Visionary Ideas: Other
New Strategic Plan
- Idea 1: A community without hope is an environmental disaster
- Idea 2: Earmark 1% of the $$ for alternative medicine for real science
- Idea 3: E-mail patients, like Netflix, to see if the treatment worked
- Idea 4: Exposure life chart and national tracking system
- Idea 6: Hiring practices and competent, confident and secure leadership
- Idea 7: The internal environment
- Idea 8: Leadership development
- Idea 9: Let's make community engagement real
- Idea 10: Linked-In like site for scientists
- Idea 11: Long-term investment In R01
- Idea 12: Please also "think "small" when doing your visioning!!
- Idea 13: Please help us with these West Coast infectious diseases
- Idea 14: The socio-environmental factors underlying the mental disorders
- Idea 15: To care about chemical sensitivity
- Idea 16: Work with Consumer Reports to identify which treatments work
- Idea 17: Why not let patients control a part of the NIH budget?
Idea 1: A community without hope is an environmental disaster
INTEGRATING MIND/BODY/MEDICINE & MODERN MEDICINE ENVIROMENTAL HEALTH
"A COMMUNITY WITHOUT HOPE IS AN ENVIRONMENTAL DISASTER"
BY MARK RUSSELL
3 22 11
• Psychology became a Science in 1946 in Bolder Colorado at the Boulder’s Conference.
• The 1st. Blood transfusion was in 1898 and Two Years Prior in 1896 Dentistry became an American based Science.
PREMISE OF PAPER
1) How do We Connect Mind, Body Medicine into Modern Medicine?
2) How do we use the Invisible “Life Force Energies” of Hope, Positive Thinking, Purpose, God, Vision, Buddha, Mohamed, Jesus, Values, & Enthusiasm as a Prescribed Medicine?
3) How do we Re-Connect a Person’s Enthusiasm and Prescribe that as a Medicine?
4) We are Born with Invisible Life Force Energies” like-- God, Love, Vision, Hope, Caring, & Forgiveness that can act as Prescribed Medicines.
There is an Old Saying
“A Forest without a Bear is a Dead Forest”.
That means that there are 100 subset animals that live off the Bear in the Forest. When you see a Community with no Hope you s a Mental Environmental Catastrophe like a Forest with No Bears. When you see people with little to Little to No Hope you are Witnessing People that have had their Hope Amputated from them Souls and you’ll see the Illnesses that follow. The Worst Environmental Pollution is Our Environmental Mind Pollution and the Affects it has on the Communal Mind Pollution of all Living things. This Pollution is done over the Radio, TV, Computer, New Papers, Our Own Thoughts, & Mouth to Mouth. According to the Church of Religious Science “99% of all Thought We Make Up”. When you take away Water—What Happens? When you take away Hope---What Happens? When you take away Vision from a Group of People what Happens?
· HOPE IS A MEDICINE
1) How do We Measure the Effects of Great Hope Verses Little Hope in Cancer Recovery and Terminal Illnesses?
2) Are there noticeable differences in the amount of Infections that a Person has with Little to No Hope like?---
--Heart Diseases---Lungs Diseases-----Liver Diseases, Eyes Diseases, Brain Diseases, Cognition Diseases, and the Quality of Life?
· VISION IS A MEDICINE
1) How de we Measure the Quality of People that Live their Lives with Vision as Invisible Energy that Propels them through the Tough Times?
2) How do we Message the Quality of these People’s Lives at Work?---At Home, and at Play? How do we define the Healing Power of Vision as a Real Medicine with a Real Prescription along with Divorce, Death; Birth, Job, Family, Work, & Life?
· ENTHUSIASM IS A MEDICINE
1) How do we Measure the effects of Great Enthusiasm plays in Major Illnesses like Cancer or a Stroke?
2) How do we Measure the Lack of Enthusiasm has on a Person’s Heart, Lungs, Kidney, and General Well Being?
3) How do we link a Person’s Enthusiasm with Less Illnesses and better and quicker Healing Processes?
4) How do we Measure the Levels of Enthusiasm of a Person on a scale of 1---1,000---Age 5---Age 15---Age 21---Age 30----Age 45----Age 60—Age 75?
5) How do we Define Enthusiasm as a Real Medicine and Teach Medical Doctors how to Re-Connect their Patients Enthusiasm as a Medicine?
· POSTIVE THINKING IS A MEDICINE
1) How do we Measure Positive Thinking of General Health?
2) How do we Test the General Population as to----Great Positive Thought---to Little to No Positive Thought?
3) How do we Measure the Life Spans of Positive Thinkers vs. Negative Thinkers?
