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Showing posts from September, 2014

Ray Rice, Power, and Domestic Violence in the NFL

Rape, now more commonly called sexual assault , is the end and the beginning of many things. It can be the end of innocence and trust, for as long as it takes to recapture that, and the beginning of guilt, shame, fear, sexual problems, infertility, mental and physical illnesses, isolation, and more. Tearing it apart, the perpetrator overpowers a victim, a person who protests, and having more power over this person, commits a crime of passion, of sorts, Those cries of " No , I don't want you to . . ."  (do whatever it is that is objectionable at the time) are overruled by brute force. We tend to think of a sexual assault perpetrator as larger-than-life, stronger than your average Joe, but more often than not, he's not. Sometimes he's the person you would never suspect, might even respect (think of teachers). When the suspect is a professional football player he is stronger, indomitable. Six years ago sexual violence was outed in the NFL.  Ben Roethlisberger, accus

When the Diagnosis is : All of the Above

Most of us aren't Diagnostic and Statistical Manual (DSM) experts, but are aware of this thing we call the DSM-5, or Diagnostic and Statistical Manual of Mental Disorders that therapists memorize. The bullet-point system of features at the corner of the desk is likely a well ear-marked spiral-bound copy of the bible.  Docs flip easily to a suspected disorder. "See?" we declare knowingly. "That's you."  Or more likely, "That's her." Some of us read the patient right away. He belongs to either the anxiety disorder family, or the affective (depressive-manic) disorder tree, because so many of us do. The lucky belong to both. The experienced professional also recognizes substance abuse, eating and gambling disorders, personality disorders, everything. Still, we work at that differential diagnosis,  want to narrow the problem down, if there even is a real disorder, one that has met the full DSM criterion. Not everyone has a particular disorder, but w