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    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
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    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
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    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
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      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System



Translational Medicine Friday

More Evidence that the Immune System is more complicated than we thought:  Alzheimer's and the immune system's  Response to "HIERARCHY"

10/19/2022

 
This latest conceptualization of "ALZHEIMER'S" as an AUTOIMMUNE CONDITION is IMPORTANT.
This further develops this idea of COGNITIVE DIFFERENCE/DISABILITY as implicating the IMMUNE SYSTEM --- and the immune system is implicated also with:
  • Developmental Differences from Down Syndrome to ADHD & Autism, etc. and
  • Psychiatric Disorders
Additionally people with DEVELOPMENTAL DIFFERENCES/DISORDERS and PSYCHIATRIC DISORDERS are more at risk for various forms of DEMENTIA.

Further, many people with PSYCHIATRIC DISORDERS do have some form of AUTOIMMUNE DISEASE --- THYROID DISEASE being one of the most common.

Finally, many AUTOIMMUNE DISEASES as well as CANCER have PSYCHIATRIC SYMPTOMS.


So there are MANY MANIFESTATIONS of a "DYSREGULATED" IMMUNE SYSTEM ---- some of those involve:
  • MOVEMENT
  • PAIN
  • COGNITIVE CHALLENGES (this is new), and
  • SOCIAL BEHAVIOR (this is new)
We are living in a time of LARGE SCALE ISSUES with CHRONIC DISEASE (including AUTOIMMUNE DISEASE & CANCER), DEVELOPMENTAL DIFFERENCES/DISORDERS, PSYCHIATRIC DISORDERS and DEMENTIA.

People have lived with these challenges and sometimes benefits for a long time:
  • But they weren't living as long as we are generally;
  • They didn't have the TECHNOLOGY to GO DEEP in their understandings of this the way we do.
It has taken widespread low grade inflammation to medium to high inflammation across the globe to expose these common health issues.
BETTER DIET & EXERCISE are essential --- BUT we need to start addressing the challenges of SYSTEMIC DEVELOPMENTAL INFLAMMATION ---
  • If we do ----that in itself could help reduce inflammation --- BECAUSE our IMMUNE SYSTEMS as SOCIAL ANIMALS are plugged into the SOCIAL ORDER.*
  • We want to take that ETHOS of the MARINES that we're not going to leave anyone behind --- and apply that to PUBLIC HEALTH.
Sapolsky on Free Will
I don't agree with everything in the video above --- BUT Sapolsky makes some important points about understanding the BIOLOGY of HUMAN BEHAVIOR ---
  • and it's often not exactly what we thought.

To me, if we want more FREE WILL or CONTROL--- we need better understandings of our own BIOLOGY.

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How Many Angels Can Dance on the Head of a Pin: Getting Beyond the Free Will vs. Determinism Debate
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Alzheimer’s Might Not Be Primarily a Brain Disease: A New Theory Suggests It’s an Autoimmune Condition

Sept. 20,
2022

See also:  BBC News:  Low Social Status Can Damage the Immune System
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Sir Michael Marmot
BBC Health & Science Reporter James Gallagher quoting Sir Michael Marmot*:

"This is hard science saying there's a plausible biological mechanism that results in clear differences depending where you are in the hierarchy."

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Marmot on Pikes Peak
[*I can't resist a crazy non-sequitur SHOUT OUT to the MARMOT VARMITS on Pikes Peak --- I'm sure Sir Michael Marmot would be proud.

Photo Credit US National Park Service]

*I think the stuff on the IMMUNE SYSTEM and the "Social Order" sounds pretty out there but I think the research is substantiating that ----
  • Further, one would expect "Social Concerns" for Social Animals to be a BIG Deal.
  • But even for Social Animals --- social concerns are not the only thing.
  • I think the Greeks and probably a lot of other people were right --- IT IS BALANCE -- but it is so much more COMPLICATED than 4 HUMORS --- and most of this balancing act is going on outside our conscious awareness and is involving trillions of factors that relate to:
    • Our Physical Environment
    • Our Social Environment
    • Our Bodily Environment, and
    • Multiple Systems of the Body
I think one way we've tried to deal with this is have MANY HIERARCHIES.  I think we may be coming to the limit of that as a strategy as we've got almost 8 BILLION people and NONE OF THEM want to be at the BOTTOM of the HIERARCHY or HIERARCHIES.

EQUALITY is really recognizing in the words of Pharrell Williams --- "That we're made of the same things."  ---- No we're NOT clones BUT the more we understand how all this works --- the more choice all of us will have --- Further, this is a LONG TERM PROJECT and to get the BEST RESULTS --- we need to recognize that we're all in this together.
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New Understandings Matter:  Neuro-Developmental DifferencES, Psychiatric Disorders, Shared Genes, Maternal Immune Activation & Blurred Categories of ADHD & AUTISM

10/7/2022

 

One of the big reasons we are in CRISIS MODE all the time for Mental Health is that the FOUNDATIONAL UNDERSTANDINGS are NOT SUFFICIENT.

