Gee, Chad.
I think the gist of the thread is that the classification is the problem.
Any system based on statistically constructed syndromes rather than
cognitively contructed narratives will necesssarily miss the essence of how
the client construes not feeling well. The abstract construct of ³abnorma=
l
maladaptivity² may have little meaning in the ethos of a florid delusional
narrative. Then the issue of who defines client behaviors as unwanted, and
the waters are muddier indeed. Isn¹t the sum total, then, equal to as man=
y
narratives as all involved players in clients¹ care can imaginatively
construct? For the truly psychotic or antisocial, aren¹t the facts that
anchor the situation irrelevant...?
Sorry for the digression, but I might take issue with the claim that
someone with generalized anxiety, persecutory delusions, or any number of
socially stigmatizing personality traits does not really suffer as a
result. Even if not, his causing others to suffer might be the presenting
problem for treatment.
Make sense? Greg
Greg Bail, 2nd yr. MSW Student, UC Berkeley
gbail@usa.net, cal4pooh@uclink4.berkeley.edu
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It seems common sense is not all that common....
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