More amused than bemused -
Jun. 5th, 2006 12:33 pmMSBC had it on feed as "LOOK! NEWS! SHINY!" this morning - so of course, I went looking for another source to confirm the study.
Mind you, I read a lot of LJ. Lotsa lotsa LJ.
But even this - and the emphases in particular - are creating more chuckles this morning than it should:
Description
The DSM-IV decribes intermittent explosive disorder as one of several impulse-control disorders, including kleptomania (impulsive stealing), pathological gambling, and pyromania (setting fires). There must be several instances of failure to resist aggressive or violent behaviors that result in harm to others or destruction of property. Spurred by a minor incident, these acts are grossly out of proportion to the stressor. To be IED, these behaviors are not caused by another mental disorder (e.g. antisocial personality disorder, bipolar disorder, borderline personality disorder, or attention-deficit/hyperactivity disorder). These impulsive acts are not caused by substance abuse or medical condition (head trauma or Alzheimer's disease.
Many psychiatrists do not place intermittent explosive disorder into a separate clinical category but consider it a symptom of other psychiatric and mental disorders. Future acts of violence may escalate, despite how it is defined, and treatment is essential.
IED occurs more often in men. Women do experience it and have reported it as part of premenstrual syndrome (PMS).
This report catches me while I'm working (and reworking) a helluva big post on the perils of indulging a vicious temper (even to the point of considering it a character asset). Gee whiz, thanks for giving me a DSM-IV entry - the same place they used to use to define homosexuality as a mental illness. (That doesn't mean the DSM-IV isn't valid. It remains of the the most succinct set of parameters you can find to clarify and define a set of behaviors. I just consider the source. Often. It's always up for review; they add, delete and remove as research indicates.)
Grouped into "impulse-control" disorders. *taps chin* The Wikipedia entry is more useful.
"The DSM-IV criteria for IED include: the occurrence of discrete episodes of failure to resist aggressive impulses that result in violent assault or destruction of property, the degree of aggressiveness expressed during and episode is grossly disproportionate to provocation or precipitating psychosocial stressor, and, as previously stated, diagnosis is made when other mental disorders that may cause violent outbursts (e.g., antisocial personality disorder, borderline personality disorder, attention deficit/hyperactivity disorder, etc.) have been ruled out (McElroy, 1999; McElroy, Soutullo, Beckman, Taylor Jr., & Keck Jr., 1998). Furthermore, the acts of aggression must not be due to a general medical condition, e.g., a head injury, Alzheimer’s disease, etc., or due to substance abuse or medication (Ibid.). Diagnosis is made using a psychiatric interview to affective and behavioral symptoms to the criteria listed in the DSM-IV.
Treatment is achieved through both cognitive behavioral therapy and psychotropic medication regimens. Therapy aids in helping the patient recognize the impulses in hopes of achieving a level of awareness and control of the outbursts, along with treating the emotional stress that accompanies these episodes. Multiple drug regimens are frequently indicated for IED patients. Tricyclic antidepressants and serotonin reuptake inhibitors (SRIs) such as fluoxetine, fluvoxamine, and sertraline appear to alleviate some pathopsychological symptoms; the reasons for such will be explained further in the subsequent section (Goodman, Ward, Kablinger, & Murphy, 1997; McElroy, 1999). GABAergic mood stabilizers and anticonvulsive drugs such as gabapentin, lithium, carbamazepine, and divalproex seem to aid in controlling the incidence of outbursts (Boyd, 2005; Bozikas, Bascilla, Yulis, & Savvidou, 2001; McElroy, 1999). Anxiolytics help alleviate tension and may help reduce explosive outbursts by increasing the provocative stimulus tolerance threshold, and are especially indicated in patients with comorbid obsessive-compulsive or other anxiety disorders (Boyd, 2005). Pathophysiology"
It also appears to be less sexist, more in depth and resists sensationalizing the issue. Compare that to the original MSNBC link where "a diagnosis requires three major episodes in a lifetime where a person became significantly more angry than most people would in the same situation. A severe form of the illness, where three or more rages occur in a year's span, can often result in assaults on people or damage to property, the report said."
Open to subjective interpretation, much?
"More angry than most people..."
Hmm. Anyone with only that much information? They'd either discount the whole definition - or lock us all up. The discussion I'm trying to get down in less than 500 words is why it's wise to reconsider the whole "I've got a nasty temper" as a character asset thang. And no, not once did I propose that it was ever a mental illness in and of itself. (I'll get this done soon, promise. It's under a private lock right now while I work on it.)
News as entertainment. I get slapped with it every day. God, who doesn't know someone who "gets angrier than most people three or more times a year?" HISST - LOOK! Now? Here's a news story that says they may be mentally ill! Boy, that'll help thing along, uh huh uh huh uh huh....
