Category: Executive Functioning Differences

PART II: More on PBS' "Mysteries of Mental Illness" Funded by the American Psychiatric Association Foundation

6/29/2021

One of the challenges we're dealing with as a Society ---- Psychiatric Disorders EXHAUSTED THE HEALTHCARE SYSTEM years ago ----- we wouldn't put up with this for Covid --- we shouldn't put up with it for psychiatric disorders.
ACCURATE CONCEPTUALIZATIONS MATTER --- just as they did with Covid.
"Mysteries of Mental Illness" Program did make some progress on accurately CONCEPTUALIZING THE MATTER:
- It recognized that the largest institutions for people with mental illness are jails and prisons, and
- Psychiatric Disorders are not as DISTINCT as we once thought.
In addition to research involving the IMMUNE SYSTEM CONNECTION to PSYCHIATRIC DISORDERS, there is a fair amount of research regarding the DEVELOPMENTAL NATURE of such disorders and the common accompaniment of EXECUTIVE FUNCTIONING DIFFERENCES or DEFICITS.
- A lot of bright, smart people are running into ENORMOUS DIFFICULTY in our AT WILL EMPLOYMENT SOCIETY that is often not prepared to make ACCOMMODATIONS or WORK AROUNDS for EXECUTIVE FUNCTIONING DIFFERENCES.
  - Even if those ACCOMMODATIONS are legally required.
- Further, most employers would look to the MENTAL HEALTH PROFESSIONAL to make those RECOMMENDATIONS --- but most professionals aren't competent to do that.

So this goes to many things --- including RECOVERY and ECONOMICS OF PSYCHIATRIC CARE.
- Psychiatrists may not always be happy with their role as MEDICATION MANAGER --- but by and large it is what they do best.
- We need other professionals to address the issues of EXECUTIVE FUNCTIONING at HOME and WORK and to propose ACCOMODATIONS and WORK-AROUNDS.
- THAT NEEDS TO BE PART OF THE SYSTEM.

A big part of the "Mysteries of Mental Illness" Program was the CONFLICTED NATURE of Public Sentiment regarding PAYING FOR care for people with mental illness.

The PUBLIC often feel that people should WORK. That is not possible in every case, but it is possible in many cases if we provide support and incentives to employers and build on people's STRENGTHS and work around or learn to CAPITALIZE on their Executive Functioning Differences.

THE NEWLY DISCOVERED WORLD OF NEURO-DEVELOPMENTAL INFLAMMATION & EXECUTIVE FUNCTIONING DIFFERENCES

5/12/2021

Conjecture

It's looking like PSYCHIATRIC DISORDERS are starting out as NEURO-DEVELOPMENTAL DIFFERENCES affecting EXECUTIVE FUNCTIONING:
- I would submit that some of these DIFFERENCES are NOT ALL "BAD" and many have CONSIDERABLE STRENGTHS.
- On the other hand, there are some REAL CHALLENGES that are not necessarily best addressed by CONVENTIONAL THERAPY.
  - Why would that be? We're talking about Developmental Differences.
    - We need a systematic assessment of executive functioning;
    - We need workarounds and accommodations

Also we need a STRENGTH-BASED APPROACH --- for that to mean anything --- it needs to be FORMALIZED and SYSTEMATIZED
- How many Mental Health Professionals are against that? Probably none.
- How many Mental Health Professionals are implementing a SYSTEMATIZED STRENGTHS-BASED Approach ----- not many.

This NEW WORLD of COGNITIVE DIFFERENCE / DISABILITY

The "EQUATION" got a lot more COMPLICATED
It's NOT just the BRAIN as COMPLICATED as that is:
- It's the IMMUNE SYSTEM
- The ENDOCRINE SYSTEM, and
- The MICROBIOME

Who first told me they thought "Mental Illness" was "SYSTEMIC" throughout the body ---

Internationally known Colorado Based Mental Health Visionary --- Amy Smith.

FOREWARNED IS FOREARMED

5/11/2021

My mother told me, "You won't make my mistakes, you'll make your own."
I've told my children the same thing.

Tolstoy lamented that the values of CHILDHOOD were often not reflected in ADULTHOOD.

I think there are a lot of reasons for that. One of the reasons is that CHILDHOOD involves EDUCATION and the ASSIMILATION of HUMAN KNOWLEDGE that was often gained the HARD WAY.

There's a certain amount of being the "SACRIFICIAL LAMB" and adding to the HUMAN KNOWLEDGE BASE of which you may never benefit, and the hope is POSTERITY does benefit.

One of the things that seems sorta understood and sorta not understood --- We're often talking about a CONTINUUM between DEVELOPMENTAL DISABILITY/ DIFFERENCE and MENTAL ILLNESS.

See: Evolving Notions of Schizophrenia as a Developmental Neurocognitive Disorder (2017)----

Affiliations

Harvard Medical School, Department of Psychiatry
Massachusetts Mental Health Center Division of Public Psychiatry
Beth Israel Deaconess Medical Center,Boston,Massachusetts.

Walter Reed National Military Medical Center,Bethesda,Maryland.

Further, it's often the DEVELOPMENTAL DIFFERENCE that is PRIMARY.

It often involves the IMMUNE SYSTEM and MATERNAL IMMUNE ACTIVATION.

Additionally, the Immune System has been identified with mating.

Recent research on Neuroscience News is that 50% of partners of a person with Schizophrenia or Bipolar Disorder have their own mental health issues.

The IDEA is that this is NOT A RANDOM PAIRING.

GIFTEDNESS, ADHD, AUTISM --- Those are SPECIAL NEEDS POPULATIONS in our Society BECAUSE they are coming with EXECUTIVE FUNCTIONING DIFFERENCES, and the Individuals and the Society are often not well prepared for those differences.

PART II: More on PBS' "Mysteries of Mental Illness" Funded by the American Psychiatric Association Foundation

THE NEWLY DISCOVERED WORLD OF NEURO-DEVELOPMENTAL INFLAMMATION & EXECUTIVE FUNCTIONING DIFFERENCES

FOREWARNED IS FOREARMED

VAL'S BLOG 2

Val Corzine

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PART II: ​More on PBS' "Mysteries of Mental Illness" Funded by the American Psychiatric Association Foundation

THE NEWLY DISCOVERED WORLD OF NEURO-DEVELOPMENTAL INFLAMMATION & EXECUTIVE FUNCTIONING DIFFERENCES

FOREWARNED IS FOREARMED

VAL'S BLOG 2​Val Corzine

Archives

Categories

PART II: More on PBS' "Mysteries of Mental Illness" Funded by the American Psychiatric Association Foundation

VAL'S BLOG 2

Val Corzine