JANUARY, 2009 SECRET AGENT ISSUE

SECRET AGENT ISSUE... Everyone's right... Mandatory Reading... Investigative Journalism... Past and Recent Medical Improvements... A Real Letter!  KOG Screening Follow-up... And, um, more!  Welcome to the 2009 KOG!
300.29

They've Given You a Number...
...and taken away your name.

Welcome to the 2009 KOG.


KOG's JANUARY QUESTION...

What if Everyone Is Right?

What if the RtI camp is right:  that the traditional model does not assess special education disabilities in a scientifically accurate manner?  And what if the traditional school is also correct:  that RtI is a passing fad, not ever to be easily or effectively implemented?

As diagrammed in the 2X2 factorial, there are only four possible answers:
 
a. + + Both camps are right;
b. + - The traditional model is right, RtI is wrong;
c. - + The traditional model is wrong, RtI is right; or
d. - - Both camps are wrong.

Most likely "a" is the correct answer.  Both camps are right  -- neither model seems to be working.  The KOG would like to commend both camps on being correct.


REQUIRED READING...

Is Psychology a Science?
Paul Latus © 2003-2008 Revised 11/07/08
http://www.arachnoid.com/psychology/

(From RadPsyNet)  "Since its first appearance in 2003, this article has become required reading in a number of college-level psychology courses.  Because this article is directed toward educated nonspecialist readers considering psychological treatment, students of psychology are cautioned that the terms "psychology" and "clinical psychology" are used interchangeably.

The field of human psychology is a powerful force in modern society, and its influence is widespread in language, law, the social contract, and in our perception of ourselves.  Because legal decisions are sometimes made based on psychology, decisions that might cause someone to be incarcerated or freed, it is important to establish whether psychology is a science or a simple belief system.  We should determine whether psychology can be relied on to objectively support the social and legal policies that are based on it.  In modern times, such a serious public burden can only be borne by a field that is based on reason, on science. 

Which leads to the question: is human psychology steered by science?"

Click here or on the above link to read and review this resource.


KOG INVESTIGATIVE JOURNALISM...

Cause(s) & Diagnosis of Autism?
No one knows what it is or how to diagnose it (Part I)

Regular KOG visitors know your Editor has been asking questions regarding the reliability, validity, science, methods, and even, um, the existence of many of the DSM (and special education) categories and diagnosis.  I'm not the only one

I admit having plenty of issues with the [seemingly] new fad of diagnosing as autistic fourth graders who seem a bit "shy," "different," or "have a hard time making friends."

For what they're worth, the DSM diagnostic criteria are quite clear:  real autism (if there is such a thing) is evident by age three.  Real autism can be recognized and agreed-upon by all involved professionals.  Real autism is pretty well defined, even in our soft sciences.  But since you've heard me go on and on about this, I wanted to ask a true "expert."

This KOG investigation took me to the Autism Genetic Resource Exchange (AGRE).  I asked a couple of questions regarding present research and assessment methods.  The KOG would like to thank Vlad Kusanovich, Ph.D. for his open and honest responses.  The communication follows:

The following form was submitted from the contact AGRE page of www.agre.org on 12/12/2008:

Hi.  I'm hoping to find the answers to the following two questions:  a) has any research yet found any conclusive evidence of any type of actual genetic (i.e., "nature") involvement or cause in autism? and b) have any reliable and valid scientific or medical assessment methods been found to accurately assess autism (and if so, please let me know what they are)?  Thank you in advance, Don Asbridge, School Psychologist"
Here was the response from AGRE:
Dear Mr. Asbridge,

Autism is a complex disorder due to both multiple risk factors and how we look at the disorder.  Most clinicians and scientists view that autism is not a singular disorder but a collection of related disorders with similar features.

There are some disorders with many of the features of autism which have been unequivocally shown to be due to a single gene.  Rett Syndrome and Fragile X are the two classic examples.

We are in the process of identifying genetic changes which account for a broader autism and thus this has been challenging.  Nevertheless, we are identifying genetic changes that are highly associated with autism.  For example, there is a genetic duplication of a section of chromosome 16 which has been strongly associated with autism.

A few companies are coming out with genetic or biochemical tests for autism.  We are not in a position to endorse any of these.  Some clinical labs are beginning to roll out genetic testing services but personally, I believe this is premature.  While the findings are exciting (some of them due to our work), I would like to have some further evidence before these kits are marketed.

Best regards,
Vlad Kustanovich, Ph.D.
Researcher Liaison
ISAAC Program Manager
Autism Genetic Resource Exchange
Autism Speaks
vkustan@agre.org

So the answer from an expert in the field is:  a) there is not yet any conclusive evidence of any type of actual genetic involvement; and b) there are no reliable and valid scientific or medical assessment methods to accurately assess autism.

