that are not better accounted for by any other diagnosis.

A survey taken by the association found that 45 percent of patients with autoimmune disease were labeled as chronic complainers early in their diagnostic journeys, with the resulting delay in diagnosis often leading to organ damage from lack of appropriate treatment.

I don’t think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can’t make up for the fact that most patients are being treated by doctors, therapists, and hospitals, who are operating under constraints and incentives that reward non-treatment, non-hospitalization, non-therapy, non-follow-up, non-care. Lost to follow-up is the best outcome a health insurer can hope for.

It is proposed that happiness be classified as a psychiatric disorder and be included in future editions of the major diagnostic manuals under the new name: major affective disorder, pleasant type. In a review of the relevant literature it is shown that happiness is statistically abnormal, consists of a discrete cluster of symptoms, is associated with a range of cognitive abnormalities, and probably reflects the abnormal functioning of the central nervous system. One possible objection to this proposal remains—that happiness is not negatively valued. However, this objection is dismissed as scientifically irrelevant. —RICHARD BENTALL, Journal of Medical Ethics, 1992

This book appears at a time when public discussion of the common atrocities of sexual and domestic life has been made possible by the women’s movement, and when public discussion of the common atrocities of political life has been made possible by the movement for human rights. I expect the book to be controversial—first, because it is written from a feminist perspective; second, because it challenges established diagnostic concepts; but third and perhaps most importantly, because it speaks about horrible things, things that no one really wants to hear about.

In order to tell you a story about who I am and why I am here, I must spend a little time asking myself...questions. This is usually done at a superficial level as quickly as possible." The self-diagnostic process that finds meaningful stories scares the hell out of people who aren't sure they are living meaningful lives. Once they reflect, most people do find that their lives are plenty meaningful (if a little out of balance). However, the process of self-examination tests your faith that your organization and your group are basically good people with good intentions. Groups that avoid deep examination seem to be anxious that honest self-examination might expose hypocrisy or emptiness. I've found that anxiety to be overstated in most cases." First attempts at group stories are often highly aspirational in that the story is more about who we wished we were, rather than who we are. Stories that aspire to more than we can back up risk sounding hypocritical." When our stories are sought and found from the subjective statement that "I have a lot to learn from other people", they invite difference...Gathering stories teaches you how to get outside your own experiences and experience life as others might.

We sat on a crate of oranges and thought what good men most biologists are, the tenors of the scientific world--temperamental, moody, lecherous, loud-laughing, and healthy. Once in a while one comes on the other kind--what used in the university to be called a 'dry-ball'--but such men are not really biologists. They are the embalmers of the field, the picklers who see only the preserved form of life without any of its principle. Out of their own crusted minds they create a world wrinkled with formaldehyde. The true biologist deals with life, with teeming boisterous life, and learns something from it, learns that the first rule of life is living. The dry-balls cannot possibly learn a thing every starfish knows in the core of his soul and in the vesicles between his rays. He must, so know the starfish and the student biologist who sits at the feet of living things, proliferate in all directions. Having certain tendencies, he must move along their lines to the limit of their potentialities. And we have known biologists who did proliferate in all directions: one or two have had a little trouble about it. Your true biologist will sing you a song as loud and off-key as will a blacksmith, for he knows that morals are too often diagnostic of prostatitis and stomach ulcers. Sometimes he may proliferate a little too much in all directions, but he is as easy to kill as any other organism, and meanwhile he is very good company, and at least he does not confuse a low hormone productivity with moral ethics.

When a major character died in the twentieth episode I had to pause seven minutes while it sat there in the feed doing the bot equivalent of staring at a wall, pretending that it had to run diagnostics. Then four episodes later the character came back to life and it was so relieved we had to watch that episode three times before it would go on.

Assessing dangerousness is different from making a diagnosis: it is dependent on the situation, not the person. Signs of likely dangerousness due to mental disorder can become apparent without a full diagnostic interview and can be detected from a distance, and one is expected to err, if at all, on the side of safety when the risk of inaction is too great.

Although often perceived as one disease, cancer is a number of diseases subsumed within one diagnostic label.

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.

First documented in the late 1800s, then “codified as an independent diagnostic entity” a century later, though largely comorbid with panic disorder. You can read all about it, if you like, in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. DSM-5 for short. It’s always amused me, that title; it sounds like a movie franchise. Liked Mental Disorders 4? You’ll love the sequel!