That is starting to change --- BUT so many people are being missed because they don't fit into DSM CATEGORIES that are NOT TRUE FUNDAMENTAL CATEGORIES that track the UNDERLYING BIOLOGY.

BEING PRO SOCIALLY COMPETENT for the SOCIETY is GOOD --- BUT it is not really a SUBSTITUTE FOR UNDERSTANDING those underlying BIOMARKERS.

Conjecture

So One of the BIG New Understandings is that:
  • Psychiatric Disorders are often related to Neuro-Developmental Disorders.

The understanding above is very much related to the research that:
  • Psychiatric Disorders & Neuro-Developmental Differences/Disorders --- Share Common Genes.

These Neuro-Developmental Disorders are so BLURRED that many people are MISSED, and the research is bearing out that people with BLURRED aspects of ADHD and AUTISM are OFTEN MISSED.

Homeostasis / Sustainability may not be HUGELY DIFFERENT for Neuro-Diverse people (sometimes it is) --- BUT it is DIFFERENT ENOUGH that it matters.
  • People with Neuro-Developmental Differences / Disorders have RAMPED UP STRESS RESPONSES --
  • And often because they are OPERATING in TOTAL or SEMI-IGNORANCE -- they are subject to a lot of STRESS, and
  • They are more vulnerable to PSYCHIATRIC DISORDERS.
Kings College London (2019)
Thinking Twice About ADHD & Autism Spectrum Disorder

Emerging View that Anti-Social Personality Disorder is a Neuro-Developmental Disorder
Maternal Immune Activation Alters Adult Behavior
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Neuroscience News
Brains of People With Schizophrenia Related Disorders Aren’t All the Same

https://neurosciencenews.com/schizophrenia-neurobiology-10430/
​

Canadian researchers say:

​
 "It turned out that the relationship between brain function and social behaviour had nothing to do with conventional diagnostic categories in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders).”

National Institute of Mental Health:  5 Disorders Share Common Genes (2013)
"Now that doesn't match with the idea that these are distinct."
See Also:

The Definitional Argument in Mental Health & Criminal Justice

NEXT FRIDAY:

More Conjecture

EPIGENETICS --- which can serve as a form of Neuro-Plasticity and Beyond.


Is it the BEST OF ALL POSSIBLE WORLDS, the WORST, IT DEPENDS?

IT is what it IS --- and we need to understand it a lot better than we do.

EPIGENETICS are more and more recognized as  critical mechanisms in auto-immune diseases, neuro-developmental differences, psychiatric disorders and cancer.

Understanding the connection between Biology & Environment --- and Trying to get beyond Freud on Sexuality

10/4/2022

 
Val's Note:   An EVOLUTIONARY APPROACH to PSYCHIATRY tends not to have a problem with understanding that BIOLOGY and ENVIRONMENTS are INTER-CONNECTED.

In the video to the right, Dr. Nesse recognizes the SHARED GENES of "PSYCHIATRIC DISORDERS."

He doesn't talk about the IMMUNE SYSTEM --- BUT it is pretty hard to ignore the role of the IMMUNE SYSTEM in PSYCHIATRIC and CHRONIC DISEASE in modern society.

Nesse also harkens back to --- Freud and says, "Hey, this all relates to sex."

When we're talking about animals or for that matter plants --- that's such a general statement that its like that HOROSCOPE --- it's so general that it's likely to apply in SOME RESPECT.

I would say like Shakespeare things may not be as they appear.

THE MODERN SEXUAL LANDSCAPE

We've got an explosion of infertility and a wide range of genders and sexual preferences and developmental differences ----
  • I don't think people view infertility as a moral issue generally
  • Our wide-ranging sexual preferences so long as we're not talking about children or coercion --- that's not the FELONY-LEVEL SEX CRIMES.
  • A lot of the increase in DEVELOPMENTAL DIFFERENCES / NEURO-DIVERSITY also is coming with:
    • ramped STRESS RESPONSES
    • EMOTIONAL DYSREGULATION ,
    • DYSREGULATION of MULTIPLE SYSTEMS of the BODY, and
    • CHALLENGES in Executive Functioning
    • while at the same time often bringing "GIFTS" . . .
      • to me, a lot of anxiety that people have about SEX and RELATIONSHIPS is more FUNDAMENTALLY related to these DEVELOPMENTAL ISSUES.
 
  • I think the GENDER and SEXUAL PREFERENCE LANDSCAPE is so "INTERESTING" that it can "BLIND" us to the fact that there are a lot of DEVELOPMENTAL DIFFERENCES / CHALLENGES in the HETEROSEXUAL Population as well.  
 