4) How do we Measure the Healing Powers of Positive Thought as to Healing after Illness and the Prevention of Illness?
· FORGIVENESS IS A MEDICINE
1) How do we measure Forgiveness as a Medicine?
2) How do we Measure the amount of Pain that is eliminated when you are Forgiving?
3) How do you Measure the quality of Life of a Forgiving Person?
4) How do you Measure the Illnesses of Forgiving People as to Non Forgiving People?
· A CONNECTION WITH GOD IS A MEDICINE
1) How do we measure the effects of Prayer on a Cancer Patients
Treatments and Recovery?
2) What Prayers Work with Terminal Patients to Get Better?
3) Is there a Healing Power with the Belief in God and What can the
Medical Community Learn?
4) Why does the “Serenity Prayer” from AA Work?---“Give me the Ability to Accept the way things are”
a) “Loma Linda Hospital” in California is a 7th. Day Adventist Hospital. Part of their Treatments for many years has been a Spiritual Connection with God and it’s Healing Powers. 7th. Day Adventists are Vegetarians and their Life Spans of the average 7th. Day Adventists are far greater then the General Population?
5) What Prayers Connect Directly with God and is their real Healing
6) How do we Measure the Healing of Power of a Connection with
God in Someone’s Life as versus a “Non Believer”?
7) Do people that Believe in God get better quicker and in What
Illnesses the Quickest?
8) Do people that Believe in God have less Psychological Problems?
I only touched on 6-8 issues of “Life Force Energy” and Modern Medicine. This Paper is only an Introduction to “Life Forge Energy” and Medicine and to act as a Begging—Not an End.
1) How do we measure the Effects of Care, Love, Jesus, Purpose,
Mohamed, God, and Modern Medicine?
2) My Premise is that Hope, God, “The 10 Commandments”, Exercise,
& Diet are Measurable Medicines. In Eastern Medicine their Medical
Doctors heal their Patients by Treating “The Whole” Person---Body,
Mind, & Soul.
a) How do we integrate the Proven Knowledge of Eastern Mind/Body
Medicine into Modern Western Medicine?
3) How do we Teach the General Public the Benefits of Hope,
Enthusiasm, and God has in someone’s Life?
· I can Leave God and Prayer out and be Polite in this Conversation and not be Political and do everyone a Great Disservice.
· I can leave out Tai Chi as a Real Medicine and leave out what the NIH and the CDC are currently publishing about the “Benefits of Tai Chi for Heart Patients” along with Mayo Clinic’s-“Tai Chi----Prescribe Medical Treatments for Heart Patients”.
· I can be Polite and Leave Values out as not being a Medicine and say---How do we Prove it?
· “97% of America believes in a Higher Spirit”---How do we Prove the Healing Powers of a Belief in a “Higher Spirit” in People’s Lives?
· Every Medical Doctor in America has taken the Hypocritical Oath to Heal thy Patient.
· The Best Survivors in Hitler’s Germany most all had a Deep Belief in God.
Many might feel that a Conversation about God and Values has nothing to do with Environmental Medicine
· It is worth the effort of True Hard Disciplined Study and Wisdom to see the benefits and the healing Powers it has to Modern Medicine.
· It’s worth going to places like Loma Linda (7th Day Adventist Hospital) and seeing the effects God, Diet, Technology, Environment, and Caring has on their patients.
Idea 2: Earmark 1% of the $$ for alternative medicine for real science
The NIH is spending hundreds of millions on Alternative Medicine, especially for diseases like irritable bowel syndrome (IBS).
But many of those patients have real infectious diseases which are getting missed because the NIH isn't funding conventional microbiology anymore, except for a few popular diseases (HIV, MRSA).
The NIH spends about $10 million a year on IBS studies, almost all of which are directed at the "mind-gut axis" and other New Age ideas. I have never actually met a physician who sends diarrheal patients to a psychiatrist. I've never met a patient who developed diarrhea because they thought they were having a bad day.
These guys have been promoting this for 20 years, but they haven't produced a single widely accepted treatment to cure diarrhea. On the other hand, we have dozens of way to cure diarrhea with anti-microbial treatments.
If you could take just 1% ($100,000) of the money going to "New Paradigm Studies", and spend it on Conventional Medicine, you could fund a scientist who could take stool samples from these patients, determine which organisms can cause disease with experimental animal infection, and then develop treatments that work.
Director, Blastocystis Research Foundation
I agree. There are likely a lot of "bugs" out there that have not been discovered.