Social anxiety disorder”—which essentially means pathological shyness—is now thought to afflict nearly one in five of us. The most recent version of the Diagnostic and Statistical Manual (DSM-IV), the psychiatrist’s bible of mental disorders, considers the fear of public speaking to be a pathology—not an annoyance, not a disadvantage, but a disease—if it interferes with the sufferer’s job performance.

Ian also had issues with Elizabeth’s management, especially the way she siloed the groups off from one another and discouraged them from communicating. The reason she and Sunny invoked for this way of operating was that Theranos was “in stealth mode,” but it made no sense to Ian. At the other diagnostics companies where he had worked, there had always been cross-functional teams with representatives from the chemistry, engineering, manufacturing, quality control, and regulatory departments working toward a common objective. That was how you got everyone on the same page, solved problems, and met deadlines.

Gene patents are the point of greatest concern in the debate over ownership of human biological materials, and how that ownership might interfere with science. As of 2005—the most recent year figures were available—the U.S. government had issued patents relating to the use of about 20 percent of known human genes, including genes for Alzheimer’s, asthma, colon cancer, and, most famously, breast cancer. This means pharmaceutical companies, scientists, and universities control what research can be done on those genes, and how much resulting therapies and diagnostic tests will cost. And some enforce their patents aggressively: Myriad Genetics, which holds the patents on the BRCA1 and BRCA2 genes responsible for most cases of hereditary breast and ovarian cancer, charges $3,000 to test for the genes. Myriad has been accused of creating a monopoly, since no one else can offer the test, and researchers can’t develop cheaper tests or new therapies without getting permission from Myriad and paying steep licensing fees. Scientists who’ve gone ahead with research involving the breast-cancer genes without Myriad’s permission have found themselves on the receiving end of cease-and-desist letters and threats of litigation.

Acceptance does not mean much until it involves understanding. It is only as I understand the feelings and thoughts which seem so horrible to you, or so weak, or so sentimental, or so bizarre—it is only as I see them as you see them, and accept them and you, that you feel really free to explore all the hidden nooks and frightening crannies of your inner and often buried experience. This freedom is an important condition of the relationship. There is implied here a freedom to explore oneself at both conscious and unconscious levels, as rapidly as one can dare to embark on this dangerous quest. There is also a complete freedom from any type of moral or diagnostic evaluation, since all such evaluations are, I believe, always threatening. Thus the relationship which I have found helpful is characterized by a sort of transparency on my part, in which my real feelings are evident; by an acceptance of this other person as a separate person with value in his own right; and by a deep empathic understanding which enables me to see his private world through his eyes.

When is posttraumatic stress pathological? The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-IV23 or DSM-IV-TR24)b lays out specific criteria. Criterion A: Trauma. Yes, the event that created Batman (1) involved death or physical danger and (2) horrified the survivor. Criterion B: Persistent re-experiencing. Yes, Bruce re-experiences his parents’ murders through recurrent, vivid recollections and

The psychiatric profession has taken the trouble to categorize personality disorders. I often think that this section of the diagnostic manual ought to be titled “People to avoid.” The many labels contained herein—histrionic, narcissistic, dependent, borderline, and so on—form a catalogue of unpleasant persons: suspicious, selfish, unpredictable, exploitative. These are the people your mother warned you about. (Unfortunately, sometimes they are your mother.)

And there is one thing that I really, really like to have company for. Watching TV. I'm not particularly needy in relationships, I actually demand a fair amount of space. But I really like to be in bed with another human being and watch TV. That's as intimate and reassuring and tender as it gets for me. I find dating exhausting and uninteresting, and I really would like to skip over the hours of conversation that you need just to get up to speed on each other's lives, and the stories I've told a million times. I just want to get to the watching TV in bed. If you're on a date with me, you can be certain that this is what I'm evaluating you for—how good is it going to be, cuddling with you in bed and watching Damages I'm also looking to see if you have clean teeth. For me, anything less than very clean teeth is fucking disgusting. Here's what I would like to do: I would like to get into bed with a DVD of Damages and have a line of men cue up at my door. I would station a dental hygienist at the front of the line who would examine the men's teeth. Upon passing inspection, she(I've never met a male hygienist, and neither have you) would send them back to my bedroom, one at time, in intervals of ten minutes, during which I would cuddle with the man and watch Damages. Leaving nothing to chance, using some sort of medical telemetry, I would have a clinician take basic readings of my heart rate and brain waves, and create a comparison chart to illustrate which candidate was the most soothing presence for me. After reviewing all the data from what will now be known in diagnostic manuals throughout the world as the Silverman-Damages-Nuzzle-Test, I will make my selection.