  • At some point --- we need to take a MORE SOPHISTICATED look at this.
    • We're really called on to use our CRITICAL THINKING while EDUCATING our MORAL JUDGMENTS and championing already established concepts of SELF-DETERMINATION.  
Why Hasn't Natural Selection Eliminated Mental Disorders?
SciShow Psych
Autoimmunity & Mental Health (2021)

We're on the cusp --- if we're not already there --- of recognizing that the IMMUNE SYSTEM and especially the MATERNAL IMMUNE SYSTEM is a factor (not the only factor) in  NEURO-DIVERSITY and SEXUAL ORIENTATION --- and the RESULTS are DIVERSE.
  • IMMUNE effects during pregnancy are much more COMMON than we think.
  • Further, it's affecting people who would IDENTIFY as HETEROSEXUAL and people who would IDENTIFY with the LGBTQ+ Community.
  • It's affecting people who would might have AUTISM, ADHD, or both as well as OCD, etc.
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Channel 9 News:   Musician creates LGBTQ+ safe haven to fill gap she saw in mental health services

When Maree McRae's transgender daughter was suffering from a mental health crisis, there was nowhere for her to go.  So McRae created a place. 

Neuro-Diversity, Gender & Sexuality
Lateral Thinking & Conspiracy Theories
Attachment Styles Viewed Through the Biological Drivers of Sensory Overload & Anxiety
We've Been SELECTING for Neuro-Diversity

INTEGRATIVE THINKING & the CURRENT TRADE-OFFS of ---- NEURO-DIVERSITY

9/19/2022

 
Rotman School of Management --- University of Toronto
Solving "WICKED PROBLEMS" with INTEGRATIVE THINKING

​Conjecture
  • We have a much BIGGER PUBLIC HEALTH CRISIS than we realize with regard to Neuro-Developmental & Psychiatric Disorders.
One of the ways we got into this CRISIS was we have very STARK ideas about GOOD and BAD and the rather UTOPIAN IDEA that all the GOOD THINGS go together and all the BAD THINGS go together in terms of HUMAN TRAITS.
  • Hmmm . . .
  • There's been a lot of SELECTING for INTELLIGENCE, ATHLETICISM and CREATIVITY ---
    • On a BROAD SCALE that starts to look a lot different than that one IDIOSYNCRATIC GENIUS or OLYMPIC ATHLETE.​  
A lot of these BIG STRENGTHS are currently coming with various forms of SOME BIG TRADE-OFFS
  • Some of these BIG STRENGTHS seem related to VARIOUS FORMS of RAMPED UP SENSORY PROCESSING ---
    • It might be greater BODY AWARENESS
    • It might be the development of LOGIC to process both a lot of information and often a lot of EMOTION --
      • that comes with PROCESSING MORE.
    • It's the development of "ARTS & SCIENCES" -- to have some place to off load all this information that may get to other people and other generations.
Neuro-Diverse Therapist Louise Taylor ends her video on Empathy by saying "The Future is Neuro-Diverse. "
  • I think she is right and that brings its own set of CHALLENGES.
Further, Couples Counselor Mark Hutton notes that some think we may be "EVOLVING" towards "AUTISM" -- more "TASK-ORIENTED"-- and that could be more CHALLENGING than people realize.
​I think at least some of us would like to AVOID MAKING SOME OF THESE UNPLEASANT TRADE-OFFS.
  • Or "MANAGE" them much more EFFECTIVELY.
Note:  I think a lot of Neuro-Diverse people fly "UNDER THE RADAR" because they have BLURRED characteristics of TRADITIONAL notions of ADHD & Autism.

Additionally, this problem is being RECOGNIZED in popular spaces such as ADDITUDEMag.  See also King's College London on the Blurred Nature of ADHD & Autism.


In some ways that BLURRED ASPECT can protect you.   On the other hand, it has more recently set people up for LATE or TOO LATE DIAGNOSIS.
That is one of many reasons why it is so important to get to the UNDERLYING BIOLOGY ---
  • SYMPTOM CLUSTERS can be MISLEADING.
  • To me --- the big issue is greater NEURO-DEVELOPMENTAL INFLAMMATION that is not just impacting the BRAIN but other organs and systems of the body.
  • INFLAMMATION is not all bad --- but if you're starting out with greater SYSTEMIC INFLAMMATION than the NORM and it's DEVELOPMENTAL that can have BOTH PHYSICAL & PSYCHIATRIC health consequences.
  • I know I really would have appreciated more of a "HEADS UP" -- but people did the best they could.
  • AND we do need to be giving people more of a "HEADS UP" and TARGETED and INDIVIDUALIZED approaches to deal with these DEVELOPMENTAL ISSUES.
This isn't an argument for "EUGENICS" --- AND the RESEARCH is pushing us to confront REALITIES that are DIFFERENT THAN WHAT WE THOUGHT.  
  • For those Neuro-Diverse kids who were made to feel "LESS THAN" ---
    • The REALITY is those CHALLENGES are often coming with SOME STRENGTHS.
 