Yet the diagnosis of autism continues to grow by approximately 356% per year?


REAL RESEARCH!!!

Cause(s) & Diagnosis of Autism...
No one knows what it is or how to diagnose it (Part II)

Autism Overflows:  Increasing Prevalence and Proliferating Theories
by Lynn Waterhouse
From Neuropsychology Review
Issue:  Volume 18, Number 4 / December, 2008

Abstract: 
"This selective review examines the lack of an explanation for the sharply increasing prevalence of autism, and the lack of any synthesis of the proliferating theories of autism.  The most controversial and most widely disseminated notion for increasing prevalence is the measles/mumps/rubella/thimerosal vaccine theory.  Less controversial causes that have been proposed include changes in autism diagnostic criteria, increasing services for autism, and growing awareness of the disorder.  Regardless of its causes, the increasing prevalence of autism has put pressure on the field of autism research to generate productive and predictive theories of autism.  However, the heterogeneity of brain deficits, impaired behaviors, and genetic variants in autism have challenged researchers and theorists, and despite 45 years of research, no standard causal synthesis has emerged.  Research going forward should assume that autism is an aggregation of myriad independent disorders of impaired sociality, social cognition, communication, and motor and cognitive skills."

No one knows what it is or how to diagnose it.

     Note:  italics and bold text added by KOG Editor for emphasis.


SPEAKING OF KITS TO DIAGNOSE AUTISM...

Learn to Assess Autism!

As you know (click here for the KASP Events Page), The Kern Association of School Psychologists is holding a January workshop where you can learn the ADOS system to diagnose autism.  The KOG is happy to provide the following related information:

Go to:  http://www.psycan.com/Product/Details.aspx?ProductID=12432

The W-365-8 ADOS Kit Includes more than 85 stimulus items (i.e., toys); all in a durable plastic container, with handles, for only $2300.00!!!

One new California child diagnosed with autism every two hours...


BLAST FROM THE PAST...

Remember "Past Medical Improvements?"

Wow... modern science sure has has come a long way.  Remember ECT?  A medical miracle!
The article below is from Popular Science, 1940... 69 years ago!
Thankfully ECT is gone forever now that we're living in a more humane world.

...Now They're Called "Current Medical Improvements!"

ECT is now called, "Brain Stimulation" and it is apparently thriving in Europe.

Brain Stimulation
Volume 1, Issue 4, Pages 326-336 (October 2008)
www.brainstimjrnl.com

Efficacy of repetitive transcranial magnetic stimulation/transcranial direct current stimulation in cognitive neurorehabilitation

Carlo Miniussi, PhDa, Stefano F. Cappa, MDb, Leonardo G. Cohen, MDc, Agnes Floel, MDd, Felipe Fregni, MD, PhDe, Michael A. Nitsche, MDf, Massimiliano Oliveri, MDg, Alvaro Pascual-Leone, MD, PhDe, Walter Paulus, MDf, Alberto Priori, MDh, Vincent Walsh, PhDi

Summary of article:

"Cognitive deficits are a common consequence of neurologic disease, in particular, of traumatic brain injury, stroke, and neurodegenerative disorders, and there is evidence that specific cognitive training may be effective in cognitive rehabilitation.  Several investigations emphasize the fact that interacting with cortical activity, by means of cortical stimulation, can positively affect the short-term cognitive performance and improve the rehabilitation potential of neurologic patients.  In this respect, preliminary evidence suggests that cortical stimulation may play a role in treating aphasia, unilateral neglect, and other cognitive disorders.  Several possible mechanisms can account for the effects of transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) on cognitive performance.  They all reflect the potential of these methods to improve the subject's ability to relearn or to acquire new strategies for carrying out behavioral tasks.  The responsible mechanisms remain unclear but they are most likely related to the activation of impeded pathways or inhibition of maladaptive responses.  Modifications of the brain activity may assist relearning by facilitating local activity or by suppressing interfering activity from other brain areas.  Notwithstanding the promise of these preliminary findings, to date no systematic application of these methods to neurorehabilitation research has been reported.  Considering the potential benefit of these interventions, further studies taking into consideration large patient populations, long treatment periods, or the combination of different rehabilitation strategies are needed.  Brain stimulation is indeed an exciting opportunity in the field of cognitive neurorehabilitation, which is clearly in need of further research.

Keywords: cognitive deficits, cognitive rehabilitation, memory, attention, language, repetitive transcranial magnetic stimulation, transcranial direct current stimulation

This article may be of particular interest to those of you using the NEPSY, the Halstead-Reitan Test Batteries, or anyone else who regularly assesses invisible "cognitive deficits" and is hoping to, uh, "help." 
"Brain stimulation is a much nicer term than ECT, don't you think?"
     Don Asbridge, 2008
Be sure to read the KOG Bonus Section ("A Real Letter"), later in this issue for more on this topic.


