<![CDATA[Orchid Advocacy - Reform of \" Anti-Social Personality Disorder\" in Criminal Justice]]>Fri, 17 May 2024 06:15:50 -0700Weebly<![CDATA[Problem solving courts and Anti-social Personality Disorder]]>Tue, 23 Nov 2021 17:23:55 GMThttps://orchidadvocacy.org/reform-of--anti-social-personality-disorder-in-criminal-justice/problem-solving-courts-and-anti-social-personality-disorder
Some countries are more explicitly embracing the "BIOLOGICAL BASIS OF BEHAVIOR" than others.
  • ​The US isn't treating mental health disorders with HYENAS but . . .
  • We have been loathe to comply with DISABILITY LAWS even when we knew what to do, much less all those times we haven't been sure.

WHAT "ANTI-SOCIAL PERSONALITY DISORDER," SUBSTANCE PROBLEMS & "MENTAL ILLNESS" all have in COMMON is

NEURO-INFLAMMATION -- often DEVELOPMENTAL NEURO-INFLAMMATION

When we start to appreciate how DEVELOPMENTAL this is -- we start to appreciate what a MULTI-GENERATIONAL PROBLEM we have.

Most people have somebody / somebodies in their BIOLOGICAL or CHOSEN FAMILY that has serious mental health, substance and or criminal justice problems.

Having said that, MENTAL & PHYSICAL HEALTH aren't INTEGRATED THOROUGHLY --- we've just started that process.

That's important because a lot of these CLASSIC and NOT SO CLASSIC NEURO-DEVELOPMENTAL DISORDERS involve not only psychology and psychiatry BUT ALSO:
  • IMMUNOLOGY
  • ENDOCRINOLOGY
  • the MICROBIOME
  • etc.

With all this FLUX, I "think" the PUBLIC is going to want the SECURITY of a COURT to oversee a PIVOT to a PUBLIC HEALTH APPROACH to "Anti-Social Personality Disorder."

In these PROBLEM-SOLVING COURTS --- EPIDEMIOLOGISTS should have an IMPORTANT ROLE in Leading DATA COLLECTION efforts.  
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John Prine's "Summer's End"
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Substance Use is often associated with "Anti-Social Personality Disorder" 
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​Wilma Mankiller was the First Female Chief of the Cherokee Nation.
]]><![CDATA[Some background on our ideas regarding reform of "Anti-SOCIAL PERSONALITY DISORDER" within criminal justice]]>Fri, 19 Nov 2021 00:42:56 GMThttps://orchidadvocacy.org/reform-of--anti-social-personality-disorder-in-criminal-justice/some-background-on-our-ideas-regarding-reform-of-anti-social-personality-disorder-within-criminal-justice
Back to our Letter to the American Bar Association on Anti-Social Personality Disorder, the DSM and Criminal Justice

​We may be breaking this up into 2 Letters:
  • Revising Understandings of Anti-Social Personality Disorder in the Criminal Justice System (Beyond the DSM 5)
  • Executive Functioning Differences / Deficits in the Criminal Justice System)

This LEVEL of IGNORANCE in MENTAL HEALTH is ONE OF MANY BIG PROBLEMS with FORENSIC PSYCHOLOGISTS & PSYCHISTRISTS testifying in Criminal Court where the potential outcome is PUNISHMENT and often SEVERE PUNISHMENT --- and that DEFENDANT may not be SYMPATHETIC to most people including our PRO SOCIAL COMPETENCY MENTAL HEALTH PROFESSION.

NOW HOLD ON -- YOU SAY --- These forensic mental health professionals do find people INCOMPETENT TO PROCEED and NOT GUILTY BY REASON of INSANITY ---
  • BUT that is a MASH-UP of STATUTORY and MENTAL HEALTH CATEGORIES -- including the SCIENTIFICALLY INVALID DSM
  • And it seems to ASSUME that some HUMAN BEHAVIOR is BIOLOGICALLY BASED and SOME ISN'T
    • ​ENVIRONMENT is Important --- and one of the big reasons for that is it AFFECTS our BIOLOGY.
      • ​That Environment Could Be:
        • ​MATERNAL IMMUNE ACTIVATION IN UTERO
        • It could be a TRAUMATIC CHILDHOOD
        • It could be a TOXIN like LEAD
        • ​ALL of the ABOVE and MORE

ON THE OTHER HAND, if we don't have a SOLID UNDERSTANDING & GUARANTEED TREATMENTS ---- that raises ADDITIONAL CIVIL RIGHTS QUESTIONS --- there are people who would prefer an ARBITRARY TERM of YEARS to an INDEFINITE COMMITMENT.

We are making PRACTICAL ADJUSTMENTS such as Mental Health Co-Responders and Medicaid for Justice-Involved People --- there is plenty of work to be done there.

Another area is PROBATION --- often a TRAP for the PERSON with EXECUTIVE FUNCTIONING DIFFERENCES or DEFICITS.

We'd like to see PROBATION lay the FOUNDATION for Supported Employment or Supported Entrepreneurship by:
  • Identifying and developing STRENGTHS and
  • Identifying and implementing REASONABLE WORKAROUNDS and ACCOMMODATIONS for Executive Functioning Differences and/or Deficits.
  • Clinicians and Evaluators for Adults have been put in some exceedingly DIFFICULT positions in this society, especially when it comes to CRIMINAL JUSTICE.​
  • By and large these smart and compassionate people have done the best they could with what they had --- BUT that has NOT BEEN CONSISTENT-- and it has become more and more obvious that they were missing significant PARTS TO THE PUZZLE --- in fact over 1/2 the PUZZLE has been missing in terms of an UNDERSTANDING of the BIOLOGICAL BASIS of PSYCHIATRIC DISORDERS.
  • Guess What?   It matters if you are missing 1/2 the PARTS to the PUZZLE.
  • On the other hand, we NEVER have all the PARTS to the PUZZLE and we often have to go with what we've got.
  • I think that is what the Mental Health Profession did with Personality Disorders, especially Anti-Social Personality Disorder --- they went with what they had.
  • Further,  Mental Health's PRO-SOCIAL COMPETENCY SECULAR
          RELIGION --- was NECESSARY given the incomplete state of knowledge            and the state of the society.
  • BUT all knowledge --- SCIENTIFIC, MORAL, TRADITIONALLY RELIGIOUS or SECULARLY RELIGIOUS -- has to be REVISED based on new insights and knowledge --- and that's where we are with PSYCHIATRIC DISORDERS and COGNITIVE DISABILITY GENERALLY.
  • ​WE NEED TO REVISE.

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We don't even know where all the circuits are or even how to DEFINE A CIRCUIT --- Insel (2014)
​"Much more extraordinary than anything we can imagine"

​ --- In 2021, RESEARCH UNDERSTANDING of "PSYCHIATRIC DISORDERS" is more extraordinary than anything even Insel could imagine ----

because RESEARCH UNDERSTANDINGS have expanded beyond the BRAIN and the CENTRAL NERVOUS SYSTEM to the IMMUNE SYSTEM, the ENDOCRINE SYSTEM & the MICROBIOME.
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