Diagnostic reliability isn’t an abstract issue: If doctors can’t agree on what ails their patients, there is no way they can provide proper treatment. When there’s no relationship between diagnosis and cure, a mislabeled patient is bound to be a mistreated patient. You would not want to have your appendix removed when you are suffering from a kidney stone, and you would not want have somebody labeled as “oppositional” when, in fact, his behavior is rooted in an attempt to protect himself against real danger.

Workshop Hermeticism, fiction for which the highest praise involves the words 'competent,' 'finished,' 'problem-free,' fiction over which Writing-Program pre- and proscriptions loom with the enclosing force of horizons: no character without Freudian trauma in accessible past, without near-diagnostic physical description; no image undissolved into regulation Updikean metaphor; no overture without a dramatized scene to 'show' what's 'told'; no denouement prior to an epiphany whose approach can be charted by and Freitag on any Macintosh.

How to tell your pretend-boyfriend and his real boyfriend that your internal processors are failing: 1. The biological term is depression, but you don't have an official diagnostic (diagnosis) and it's a hard word to say. It feels heavy and stings your mouth. Like when you tried to eat a battery when you were small and your parents got upset. 2. Instead, you try to hide the feeling. But the dark stain has already spilled across your hardwiring and clogged your processor. You don't have access to any working help files to fix this. Tech support is unavailable for your model. (No extended warranty exists.) 3. Pretend the reason you have no energy is because you're sick with a generic bug. 4. You have time to sleep. Your job is canceling out many of your functions; robots can perform cleaning and maintenance in hotels for much better wage investment, and since you are not (yet) a robot, you know you will be replaced soon. 5. The literal translation of the word depression: you are broken and devalued and have no further use. 6. No one refurbishes broken robots. 7. Please self-terminate.

Along with better training, pediatricians need better pay. Paradoxically, physicians involved in the primary care of our children—the doctors on the front lines who receive tens of thousands of visits every day from parents and their children—are among the lowest paid of all physicians in the United States. Something is wrong with our system when the doctor who performs a brief diagnostic procedure—some form of X-ray, for example, or a fifteen-minute operation—is paid many times more than the doctors making crucial decisions about our children’s health.

These reports from the IOM, AHRQ, and NIH demonstrate how much we have learned about ME/CFS and how much we still do not know. We do not understand its pathogenesis, and we do not have a diagnostic test or a cure. However, these recent reports, summarizing information from more than 9000 articles, should put the question of whether ME/CFS is a "real" illness to rest. When skeptical physicians, many of whom are unaware of this literature, tell patients with ME/CFS that "there is nothing wrong," they not only commit a diagnostic error: They also compound the patients' suffering.

When the handsome and confident speaker bounds onto the stage, for example, you can anticipate that the audience will judge his comments more favorably than he deserves. The availability of a diagnostic label for this bias—the halo effect—makes it easier to anticipate, recognize, and understand.

Having worked as a clinician for almost 40 years, I have seen some young adults, who had the classic, clear and conspicuous signs of Asperger’s syndrome in early childhood, achieve over decades a range of social abilities and improvements in behaviour such that the diagnostic characteristics became sub-clinical; that is, the person no longer has a clinically significant impairment in social, occupational, or other important area of functioning. There may still be very subtle signs of Asperger’s syndrome, but when the diagnostic tests are re-administered, the person achieves a score below the threshold to maintain the diagnosis. There is now longitudinal research that is starting to confirm clinical experience that about 10 per cent of those who originally had an accurate diagnosis of Asperger’s syndrome in childhood no longer have sufficient impairments to justify the diagnosis (Cederlund et al. 2008; Farley et al. 2009).