KOG FOLLOW-UP...

Massachusetts Mandatory Screening for 460,000 Medicaid Children
Alliance for Human Research Protection
http://ahrp.blogspot.com/2007/12/massachusetts-mandatory-mental.html

Excerpt from the AHRP article:

"The real hook of the Massachusetts policy is to provide financial incentive to "diagnose" children:  With the diagnosis doors and services can open to you.

Children -- in particular those on Medicaid -- are being turned into a captive consumer drug market without regard for the harmful consequences."

Click here for the original 2005 November KOG article ("Be Careful What You Ask For... Less is More")... The KOG -- always ahead of it's time.

Too bad Massachusetts didn't read The KOG back then... 460,000 American children could have been saved from this "screening."


IT DEPENDS ON THE SITUATION...

... & Whatever You Believe...
http://thesituationist.wordpress.com/2007/11/

Situationism is premised on the social scientific insight that the naïve psychology —t hat is, the highly simplified, affirming, and widely held model for understanding human thinking and behavior — on which our laws and institutions are based is largely wrong

Good to see Harvard hopping on board with the KOG.


Hello to APA's DSM-V Task Force:

Just a friendly reminder to all of you on the DSM-V task force  that the integrity and ethics of your diagnosis and recommendations will suffer if you're getting any type of a kickback from any pharmaceutical company.

Have a great year!
Miss Dx


KOG's HEROES IN EDUCATION SERIES

In November, responding to the report that one in five teenagers has a personality disorder...

"It used to be known as the teenage years."
     Bill Handel

http://handel.kfiam640.com/main.html




    Click here to submit your letter to the KOG Editor
 

Dear KOG Editor,
   I really enjoy surfing the internet.
               Signed, "Surfin' Safari"

Dear Surfin' Safari,
   It sounds like you have one of those new DSM-V disorders... an internet addiction.  You will no doubt require a lifetime of therapy and meds to help you with this severe disorder.
               Signed, KOG Editor


Dear KOG Editor,
   I'm a "manly man!"  I take great pride in being a manly man... I'm not going to be one of those "girly men!"
               Signed, "California Governator"

Dear California Governator,
   It sounds like you have one of those new DSM-V disorders... a hypermasculine disorder.  You will no doubt require a lifetime of therapy and meds to help you with this severe disability.
               Signed, KOG Editor


Dear KOG Editor,
   About thirty years ago, I remember wondering one memorable night what it would be like to a member of the opposite gender.  Does this mean anything?
               Signed, "Had A Thought"

Dear Had A Thought,
   It means you have a DSM-V disorder; a gender identity disorder.  You will no doubt require a lifetime of therapy and meds to help you with this severe problem
               Signed, KOG Editor


 Dear KOG Editor,
   I've been giving the NEPSY... I seek out and identify previously invisible cognitive deficits.  Do you think I should start recommending brain stimulation? 
               Signed, "Neuropsych Superstar"

Dear Neuropsych Superstar,
   You might as well go ahead and finish what you've started...
               Signed, KOG Editor
 

Dear KOG Editor,
   I wanted to have a cookiefest tonight, but my Mom is in a bad mood.  What should I do?
               Signed, "Junior in High School"

Dear Junior in High School,
   Throw a temper tantrum and spend the rest of the night in your room.  Then don't talk to her for three days.
               Signed, KOG Editor


Dear KOG Editor,
   How can I make money as a psychologist?
               Signed, Recent Graduate"

Dear Recent Graduate,
   The opportunities are limitless.  Just open your eyes.  You might want to start by learning how to diagnose autism.
               Signed, KOG Editor


Dear KOG Editor,
   When I read the KOG, I can't tell if your serious.
               Signed, "Regular Visitor"

Dear Regular Visitor,
   There are two kinds of KOG readers:  those who get it and those who don't.
               Signed, KOG Editor


Dear KOG Editor,
   I've been feeling really blue the past few weeks.  I lost my job and my house as a result of the past, uh, eight years.  Is there anything you can do to help?
               Signed, "Typical American"

Dear Typical American,
   You lost your job and house due to a bipolar disorder as defined by the new DSM-V.  You probably have a DSM-V stress disorder too.  Quit blaming the president!  You will no doubt require a lifetime of therapy and meds to help you with your issues.
               Signed, KOG Editor


Have a great 2009!

Everything Counts.

 

KOG BONUS...