For those Neuro-Diverse kids who were celebrated for their Intelligence, Athleticism and/or Talent
  • The REALITY is those STRENGTHS are often coming with SOME CHALLENGES.

Bringing Executive Functioning Issues---OUT OF THE CLOSET

9/18/2022

 
If we can lower that Stress, that perceived EMPATHY is probably going to go way up.
Conjecture
  • When I say the "CLOSET" --- many Neuro-Diverse people with IQs over 70 are so in the "CLOSET" --- they don't even know it.
  • That turns out to be quite SERIOUS and potentially DANGEROUS.
  • That RAMPED UP SENSORY PROCESSING & STRESS RESPONSE ----
    • Do have some BIG STRENGTHS ---
    • BUT they also have some CONSIDERABLE CHALLENGES --
      • With PSYCHIATRIC DISORDERS being ONE or NUMEROUS TRAPS for the UNWARY.
  • When I say NEURO-DIVERSE --- I'm generally talking about someone with a Neuro-Developmental Difference or BLURRED DIFFERENCES such as  ADHD, Autism, Dyslexia, Giftedness, OCD, etc. ---
    • that is often related to greater Developmental (often Systemic) Inflammation.
    • In some ways, Neuro-Diverse people may be OLD SOULS in more ways than one.
 
  • The "Neuro-Typical" LIFESTYLE is going to BURN-OUT or BREAKDOWN --
    • people with greater Developmental & Systemic Inflammation. 
 
  • On the other hand, for many Neuro-Diverse people with IQs over 70 ---
    • they are not going to be able to maintain their "MENTAL HEALTH" ---
      • reading "baby books" or
      • not exercising what are often CONSIDERABLE STRENGTHS.
 
  • "HOMEOSTASIS" for Neuro-Diverse people is pretty NARROW ---
    • and it is pretty hard to achieve in this society
    • even if you have a lot of advantages and privilege --- much less if you don't.
    • See also Why Orchid --- many Neuro-Diverse people are much more Orchids than Dandelions.
 
  • Further, some Neuro-Diverse people who ostensibly "MADE IT" in this society ---
    • come off a little like "THE PICTURE OF DORIAN GRAY"
 
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Executive Functions
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If I'm "GASPING for AIR"
  • Often PSYCHOLOGICAL AIR ---
  • I'm not going to come off as very empathetic.
 Unfortunately, the "THERAPY INDUSTRY" is often NOT HELPING.    
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The NEW PARADIGMS are a BIG SHIFT.

If the Mental Health Profession isn't up on those "NEW PARADIGMS" --
  • Namely, recognizing STRONG ASSOCIATIONS and RELATIONSHIPS between Neuro-Developmental Difference/Disorder and Psychiatric Disorders ---
  • You are going to have a lot of WASTED MONEY & EFFORT --
  • AND you have the very real potential of making things worse. 
I think there is a role for the Mental Health Profession and it may be best exemplified by EDUCATIONAL PSYCHOLOGISTS than what is available to most ADULTS.

What IF --- "UNMOTIVATED" Isn't What We Think ---Neuro-Diverse BURNOUT

9/15/2022

 
Conjecture
  • Neuro-Diverse Energy and Executive Functioning Challenges can lead to BURNOUT or even BREAKDOWN.
  • It's often CONFUSING to the Society, Professionals, Families and Individuals.
  • THIS IS A BIG PIECE OF THE PUZZLE --- WE'VE BEEN MISSING
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Soa Chongsonyon Chongsin Uihak

The Relationships between Addiction to Highly Caffeinated Drinks, Burnout, and Attention-Deficit/ Hyperactivity Disorder.
 

OBJECTIVES: This study aimed to evaluate the addiction to highly caffeinated drinks among university students, and we investigated the relationships between smartphone addiction, depression, anxiety, attention-deficit/hyperactivity disorder (ADHD …

Val's Note:  This is HUGELY PROBLEMATIC.  

Some ADHDers and other Neuro-Diverse people are not just "addicted' to these caffeinated drinks because they like the taste --- those drinks are helping to MANAGE some extremely tricky energy and executive functioning developmental challenges.

  • CHALLENGES THAT THE SOCIETY AND MOST PROFESSIONALS AREN'T CLUED INTO

  • I would submit those DEVELOPMENTAL CHALLENGES are also a BIG FACTOR in our ILLEGAL SUBSTANCE USE PROBLEMS.

Further, another LEGAL SUBSTANCE is Tobacco --- now a lot fewer people are using this in 2022--- BUT I would submit those who are often are NEURO-DIVERSE.

You can see this even among some ATTORNEYS and DOCTORS---- in 2022 many have given that up BUT WHAT IS THE REPLACEMENT?

In the mid 20th Century -- the BIG ISSUE was HEART DISEASE --- it's still a big issue --- BUT PSYCHIATRIC DISORDERS have far overtaken the concern for Heart Disease.

