{"id":34364,"date":"2013-03-19T22:30:12","date_gmt":"2013-03-20T02:30:12","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=34364"},"modified":"2013-03-19T23:24:09","modified_gmt":"2013-03-20T03:24:09","slug":"etc","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2013\/03\/19\/etc\/","title":{"rendered":"etc&#8230;"},"content":{"rendered":"\n<ul>\n<li>\n<div align=\"justify\">I appreciate the comments to the last post. I learned a few things &#8211; like the classical twin studies as the hallmark of genetic influence being called into question. I&#8217;m not an up-on-genetics person, but it&#8217;s infinitely apparent that the Mendel\/Watson&amp;Crick genetics I learned has been turned upside-down in these post Human Genome Project days and that we&#8217;re starting over. Both exciting and confusing!<\/div>\n<\/li>\n<li>\n<div align=\"justify\">What don&#8217;t I like about <em>resiliency<\/em>? I&#8217;m a clinician, and having seen PTSD patients from combat, occupational accidents, and abuse situations,&nbsp; I became used to the self-indictments from the patients themselves. &quot;It shouldn&#8217;t have affected me&quot;, &quot;Other people didn&#8217;t end up like this&quot;, or &quot;It was a long time ago. I should be over it.&quot; Abraham Kardiner&#8217;s books on the War Neurosis describe factors that predispose to developing PTSD, but they&#8217;re external. The wartime experience reaffirms the protective power of a visible wound. Many books like Robert Graves&#8217; <em>Good-bye to All That<\/em> or Erich Maria Remarque&#8217;s <em>All Quiet on the Western Front<\/em> give first-hand accounts of its development in the din of war. Since I believe that subsequent traumatic illness is determined not by the objective trauma, but by a subjective experience of being emotionally overwhelmed resulting in an altered consciousness and dissociation, there are many possible personal pre-determinants. No matter how it&#8217;s framed, seeing the traumatized person as <em>not resilient<\/em> implies that there&#8217;s something they could&#8217;ve done. That&#8217;s what they already think and the notion of <em>resiliency<\/em> reinforces that belief, which I think is false. If they could&#8217;ve, they would&#8217;ve. The essence of the post-traumatic illness itself is an attempt to &quot;prevent the past&quot; &#8211; eg become more <em>resilient<\/em> going forward through hypervigilance and other maladaptive mechanisms. Traumatic symptoms are often perceived by the afflicted as a defect, something bad about themselves. It&#8217;s hard enough to help them accept that it was something that happened &quot;to them&quot; rather than a weakness or something they did without throwing in <em>un-resiliency<\/em> to needlessly complicate matters. <\/div>\n<\/li>\n<li>\n<div align=\"justify\">I obviously didn&#8217;t care for the Nemeroff\/Goldschmidt-Clermont paper. I question suggestions of preventive strategies like the one described. My skepticism about clinically significant inherited or biological forces in PTSD persists. My Mea Culpa was in thinking that the authors had no references, but they did. Still in question, thanks to the commenter. But beyond that, statements like this are what I call FutureThink&#8230;<\/div>\n<blockquote>\n<div align=\"justify\"><sup><strong>Identifying which trauma victims will develop PTSD is the agreed upon &ldquo;holy grail&rdquo; for the PTSD research field&#8230;<\/strong><\/sup><\/div>\n<p>    <\/p>\n<div align=\"justify\"><sup><strong>The use of such genomic, transcriptomic, epigenetic, proteomic,  structural and functional brain imaging, inflammation, and  neuroendocrine measures taken together with behavioral and psychological  measures will likely achieve the much needed goal of predicting which  trauma victims will develop syndromal PTSD and, moreover, will likely  help identify predictors of response to the effective treatments of  PTSD, both psychotherapeutic and psychopharmacological. In the future,  such tools can be brought to bear to help manage the psychiatric  sequelae of natural disasters similar to the Haiti earthquake. Immediate  intervention for medical-surgical and psychiatric consequences of  trauma will surely reduce the resultant morbidity and mortality  associated with such events&hellip;<\/strong><\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\">&#8230; extrapolations into the future that outrun any current scientific pathway or findings &#8211; the kind of logic designed for grant requests or pop-science magazines. The paper itself was about the school&#8217;s response to the earthquake in Haiti. Good for them. But it wove itself into a <em>pitch<\/em> for a line of research into a self-declared <em>holy grail<\/em> that inappropriately <em>biologifies<\/em> and trivializes human tragedy.<\/div>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>I appreciate the comments to the last post. I learned a few things &#8211; like the classical twin studies as the hallmark of genetic influence being called into question. I&#8217;m not an up-on-genetics person, but it&#8217;s infinitely apparent that the Mendel\/Watson&amp;Crick genetics I learned has been turned upside-down in these post Human Genome Project days [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-34364","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/34364","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=34364"}],"version-history":[{"count":8,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/34364\/revisions"}],"predecessor-version":[{"id":34380,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/34364\/revisions\/34380"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=34364"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=34364"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=34364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}