I am not an expert, but as someone who suffered from Blasocystis hominis myself, and likely other pathogens too that have not yet been discovered, I find this proposal to be quite germane.
I think, also, however, when it comes to diarrhea, other reasons causing poor digestion should be explored and analyzed (low HCL, low levels of pancreatic enzymes, hiatal hernia, etc..)
Idea 3: E-mail patients, like Netflix, to see if the treatment worked
Every time I return a DVD to Netflix, they send me an e-mail to ask me when I mailed it. Whenever I download a video, they send me another e-mail asking about the quality. I pay about $9/month for Netflix.
But last year, I spent over $10,000 on medical costs for my family. Nobody sent me an e-mail to see if any treatment actually worked, or if there were side effects.
In fact, in my 47 years on this planet, I have had only one doctor ever call to see if a treatment they prescribed worked.
In 2009., President Obama earmarked $1.1 billion to fund comparative effectiveness in treatments. In reading how the NIH is approaching this problem, they appear to be creating the most expensive, cumbersome system for doing this, with more committees, institutes, etc.
Please take a cue from private industry, and think about how you can solve the problem without creating a massive bureaucracy.
Sending out comment cards or e-mails can do a lot more than a massive institute.
Idea 4: Exposure life chart and national tracking system
Physicians are currently not trained, encouraged, or reimbursed to review environmental exposures in their patients as those exposures unfold across a lifespan. This lack of information compromises timely and accurate diagnoses (misdiagnosis, delayed diagnosis) and adversely affects preventive interventions and treatment.
1) create a national database of environmental exposures
Time vs. Place vs. Exposure Type
against which individual patient histories could be continuously
[similar to existing programs which check Drug Interactions]
2) Create an "Exposure Alert" System that sends out alerts to each state and county in real time >>>> each new exposure would be entered into the national database
Santa Susana Field Lab experimental nuclear reactor accidents and emissions of 1959, 1964, 1969
[Simi Valley, CA]
WTC exposures: polycyclic aromatic hydrocarbons
Manhattan 9/11/01 through early 2002
Kingsport TN >>> heavy metals, solvents, butyric acid from
Army munitions plant, tannery, Eastman Kodak
[heavy endocrine disruption continues to this day: high rates of
cancer, birth defects, diabetes, premature death]
3) given the geographic mobility of residents in the USA, environmental "life charting" would assist with prevention and mitigation of existing disease/dysfunction; timely diagnoses and treatment; and, ideally, policies that aim at resettlement and
This project would take existing and emerging information and channel the data into a nationwide network which could be used by providers and patients to improve health outcomes.
First we must educate physicians who currently can not diagnose or treat chemical injuries. Homeland Security has said that this is such a problem that we would be in serious danger in the event of biological or chemical war. Physician ignorance is so bad that chemically injured citizen cannot find medical care for their degenerative chemically caused injuries.
I would suggest a toxicological requirement for all med schools and for on going education that would avoid all chemical conflicts of interest in its content and instruction.
I would also advise a single national environmental health survey for physicians to include in their new patient questionnaire and another more detailed questionnaire for patients who know or suspect their toxic exposure that caused their illness. Until physicians are educated these questionnaires should be reviewed by independent toxicologists to assist with diagnosis and treatment.
I would point out that any reporting on chemical illness should be national, mandated (not voluntary),include sources of indoor air pollution illness such as pesticides, mold, toxic household products such as air fresheners and cleaning and building products.
Comment 2Comment 3
Actually, following some of the chemical exposure issues that occurred in Iraq, DoD did undertake a laudable and more comprehensive approach to addressing all such exposures that a member might encounter with a view towards providing greater safety and medical care as well as reliable documentation. The same level of care should certainly be extended to the average worker. Perhaps with the advent of an electronic medical record we may be able to collect more of this information, including work place monitoring, in a format in which it can be conveniently and seamlessly accessed and used. Primary care physicians and private specialists should have access to all of this information which, after all, really belongs to the individual who had the exposure. As regards physician training, there is only so much that a person can master and stay proficient at doing. The medical school curriculum is currently overloaded and may, in fact, be at risk of becoming compromised by diverting sufficient time from teaching basic theory and skills to addressing an increasing variety of special topics. There could be a more affordable and practical strategy to develop PA's, industrial hygienists, and nurses, to accomplish many of these tasks as physician and health care system extenders . One could easily see the possibility for a cross specialization in which basic industrial safety and health, medical examination, surveillance, and record keeping could be performed by a person with a cross training in these areas. Also, we should try and get past the artificial division between occupational and environmental exposures. Some of these schisms are historical more than functional.