Leadership is most essential during periods of transition, when values and institutions are losing their relevance, and the outlines of a worthy future are in controversy. In such times, leaders are called upon to think creatively and diagnostically: what are the sources of the society’s well-being? Of its decay? Which inheritances from the past should be preserved, and which adapted or discarded? Which objectives deserve commitment, and which prospects must be rejected no matter how tempting? And, at the extreme, is one’s society sufficiently vital and confident to tolerate sacrifice as a waystation to a more fulfilling future?

Consider the top man–machine medical diagnosticians, circa 2035. They will make life-and-death decisions for patients, hospitals, and other doctors. But what in a malpractice case should count as persuasive evidence of a medical mistake? The judgment of either “man alone” or “machine alone” won’t do the trick, because neither is up to judging the team. Sometimes it will be possible to ascertain that a top human team member was in fact a fraud, but more typically the joint human–cyber diagnostic decisions themselves will be our highest standards for what is best. Having one team dispute the choice of another may indicate a mistake, but it will hardly show malfeasance. When

Experts in diagnostic errors provided an answer to the puzzle that had been nagging me: How was it possible for missed diagnoses to be so common and yet not perceived by doctors as a major problem? The problem is that physicians, while generally aware that mistakes happen, greatly underestimate how often they make them. In his talks to doctors on the topic, Graber often asks how many have made a diagnostic error in the past year; typically, only about 1 percent of the hands go up. 'The concept that they, personally, could err at a significant rate is inconceivable to most physicians,' he writes. In short, they think it's the other guy. This overconfidence is not necessarily their fault: doctors simply do not get the feedback needed to gain an accurate sense of their batting average. They assume their diagnoses are correct until they hear otherwise. Since there are few, if any, health care organizations that systematically measure diagnostic error rates, they typically learn of their mistakes only from the patients themselves.

What you describe is parasitism, not love. When you require another individual for your survival, you are a parasite on that individual. There is no choice, no freedom involved in your relationship. It is a matter of necessity rather than love. Love is the free exercise of choice. Two people love each other only when they are quite capable of living without each other but choose to live with each other. We all-each and every one of us-even if we try to pretend to others and to ourselves that we don't have dependency needs and feelings, all of us have desires to be babied, to be nurtured without effort on our parts, to be cared for by persons stronger than us who have our interests truly at heart. No matter how strong we are, no matter how caring and responsible and adult, if we look clearly into ourselves we will find the wish to be taken care of for a change. Each one of us, no matter how old and mature, looks for and would like to have in his or her life a satisfying mother figure and father figure. But for most of us these desires or feelings do not rule our lives; they are not the predominant theme of our existence. When they do rule our lives and dictate the quality of our existence, then we have something more than just dependency needs or feelings; we are dependent. Specifically, one whose life is ruled and dictated by dependency needs suffers from a psychiatric disorder to which we ascribe the diagnostic name "passive dependent personality disorder." It is perhaps the most common of all psychiatric disorders. People with this disorder, passive dependent people, are so busy seeking to be loved that they have no energy left to love…..This rapid changeability is characteristic of passive dependent individuals. It is as if it does not matter whom they are dependent upon as long as there is just someone. It does not matter what their identity is as long as there is someone to give it to them. Consequently their relationships, although seemingly dramatic in their intensity, are actually extremely shallow. Because of the strength of their sense of inner emptiness and the hunger to fill it, passive dependent people will brook no delay in gratifying their need for others. If being loved is your goal, you will fail to achieve it. The only way to be assured of being loved is to be a person worthy of love, and you cannot be a person worthy of love when your primary goal in life is to passively be loved. Passive dependency has its genesis in lack of love. The inner feeling of emptiness from which passive dependent people suffer is the direct result of their parents' failure to fulfill their needs for affection, attention and care during their childhood. It was mentioned in the first section that children who are loved and cared for with relative consistency throughout childhood enter adulthood with a deep seated feeling that they are lovable and valuable and therefore will be loved and cared for as long as they remain true to themselves. Children growing up in an atmosphere in which love and care are lacking or given with gross inconsistency enter adulthood with no such sense of inner security. Rather, they have an inner sense of insecurity, a feeling of "I don't have enough" and a sense that the world is unpredictable and ungiving, as well as a sense of themselves as being questionably lovable and valuable. It is no wonder, then, that they feel the need to scramble for love, care and attention wherever they can find it, and once having found it, cling to it with a desperation that leads them to unloving, manipulative, Machiavellian behavior that destroys the very relationships they seek to preserve. In summary, dependency may appear to be love because it is a force that causes people to fiercely attach themselves to one another. But in actuality it is not love; it is a form of antilove. Ultimately it destroys rather than builds relationships, and it destroys rather than builds people.

