Opinion Creating a “Brain-Mind-Body Interface Disorders” Diagnostic Category Across Specialties 2023 Maggio, Adams and Perez

Discussion in 'Psychosomatic research - ME/CFS and Long Covid' started by Andy, Oct 19, 2023.

  1. Hutan

    Hutan Moderator Staff Member

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    You mean those diverse scavenging bottom-dwellers that eventually got overtaken by reality?
     
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  2. Kitty

    Kitty Senior Member (Voting Rights)

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    Tri-balists, I reckon.

    There's always the old-fashioned one: trick cyclists.
     
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  3. Trish

    Trish Moderator Staff Member

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    Exactly. Though they are taking their time reaching extinction, unfortunately.
     
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  4. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

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    Surprisingly, it was trialist all along:

    Monism, dualism, trialism, quadrialism and beyond.
    Dualistic theories (dualism) defend two types of substances (for example, body and mind) or two worlds (earth and sky). Trialist theories (trialism) defend the existence of three types of substances or three types of realities.

    So now we are faced with potential trialist trialists doing uncontrolled controlled trial (feasibility) trials - randomly.

    Can anyone do a Venn diagram for that?;)
     
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  5. Trish

    Trish Moderator Staff Member

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    How very trying.
     
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  6. Kitty

    Kitty Senior Member (Voting Rights)

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    Here's a live action shot of one being made.

    venn diagram.jpg
     
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  7. SNT Gatchaman

    SNT Gatchaman Senior Member (Voting Rights)

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    Just repeating for summary and emphasis —

    And this tripe was on full display with the recent long Covid clinic report, where the patients were stratified according to their "self-efficacy" and "willingness to change".
     
  8. Trish

    Trish Moderator Staff Member

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    Errghhh! Wash your mouth out!
     
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  9. Sean

    Sean Moderator Staff Member

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    tripe
     
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  10. SNT Gatchaman

    SNT Gatchaman Senior Member (Voting Rights)

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    So what are neurosurgeons doing when they resect a region of cortical dysplasia [1] that is responsible for intractable seizures. Surely, if it were the structure then the seizures would not transiently stop (or be fixed by removing the structural abnormality)?

    'At some stage' looks to be now, with a move away from the term "functional" to this new term 'BMBID' — presumably as they recognise that the structural abnormality findings simply don't support the "nothing actually physically wrong, it's a software problem" explanation. Will this new term last 10 years? I'd bet against.

    :dead:

    ---
    [1] Benefits and Risks of Epilepsy Surgery in Patients With Focal Cortical Dysplasia Type 2 in the Central Region (2022, Neurology)
     
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  11. Sean

    Sean Moderator Staff Member

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    If it was the structure then the weakness would not transiently improve, the tremor would not transiently stop, and the gait would not improve.

    One hell of an assumption/assertion.

    Neuroscientifically, structure-function relationships are closely coupled, suggesting that functional disorders are essentially also structural disorders, with the distinction being one of scale (macro vs. micro).

    The whole concept of functional in this framing is actually redundant.

    The proof will come when we have genuinely effective treatments, not measured by modifying questionnaire response behaviour.

    Structure and function are indivisible

    Rhetorical sleight of hand about the word functional. It has two meanings in medicine, and they are conflating them.
     
  12. livinglighter

    livinglighter Senior Member (Voting Rights)

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    So what is the current medical consensus about Encephalopathy’s that are not structural? Because as it stands the term Encephalopathy describes abnormal brain functioning as well as structure.

    Can transient symptoms also arise from abnormal neurological functioning of the brain?
     
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  13. Sean

    Sean Moderator Staff Member

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    Creating a[nother] “Brain-Mind-Body Interface Disorders” Diagnostic Category Across Specialties

    The less they understand what they are dealing with, the more frequently they invent new names for it.

    It is their substitute for progress.
     
  14. Ash

    Ash Senior Member (Voting Rights)

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    :emoji_clap:
     
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