ไม่สามารถเล่นวิดีโอนี้
ขออภัยในความไม่สะดวก
Jonas Ditlevsen: Psykiatrien skal forandres nu!
ฝัง
- เผยแพร่เมื่อ 14 มิ.ย. 2022
- Behandlingen af mennesker i psykiatrien bør ændres radikalt, og det bør ske hurtigst muligt. Sådan lyder det fra psykolog Jonas Vennike Ditlevsen, der mener at psykiatrien, som vi kender den i dag, har spillet fallit, fordi læger har alt for travlt med at give diagnoser og og udskrive medicin.
Glimrende!
Det er SÅ stærkt fremført, Jonas!! Vi skal nok få ændret på det system 😄💪
Bipolar patients tend to have gray matter reductions in frontal brain regions involved in self-control (orange colors), while sensory and visual regions are normal (gray colors).
"tend to" being the operative phrase here. The hard science underlying psychiatric diagnoses is smitten with this problem: Small effect sizes and/or biased selection. It is entirely likely that mental anguish of different kinds impacts the brain. It is also likely (and some science favors this) that some genes may code for the tendency to develop e.g. psychosis. That still doesn't really support the discrete diagnostic categories. It is true for both adhd, bipolar and schizophrenia, that a diagnosed brain is more different from another diagnosed brain than from control group brains. The heterogeneity in diagnostically informed research is a huge problem and is a strong indication that althouth the diagnostic categories may actually capture something that could be a meaningful scientific category, as of now the current diagnoses end up being applied to far too many people.
Structural and functional brain imaging studies in bipolar disorder lend direct, support to the indications of prefrontal cortical pathophysiology from studies of neurocognition. Classic studies of patients with secondary mood disturbance as a consequence of organic pathology like stroke or tumor reported increased prevalence of depressed mood following damage to the left, frontal cortex and the left, basal ganglia.
There's a reason we don't scan brains in order to verify a psychiatric diagnosis. Well, several reasons, one being costs. The main reason, though, is that it is true for alle diagnoses that we cannot reliably predict a psychiatric disorder from genetical, biological, biochemical or neurological examinations.