Posts tagged as:

Freud

Adult Executive ADHD: “Those Wrecked by Success”

by Dr Charles Parker on July 16, 2009 · 10 comments

Thanks for your continued interest in evolving mind/body science! Stay tuned for more details on how neurotransmitters, immune system challenges and hormones create problems with mind-balance.
Success
Climb Carefully

ADHD Can Easily Ruin A Career Any Level
At CorePsych Radio this PM I will spend an hour on this painful, too frequently witnessed phenomena: Good grades through school, excellent work ethic, driven to perfection and wrecked by their own success.

Program Outline: See Ya There –
at CorePsych Radio: link to Internet program and pdf outline there as well.

This particular subset of ADHD is late onset Adult ADHD, and if you don’t know about it, you simply won’t see it. The original observation was by Freud in the 1916 [Freud, Sigmund: The Complete Works]

  1. The Context: ADHD is Contextual Diagnosis not 24×7
  • Freud brought this character problem up in a paper in 1916
  • His solution was unconscious Oedipal conflict
  • Saw deterioration in context of employment advancement
  • Many who do well academically appreciate and benefit from the context of academic life.
  • We’re now beyond all ADHD being only 4 year old children
  • This appreciation of structure can last long into adult life
  • These folks do not have the typical ADHD history
  • School history does not have the bumps
    2. The Correction:
  • Approach is ‘cognitive issue,’ not “job issue”
  • They are worse at home – less structure more variables
  • They are worse anywhere they don’t have control – they must determine the structure.
  • Many are medication resistant, and Neurotransmitter testing is remarkably helpful to begin the process.

This is Brief Review, Full Program Outline at CorePsych Radio – please join me for the full show this PM at 4 EDT, 1PDT

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Make sure you take a look at these pages!
ADHD Medication Rules Purchase
“Rules” Affiliate Link
Neuroscience Details

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Psychiatric Diagnosis: Brain Function Changes our Perspectives

by Dr Charles Parker on February 18, 2008 · 2 comments

Overview
When I began training in psychiatry, almost 40 years ago, much of the diagnostic psychiatric world evolved from affect thinking: depression and anxiety, euphoria, and misperceptions of reality. In a word, we began with a Freudian,  affect driven, trauma driven set of patterns.

Beyond Cigars

Freudian thinking, and careful observations of behaviors were all we had until technology arrived.

Meeting Anna Freud
In fact, one of the highlights of my early training in Philadelphia was meeting Freud’s daughter, Anna Freud, [the founder of child psychoanalysis] at the Philadelphia Association for Psychoanalysis after her interesting presentation on her book, Ego and the Mechanisms of Defense, hosted by the Association. [See her remarks on personal qualities of psychoanalysts, and you will understand more of my early interest.]

Now functional brain science, SPECT, fMRI, qEEG, is changing the way we make brain and psychiatric diagnosis. With the understanding of brain function we inevitably change the way we think about the patient in the room… the way we actually make the diagnosis.

These are interesting contemporary comments by Harvard Professor John Ratey from a User’s Guide to the Brain:

“The transition from trauma to biology has unfortunately failed to wean clinicians from  affect-centered diagnosis. If you are unhappy and decide to seek help, the main thrust of the diagnostic process begins with an inquiry into how you feel. From this initial information, diagnosis and treatment proceed, as a rule, by either sifting through your psyche for sources of guilt, anger, or unfulfilled longing, or by attempting to modify the affective symptoms pharmacologically, or both.”

And for an edgy bit more, read on:

[click here to continue this article…]

Make sure you take a look at these pages!
ADHD Medication Rules Purchase
“Rules” Affiliate Link
Neuroscience Details

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