Doctors and nurses also need to be educated about the health risk of radon, the leading cause of lung cancer in non-smokers and then require their patients to test their homes for and to take action to reduce elevated radon levels. Many medical professionals are not aware of this health risk.
Idea 5: The first periodic table for the human forebrain
The environmental evolutionary influences affecting neural development argues for the first Periodic Table for the Human Forebrain, which enjoys similar advantages to the dramatic influence that the Periodic Table of the Elements has enjoyed with respect to Chemistry and Physics. This respective neural counterpart imparts a crucial sense of systematic order and purpose to the fragmented state of affairs currently prevailing within the neurosciences.
The cerebral cortex represents the most logical initiation point for such an innovation, celebrated as the crowning culmination of human forebrain evolution in concert with environmental factors. This radical expansion of the neocortex is observed to occur in a discrete pattern suggestively termed cortical growth rings. The general pattern of neural evolution specifies that older structures are periodically modified to create newer functional areas, with the precursor circuitry also preserved, all persisting side by side. The stepwise repetition of these processes over the course of mammalian evolution ultimately accounts for the six sequential age levels of cortical evolution, schematically depicted. This representation depicts the entire surface of the cortex folded flat so that the medial and sub-temporal surfaces are fully exposed.
Returning to the dual parameter grid, the two fundamental variables defining forebrain evolution are the parameters of phylogenetic age and input specificity. The precise number of elementary levels has accurately been determined for both basic forebrain parameters. Sanides (1972) proposed that the human cortex evolved as a sequence of five concentric growth rings comprising a medio-lateral hemisphere gradient. Furthermore, the interoceptive, exteroceptive and proprioceptive input categories each project to their own four-part complex of cortical bands that (when taken collectively) define an antero-posterior hemisphere gradient.
The evolutionary gradient extending from the archaecortex via the cingulate gyrus is shown in more detail at forebrain.org - essentially the top half of the dual parameter grid. Here, when the para-coronal variable of phylogenetic age is plotted as the ordinate and the para-sagittal parameter of input specificity charted as the abscissa in a Cartesian coordinate system, the resulting dual parameter grid depicted is spatially oriented in a pattern analogous to the standard cortical representation.
The evolutionary gradient extending from the paleocortex via the insular lobe is similarly shown in more detail at forebrain.org and the video appended below - the bottom half of the dual parameter grid. This version similarly shows that the human cortical parcellation schemes of Broadman (1909) and von Economo (1929) correlate topographically on essentially a one-to-one basis with the dual parameter grid.
Each cortical area described by Broadman and von Economo corresponds to schematically unique age/input parameter coordinates. Furthermore, each affiliated thalamic nucleus of specific age and input coordinates projects principally to that cortical area comprising identical pair-coordinate values, implying that the evolution of both the dorsal thalamus and the cortex are similarly defined in terms of the specifics for the dual parameter grid. More details posted at
I don't understand how this model is testable. or what relationship it would have to environmental health. Perhaps you could address that?
The cytoarchitectonic data and transitions are already extant within the academic anatomical literature.
My contribution is to bring the pre-existing nomenclatures of Sanides (cortex) and Hassler (thalamus) together into a single unified system-- The first Periodic Table for the Human Forebrain
Both were German and not well-known in the USA
This clearly explains the language areas #44, #45, and #39 in terms of the uniquely anthropoid koniocortical growth core...
NIH is increasingly resorting to so-called lower "animal models" in their study of Mental Illness, which can now be reexamined for true validity in light of such a discrete evolutionary model.
It is my contention that MI primarily arises out of disjunctions of uniquely symbolic language communication within a social environment, as outlined in my other visionary-submission,
"The socio-environmental factor underlying the mental disorders"
and have also published how neuroscience and communication theory can be united through an intermediary of behavioral conditioning principles...
