Pathologizing Normal Gifted Behavior

 

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This kind of pathologizing of normal behavior is more common with gifted children than it is with non-gifted children. What is Normal Gifted Behavior and How is It Pathologized? It’s hard enough to define normal behavior in general; defining normal gifted behavior can be even more difficult because so many behaviors of gifted children can match.

Some elements of the DSM-5, released nearly 6 months ago now, follow a tricky path between giving the psychiatric community useful, new diagnostic tools and pathologizing what is part of the normal range of human behavior, but despite that, the manual seems to generally succeed in “better classifying the patients who come to psychiatrists,” said Dr. Guy. Pathologizing is the practice of seeing a symptom as indication of a disease or disorder.

In mental health, the term is often used to indicate over-diagnosis or. Pathologizing Normal Behavior? by Evander Lomke on October 12, 2011 10:06 am. The DSM was first issued in 1952, during that liberating period that saw, for example, Kinsey’s reports on sexual behavior. The DSM in its various editions guides treatment decisions throughout North America and other continents.. The original DSM listed 106 disorders.

This. Some elements of the DSM-5, released 6 months ago now, follow a tricky path be tween giving the psychiatric community useful, new diagnostic tools and pathologizing what is part of the normal range of human behavior, but despite that, the manual seems to generally succeed in “better classifying the patients who come to psychiatrists,” said Dr. Guy Goodwin, who serves as head. The criticism rests on three arguments. First, the DSM fails to recognize that anxiety is normal and even beneficial in many situations, so it conflates a properly functioning brain system with a pathology.

Second, the DSM’s description of anxiety is more about enforcing social norms than medicine. The Pathologizing of a Culture Are we pathologizing stressful, yet normal aspects of the human experience? Posted Feb 01, 2009.

“ A gifted child who is unchallenged in the classroom will often act out and that acting out can be physical. The child can fidget and fuss. He will seem to have a hard time focusing and paying attention. He might daydream. However, once that child is provided with an appropriate challenge, the behaviors disappear, sometimes overnight “.

In just two decades, pointing out the pseudoscience of the DSM has gone from being an “extremist slur of radical anti-psychiatrists” to a mainstream proposition from the former chairs of both the DSM-3 and DSM-4 taskforces and the director of NIMH. In addition to the pathologizing of normal behaviors, another explanation for the epidemic — the adverse effects of psychiatric. Pathologizing behavior: Meanings of behaviors in dementia care. right, as individuals with normal responses and emotions. to situations.

Persons with dementia come to be viewed as.

List of related literature:

But highly gifted kids can never be “normal.”

“Genius Denied: How to Stop Wasting Our Brightest Young Minds” by Jan Davidson, Bob Davidson, Laura Vanderkam
from Genius Denied: How to Stop Wasting Our Brightest Young Minds
by Jan Davidson, Bob Davidson, Laura Vanderkam
Simon & Schuster, 2007

When clinicians explain to educators or other professionalshow a gifted child’s behaviors (or “symptoms,” as others mayseethem)arerelated toher giftedness,thecliniciansareoftenmetwith disbelief.

“Living with Intensity: Understanding the Sensitivity, Excitability, and Emotional Development of Gifted Children, Adolescents, and Adults” by Susan Daniels, Michael Marian Piechowski
from Living with Intensity: Understanding the Sensitivity, Excitability, and Emotional Development of Gifted Children, Adolescents, and Adults
by Susan Daniels, Michael Marian Piechowski
Great Potential Press, 2009

Disproportionality most often occurs in the mildly handicapping classifications of Mild Mental Retardation (MMR), emotionally disturbed (ED), and specific learning disability (SLD), or in programs for the talented and gifted (TAG).

“Encyclopedia of Special Education: A Reference for the Education of Children, Adolescents, and Adults with Disabilities and Other Exceptional Individuals” by Cecil R. Reynolds, Elaine Fletcher-Janzen
from Encyclopedia of Special Education: A Reference for the Education of Children, Adolescents, and Adults with Disabilities and Other Exceptional Individuals
by Cecil R. Reynolds, Elaine Fletcher-Janzen
Wiley, 2007

National Association for Gifted Children, What is giftedness?