  • I think the "POPULATION" of the 2 groups is very much the same --- Neuro-Diverse People who are struggling to manage DEVELOPMENTAL ENERGY AND EXECUTIVE FUNCTIONING CHALLENGES in a climate of IGNORANCE.  
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See also:

Dyslexic Burnout - How to deal with it

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International Journal of Autism Research & Practice
Defining autistic burnout through experts by lived experience: Grounded Delphi method investigating (2021)

We wanted to create a definition of autistic burnout that could be used by clinicians and the autism community. ...

In practice, it is important for clinicians to be aware that autistic burnout is different from depression. Psychological t …

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Progress in Neuro-Psychopharmacology & Biological Psychaitry
ADHD, altered dopamine neurotransmission, and disrupted reinforcement processes: implications for smoking and nicotine dependence.

Attention deficit hyperactivity disorder (ADHD) is a common and impairing disorder affecting millions of children, adolescents, and adults. Individuals with ADHD smoke cigarettes at rates significantly higher than their non- …

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Journal of Neural Transmission (Vienna)
Assessment and treatment of substance use in adults with ADHD: a psychological approach. (2021)

Over half of young people and adults diagnosed with Attention Deficit Hyperactivity Disorder [ADHD] also have substance use disorder [SUD]. ...This misses an opportunity to intervene much earlier, before drug use esca …

Balance, Simplistic Views of Human Personality, Unconscious Bias ---And REAL CONCERNS for HOMEOSTASIS

9/13/2022

 
  • Balance is still important --- BUT it's more complicated than we thought ---
    • Many things we EXCLUDE as IRRELEVANT -- are EXCRUCIATING RELEVANT
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The Four Humors - United States National Library of Medicine

The four humors were blood, phlegm, black bile, and yellow bile. These were in balance in a healthy person.

Slight imbalances, favoring a specific humor, were thought to result in specific personality types.

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How brain fills gaps

When in doubt about what we see, our brains fill in the gaps for us by first drawing the borders and then "coloring" in the surface area, new research has found.

The research is the first to pinpoint the areas in the brain, and the timing of their activity, that are responsible for how we see borders and surfaces.

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Understanding Unconscious Bias (2020)
The human brain can process 11 million bits of information every second.

But our conscious minds can handle only 40 to 50 bits of information a second.

So our brains sometimes take cognitive shortcuts that can lead to unconscious or implicit bias, with serious consequences for how we perceive and act toward other people.

Where does unconscious bias come from? How does it work in the brain and ultimately impact society?
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Human Body - OpenCurriculum

The human body is made up of trillions of cells that all work together for the maintenance of the entire organism.

While cells, tissues, and organs may perform very different functions, all the cells in the body are similar in their metabolic needs.

Maintaining a constant internal environment by providing the cells with what they need to survive (o...


See full list on opencurriculum.org

Dynamic Homeostasis
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Texan John Bradshaw was an American Educator, Counselor and famously hosted PBS Specials in the 1990s on Addiction, the "Inner Child," and the "Dysfunctional Family." 

I'm wanting to take the idea of "DYNAMIC HOMEOSTASIS" and apply it on a MICRO --- cellular level and as well as apply it to a MACRO level of the "Dysfunctional Society" that can play out over the course of HISTORY.


Big Think -- Author Johann Hari
Loneliness Kills

Pharrell Williams
Freedom

We're All Made of the Same Things

The Halluci Nation
R.E.D.

Calling Us to Recognize a Common Human Tribe

I don't think it is just choosing a perspective to understand COGNITIVE PROBLEMS --- it is understanding how these PERSPECTIVES are INTEGRATED.
Roger Martin
Dean of the Rotman School of Management at the University of Toronto

How To Solve Wicked Problems Using Integrative Thinking

Neuro-Diversity and Glutamate Toxicity

9/8/2022

 
Conjecture

There are some common biomarkers for ADHD, Autism, Dyslexia, Depression, Bipolar Disorder and Schizophrenia.

  • Maternal Immune Activation is a BIG KEY and it appears to affect the expression of glutamate in adult offspring.
 
  • I think the DSM Categories are quite misleading given the current research and the BLURRED NATURE of these disorders needs to be understood as well as idiosyncratic factors.
    • There are CONSEQUENCES to a MISLEADING DIAGNOTISTIC MANUAL:
      • Late & Too Late Diagnosis of Developmental Differences and Disorders.
      • Inaccurate Assessment
      • Ineffective Treatment
These Are NOT Small Problems

They are crying out for a Comprehensive Public Health Approach to Criminal Justice.
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Glutamate and depression:

Reflecting a deepening knowledge of
of the gut and brain effects of a ubiquitous molecule (2021)


Years of research suggest glutamate has a role to play in depression.

Also, there is increasing evidence of a possible relationship between glutamate and the pathophysiology and/or treatment of depression.