the essential feature of the Dissociative Disorders is a disruption in the usually integrated functions of consciousness, memory, identity,or perception

But many people never discover the folly of such a search and continue to believe that, given enough information, they can define and explain a person. Controversy has always existed among psychiatrists and psychologists about the validity of personality diagnosis. Some believe in the merits of the enterprise and devote their careers to ever greater nosological precision. Others, and among them I include myself, marvel that anyone can take diagnosis seriously, that it can ever be considered more than a simple cluster of symptoms and behavioral traits. Nonetheless, we find ourselves under ever-increasing pressure (from hospitals, insurance companies, governmental agencies) to sum up a person with a diagnostic phrase and a numerical category.

Radionics was conceived as a diagnostic and treatment technology at a time when modern electronic theory and biomedicine had not become the dominant sciences they are today. Early radionic devices incorporated the new discoveries of radio and electronics into their design. During that period, the functional assumptions of radionic technology did not seem as implausible as it does today. However, it wasn't long before radionics became outmoded and completely non-scientific. As Mizrach has noted, radionics continued to appropriate the methods of orthodox science into its design and terminology, making the probability of understanding what it could accomplish even more difficult to assess. I will examine this appropriation in a spirit of tolerance, given the state of electronics and medicine circa 1910, when radionics was first discovered. I will do so in order to shift the focus of this interesting technology from the scientific to the metaphysical, where the reader not limited by a need for scientific approval can evaluate it. My aim is to provide a reasonable means of evaluating radionic technology as an artistic methodology.

As we have learned more and more about the brain and how it generates complex behaviours, U.S. psychiatry remains wedded to a diagnostic and treatment system over 60 years old: identify a few clinical features that match a diagnostic label in the DSM and then apply the treatments that are said to work for the category of the patient. It Is a cookbook diagnosis and treatment. Without thought, labels are applied and drugs with significant side effects but with only the modest efficiency are prescribed. Various brands of psychotherapy are offered with little consideration of what actually helps and which patients are best suited to a particular brand. This is twenty-first century U.S. psychiatry. As a field in my view ignored the oath to first, do no harm.

We are not going to do the "does God test people" topic complete justice here because it's complicated, but a fair, brief summary would be this: Yes, God sometimes tests us (Deuteronomy 13:3, I Chronicles 29:17). But by God tests us, we don't mean He puts us through trials to see if we will fail (even secretly hoping we will fail). No, when God tests us, He is looking to find out what is in our hearts. He is looking to expose strength and weakness, to show us where we are and where we need to grow. His tests are not so much like a driver's license exam - you pass or fail - but like the diagnostic test a car manufacturer does on the cars themselves before releasing them into the world. The manufacturer needs to know if the vehicles are safe and ready for the road or if they need more work before they leave the factory.

000-x02 Dissociative reaction This reaction represents a type of gross personality disorganization, the basis of which is a neurotic disturbance, although the diffuse dissociation seen in some casts may occasionally appear psychotic. The personality disorganization may result in aimless running or "freezing." The repressed impulse giving rise to the anxiety may be discharged by, or deflected into, various symptomatic expressions, such as depersonalization, dissociated personality, stupor, fugue, amnesia, dream state, somnambulism, etc. The diagnosis will specify symptomatic manifestations. These reactions must be differentiated from schizoid personality, from schizophrenic reaction, and from analogous symptoms in some other types of neurotic reactions. Formerly, this reaction has been classified as a type of "conversion hysteria.

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Since the late 1990s, scholars in disciplines as diverse as literary studies, anthropology, sociology, museum studies, and marketing have raised collective eyebrows at hoarding’s pathologization. Together they concentrate on the diagnostic politics of material deviance, the social constructions of an aberrant relationship with your things. One finds extreme accumulation to be “a psychiatric concern with deviance in terms of material culture.

