Posted by Squiggles on March 5, 2007, at 15:57:01
In reply to Re: Waxy flexibility » Squiggles, posted by Larry Hoover on March 5, 2007, at 15:04:36
> > Take a look at this site. The condition has more
> > causes that CFS; infact there is some debate (Max Fink) that it may be a sub-type of Catatonia.
> >
> > http://www.emedicine.com/neuro/topic708.htm
> >
> > Squiggles
>
> The paper barely mentions Fink. Does he argue somewhere that CFS?? is a subtype of catatonia? (Your semantics are unclear.) Not in this paper, he doesn't. Nor can I imagine anyone making a cogent argument for such a comparison.No, you are right about this paper. The discussion regarding a change in the categorization of "catatonia" is something i saw here:
http://www.ajp.psychiatryonline.org/cgi/search?qbe=ajp;161/6/1136-a&journalcode=ajp&minscore=5000
and here is an excerpt from Fink and Taylor, suggesting that its clinical meaning be removed from the past association exclusively to schizophrenia and replaced by a psychopathological syndrome resulting from a multitude of illnesses, such as neuroleptic malignant syndrome:
"Drs. Taylor and Fink Reply
MICHAEL ALAN TAYLOR, M.D. and MAX FINK, M.D.
Ann Arbor, Mich.To the Editor: Drs. Levin and Martin miss the point of our argument. We did not claim that catatonia is a delirious process but cited the DSM-IV-TR category of delirium (293.0) as an analogy for the location of catatonia. We could also have cited dementia (290.0) as our analogy.
We presented catatonia as a distinct syndrome that is identifiable by its psychopathology, occurs in a wide range of psychiatric disorders, and is responsive to defined interventions. We suggested that catatonia deserves a class of its own in psychiatric classifications, much as delirium and dementia are individually defined. We presented extensive evidence that catatonia is not limited to a subtype of schizophrenia (295.2) or secondary to a medical condition (293.89), as formulated in DSM-IV-TR.
Classifying catatonia as a distinct psychopathological entity encourages its diagnosis, application of its unique treatments, and its research study. The textbook formulation of catatonia based on the DSM classification is no longer useful in psychiatric practice."
Of course, it is a matter of controversy. I am sorry that I mentioned Fink and CFS together. I still say that it *is* imaginable that the symptoms of CFS have much in common with catatonia (and it does come in degrees and sometimes disappears) in light of the article
i posted:http://www.emedicine.com/neuro/topic708.htm
>> Max Fink never met a patient he wouldn't administer ECT upon.
Ah, I'm sure that is a hyperbole or perhaps an indication of your esteem of Dr. Fink.
He ECTs Parkinson's and Alzheimer's patients, and autistic children.
So does Healy; I haven't heard too many criticisms against him.
>
> And what on Earth has any of this to do with CFS/ME?I don't know what you mean.
Squiggles
poster:Squiggles
thread:738170
URL: http://www.dr-bob.org/babble/health/20070227/msgs/738533.html