But that is all psychiatry talk. Does not exist in ICD-9 and have not checked ICD-10.
Fasciniating to meet a pure private practitioner psychiatrist in KL and sees lots of high profile patients. He sees 30 to 40 patients per day. Very few GP referrals.Totally chemically focused but quite proprietary about his 'cures'. Says that psychotherapy is pure bunkum. I dont think there are any talking cures unless you have heaps of money and then that is probably the problem in itself. He also does his own EHRs but it is on a local server with no security. Interesting. David de Bhál www.v-practice.com -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ian Cheong Sent: Friday, April 28, 2006 6:19 AM To: General Practice Computing Group Talk Subject: Bordeline personality disorder was Re: [GPCG_TALK] Clinicalsoftware recommendations At 5:24 pm +1000 27/4/06, ash wrote: >Oliver wrote: >>>-----Original Message----- >>>From: [EMAIL PROTECTED] >>>[mailto:[EMAIL PROTECTED] Behalf Of David de Bhál >>>Sent: Thursday, 27 April 2006 4:34 PM >> >>>And WTF is "borderline personality disorder"? >>>Is it akin to borderline pregnancy or >>>borderline senility or borderline? >> >>I think that it may have been invented since >>you and I graduated. I wonder what the label >>used to be for people who behaved in these ways. > >sociopath i believe (or psychopath was the less demure expression) > Label first introduced officially in 1980 DSMIII. Definitely not sociopath. Perhaps "suicidal", "non-coper", "pain in the ...". I recall when I was a student they had the label of "too hard to deal with" from psych registrars. If you want to help these people, you could read: Marsha Linehan on "dialectic behaviour therapy" (a newish term not on the cover!) http://tinyurl.com/l6kle Russel Meares on "self psychology" http://tinyurl.com/jj9cn And remember that a large number of "borderline" patients have suffered significant childhood trauma (sexual/physical/emotional). Also search for "borderline" on this page, which is a fabulous site for complete exploration of trauma, including full text of all major research papers: http://www.trauma-pages.com/pg4.htm Major issues include: * boundaries * trust * control So attaching a label and not telling them about it is a serious problem, which helps perpetuate their aberrant behaviour. "Borderline" patients are a long-term project that can be helped towards cure. I have a couple of them who have eventually been relabelled correctly as "dissociative" rather than "borderline" and are moving towards cure after a long trail of different psychiatrists over decades who didn't manage to help them. It seems they often fall over at "...that was a long time ago...get over it...." Ian. -- Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec) Health Informatics Consultant, Brisbane, Australia Internet: [EMAIL PROTECTED] (for urgent matters, please send a copy to my practice email as well: [EMAIL PROTECTED]) PRIVACY NOTE I am happy for others to forward on email sent by me to public email lists. Please ask my permission first if you wish to forward private email to other parties. _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.5.0/325 - Release Date: 4/26/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.5.0/325 - Release Date: 4/26/2006 _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