Although the terminology implies scientific endorsement, false memory syndrome is not currently an accepted diagnostic label by the APA and is not included in the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994). Seventeen researchers (Carstensen et al., 1993) noted that this syndrome is a "non-psychological term originated by a private foundation whose stated purpose is to support accused parents" (p.23). Those authors urged professionals to forgo use of this pseudoscientific terminology. Terminology implies acceptance of this pseudodiagnostic label may leave readers with the mistaken impression that false memory syndrome is a bona fide clinical disorder supported by concomitant empirical evidence.(85)... ... it may be easier to imagine women forming false memories given biases against women's mental and cognitive abilities (e.g., Coltrane & Adams, 1996). 86

Controversy has always existed among psychiatrists and psychologists about the validity of personality diagnosis. Some believe in the merits of the enterprise and devote their careers to ever greater nosological precision. Others, and among them I include myself, marvel that anyone can take diagnosis seriously, that it can ever be considered more than a simple cluster of symptoms and behavioral traits. Nonetheless, we find ourselves under ever-increasing pressure (from hospitals, insurance companies, governmental agencies) to sum up a person with a diagnostic phrase and a numerical category. Even the most liberal system of psychiatric nomenclature does violence to the being of another. If we relate to people believing we can categorize them, we will neither identify nor nurture the parts, the vital parts, of the other that transcend category. The enabling relationship always assumes that the other is never fully knowable.

But Karl Menninger did not accept any of these answers as the right one. His answer was “diagnosis.” The first and most important task of any healer is making the right diagnosis. Without an accurate diagnosis, subsequent treatment has little effect. Or, to say it better, diagnosis is the beginning of treatment. For Karl Menninger, speaking to a group of future psychiatrists, this obviously meant that the most attention should be paid to learning the diagnostic skills of the profession. But when we take the word diagnosis in its most original and profound meaning of knowing through and through (gnosis = knowledge; dia = through and through), we can see that the first and most important aspect of all healing is an interested effort to know the patients fully, in all their joys and pains, pleasures and sorrows, ups and downs, highs and lows, which have given shape and form to their life and have led them through the years to their present situation.

The doctor looked shifty. “He’s still breathing,” he said. “Look, his pulse is nearly humming and he’s got a temperature you could fry eggs on.” He hesitated, aware that this was probably too straightforward and easily understood; medicine was a new art on the Disc, and wasn’t going to get anywhere if people could understand it. “Pyrocerebrum ouerf culinaire,” he said, after working it out in his head. “Well, what can you do about it?” said Arthur. “Nothing. He’s dead. All the medical tests prove it. So, er…bury him, keep him nice and cool, and tell him to come and see me next week. In daylight, for preference." "But he’s still breathing!” “These are just reflex actions that might easily confuse the layman,” said the doctor airily. Chidder sighed. He suspected that the Guild, who after all had an unrivalled experience of sharp knives and complex organic compounds, was much better at elementary diagnostics than were the doctors. The Guild might kill people, but at least it didn’t expect them to be grateful for it.

Therapy entails the application of conceptual machinery to ensure that actual or potential deviants stay within the institutionalized definitions of reality, or, in other words, to prevent the “inhabitants” of a given universe from “emigrating.” It does this by applying the legitimating apparatus to individual “cases.” Since, as we have seen, every society faces the danger of individual deviance, we may assume that therapy in one form or another is a global social phenomenon. Its specific institutional arrangements, from exorcism to psychoanalysis, from pastoral care to personnel counseling programs, belong, of course, under the category of social control. What interests us here, however, is the conceptual aspect of therapy. Since therapy must concern itself with deviations from the “official” definitions of reality, it must develop a conceptual machinery to account for such deviations and to maintain the realities thus challenged. This requires a body of knowledge that includes a theory of deviance, a diagnostic apparatus, and a conceptual system for the “cure of souls.

