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HealthyPlace.com Newsletter
This Week - March 31, 2003
- Iraq war spurs depression among veterans
- AD/HD and Obesity Related
- Eating disorders aren't always obvious to parents
- Anxiety disorders in children are often overlooked
- When big brothers bully
- What is abuse?
- Borderline Personality Disorder relapse
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Iraq War Spurs Depression Among Veterans
Depression, PTSD among U.S. Veterans
Images from the war in Iraq are stirring up bad memories for veterans who served in the jungles of Vietnam, the foxholes of World War II and the sandy deserts of the first Gulf War.
For Ivan Suarez, it was the story of Iraqis pretending to surrender before ambushing and killing Americans last weekend.
"It was as if I was in Vietnam for a split second. They turned on us and started firing on us," the 55-year-old former Marine recalled.
Eating Disorders Aren't Always Obvious to Parents
Can you really tell if your child has an eating disorder?
In
the second of a series of columns in the HealthyPlace.com Eating Disorders
Community, Kim Fowler, program director at Remuda Ranch Programs for Anorexia
and Bulimia, says "Anorexia and bulimia may be difficult to detect
in adolescents due to two factors: personality characteristics common
to girls who get these disorders and the secrecy and dishonesty intrinsic
to eating disorders."
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The Impulse To Eat
AD/HD and Obesity Related
Attention-deficit disorder occurs more often in obese individuals than in the general population, perhaps because these disorders can severely hamper impulse control.
Jules Altfas, M.D., of the Behavioral Medical Center for Treatment and Research, reviewed the records of 215 obese patients and found that more than one in four suffers from ADHD. The rate jumps to one in two for the most overweight, or morbidly obese, subjects. Altfas attributes the link to "impulsivity and an inability to keep track of one's diet and behavior."
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Anxiety Disorders in Children Overlooked by Parents and Primary Care Doctors
Children with anxiety disorders are largely under-diagnosed and under-treated compared with children with attention deficit hyperactivity disorder (ADHD), according to Denis Chavira, PhD, a psychologist in the department of psychiatry, University of California at San Diego.
Past research suggested that anxiety disorders could occur in 6% to 10% of children aged 5 to 9 years. Approximately 16% of them would have any kind of emotional disorder, she said.
These problems can have a significant impact on the child's later development and are strongly associated with issues such as alcohol and drug abuse, failure in school or in the workplace, depression, and failure to reach life milestones which could include the failure to get involved with members of the opposite sex and to begin normal dating. Such anxiety disorders can also intensify the impact of other co-morbid conditions such as attention deficit hyperactivity disorder and hamper their treatment programs.
The study revealed that parents were reluctant to discuss their children's emotional problems with their pediatricians or family doctors, Dr. Chavira said. For example, while 70% of parents discussed hyperactivity with the doctor, only half would discuss their child's depression and only 1 in 3 would discuss their child's social phobias with the doctors.
When Big Brothers Bully
Sibling animosity may be a universal truth, but that doesn't mean it is well understood. In a first attempt to link behavioral problems in early adulthood to the relationship with a brother or sister, researchers found that boys with older siblings who were critical of them were more likely to be arrested or to abuse drugs and alcohol.
In the study, 20-year-old boys with older siblings who had negative attitudes toward them were also more likely to associate with deviant peers and have sexual intercourse at a younger age than were boys with noncritical siblings. They exhibited the same antisocial behavior two years later.
The study, published in the Journal of Family Psychology, required 73 men and women to describe their relationship with a younger brother. These findings do not imply that criticism causes deviance: Indeed, the siblings could have been highly critical because their brothers' behavior was problematic. But they do illustrate the potentially harmful impact of sibling interaction, says Bernadette Bullock, Ph.D., a research scientist at the University of Oregon's Child and Family Center and co-author of the study.
"Sibling influence is part of an ongoing multidirectional dynamic," says Bullock. The relationship is in turn influenced by parental attitudes and each child's temperament.
Jeanne Safer, Ph.D., a psychoanalyst and author of The Normal One: Life With a Difficult or Damaged Sibling, agrees: "How siblings relate to one another very often has to do with how the parents see the siblings and create the relationship between them."
Researchers including Bullock are now exploring the associations between parental and sibling attitudes, including the possibility of a contagion effect, in which the opinions of one family member affect the perceptions of others in the home.
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What is Abuse?
Author, narcissist and authority on narcissism, Dr. Sam Vaknin writes:
"Abusers exploit, lie, insult, demean, ignore (the "silent treatment"), manipulate, and control."
On his HealthyPlace.com site "Malignant Self-Love, Narcissism Revisited," Vaknin says "there are a million ways to abuse. To love too much is to abuse. It is tantamount to treating someone as an extension, an object, or an instrument of gratification."
"To expect too much, to denigrate, to ignore - are all modes of abuse," maintains Vaknin. "There is physical abuse, verbal abuse, psychological abuse, sexual abuse. The list is long. Most abusers abuse surreptitiously. They are 'stealth abusers.' You have to actually live with one in order to witness the abuse."
The article continues here. More articles on the subject of narcissism are here. (articles 26-31 are new)
Bulletin Board:
Borderline Personality Disorder Relapse
UODaisy writes:
"I'm really struggling. In my senior year of college, I'm failing all 3 of my upper division courses, not being able to go to class because of social anxiety, and at this point am only venturing out for food once a day right before the sandwhich shop on campus closes. I'm feeling really frustrated. Every day it's getting worse instead of better, and the more stuff I can't do that I need to do, the harder it is to get back into the swing of things. I just need somebody to tell me it'll be okay, cause right now it doesn't feel like it will be."
Can you help UODaisy? Respond here .
* * * * * * * * * * * * * * * * * * * * * * * *
In closing, here's something to ponder:
"Love is recognizing and nurturing the potential and true worth of ourselves and others."
From all of us here at HealthyPlace.com, we hope you have a good week.
If you know of anyone who can benefit from this newsletter or the HealthyPlace.com site, I'll hope you'll pass this onto them.
Sincerely, Deborah
Community Partner Team
HealthyPlace.com - Mental Health Communities
"When you're at HealthyPlace.com, you're never alone."
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