*facesmacks* I hate having a degree in media these days. I really really do.
Mind you, I read a lot of LJ. Lotsa lotsa LJ.
But even this - and the emphases in particular - are creating more chuckles this morning than it should:
Description
The DSM-IV decribes intermittent explosive disorder as one of several impulse-control disorders, including kleptomania (impulsive stealing), pathological gambling, and pyromania (setting fires). There must be several instances of failure to resist aggressive or violent behaviors that result in harm to others or destruction of property. Spurred by a minor incident, these acts are grossly out of proportion to the stressor. To be IED, these behaviors are not caused by another mental disorder (e.g. antisocial personality disorder, bipolar disorder, borderline personality disorder, or attention-deficit/hyperactivity disorder). These impulsive acts are not caused by substance abuse or medical condition (head trauma or Alzheimer's disease.
Many psychiatrists do not place intermittent explosive disorder into a separate clinical category but consider it a symptom of other psychiatric and mental disorders. Future acts of violence may escalate, despite how it is defined, and treatment is essential.
IED occurs more often in men. Women do experience it and have reported it as part of premenstrual syndrome (PMS).
This report catches me while I'm working (and reworking) a helluva big post on the perils of indulging a vicious temper (even to the point of considering it a character asset). Gee whiz, thanks for giving me a DSM-IV entry - the same place they used to use to define homosexuality as a mental illness. (That doesn't mean the DSM-IV isn't valid. It remains of the the most succinct set of parameters you can find to clarify and define a set of behaviors. I just consider the source. Often. It's always up for review; they add, delete and remove as research indicates.)
Grouped into "impulse-control" disorders. *taps chin* The Wikipedia entry is more useful.
"The DSM-IV criteria for IED include: the occurrence of discrete episodes of failure to resist aggressive impulses that result in violent assault or destruction of property, the degree of aggressiveness expressed during and episode is grossly disproportionate to provocation or precipitating psychosocial stressor, and, as previously stated, diagnosis is made when other mental disorders that may cause violent outbursts (e.g., antisocial personality disorder, borderline personality disorder, attention deficit/hyperactivity disorder, etc.) have been ruled out (McElroy, 1999; McElroy, Soutullo, Beckman, Taylor Jr., & Keck Jr., 1998). Furthermore, the acts of aggression must not be due to a general medical condition, e.g., a head injury, Alzheimer’s disease, etc., or due to substance abuse or medication (Ibid.). Diagnosis is made using a psychiatric interview to affective and behavioral symptoms to the criteria listed in the DSM-IV.
Treatment is achieved through both cognitive behavioral therapy and psychotropic medication regimens. Therapy aids in helping the patient recognize the impulses in hopes of achieving a level of awareness and control of the outbursts, along with treating the emotional stress that accompanies these episodes. Multiple drug regimens are frequently indicated for IED patients. Tricyclic antidepressants and serotonin reuptake inhibitors (SRIs) such as fluoxetine, fluvoxamine, and sertraline appear to alleviate some pathopsychological symptoms; the reasons for such will be explained further in the subsequent section (Goodman, Ward, Kablinger, & Murphy, 1997; McElroy, 1999). GABAergic mood stabilizers and anticonvulsive drugs such as gabapentin, lithium, carbamazepine, and divalproex seem to aid in controlling the incidence of outbursts (Boyd, 2005; Bozikas, Bascilla, Yulis, & Savvidou, 2001; McElroy, 1999). Anxiolytics help alleviate tension and may help reduce explosive outbursts by increasing the provocative stimulus tolerance threshold, and are especially indicated in patients with comorbid obsessive-compulsive or other anxiety disorders (Boyd, 2005). Pathophysiology"
It also appears to be less sexist, more in depth and resists sensationalizing the issue. Compare that to the original MSNBC link where "a diagnosis requires three major episodes in a lifetime where a person became significantly more angry than most people would in the same situation. A severe form of the illness, where three or more rages occur in a year's span, can often result in assaults on people or damage to property, the report said."
Open to subjective interpretation, much?
"More angry than most people..."
Hmm. Anyone with only that much information? They'd either discount the whole definition - or lock us all up. The discussion I'm trying to get down in less than 500 words is why it's wise to reconsider the whole "I've got a nasty temper" as a character asset thang. And no, not once did I propose that it was ever a mental illness in and of itself. (I'll get this done soon, promise. It's under a private lock right now while I work on it.)
News as entertainment. I get slapped with it every day. God, who doesn't know someone who "gets angrier than most people three or more times a year?" HISST - LOOK! Now? Here's a news story that says they may be mentally ill! Boy, that'll help thing along, uh huh uh huh uh huh....
*facesmacks* I hate having a degree in media these days. I really really do.