John E. LaMuth
P.O. Box 105
Lucerne Valley, CA - USA – 92356
Idea 6: Hiring practices and competent, confident and secure leadership
Get creative in hiring competent, confident and secure leadership. Suggested Plan: (1) Hire IAW job announcement, OPM, Federal Regulations/Laws and Agency policies (e.g. competencies); (2) Interviews that include the entire branch if 30 employees or less or a significant number of branch members if more than 30 employees (from the highest to the lowest grades from each series & grade involved). (3) Each employee in the branch will have prepared interview questions related to the job announcement (i.e. contracting) that way the best qualified candidate will definitely float to the top. Results: There is trust and transparency; The staff becomes part of the hiring process; The staff believes the selection was fair and ethical; The agency gets competent, confident, and quality employees, team leads, managers and mentors; Less micro managing because management is confident; Better/smarter execution of contracts; Tax payer dollars are spent smarter and well on required/necessary supplies & services; Some managers want have to ask potential employees and/or employees being interviewed "How do you feel about working for someone that you have more knowledge and/or experience than"?; and that individual want have to lie to get the job; Hopefully employees want have to be talking among themselves asking "When are we going to get more senior level specialist, Contracting Officers (CO), team leads and managers/supervisors that have the required/necessary competencies and skill set to lead and develop a stronger future workforce, mentors, and for shadowing"; or "Why are there individuals at this agency with the required/necessary demonstrated competencies/skill sets but are not promoted or put in the right positions so we all can benefit"? or "Why is favoritism and education alone more important than the required/necessary demonstrated specialized experience, the agency's mission/programs and/or what is in the Government's best interest"? or "Don't they realize that we can't grow beyond where we are if we don't have the correct leadership and/or the required/necessary skill set in places that is stated in regulation"?
Maybe employees want be so frustrated by the lack of knowledge from some of our leaders; and maybe Moral and TRUST among us all will get better.
It’s about time
Idea 7: The internal environment
The “internal gut environment” could turn out to be as important as the external environment for many health endpoints. Our GI tracts support a complex microbial ecosystem, which plays an important role in our physiology beyond its role in producing micronutrients (e.g. vitamin K).
Recent work has linked disturbances of these microbial populations to many health conditions including inflammatory bowel disease and obesity, a health problem that has become epidemic in the US (see e.g. Microbial ecology: Human gut microbes associated with obesity. Ley et al., 2006, Nature). Gut microbiota may also play an important role in the development of the immune system (Influence of early gut microbiota on the maturation of childhood mucosal and systemic immune responses. Siorgen et al., Clin. Exp. Allergy, 2009). The internal environment deserves to be a new focus of study at NIEHS.
Idea 8: Leadership development
A key part of strategic planning is a rigorous plan to develop current and future leaders.
Idea 9: Let's make community engagement real
Let's ensure that the communities most affected by environmental injustice are at the decision making tables at all levels at NIEHS (eg, governance, peer review & program development) and serve in principal investigator roles. Yes, we can!
Not only does community engagement mean that there will be greater participation in the dissemination of new knowledge, there will also be greater participation in investigations and interventions that result. And, reason #1, community engagement frequently means better science - if you don't know where to look, who to ask, and how to improve outreach, community does!
Idea 10: Linked-In like site for scientists
Create an Linked-in like website for scientists to connected based on post-doc placements, co-authoring papers, etc. Use this for finding peer review panels, etc.
What is needed is LESS "Linked-In"-type approaches and more READING for comprehension.
The Institute and Trainees already have Linked In sites for improved communication.
Idea 11: Long-term investment In R01
The R01 program is well designed and greatly complements the center's effort, yet lacks the long-term commitment that can make the research fruitful.
Idea 12: Please also "think "small" when doing your visioning!!
The invitation to participate asks participants to "think big" and I hope there will be many who do so. But, I would also suggest that individuals also "think small" by which I mean focus on the smaller subset of potential areas of NIEHS scientific focus where real progress can contribute to better health outcomes over a reasonable time horizon. I would suggest looking at CDC Director Tom Friedan’s "Winnable battles" in which he has decided to focus the agency over his tenure. While I do not agree with every battle choice, I admire his leadership in putting together an agency plan which is focused on actually changing health outcomes. While this means less for any important problems, it means that real progress can be made on others both because of the intensity of the need and the scientific opportunity which currently exists. Environmental health because of its broad implications for human health may not naturally "triage" its efforts. In an era of limited resources, it will need to do so. Just a thought! MS
Thinking "small" will also assist to usher into the realm of reality those prone to phantasmagorical false promises, projections, and predictions. Science is not technology is not philosophy is not politics. Its purposes must always remain purer. Thinking smaller will allow scientists to return -uncompromised-to what they do best and better than all the rest: allow time to make known the unknown.
Idea 13: Please help us with these West Coast infectious diseases
Please consider putting peer review committees on the West Coast, Midwest, and Southern states, so they can provide a balanced perspective on the infectious diseases that are important.
There are a number of infectious diseases (Histoplasmosis, Blastocystis, Cryptococcus gattii, Chagas disease in Texas) emerging in specific regions of the US.
In many cases, the US has almost no research effort (zero clinical research) in these diseases, because if you talk to someone from the mid-Atlantic states, they've never seen them. NIH decision making committees are almost always sited in Bethesda, Maryland, and volunteer members aren't too interested in flying there from California.