“Bright Not Broken: Gifted Kids, ADHD, and Autism” by Diane M. Kennedy, Rebecca S. Banks, Temple Grandin
from Bright Not Broken: Gifted Kids, ADHD, and Autism
by Diane M. Kennedy, Rebecca S. Banks, Temple Grandin
Wiley, 2011

Children may be identified as gifted when they enter school or are referred by parents or teachers and receive IQ tests.

“Wong's Nursing Care of Infants and Children Multimedia Enhanced Version” by Marilyn J. Hockenberry, David Wilson, Donna L. Wong, Annette Baker, R.N., Patrick Barrera, Debbie Fraser Askin
from Wong’s Nursing Care of Infants and Children Multimedia Enhanced Version
by Marilyn J. Hockenberry, David Wilson, et. al.
Mosby/Elsevier, 2013

Giftedness often comes with some type of socialcost,and many gifted children and adolescents will readily acknowledge this (National Association for Gifted Children, 2002).

“Misdiagnosis and Dual Diagnoses of Gifted Children and Adults: ADHD, Bipolar, OCD, Asperger's, Depression, and Other Disorders” by James T. Webb, Edward R. Amend, Nadia E. Webb
from Misdiagnosis and Dual Diagnoses of Gifted Children and Adults: ADHD, Bipolar, OCD, Asperger’s, Depression, and Other Disorders
by James T. Webb, Edward R. Amend, Nadia E. Webb
Great Potential Press, 2005

Gifted programs are also used to stem White flight in mixed race communities by providing a special program for gifted students that resegregates them within the context of public education.

“Encyclopedia of Curriculum Studies” by Craig Kridel
from Encyclopedia of Curriculum Studies
by Craig Kridel
SAGE Publications, 2010

Renzulli’s 1978 three-trait definition of giftedness continues to be cited in special education literature.

“Introduction to Special Education' 2007 Ed.” by Inciong, Et Al
from Introduction to Special Education’ 2007 Ed.
by Inciong, Et Al
Rex Book Store, 2007

Children may be identified as gifted when they enter school or are referred by parents or teachers and receive IQ or achievement tests.

“Wong's Nursing Care of Infants and Children E-Book” by Marilyn J. Hockenberry, David Wilson
from Wong’s Nursing Care of Infants and Children E-Book
by Marilyn J. Hockenberry, David Wilson
Elsevier Health Sciences, 2018

The term “gifted” does not mean the same thing in all children.

“Grandparents' Guide to Gifted Children” by James T. Webb, Janet L. Gore, A. Stephen McDaniel, Frances A. Karnes
from Grandparents’ Guide to Gifted Children
by James T. Webb, Janet L. Gore, et. al.
Great Potential Press, 2004

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

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  • Hmmm. I’m having issues with the “overpathologizing” side of the argument. The argument is logically sound, but then… which actual diagnoses do you think this would be most likely to happen with? The ADHD example is problematic because it seems that if there is an overdiagnosis issue, it seems to be coming primarily from some school teacher hypervigilance in combination with less than clinicians who do not follow best practices with some children. But there is strong evidence that ADHD is underdiagnosd in other population groups (such as high functioning adults).

    But the bigger problem I have with this is a historical and sociological one. In-group / out-group behavior and thinking is pretty much a human constant. There has always been social pressure towards normative behavior. I see no reason to think that anything has changed there now.

    Also, I am less concerned than many clinicians about the “problems with labelling individuals”. Yes, I recognize that there are ramifications for this in the process of providing counselling/treatment. However, it only takes a little imagination to envision a version of the DSM (say, 50 years from now) in which there are not fewer conditions described but more and * for the purpose of being able to describe in a much more complete fashion the full array of natural human personality and psychological variations. There is the beginnings of movement towards a new approach to personality disorders which * could * signal the direction psychology is heading describing the full range of variations more fully. The logic behind removing paraphilias was a good one but only in the context of a diagnostic manual that is devoted to only pointing out disorders of the mind. But, I am more inclined to see the old lists of paraphilias (just choosing one vector of human variation, sex, as an example) as a kind of beautiful and *helpful* list of many (all?) the ways our minds can be shaped. It was an explanatory model. It was just a shame that it was used to stigmatize as well but that need not be the case.

