Please no apologies, I meant nothing by it...I was just thinking out loud.... I'm sorry if it made you uncomfortable!

@jwdickerson Many many clinicians, have difficulty distinguishing re: diagnosus between the three because it requires not only a great deal of indepth knowledge re: forensics and behavior, but experience as well. More, most of what people know about (ASPDp) criminal psychopaths comes 1/
@jwdickerson from prison populations not the successful psychopaths that are functional enough to routinely get away with crime WITHOUT GETTING CAUGHT (these are you long running career Docs, politicians lawyers CEO'S who are typically caught late in life, if at all, and who shock everyone 2/
@jwdickerson who thought they were pillars of society or admired for great skills and wealth--sound familiar?). Even folks who study prison populations have a difficult time identifying "successful criminals" out here in the world.
That's just the clinical axis.
We on the whole, 3/
@jwdickerson we tend to automatically project our empathy, onto the behaviors of others in order to better understand them. When this occurs, it very often results in misdiagnosis. Then there's the pressure to constantly stay relevant, find new diagnoses and treatments re staying afloat 4/
@jwdickerson in research, the noteriety that brings consultation and new patients etc and the ambition to "make a name for yourself" in relation to the above. None of us is immune from our own weaknesses foibles and ambitions and we ALL have them. It takes a great deal of balance to manage 5/
@jwdickerson all the competing dynamics. For the most part, in whole, we do well enough, but on some days at some times and under some conditions when all that shows up at your door, you can get caught off guard and fall down the rabbit hole. None of us is immune from being 6/
@jwdickerson human and it's awfully hard when something runs away with you to call it back. 7)
End
@jwdickerson @threadreaderapp unroll

More from kateneuropsych Dr. Kate Shaw MA/MS/PsyD Auntie Fa

WARNING: THIS POST CONTAINS INFO LIKELY TO MAKE STEAM COME OUT YOUR EARS
Personally, I don't use but I gotta ask b/as long time SA Counselor & Clinical Neuropsychologist,
What ARE these people so on re weed about? Theres NOTHING abt weed comes anywhere close to t/individual, 1/


relational, marital familial, societal and physical and mental health damage done by alcohol (ism) daily. PERIOD FULL STOP

& Research that was so long denied has found a plethora of bennies.

That's not to say no abuse occurs or is possible, (however, [stick with me here] 2/

I see a variety of WS groups currently abusing [t/great American symbol of home family & motherhood] MILK these days...
Hey, if it's a substance/any substance or something transduced or processes by your chemical brain [neurochemistry baby] use misuse, abuse addiction & 3/

deadly addiction is a thing, A BIG THING including "thought addiction," [we MH profs call this obsession] which seems a likely group DX for folks on the right who are virtually obsessed with weed as if it were Hitler, meanwhile they're tryna convince themselves he had a 4/

rational national plan on repeat. But I digress).
Bottom line: Cannabis Use/Abuse Disorder is far less (note t/word LESS) common, far less damaging both in t/short- & long-term & pop #s for Cannibis Use/Abuse are no where near those of alcoholics & the resulting death maiming 5/
@KathyGrants @slomoshun1966 @kk131066 @foe_us @nature_org @jane__eden @impakterdotcom @sillymickel @vegix @how_sustainable @JamesrossrJames @climatemessages @sustainableuni1 @LolaGayleC @ResisterForever @mmpadellan @AdamParkhomenko @glennkirschner2 @morethanmySLE All the clinical Neuropsychological and forensic testing manuals that match the clinical measures we use...
Then made cheat sheets. (ok geek comment alert) the reason to do this is because if you don't understand the base rates and how they were derived, the populations 1/

@slomoshun1966 @kk131066 @foe_us @nature_org @jane__eden @impakterdotcom @sillymickel @vegix @how_sustainable @JamesrossrJames @climatemessages @sustainableuni1 @LolaGayleC @ResisterForever @mmpadellan @AdamParkhomenko @glennkirschner2 @morethanmySLE sampled to gain those "norms" and the year in which this was done, your interpretation of testing data will be significantly "off". If you can't assess the accurate diagnosis (meaning you misdiagnose) you end up causing pain and suffering not to mention treatment especially 2/

@slomoshun1966 @kk131066 @foe_us @nature_org @jane__eden @impakterdotcom @sillymickel @vegix @how_sustainable @JamesrossrJames @climatemessages @sustainableuni1 @LolaGayleC @ResisterForever @mmpadellan @AdamParkhomenko @glennkirschner2 @morethanmySLE if it involves psychopharm (meds)doesn't treat what actually ails the patient. When this happens, at best no one's treated for the actual illness they have which causes undue pain & suffering, at worst symptoms are exacerbated and or meds cause adverse reactions that can 3/

@slomoshun1966 @kk131066 @foe_us @nature_org @jane__eden @impakterdotcom @sillymickel @vegix @how_sustainable @JamesrossrJames @climatemessages @sustainableuni1 @LolaGayleC @ResisterForever @mmpadellan @AdamParkhomenko @glennkirschner2 @morethanmySLE have lasting effects (more pain and suffering) not to mention totally messing with the outcomes of legal cases
In short an inaccurate Diagnosis totally messed with people's lives.
. ..... So, if I use a measure you can bet Ive read the manual and understand the cautions, and 4/

@slomoshun1966 @kk131066 @foe_us @nature_org @jane__eden @impakterdotcom @sillymickel @vegix @how_sustainable @JamesrossrJames @climatemessages @sustainableuni1 @LolaGayleC @ResisterForever @mmpadellan @AdamParkhomenko @glennkirschner2 @morethanmySLE when to augment via clinical judgement. That often puts me at odds with folks in terms of opinions but I can back it all up via research and what's written in the manuals which often have caveats re use and application that people miss. More, as I went along it became obvious 5/

More from Health

🚨Important changes to lockdown/self-isolation regulations from 5pm

The Health Protection (Coronavirus, Restrictions) (All Tiers and Self-Isolation) (England) (Amendment) Regulations 2021

£800 'house party' FPN & police can now access track & trace data

https://t.co/k9XCpVsXhC


“Large gathering offence”

As trailed by Home Secretary last week there is now a fixed penalty notice of £800 (or £400 if you pay within 14 days) for participating in an gathering of over 15 people in a private residence


Fixed Penalty Notices double for each subsequent “large gathering offence” up to £6,400

Compare:
- Ordinary fixed penalty notice is £200 or £100 if paid in 14 days
- Holding or being involved in the holding of a gathering of over 30 people is £10,000


Second big change:

Since September has been a legal requirement to sell-isolate if you test positive/notified by Track & Trace of exposure to someone else who tested positive

Police can now be given access to NHS Track & Trace data if for the purpose of enforcement/prosecution


This will make it easier for police to enforce people breaking self-isolation rules. Currently there has been practically no enforcement.

Data says only a small proportion of people meant to be self-isolating are fully doing so.

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https://t.co/9Z4oJmkcKj


@NBA @StephenKissler @yhgrad We adapted a clinical isolate of SARS-CoV-2 by serial passaging in the ... Thus, this mouse-adapted strain and associated challenge model should be ... (B) SARS-CoV-2 genomic RNA loads in mouse lung homogenates at P0 to P6.
https://t.co/I90OOCJg7o