Lyme and HIV patients can drive for ten minutes to get to Maryland, but a Histoplasmosis patient in Arizona has a long plane ride and overnight stay if they want to testify at an NIH committee.
Doctors in the regions don't know much about the disease, because they will never read an NIH-funded study about the microbe. Patients with these diseases keep getting tested for Lyme and HIV, because those are the only two infectious diseases the NIH talks about.
We need an NIH which can cover all the disease in the country - please consider siting peer review committees outside of Bethesda, MD.
I agree. I would also like more study of Blastocystis.
Idea 14: The socio-environmental factors underlying the mental disorders
In light of the claim for an overall socio-environmental communicational model for mental illness, the principles of the Scientific Method are necessarily employed: namely, (1) propose a hypothesis, (2) make predictions from that hypothesis, and (3) test the accuracy of the predictions within an experimental setting. According to Step (1), the major hypothesis has initially been established; namely, mental illness represents the transitional interplay of the double bind and counter double bind maneuvers in relation to the vices of excess within an all-encompassing socio-environmental context. According to this radical interpretation, mental illness represents a concerted effort to transition into the realm of excess, shown in the grand schematic depicted below.
+ + VICES OF EXCESS ......... MENTAL ILLNESS
(Excessive Virtue ) ......... (Transitional Excess)
+ MAJOR VIRTUES ........ LESSER VIRTUES
(Virtuous Mode) ........ (Transitional Virtue)
0 …….. NEUTRALITY STATUS
– VICES OF DEFECT ........ CRIMINALITY
(Absence of Virtue) ........ (Transitional Defect)
– – HYPERVIOLENCE ......... HYPERCRIMINALITY
(Excessive Defect) ......... (Transit. Hyperviolence)
The extreme degree of exaggeration typically required to make the point ultimately accounts for the bizarre (and often highly emotional) nature of such a dysfunctional form of interaction. Indeed, as has long been surmised, mental illness represents a subconscious set of tactics aimed towards achieving a specific advantage within a given dysfunctional socio-environmental relationship. This preliminary interpretation is further compounded by the affiliated class of counter double bind maneuvers, along with the respective tendency towards verbal disqualification, such as characterizing the neuroses and schizophrenia. A chronic repetition of such agitated behavior is often observed, allowing such syndromes to be precisely classified over the course of treatment within a clinical setting.
Skipping ahead to Step (2), the predictions based upon this hypothesis necessarily invoke the formal communicational factors under consideration. Here, the 64-part grouping of schematic definitions collectively models the predicted classifications of mental illness: in particular, the reciprocating interplay of the double bind and counter double bind maneuvers.
Jumping ahead to the remaining Step (3), these theoretical predictions are subsequently tested within a clinical environment, as stringently compared to a broad range of clinical observations of mentally ill patients. The logistics involved in conducting such an overall clinical study prove exceedingly daunting, compounded by the risks of introducing subliminal bias into the procedure. Indeed, despite what clinicians care to admit, clinical diagnosis is more of an art than a science, scarcely an entirely objective endeavor. An alternate accepted strategy involves consulting the established literature within the field, for the groundwork often has already been laid in pre-existing studies. A comprehensive survey of the relevant literature, indeed, has turned up a wealth of relevant research particularly suited to the task. In particular, German clinician Karl Leonhard’s detailed terminology of the psychoses (in conjunction with terminology contained within the DSM-IV) makes for an extremely precise match with the specifics predicted for the transitional socio-environmental model of mental illness. This innovation conveniently makes use of preexisting systems of terminology, directly avoiding the introduction of new complements of terms into an already complex field. Furthermore, the majority of Karl Leonhard’s observations were made in Germany before 1959 (the pre-pharmaceutical era), an established system of clinical observations that formally bypasses any risk of circular logic, issues directly affecting any study conducted within a more current time frame.
Leonhard’s chief experimental paradigm referred primarily to inheritance patterns, as suggested in the title of his major work: The Classification of Endogenous Psychoses (where endogenous is defined as arising from within). This interpretation followed the traditional model of mental illness at that time; namely, physical syndromes that affect specific brain circuitry: as further associated with distinctive inheritance patterns. Here, Leonhard continues in a long line of German Classificationalists, a pupil of neurologist Karl Kleist, who, in turn, was mentored by the renowned Carl Wernicke. According to such an established tradition, Leonhard’s extensive interviews with the families of psychotics were chiefly conducted to identify the affiliated hereditary patterns leading to the occurrence of mental illness within the family. In his later years, Leonhard further broadened his focus to include psychosocial and socio-environmental factors, although this occurred long after his complex terminology (and supportive observations) were already firmly in place. In truth, Leonhard’s elaborate system of observations are considered a masterpiece of insight and intuition in their own right, well placed to stand apart from any system of theory designed to explain them.