A Real Letter!
http://www.mindfreedom.org

This letter from MindFreedom was forwarded through RadPsyNet and has been edited by your KOG Editor:  any and all references asking for donations or membership to MindFreedom have been deleted as the purpose of the KOG publishing this letter is not to get you to join any group or contribute to any group.  Rather, this letter is being published in follow-up to the previous KOG section on brain stimulation in Europe, the role of psychiatric overmedication in the United States, the ongoing KOG view that mental health "services" should be always be a choice, and MindFreedom joining the KOG in a plea for a peaceful, non-violent revolution in mental health.

 
From:  News and alerts from www.MindFreedom.org 

23 December 2008
3:09:22 pm

Dear readers of the MindFreedom News Public Alerts:

Ray Sandford phoned the MindFreedom office this morning, as he does most days.

As you probably know, Ray has received about 35 involuntary electroshocks.  MindFreedom's Ray Campaign has activated hundreds of people like you to support Ray.  This won Ray national publicity and a new hearing last week.

Ray gave me the bad news that the judge ruled against him.  Again.

That means Ray is scheduled for another of his every-other-Wednesday involuntary electroshocks tomorrow, 24 December 2008.

Christmas Eve.

Ray says, "I'm really disappointed in that."  Ray thought that maybe his family's holiday get togethers would delay this week's forced shock.

But Ray said that instead of the gathering, "I'll be having tacos with my aunt tonight to celebrate Christmas."

So tomorrow morning Ray will be woken up early in his group home, and escorted to a forced shock.

Ray told me this morning:  "It's a painful awful experience.  Every time.  It takes away memory viciously.  It is scary as hell every time I go."

Ray says he always objects.

"I say, 'I don't want to do this, I don't want to do this,' which I've known since the first time.  Everyone figures I'm totally nuts."

Ray is not giving up.

So we are not giving up.

We ask that you not give up.

Eye-witnesses at Ray's hearing, held in a dreary hospital basement, knew he did not have much of a chance.

Ray's court-appointed attorney, Jon Duckstad, refused to call any expert witness to testify for Ray's side.  (See MFI Blog for more on the hearing.)  Mr. Duckstad has refused to respond to any offers of help from MindFreedom, including a number of skilled attorneys we've found who offered to assist for free.

Ray is keeping his spirits up.

Ray is so grateful to MindFreedom members and supporters for speaking out.  Ray is proud that even a relative in Alaska heard him oppose his forced shock on National Public Radio (click on http://www.mindfreedom.org/ray to hear that, and read more about Ray).

I am deeply impacted by Ray's ongoing psychiatric torture out in the community.

All abuse is bad, but severe outpatient abuse is traumatizing to all of us, like me, who have experienced mental health system human rights violations.  It means none of us are safe, even in our homes.

So this e-mail is not one more alert.  We'll do another alert soon.

This is a brief note from the heart. 

Reform is not enough.  Let 2009 be the year of a nonviolent revolution in mental health.

We are not giving up on Ray, and thousands of people like him. 

David W. Oaks, Executive Director
MindFreedom International
454 Willamette, Suite 216 - POB 11284
Eugene, OR 97440-3484 USA

Web: http://www.mindfreedom.org
E-mail: oaks@mindfreedom.org
Office phone: (541) 345-9106
Fax: (480) 287-8833

MindFreedom International is an non-profit coalition with a vision of a non-violent revolution in mental health. Accredited by the United Nations as a Non-Governmental Organization (NGO) with Consultative Roster Status.

"Human salvation lies in the hands of the creatively maladjusted."
     Martin Luther King, Jr.

KASP Membership Information

To become a KASP member...
     ...contact Traci Taber Rivas directly at:  rivast@gfusd.k12.ca.us


Summer isn't here yet...

She wants to live in the Rockies
She says that's where we'll find peace
Settle down, raise up a family to call our own
We'll have a home

We sailed into the sunset
Never gave a thought for tomorrow
300.29 is here with me
Let tomorrow be...

ALL WE HAVE IS NOW

START HERE...


NOTES & DISCLAIMERS:
Any opinions expressed in the KOG are opinions only and are not necessarily approved or supported by the KASP organization or anyone else, including the KOG Editor.  On the other hand, any facts expressed or implied are indeed, facts.  Just as is true for everything else in this world, you get to decide what is opinion, what is fact, and what is research based, and if and how they may or may not all go together.  Please note that just because something is research based doesn't necessarily make it a fact;  and not all facts are research based.  Some opinions are facts and research based.  Some opinions are not facts, yet are still research based.  Just because something is research based doesn't necessarily make it a fact, or ethical.  Some facts are facts for some but not facts for others; the same concept holds true for opinions and research.  The same can be said for humor, satire, parody, and serious notes.  Some opinions are just opinions.  However, one thing is always certain... everything counts.


January KOG Published Wednesday, December 31st, 2008

KOG Home Page

www.kernschoolpsych.org/jankog27.htm
 

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