The complexity of depression suggests dysregulation of glutamate in sites such as the gastrointestinal tract and brain.

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Maternal immune activation alters glutamic acid decarboxylase-67 expression in the brains of adult rat offspring
(2016)

Maternal immune activation alters glutamic acid decarboxylase-67 expression in the brains of adult rat offspring. Activation of the maternal innate immune system, termed "maternal immune activation" (MIA), represents a common environmental risk factor for schizophrenia.
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Excitotoxicity in the pathogenesis of autism (2013)

Substantial evidence suggests that excitotoxicity, oxidative stress and impaired mitochondrial function are the leading cause of neuronal dysfunction in autistic patients.

Glutamate is the primary excitatory neurotransmitter produced in the CNS, and overactivity of glutamate and its receptors leads to excitotoxicity. 
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Dyslexia and age related effects in the neurometabolites ...

On the level of neurotransmitters, this theory predicts heightened level of glutamatergic (Glu or Glx) signalling in dyslexic individuals, since glutamate concentrations were found to be positively correlated with cortical excitability.
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Hyperactivity and impulsivity in adult attention-deficit/hyperactivity disorder is related to glutamatergic dysfunction in the anterior cingulate cortex. (2016)

The US' RDoC Program and the International BeCOME  Study --- Getting to the Biological Basis of Behavior in a Morally & Ethically Responsible Manner

9/5/2022

 
Conjecture

I think getting to the BIOLOGICAL BASIS of BEHAVIOR in a MORE SOPHISTICATED WAY is what the 21st Century is going to be remembered for.

 
HISTORICAL CAUTIONARY TALES & HAZARDS ABOUND ALL AROUND: 
  • 20th Century Eugenics in the US and Nazi Germany
  • A Modern FREE WILL Culture that is marked by MASS INCARCERATION and a failure to recognize the biological effects of even the most EXTREME TRAUMA or BRAIN INJURY.
  • A MENTAL HEALTH PROFESSION that's too incompetent to know it's incompetent ---
    • whether it's 20th Century lobotomies or
    • current "PERSONALITY DISORDER CLASSIFICATIONS" that still set people up for the Death Penalty in this Country
      • although not Colorado thankfully

The BIG IRONY in all of this -- and there are many ironies --- is that MODERN CULTURE has been marked in great degree by feelings of ALIENATION and ISOLATION.

We can't understand the BIOLOGICAL BASIS of HUMAN BEHAVIOR ---
  • If we don't understand the INTER-RELATIONSHIPS between MULTIPLE SYSTEMS of the BODY.
  • The INTER-RELATIONSHIPS of those SYSTEMS to the PHYSICAL ENVIRONMENT.
  • The INTER-RELATIONSHIPS of those SYSTEMS to the SOCIAL ENVIRONMENT.
  • The INTER-RELATIONSHIPS of NON-HUMAN, MICRO-ORGANISMS that live within us and affect our HEALTH & BEHAVIOR.
  • Our RELATIONSHIPS to HISTORY including the PAST, PRESENT and FUTURE.

It is certainly looking like "WE'RE ALL IN THIS TOGETHER" in profound ways we never imagined.

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BeCOME Study -- Biological Classification of Mental Disorders (2020)

Affiliations

1Department of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Kraepelinstr. 2-10, 80804, Munich, Germany. 
2Department of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Kraepelinstr. 2-10, 80804, Munich, Germany.

3Max Planck Institute of Psychiatry, Munich, Germany.
4Berenson-Allen Center for Noninvasive Brain Stimulation and Division for Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

5Independent Max Planck Research Group for Social Neuroscience, Max Planck Institute of Psychiatry, Munich, Germany.
6International Max Planck Research School - Translational Psychiatry (IMPRS-TP), Max Planck Institute of Psychiatry, Munich, Germany.

7Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, USA.

Abstract

Background
​
A major research finding in the field of Biological Psychiatry is that symptom-based categories of mental disorders map poorly onto dysfunctions in brain circuits or neurobiological pathways.

Many of the identified (neuro) biological dysfunctions are “transdiagnostic”, meaning that they do not reflect diagnostic boundaries but are shared by different ICD/DSM diagnoses.

The compromised biological validity of the current classification system for mental disorders impedes rather than supports the development of treatments that not only target symptoms but also the underlying pathophysiological mechanisms.

The Biological Classification of Mental Disorders (BeCOME) study aims to identify biology-based classes of mental disorders that improve the translation of novel biomedical findings into tailored clinical applications
. 
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Some "BIOLOGICAL BASES" of Anti-Social Behavior

8/21/2022

 
Conjecture
  • We've wanted to create these DISTINCT BINARIES between "INSANITY" and "COMPETENT TO STAND TO TRIAL"
    • From a Research and Reality Perspective --- that's becoming more and more problematic.
 
  • I've previously posted research and hypotheses going to "Anti-Social Personality Disorder" as related to ADHD and Neuro-Developmental Disorders.
 
