Oh Professor Edith! OT about college...

[Guest guest]

My bs goggles must be working pretty well these days...think I 'll get

my daughter a pair to wear to college! lol

She already had a run in with a jerk her first semester - threatened her

grade and she didn't even know what her grade was! (she got a B and

we're thrilled!)

Unfortuantely, he's one of the art profs and she wants to major in

art...or did..lol...I can't believe the privacy laws that say parents

can't be informed about their child's performance...even when they are

17 and we're paying for it. I tried to get her to go to him and find

out about the threat, but she refused...too scared it would result in an

even lower grade. He had no syllabus and like I said no grading scale

so it was just guess work with him. I haven't been to happy with the

college overall, but right now basics are basics. She might not have

learned any art, but she still got an " education " .

Ilene

Edith wrote:

> Hi Ilene,

>

> Actually, the article is 2 years old. At that time it was still being

> debated whether or not BPD should be included in the DSM.

> After reviewing the existent literature, the author/researcher of that

> article concluded: " ... reclassification perhaps is premature. "

> So, BPD still remains today, two years later, as a legitimate DSM-IV,

> Axis II disorder.

> Heck! We KOs coulda told him that!

>

> - Edith

> Moderator / Professor Emeritus / Psychobiologist

>

> PS: Professors know more than students. <wink>

>

> _________

>

> Ilene wrote:

>

> <<

> are we really supposed to be able to read and comprehend this???

> lol.........golly, and I've even been to college....

> Ilene

>

> RandiBPD@... wrote:

>

> > In a message dated 12/21/2002 9:36:44 AM Central Standard Time, Rlb0803

> > writes:

> >

> >

> > > Copyright 2000 by The Lancet Ltd

> > > The Lancet

> > >

> > >

> > > Lancet 2000; 355 (9211): 1279

> > >

> > >

> > > April 8, 2000

> > >

> > > SECTION: Correspondence

> > >

> > > LENGTH: 476 words

> > >

> > > TITLE: Reforming the borderline personality diagnosis

> > >

> > > SOURCE: Unidad de Investigaciones Clinicas, Antiguo Hospital

> Concepcion

> > > Beistegui, Regina 7, CP 06080, Mexico D F, Mexico

> > >

> > > AUTHOR: Vale, Salvador

> > >

> > > TEXT:

> > >

> > >

> > >

> > >

> > > Sir-In his Dec 18/25 commentaryn 1* Tyrer says that the

> > borderline

> > > personality disorder is a diagnostic categorisation that has

> > probably " run

> > > its course " and he proposes reclassification of this disorder. His

> > > suggestion is sustained, in part, by his interpretation of four

> reports

> > > published in the American Journal of Psychiatry. However, three of

> > these

> > > four reports can be held up as evidence that the diagnostic

> validity of

> > > borderline personality disorder categorisation is valid. To begin

> with,

> > > Tyrer highlights a point from the paper by Herpertz and

> colleagues:n 2*

> > > that the affective psychological responses remained normal in

> > patients with

> > > borderline personality disorder. But in the article, the

> > investigators say

> > > that the same patients had unexpectedly low endodermal responses to

> > > different stimulus categories, which indicated physiological

> > underarousal.

> > > From the article by Hodey and colleaguesn 3* Tyrer gathers that a high

> > > degree of expressed emotion to the behaviour of patients with

> > borderline

> > > personality disorder by their relatives was not predictive of outcome.

> > > However, the article shows that a good clinical outcome is strongly

> > > associated with high levels of emotional reaction by the family

> > towards the

> > > patient's disturbances. Investigators of the third article cited by

> > Tyrer

> > > do not imply that there is any need of reform in diagnosis of

> > borderline

> > > personality disorder because they state that psychoanalytically

> > oriented

> > > treatment programmes are effective in these patients. But in the

> fourth

> > > article cited by Tyrern 4* the investigators highlight a diagnosis

> > > discrepancy: 0.4% of patients were diagnosed as having borderline

> > > personality disorder in clinical settings whereas this percentage

> > rose to

> > > 14% after standard research-oriented structured interview. This

> > discrepancy

> > > shows that we are dealing with an unpredictable and spurious

> diagnosis.

> > > However, the investigators of this article do not contend the

> > diagnostic

> > > validity of borderline personality disorder but contend the deficient

> > > methodology for proper diagnosis. Therefore, the investigators of

> these

> > > four articles have theoretical positions that are at odds with the

> > > interpretations advanced by Tyrer.

> > >

> > > Also, what about other insights into patients with borderline

> > personality

> > > disorder, such as autonoetic episodic memory deficiencies,n 5* higher

> > > density of the first-cycle of rapid-eye-movements, or the naltrexone

> > > responsiveness of the borderline personality disorder dissociative

> > symptoms

> > > and abnormalities in opioidergic brain systems? Tyrer's opinion

> > about the

> > > looseness (and perhaps ugliness) of the term " borderline " is probably

> > > right, but reclassification perhaps is premature. We should wait

> > until we

> > > know more about the core neurophysiological markers of this

> disease (or

> > > diseases) to be able to change this diagnostic categorisation

> properly.

> > >

> > > REFERENCES:

> > >

> > > ( n1 ). Tyrer P. Borderline personality disorder: a motley

> diagnosis in

> > > need of reform. Lancet 1999; 354: 2095-96.

> > >

> > > ( n2 ). Herpertz SC, Kunert HJ, Scwenger UB, Eng M, Sass H. Affective

> > > responsiveness in borderline personality disorder: a

> > psychophysiological

> > > approach. Am J Psychiatry 1999; 156: 1550-56.

> > >

> > > ( n3 ). Hooley JM, Phil D, Hoffman PD. Expressed emotion and clinical

> > > outcome in borderline personality disorder. Am J Psychiatry 1999; 156:

> > > 1557-62.

> > >

> > > ( n4 ). Zimmerman M, Mattia JI. Differences between clinical and

> > research

> > > practices in diagnosing borderline personality disorder. Am J

> > Psychiatry

> > > 1999; 156: 1570-74.

> > >

> > > ( n5 ). Heard JB, Startup M, Swales M, JM, RS.

> > > Autobiographical memory and dissociation in borderline personality

> > > disorder. Psychol Med 1999; 29: 1397-404.

> > >

> >

> >

> > Randi Kreger

> > RandiBPD@...

> >>

>

> To get off the list, send a blank message to

> ModOasis-unsubscribe . Send questions & amp; concerns to

> ModOasis-owner . & quot;Stop Walking on Eggshells, & quot;

> a primer for non-BPs can be ordered via 1-888-35-SHELL ().

> For the table of contents, see http://www.BPDCentral.com

>

>

>

>