The implication that the change in nomenclature from “Multiple Personality Disorder” to “Dissociative Identity Disorder” means the condition has been repudiated and “dropped” from the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association is false and misleading. Many if not most diagnostic entities have been renamed or have had their names modified as psychiatry changes in its conceptualizations and classifications of mental illnesses. When the DSM decided to go with “Dissociative Identity Disorder” it put “(formerly multiple personality disorder)” right after the new name to signify that it was the same condition. It’s right there on page 526 of DSM-IV-R. There have been four different names for this condition in the DSMs over the course of my career. I was part of the group that developed and wrote successive descriptions and diagnostic criteria for this condition for DSM-III-R, DSM–IV, and DSM-IV-TR. While some patients have been hurt by the impact of material that proves to be inaccurate, there is no evidence that scientifically demonstrates the prevalence of such events. Most material alleged to be false has been disputed by someone, but has not been proven false. Finally, however intriguing the idea of encouraging forgetting troubling material may seem, there is no evidence that it is either effective or safe as a general approach to treatment. There is considerable belief that when such material is put out of mind, it creates symptoms indirectly, from “behind the scenes.” Ironically, such efforts purport to cure some dissociative phenomena by encouraging others, such as Dissociative Amnesia.

If the cultural standing of excrement doesn't convince them, I say that the material itself is as rich as oil and probably more useful. It contains nitrogen and phosphates that can make plants grow and also suck the life from water because its nutrients absorb available oxygen. It can be both food and poison. It can contaminate and cultivate. Millions of people cook with gas made by fermenting it. I tell them that I don't like to call it "waste," when it can be turned into bricks, when it can make roads or jewelry, and when in a dried powdered form known as poudrette it was sniffed like snuff by the grandest ladies of the eighteenth-century French court. Medical men of not too long ago thought stool examination a vital diagnostic tool (London's Wellcome Library holds a 150-year0old engraving of a doctor examining a bedpan and a sarcastic maid asking him if he'd like a fork). They were also fond of prescribing it: excrement could be eaten, drunk, or liberally applied to the skin. Martin Luther was convinced: he reportedly ate a spoonful of his own excrement daily and wrote that he couldn't understand the generosity of a God who freely gave such important and useful remedies.

For a while, every smart and shy eccentric from Bobby Fischer to Bill Gate was hastily fitted with this label, and many were more or less believably retrofitted, including Isaac Newton, Edgar Allen Pie, Michelangelo, and Virginia Woolf. Newton had great trouble forming friendships and probably remained celibate. In Poe's poem Alone, he wrote that "All I lov'd - I lov'd alone." Michelangelo is said to have written "I have no friends of any sort and I don't want any." Woolf killed herself. Asperger's disorder, once considered a sub-type of autism, was named after the Austrian pediatrician Hans Asperger, a pioneer, in the 1940s, in identifying and describing autism. Unlike other early researchers, according to the neurologist and author Oliver Sacks, Asperger felt that autistic people could have beneficial talents, especially what he called a "particular originality of thought" that was often beautiful and pure, unfiltered by culture of discretion, unafraid to grasp at extremely unconventional ideas. Nearly every autistic person that Sacks observed appeard happiest when alone. The word "autism" is derived from autos, the Greek word for "self." "The cure for Asperger's syndrome is very simple," wrote Tony Attwood, a psychologist and Asperger's expert who lives in Australia. The solution is to leave the person alone. "You cannot have a social deficit when you are alone. You cannot have a communication problem when you are alone. All the diagnostic criteria dissolve in solitude." Officially, Asperger's disorder no longer exists as a diagnostic category. The diagnosis, having been inconsistently applied, was replaced, with clarified criteria, in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders; Asperger's is now grouped under the umbrella term Autism Spectrum Disorder, or ASD.

different subject. The story of the serotonin hypothesis for depression, and its enthusiastic promotion by drug companies, is part of a wider process that has been called ‘disease-mongering’ or ‘medicalisation’, where diagnostic categories are widened, whole new diagnoses are invented, and normal variants of human experience are pathologised, so they can be treated with pills. One simple illustration of this is the recent spread of ‘checklists’ enabling the public to diagnose, or help diagnose, various medical conditions. In 2010, for example, the popular website WebMD launched a new test: ‘Rate your risk for depression: could you be depressed?’ It was funded by Eli Lilly, manufacturers of the antidepressant duloxetine, and this was duly declared on the page, though that doesn’t reduce the absurdity of what followed. The test consisted of ten questions, such as: ‘I feel sad or down most of the time’; ‘I feel tired almost every day’; ‘I have trouble concentrating’; ‘I feel worthless or hopeless’; ‘I find myself thinking a lot about dying’; and so on. If you answered ‘no’ to every single one of these questions – every single one – and then pressed ‘Submit’, the response was clear: ‘You may be at risk for major depression’.