  • Below is more recent general research going to:
    • the IMMUNE SYSTEM,
    • the CENTRAL NERVOUS SYSTEM,
    • the GUT-IMMUNE-BRAIN AXIS, and--
    • How the GUT IMMUNE BRAIN AXIS is also relevant to Substance Issues which are often associated with "Anti-Social Personality Disorder"
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International Review of Neurobiology

The role of gut-immune-brain signaling in substance use disorders (2021)

Affiliations
  • Nash Family Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

Abstract

Substance use disorders (SUDs) are debilitating neuropsychiatric conditions that exact enormous costs in terms of loss of life and individual suffering.

While much progress has been made defining the neurocircuitry and intracellular signaling cascades that contribute to SUDs, these studies have yielded limited effective treatment options.

This has prompted greater exploration of non-traditional targets in addiction.

Emerging data suggest inputs from peripheral systems, such as the immune system and the gut microbiome, impact multiple neuropsychiatric diseases, including SUDs.

Until recently the gut microbiome, peripheral immune system, and the CNS have been studied independently; however, current work shows the gut microbiome and immune system critically interact to modulate brain function.

Additionally, the gut microbiome and immune system intimately regulate one another via extensive bidirectional communication.

Accumulating evidence suggests an important role for gut-immune-brain communication in the pathogenesis of substance use disorders.

Thus, a better understanding of gut-immune-brain signaling could yield important insight to addiction pathology and potential treatment options.

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Inflammation-Related Changes in Mood Disorders and the Immunomodulatory Role of Lithium (2021)

Molecular biology studies have indicated an involvement of the immune system in the pathogenesis of mood disorders, and showed their correlation with altered levels of inflammatory markers and energy metabolism. ...This review aims to summarize the molecular studies …
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Characteristics of prisoners with neurodevelopmental disorders and difficulties (2016)
Affiliations
  • 1 Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
  • 2 London South Bank University, London, United Kingdom.
  • 3 Centre for Longitudinal Research, University of Auckland, Auckland, New Zealand.
  • 4 Department of Medicine, Imperial College London, United Kingdom.
  • 5 Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
  • 6 Research Autism, London, United Kingdom.
Abstract

Background:   Previous studies have found high rates of attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD) and intellectual disability (ID) within the criminal justice system (CJS).

However, little is understood about prisoners with neurodevelopmental disorders and difficulties (NDD) or their needs.


,  ,  ,

Conclusions:  The findings confirm the presence of significant numbers of people with NDD in a male prison.

Services across the CJS [Criminal Justice System] are required for this group [people with Neurodevelopmental Disorders];

[S]pecifically, there is a need for raised awareness among those working in the CJS to improve the recognition of offenders with NDD.

Services in the community need to work with individuals with NDD who are at risk of offending, targeting those who are homeless, unemployed and have poor employment opportunities,

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Neurodevelopmental disorders in prison inmates: comorbidity and combined associations with psychiatric symptoms and behavioural disturbance (2018)
Affiliations
  • 1 Centre for Mental Health, Division of Brain Sciences, Department of Medicine, Imperial College London, UK; Reykjavik University, Iceland.
  • 2 Centre for Mental Health, Division of Brain Sciences, Department of Medicine, Imperial College London, UK; Child and Family Consultation Service, East London NHS Foundation Trust, UK.
  • 3 Psychology Department, Bath University, UK.
  • 4 Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
  • 5 Reykjavik University, Iceland; Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Abstract

The identification and management of inmates with neurodevelopmental disorders (ND) has been insufficiently addressed in the literature.

We estimated the proportion of cases with Attention deficit/hyperactivity disorder (ADHD), Autism spectrum disorder (ASD) and Intellectual disability (ID) in prison, their comorbidity, and associations with disruptive behaviours and with psychiatric symptoms.

Further, we examined the role of coexisting ND on psychiatric symptoms and attitudes toward violence. All 390 male inmates underwent an assessment that included the Diagnostic Interview for ADHD in Adults 2.0, the Autism Quotient, the Learning Disability Screening Questionnaire, the Brief Symptom Inventory (BSI), and measures of disruptive behaviours and attitudes towards violence.

The percentage of cases with ADHD, ASD and ID were 25%, 9% and 9%.

Inmates with ADHD and those with ID had significantly higher levels of disruptive behaviours.

The combined ADHD/ASD group had significantly higher scores on global severity symptoms than either ADHD or ASD only.

Meanwhile, the combined ADHD/ID group had significantly higher scores of behavioural disturbance than the ADHD-only group.

Our findings show the extent of ND [Neuro-Developmental Disorders] in prison, their inter-relations and associations with further mental health problems.

Vulnerabilities conferred by ND within the criminal justice system should be addressed via interventions and preventative strategies.