    Look… I have ADHD and I found the late diagnosis incredibly helpful for two reasons (1) it helped me get closer to the right treatment (current DSM working well, there) and (2) it helped me see and understand things about myself. Why shouldn’t I say the same about egodystonic and egosyntonic homosexuality? It was egodystonic until I overcame feelings of shame around the age of 18, and egosyntonic ever since. I don’t see why these diagnostic categories need be seen as stigmatizing when, in fact, we could easily see them as part of the process of coming to know and understand ourselves and insodoing move closer and closer to improved mental health. How many people out there really are injured by saying “I’ve been having a problem with anxiety?” In my social world at least, no one I know. Coming to understand this about themselves and label themselves with that issue was, in fact, a big part of their healing process.

  • I had a brush with “situational OCD” that I grew out of the second my emotional & physical environment changed. Then I became depressed as a teenager after my health took a dramatic nose dive (& crashed into an ocean of physical pain). I wasn’t diagnosed for either problem btw but I’ve seen a psychologist at different times & they’ve never given me a diagnosis besides “stress due to illness, with a Trauma history” (also one guy running a children’s grief counselling camp added “fat & bossy” as his suggested diagnosis)

  • I am not an expert! however, I believe it is true… most people may have mental illnesses, because mental illnesses range (from mild to severe)… and for a person to be labeled as “mentally ill” a set of behaviors, which are most likely considered to be “Normal” when eliminated, has to show up clearly and persist in repetitive patterns. Eventually causing harm or negative effects on their own life and on others around them. Moreover, there are many sets of behaviors that fit the bill, and so, to diagnose many of the mentally ill people out there, it is an impossible task and it is usually too late!

  • Tbh I actually like the way I am. Mostly because I can’t imagine what my brain would be doing otherwise. Like what do people who don’t daydream think of all day? I can’t imagine not having what is basically a movie playing in my head all the time. Like ik it’s probably not healthy, but I’d feel empty without it I guess.

  • never thought about the boomer (lazy reference ) that wayhear that alot and i always blame myself for that-good advice(currently am 18)-struggle finding myself due to that -is a factor-ty

  • Why doesnt every school have a psychiatrist who has to help every single kid. Or a class on mental stuff in high school. Also schools should teach manners

  • I love watching Dr.K’s videos. I really appreciate the insight he can give myself & others on our problems.. I love and respect the sh*t out of Dr.K and wish most mental health professionals that console people had the same deeper understanding & empathy Dr. K shares. It’s so wholesome.

  • Hi, Dr. GrandeI will just paste over here my 2 requests I had/have You’ve already seen and liked them, which, Thank you! But or And, I can’t let it go that I put my comment in the wrong video, because it was already on the next playing video. Which as a coincidence, (Eight Signs of a Good Counselor) is also appropriate. Anyway! For correctness’ sake.. <3 \o/🙂

    “A request and a requestDr. Grande, please add “ADHD” and “teens” or “teenagers” to the search keywords for this videoI have been trying to find this one to show a young friend who has ADHD. I had to query “pharmacology” or close to find this video, but again, I also think it can go with ADHD as far as showing up in query results. Also to add the “4 kinds of Impulsivity” to a “teens/teenager” “ADHD” query. Pre-thank you maybe: )

    And TWO! Dr. Grande, RE: kids growing up on pharmacy medications. What about, my neighbor who is 19 and has been taking a couple meds for ADHD and related anxiety, and she is wondering about growing up and if she will ever be able to not take them. She is in therapy and can ask her therapist, which is great! However, I wonder if you can fill us in. Two decades ago (yikes!) I worked in an acute care psychiatric hospital with also Child and Adolescent units. I have wondered, “what happened to those kids, they were given a lot of medication,;and I hope their little brains turned out okay!” Do kids grow up and need less medication? Can kids take meds for ADHD and then not need to? How do drugs affect young brains? What is the long-term research, and your observation showing, if any as trends among the disorders. You speak so eloquently here about how kids and everyone have to behave so narrowly. Would you say the drugs are helping the kids? And certainly, this friend of mine, the young person, she is sort of able to enjoy a level of privelige as a youthher parents can afford therapy, and they have health insurance. What happens when kids who were on meds “grow up”, fall out of the nest, age out of parental insurance, and then can’t access the same benefits? Is the fact so many kids take medications making other problems for their psychology? Or do I not have a good grasp on how drugs affect the brain? One time in community college I took a Physiology class and I loved the section about the brain, and blood-brain, and drugs interacting with the brain. That is how I found out why sugary alcholic beverages make you more hungoverthe sugar has been circulating in the bloodstream!