Other early symptoms that begin to show up at the same time or shortly after those we just talked about can include: •   Hypervigilance (being “on guard” at all times) •   Intrusive imagery or flashbacks •   Extreme sensitivity to light and sound •   Hyperactivity •   Exaggerated emotional and startle responses •   Nightmares and night terrors •   Abrupt mood swings (rage reactions or temper tantrums, frequent anger, or crying) •   Shame and lack of self-worth •   Reduced ability to deal with stress (easily and frequently stressed out) •   Difficulty sleeping Several of these symptoms can also show up later, even years later. Remember, this list is not for diagnostic purposes.

Original Statement by Hunger Strikers to Psychiatric Association, National Alliance for the Mentally Ill and the U.S. Office of the Surgeon General 1. A Hunger Strike to Challenge International Domination by Biopsychiatry. This fast is about human rights in mental health. The psychiatric pharmaceutical complex is heedless of its oath to “first do no harm.” Psychiatrists are able with impunity to: Incarcerate citizens who have committed crimes against neither persons nor property. Impose diagnostic labels on people that stigmatize and defame them. Induce proven neurological damage by force and coercion with powerful psychotropic drugs. Stimulate violence and suicide with drugs promoted as able to control these activities. Destroy brain cells and memories with an increasing use of electroshock (also known as electro-convulsive therapy). Employ restraint and solitary confinement—which frequently cause severe emotional trauma, humiliation, physical harm, and even death—in preference to patience and understanding. Humiliate individuals already damaged by traumatizing assaults to their self-esteem. These human rights violations and crimes against human decency must end. While the history of psychiatry offers little hope that change will arrive quickly, initial steps can and must be taken. At the very least, the public has the right to know IMMEDIATELY the evidence upon which psychiatry bases its spurious claims and treatments, and upon which it has gained and betrayed the trust and confidence of the courts, the media, and the public.21

Let’s take a quick look at what a psychopath is. Although the American Psychiatric Association (APA) no longer uses this term, much of the rest of the world does. The APA has incorporated the term psychopath and sociopath within a broader definition designated as antisocial personality disorder. Even within the APA, there is wide disagreement as to what these terms actually mean. The most recent Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) is an American handbook for mental health professionals. It lists different categories of mental disorders and the criteria for diagnosing them, according to the publishing organization, the American Psychiatric Association. The APA defines antisocial personality disorder, which would include Lobaczewski’s psychopathic personality disorder, as a pervasive pattern of disregard for the violation of the rights of others occurring since age fifteen years, as indicated by three or more of the following:   1.     Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest. 2.     Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure. 3.     Impulsivity or failure to plan ahead. 4.     Aggressiveness, as indicated by repeated physical fights or assaults. 5.     Reckless disregard for the safety of self or others. 6.     Consistent irresponsibility. 7.     Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another.

CHAPTER THREE IN ONE PAGE Multitrack     1. Multitracking = considering more than one option simultaneously.     •  The naming firm Lexicon widens its options by assigning a task to multiple small teams, including an “excursion team” that considers a related task from a very different domain.     2. When you consider multiple options simultaneously, you learn the “shape” of the problem.     •  When designers created ads simultaneously, they scored higher on creativity and effectiveness.     3. Multitracking also keeps egos in check—and can actually be faster!     •  When you develop only one option, your ego is tied up in it.     •  Eisenhardt’s research on Silicon Valley firms: Multitracking minimized politics and provided a built-in fallback plan.     4. While decision paralysis may be a concern for people who consider many options, we’re pushing for only one or two extra. And the payoff can be huge.     •  We’re not advocating 24 kinds of jam. When the German firm considered two or more alternatives, it made six times as many “very good” decisions.     5. Beware “sham options.”     •  Kissinger: “Nuclear war, present policy, or surrender.”     •  One diagnostic: If people on your team disagree about the options, you have real options.     6. Toggle between the prevention and promotion mindsets.     •  Prevention focus = avoiding negative outcomes. Promotion focus = pursuing positive outcomes.     •  Companies who used both mindsets performed much better after a recession.     •  Doreen’s husband, Frank, prompted her to think about boosting happiness, not just limiting stress.     7. Push for “this AND that” rather than “this OR that.

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