Jonathan Kipnis
University of Virginia

Rethinking The Neuroimmune System
Immune System -- the 7th Sense


See 26:26:  Deficiency of T-Cells related to anti-social behavior.
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Immune cell compartmentalization for brain surveillance and protection (2021)

Affiliations
  • Department of Neurobiology, Weizmann Institute of Science, Rehovot, Israel.
Abstract

For decades, it was commonly accepted that the brain is secluded from peripheral immune activity and is self-sufficient for its maintenance and repair.

This simplistic perception was based on the presence of resident immune cells, the microglia, and barrier systems within the brain, and the assumption that the central nervous system (CNS) lacks lymphatic drainage.

This view was revised with the discoveries that higher functions of the CNS, homeostasis and repair are supported by peripheral innate and adaptive immune cells.

The findings of bone marrow-derived immune cells in specialized niches, and the renewed observation that a lymphatic drainage system exists within the brain, further contributed to this revised model.

In this Review, we describe the immune niches within the brain, the contribution of professional immune cells to brain functions, the bidirectional relationships between the CNS and the immune system and the relevance of immune components to brain aging and neurodegenerative diseases.

Picture
AAAS = American Academy of Arts & Sciences

Signaling inflammation across the gut-brain axis
(2021)


Affiliations
  • Department of Integrative Biology and Physiology, University of California, Los Angeles, Los Angeles, CA
Abstract

The brain and gastrointestinal tract are critical sensory organs responsible for detecting, relaying, integrating, and responding to signals derived from the internal and external environment.

At the interface of this sensory function, immune cells in the intestines and brain consistently survey environmental factors, eliciting responses that inform on the physiological state of the body.

Recent research reveals that cross-talk along the gut-brain axis regulates inflammatory nociception, inflammatory responses, and immune homeostasis.

[Val's Take:  Immune Homeostasis may be pretty hard to maintain with Maternal Immune Activation resulting in significant DEVELOPMENTAL INFLAMMATION --. especially in an atmosphere of IGNORANCE.]

Here, we discuss molecular and cellular mechanisms involved in the signaling of inflammation across the gut-brain axis.

We further highlight interactions between the gut and the brain in inflammation-associated diseases.

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STING controls nociception via type I interferon signalling in sensory neurons (2021)
Affiliations
  • Center for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA.
  • Center for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC, USA.
  • Department of Physiology and Pharmacology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
  • Department of Periodontics and Oral Medicine, University of Michigan, Ann Arbor, MI, USA.
  • University of Michigan Rogel Cancer Center, Ann Arbor, MI, USA.
  • W.G. Hefner Veterans Affairs Medical Center, Salisbury, NC, USA.
Abstract

The innate immune regulator STING is a critical sensor of self- and pathogen-derived DNA. DNA sensing by STING leads to the induction of type-I interferons (IFN-I) and other cytokines, which promote immune-cell-mediated eradication of pathogens and neoplastic cells.

STING is also a robust driver of antitumour immunity, which has led to the development of STING activators and small-molecule agonists as adjuvants for cancer immunotherapy.

Pain, transmitted by peripheral nociceptive sensory neurons (nociceptors), also aids in host defence by alerting organisms to the presence of potentially damaging stimuli, including pathogens and cancer cellsHere we demonstrate that STING is a critical regulator of nociception through IFN-I signalling in peripheral nociceptors.

We show that mice lacking STING or IFN-I signalling exhibit hypersensitivity to nociceptive stimuli and heightened nociceptor excitability.

Conversely, intrathecal activation of STING produces robust antinociception in mice and non-human primates. STING-mediated antinociception is governed by IFN-Is, which rapidly suppress excitability of mouse, monkey and human nociceptors.

Our findings establish the STING-IFN-I signalling axis as a critical regulator of physiological nociception and a promising new target for treating chronic pain.

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Neurodevelopmental disorders in young violent offenders: Overlap and background characteristics (2017)
Affiliations
  • 1 Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden. Electronic address: [email protected].
  • 2 Centre for Ethics, Law and Mental Health, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
  • 3 Forensic Psychiatry, Department of Clinical Sciences, Lund University, Lund, Sweden; Regional Forensic Psychiatric Clinic, Växjö, Sweden.
  • 4 Lund University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry, Lund, Sweden; Division of Forensic Psychiatry, Region Skåne, Sweden.
A substantial rate of overlap between the NDDs [Neurodevelopmental Disorders] was found.

The combined NDD group had an earlier onset of antisocial behavior, had more aggressive behavior and lower school achievements than the non-NDD group.

The results highlight the need for prison and probation services to be attentive of and screen for neurodevelopmental disorders in young violent offenders.

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International Journal In Methods of Psychiatric Research

The International ADHD in Substance Use Disorders Prevalence (IASP) study: background, methods and study population (2013)
Attention deficit/hyperactivity disorder (ADHD) is an increasingly recognized comorbid condition in subjects with substance use disorders (SUDs). ...In this cross-sectional, multi-centre two stage study, subjects were screened for ADHD …
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