    I hope I don’t read-off as too ignorant or crass. For some disclosure, I’m a nut job, and have my own history with professional providers and with psychiatric mediations!

    Thanks, Dr. Grande!”

  • I’ve been reading psychology books and therapy books such as” reality therapy” and “control theory” and body language books ECT… And I find them to be more sources backing my theories I’ve had since I’ve been able to understand people as a whole. That being said I don’t believe myself to know all but enough do far, I’ve really going individuals such as yourself that are dedicated to helping others help themselves. I greatly appreciate what you do and also needed insight you shed light on. Thank you again. Hope yo go far with what you’re doing. I find great interest in psychology and even more so now knowing others are using their abilities for good.

  • Personally, I have a big problem with how overdiagnosed neurodevelopmental disorders are,. especially in kids. Are you an energetic person? ADHD! Are you a little socially awkward? Autism!

  • I go and daydream everyday and I rock while sitting on the couch and it freaks me out but I really enjoy the fantasies I get. It’s like drugs to me. I’m trying to use this “power” of mine to make animation but I can’t keep my attention and I’m lacking the patience to practice every day for long enough.

  • Shes too by the book. I started self harm at 7 yrs old. Its trauma and insecure attachment usually with your mother. This goes way back to primal feelings from childhood. The feelings are too painful to sit with and it is a mish mash of painful feelings that start probably in infancy.

  • ONE THING RESEARCH LEFT OUT:

    I’m in this maldaptive forum and a lot of us claim that our daydreaming is rare when we’re satisfied with our real lives. Meaning the amount of time varies from person to person and theres a lot of variables at play. It’s a coping mechanism for multiple life struggles like: recent failure, anxiety, depression, stress, boredom, loneliness…etc.

    For example:

    When I got to college I rarely daydreamed because I was semi satisfied with how my life was going. If I daydreamed it was mostly wishful thinking and the plots weren’t disconnected from my current life. When I got into a new relationship the possibilities were so open that I didnt have the urge to escape my life or reality. However, when my relationship started to fall apart and fail I would escape somewhere else and I would even want distance from my partner at the time because I was unhappy and he didnt meet my needs in any way that was leading me to turn the daydream into real life.

    Some of my daydreams are super attainable and some of them are really out there. On the forum we rarely discuss the plot however, we talk about the fact that the daydreaming relies on self esteem as well, if someones self esteem is low enough they can create a character for themselves that is everything THEY want/hope to be. They can fool themselves into self satisfaction. When they’re too disconnected to tap in their true emotions some of us create situations where were able to cry and let those feelings out

    Personally I don’t think I’ll spend my life daydreaming forever but my fantasies are so satisfying that I feel like I could emerse myself into that later on in life and feel just as satisfied. I feel like once I work on my self esteem, find my place in the world and start turning into the person I want to be I have no doubt that I’ll drop the daydreaming for real life.

    A lot of us dont want to be cured by someone. For a lot of us this is a coping mechanism of survival. Some of us need this. Anti depressants can’t cure a hopeless childhood or an abusive home, some people NEED to escape

  • 3:57 4:05
    That’s it,that’s the story of my life
    That girl described my existence in a few words

    The things with gifted people is that so many people have this stereotype of the genius anime kid but in reality there are so many different types of gifted people.
    I met a bunch of them and we all look so similar and different at the same time
    Knowing that some gifted people are indeed little know it all with good grades,I really wish I was that type of gifted kid instead of an hyperactive mess who SHOULD BE STUDYING AT THE MOMENT INSTEAD OF WRITING THIS ALXKFKCOKZKCOZKPCVKALS

    …………….

    …………….

    ……………..

    ……………….

    …………….

    ……………..

    Yeah your just losing your time by reading this

  • no.. i think the first question is wrong… i would say…92.4 % are mentally ill and is proof of why our human history and CULTURE has FLAWS.