Returning to the ongoing analysis, the most exciting aspect of this fortuitous correspondence in terms involves Leonhard’s extensive clinical observations and case studies: providing a particularly tight correspondence with the 64 slots predicted for the transitional model of mental illness, as partially depicted below.
Narcissistic Personality >>> Obsession Neurosis
Confabulatory Euphoria >>> Confab. Paraphrenia
Enthusiastic Euphoria >>> Proskinetic Catatonia
Non-Participatory Euphoria >>> Silly Hebephrenia
Borderline Personality >>> Phobia Neurosis
Suspicious Depression >>> Fantastic Paraphrenia
Self-Torturing Depression >>> Negativistic Catatonia
Non-Participatory Depression >>> Insipid Hebephrenia
Dependent Personality >>> Compulsion Neurosis
Pure Mania >>>> Expansive Paraphrenia
Unproductive Euphoria >>> Parakinetic Catatonia
Hypochondriacal Euphoria >>> Eccentric Hebephrenia
Avoidant Personality >>> Anxiety Neurosis
Pure Melancholy >>> Incoherent Paraphrenia
Harried Depression >>> Affected Catatonia
Hypochondriacal Depression >>> Autistic Hebephrenia
According to principles of modern psychiatry, two major classifications of psychosis are traditionally recognized; namely, the manic-depressive style of mood disorders, as well as the various categories of schizophrenia. The mood disorders are typically less debilitating than the schizophrenias, effectively representing the initial double bind style of power maneuvers with respect to the vices of excess. Although often exaggerated to some degree, the mood disorders fail to technically exhibit the bizarre degree of disqualification typically characterizing schizophrenia.
According to the preceding detailed schematic format, an extensive assortment of clinical terms effectively fills-out the requisite four-level hierarchy of diagnostic slots predicted for the double bind model of mental illness. This precise degree of correspondence, in large part, relies primarily upon the detailed terminology contained within the English translation of Karl Leonhard’s The Classification of Endogenous Psychoses, Fifth Edition (1979). According to this groundbreaking work, Leonhard distinguishes 38+ distinctive classifications of clinical psychosis that (in hindsight) conveniently account for the precise number of slots predicted for the double bind theory of mental illness.
According to this particular line of reasoning, the traditional classification of schizophrenia into paranoid, catatonic, and hebephrenic categories is ultimately explainable in terms of the three-way specialization of group, universal, and humanitarian domains within the authority hierarchy. A similar degree of correspondence is further seen with respect to the subsequent categories of the mood disorders: as in mania, melancholy, depression, and euphoria.
The most basic personal level within the power hierarchy alternately represents a special case due to the less debilitating nature of its associated symptomology. This initial level, accordingly, is specified through the affiliated listings of personality disorders and the neuroses: as further verified within the DSM-IV. In particular, the personality disorders are explained as personal variations on the preliminary double bind class of power maneuvers, neatly dovetailing into the three-level hierarchy of the mood disorders. For instance, the narcissistic personality represents an excessive form of nostalgia, whereas the borderline personality specifies an extreme form of guilt. Similarly, the dependent personality represents an excessive form of desire, whereas the avoidant personality de-notes an extreme form of worry.
In a related fashion, the more bizarre symptomology associated with the neuroses, in turn, exhibits the distinct potential for grading over into the affiliated sequences related to schizophrenia: a circumstance clearly suggestive of the dynamics underlying the counter double bind class of maneuvers. In particular, the neurotic syndrome complexes of obsession/compulsion and phobia/anxiety are clearly less debilitating than those established for schizophrenia, representing counter double bind maneuvers restricted to the most basic personal level within the power hierarchy. This personal sphere of specialization technically leaves the remaining group, universal, and humanitarian levels essentially unaffected, allowing for an effective outpatient course of treatment. The affiliated categories of psychosis, however, formally affect the group authority levels (or higher), explaining the tendency for more global psychological effects. This broader sphere of influence undoubtedly accounts for the greater incidence of psychoses that come to the attention of the authorities, in contrast to the neuroses, where only particular relationships are affected. This master system represents the first overarching explanation uniting all of the disparate forms of mental illness into a single cohesive system, with the potential for greatly accelerating advances in treatment and diagnosis, as well as neuro-pharmacological approaches.
