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Joseph Thornton
Tweet by Oren Gottfried, MD functional neurological disorder
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Joseph Thornton
Felitti ACE article we discussed,, plus TED talk by Dr Nadine Burke Harris
Attached
Felitti VJ. Origins of the ACE Study. Am J Prev Med. 2019 Jun;56(6):787-789.
A short 3-page article describing the history of one of the most influential public health findings of the past 25 years
Notice not just resistance, but hostility, to its findings that persist to this day.
On consults, I used to refer the students to a brief TED talk by Nadine Burke Harris on applications in child health in 2015.
Nadine Burke Harris: How childhood trauma affects health across a lifetime | TED Talk
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How childhood trauma affects health across a lifetime – TED Childhood trauma isn’t something you just get over as you grow up. Pediatrician Nadine Burke Harris explains that the repeated stress of abuse, neglect and parents struggling with mental health or substance abuse issues has real, tangible effects on the development of the brain. This unfolds across a lifetime, to the point where those who’ve experienced high levels of trauma are at triple … http://www.ted.com |
later on, from 2019 – 2021 she was the Surgeon General fo the Stae of CAlifornina.
Nadine Burke Harris – Wikipedia
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Nadine Burke Harris – Wikipedia Nadine Burke Harris (born 1975) is a Canadian-American pediatrician who has been the Surgeon General of California since 2019; she is the first person appointed to that position. She is known for linking adverse childhood experiences and toxic stress with harmful effects to health later in life. Hailed as a pioneer in the treatment of toxic stress, she is an advisory council member for the … en.wikipedia.org |
JT
Joseph (Joe) E. Thornton, M.D., DFAPA
Clinical Associate Professor, Psychiatry
University of Florida College of Medicine
joethornton@ufl.edu
Tweet by Oren Gottfried, MD Conversion disorder
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Joseph Thornton
Tweet by Oren Gottfried, MD on Twitter
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Joseph Thornton
Tweet by Michael “Mike” Albert, MD Obesity is. CNS. Disorder
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Joseph Thornton
Tweet by Marion Koopmans on Graphics explain COVID control
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Joseph Thornton
another view of borderline Personality disorder
Continuing our discussion..
The very notion of personality disorders is controversial . When we say someone has a disordered personality it comes across to some as a personal insult, yet we look at autism quite differently.
At core is the definition of chronic persistent use of maladaptive defense mechanisms, and we delegate intervention to longer term psychotherapy.
Another consideration – maybe this has been resolved and I just do not know enough child psychiatry – you will need to tell me.
We know (believe) that temperaments are manifest in very early childhood and have biological underpinnings. It would seem to me that as various temperaments mater, they may progress to different types fo personality disorders. Thus if biologically based, then biological psychiatrists (my training) should have studied these conditions. I know of only 2 groups that did pursue it.
Long ago I worked on a DSM III validity study of personality disorders. The main finding was the dx is not stable if made in context of symptomatic Axis I disorder. However, even with personality traits, we as psychiatrists must learn how to navigate the emotions and behaviors.
I attach an old article by George Vaillant with some perspective.
JT
Joseph (Joe) E. Thornton, M.D., DFAPA
Clinical Associate Professor, Psychiatry
University of Florida College of Medicine
joethornton@ufl.edu
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Joseph Thornton
Gator Psychiatry 