  • I started doing this out of nowhere in 2015 when i was eleven. now i cant control it, i wanna focus on stuff but i get distracted by it. And music really its like a free entrance to it too. I would feel ashamed if someone knew this about me, even my therapist. Now without realise about my behavour and how this crap is affecting my life since years now.

    When i was more younger a preferred going early to bed so i could have more time to daydream. Know the daydreams are so elaborated. Have plot holes, the characters have elaborate personalities, qualities. I cannot escape it. I wish i could just be normal and just get bored. Not this of believing im in a popular movie or videogame i played/watch. I started a novel, the thing about it its that i dont daydream with that, even if i try, i only think about it when im writting it. I dont know if this works to kinda, “””cure it””” a little bit but everything i worth it now.

  • Dear Dr Grande,
    I am a 74 year old female from South Africa. Please tell me I am mad or just a glutten. I am at my wits end and desperate. I have been overweight since I was born but in 1979 I started dieting seriously. And have been jo-jo dieting forever. I am now ten kilograms overweight but the problem is I cannot diet. I don’t buy the wrong food and snacks or sodas but I am continuously craving something. What is wrong with me? Could you please help me? Regards Carol van der Walt

  • In those cases I hate living in Italy. My therapist keeps pressing on dissociation and even DID, and while I did go through trauma and I dissociate a little bit, I think MD is my main problem, and she does not even know what it means…

  • * me who’s legs hurt from pacing for hours and repeating the same scenario over and over and am drawing a character from my daydreams, trying to convince myself that this isn’t about me *

  • I don’t know if this is considered md for me personally i don’t have fictional storylines and imaginary worlds. i often start acting out myself in situation that has people from my real life and create plot lines from them or i would imagine myself in scenarios with people i watch on youtube (like for example a interview ) i’ll be in their place and start acting and emoting

  • The problem is when you’re A LOT more Creative it’s hard for ppl to define it even as “Gifted” cos Creativity is hard to measure i’m one of those people and even if i’m not as smart as my dad who understands more complex math and physics (i see him watching video lecturers on things like Quantum Physics and Einstein’s theory of relativity) or some other people i’ve always been good at singing and music, i love Arts and Crafts although i wish i could do harder stuff i probs could if i put in more practise, i’m a great Creative and Critical Thinker and feel strongly that everyone should be able to use Creative and Critical Thinking even in Math but schools don’t allow it even if it ABSOLUTELY requires it to help Problem Solve and create workarounds that work FOR YOU not the teachers…

    It’s more difficult being Creative cos ppl think you might NOT be more intelligent or “Gifted” and it CAN mask it all people ever thought my whole life is i was just Creative and so did i understand the past 2 weeks where i started looking into all of this and i’ve never had anything make more sense, all the pieces are coming together and i don’t feel like i’m being annoying with other intelligent people despite the fact i haven’t ever learned how to cope with my Excitabilities, although i still tend to get the feeling i might be if i start commenting a lot on posts on Facebook so i try to not post first as to not scare anyone away or make them anxious i give them the chance to speak first cos i can be super opinionated LOL.

    I feel like i get too imposing even for other intelligent ppl so i don’t want to be dominating even over them, plus i’m scared of being banned from the page for doing that cos i have before from other pages who thought me too much, i have to make sure it’s not fueled by anxiety either it’s really difficult:( I think all the focus is on these prodigies though that nobody has taken more time to figure out Creatively intelligent and “Gifted” people which i think should be someone’s next focus to figure this out cos we end up becoming underachieving and laying about at home depressed not even understanding themselves but we have the same Excitabilities and problems are those who are more clearly “Gifted”.

  • Oh, Dr. Grande!! Thank you for hearting my requests about the search keywords for teens and adhd. Also my request for an update on kids on meds and growing up. I meant THIS video. Is everyone mentally ill?
    Thank you for reading comments!

  • I asked my mother for a therapist to seek help for it. She said I should just do more thing with my life �� Now I REALLY need a therapist but can’t get one ��

  • I daydream a LOT, the only difference with what’s being said is the fantasy part..I daydream about highly structured events that doesn’t/haven’t happened in my life but it’s not fantasy.