In keeping with the modern emphasis on Information Technology, the AI computer is certainly destined to figure prominently in the mental health facility of the future. In particular, the potential AI implementation of the power schematic definitions for mental illness further predicts the prospects of a new class of AI mental health therapist: as outlined in US patents #6,587,846 and #7,236,963. Through such specific programming, the AI computer would potentially decode the bizarre symptomology of mental illness, ultimately emerging as the cornerstone for a broad number of expanded treatment options. The AI clinician would instantaneously be able to detect any ongoing patterns of dysfunctional communication, allowing for continuously updated diagnostic parameters. Equally definitive treatment options would surely follow, leading to a continuously modified therapeutic environment, effectively minimizing any major payback to the patient. The extraordinary computational speed predicted for such an AI therapist could potentially allow for moment-to-moment adjustments, a feat that would boggle the mind of even the most gifted human clinician.
This all-inclusive format appears eminently suited for consideration for NIEH consideration, representing a highly creative and completely original new psychological interpretation. It integrates the terminology of the virtues and values (Positive Psychology) employing the paradigm of Communication Theory (Counseling Psychology). It further distinguishes the realm of criminality and hyperviolence (Forensic Psychology), as contrasted within an overall philosophical context (Value Ethics). This new system also proposes an underlying behavioral foundation for the entire system (instrumental conditioning), as well as significant technological applications with respect to recently granted US patents for ethical artificial intelligence. Indeed, this grand-scale integration with respect to the range of psychological disciplines leaves out very little of substance within the field, providing an overall theory of coherence across many fields with great potential impact for revolutionizing the field as a whole. Indeed, much research has typically gone towards the "disease" model of mental illness, with the current genetic - psychopharmacological models of susceptibilities dominating the research field. The current model of communicational factors is not mutually exclusive in terms of this standard picture, in turn, serving in a complementary role in relation to the overall puzzle of mental illness.
John E. LaMuth - MSc
P.O. Box 105 Lucerne Valley, CA - USA - 92356
Idea 15: To care about chemical sensitivity
Capitalism has caused limited or no regulation of chemicals. Work to end capitalism, to employ the struggle for our benefits, instead of for our Owners' profits: socialism communism.
Money buys access. We don't have the money because our Owners steal our labor via their owned legislators, so to rape Earth without regard, now for their OWN welfare, but always disregarding all of ours.
Regulate! Prohibit! End the Cheney-type lies about chemicals.
Idea 16: Work with Consumer Reports to identify which treatments work
President Obama earmarked $1.1 billion in 2009 study which treatments actually work for patients, according to an article in the Canadian Medical Association Journal (April 14, 2009, Obama Sparks an Ideological Donnybrook with his Push to Compare Medical Treatments) Can you think of one study from that funding that anybody knows about? On the other hand, Consumer's Union, with a yearly budget of about $240 million, is able to report on the effectiveness of hundreds of consumer products, and people actually know what they do. How about sub-contracting the project to them. Most people applying for NIH grants are professors who want to get tenure - doing a study on how well a treatment works is about as interesting to them as clapping erasers. Consumer's Union, has been doing this since 1936, longer than the NIH has been here. They know how to do the work efficiently, and they like the work.
Idea 17: Why not let patients control a part of the NIH budget?
Please allocate a portion of the NIH's budget to be directed toward research projects selected by a board elected by patients with the particular disease. Or even allocated by patients themselves.
The NIH uses peer review committees, but has anyone done a scientific experiment to see if they make better decisions than other organizations?
In public companies, shareholders (people who own stock in a company) elect members to a board of directors, and that board guides the company. Arguably, companies like this (GE, Home Depot, Ford) are doing a better job at serving consumer needs than our medical system.
At the NIH, peer review committees made of mostly of researchers and University professors decide where to spend the money. But they work for the same organizations that receive funding from the NIH. That would be a conflict of interest in most organizations. Would we want Northrup employees guiding our defense budget?
As an experiment, maybe patients who have cancer or are obese could vote directly on which projects to fund in the area of cancer or obesity research.
The NIH could check back in 3 or 4 years to see if the decisions made by the patients were better than those made by the University professors.
Meant to click disagree and clicked agree by accident!
Idea 18: Visionary speakers
I would like to propose these speakers. They are the visionary leaders as to how environment and psychology interact to shape our health. And the reverse, as well: How our health and psychology interact to shape our environment.
- Dr. James Lovelock
- Robert Scaer, M.D.
- Bruce Lipton, PhD
- Rupert Sheldrake, PhD
- Karl Pribram, PhD
- Stuart Hameroff, M.D.