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The nosology of mental disorders inevitably dithers between the wish to delineate useful categories and the hope of discovering natural kinds It would be good to achieve both but each aspiration alone is elusive enough Indeed, some would reckon the second hope to be forlorn and there has been a tendency to emphasise the pragmatic and the descriptive The current classi cations ICD-10 and DSM-IV are the offspring of this tendency (WHO, 1992; APA, 1994) Yet there is a nagging feeling that there are real disorders out there to be discovered rather than merely de ned Within the eld of eating disorders, anorexia nervosa crystallised out as a separate and distinct disorder over the course of the last century (Mount Sinai, 1965) It had the advantage of one criterion that was both undisputed and easy to measure, namely low weight.

Here s a fun fact that economists love: if you plot out marginal costs to create a marginal cost (MC) curve, that curve crosses both the average variable cost (AVC) curve and average total cost (ATC) curve at their minimum points that is, at the bottom of their respective U shapes. (What, you don t see the cause for celebration Keep reading maybe we can boost your enjoyment level.)

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However, it was the description of the characterising beliefs and behaviours that led to the disorder being separated off from other states with weight loss Furthermore, it was the description of similar beliefs and behaviours in people of unremarkable weight that led to the de nition of bulimia nervosa and its relatives However, it is arguably when the de nition of mental disorder relies upon the mental state as it almost inevitably should that classi cation becomes more dif cult Can we really measure people s thoughts and feelings reliably and is it reasonable to expect that they should t neatly into categories Even classifying behaviour is problematic enough.

The disputes to be considered in this chapter are those in the domains of child welfare reception into care and placement including adoption, loss of liberty in secure accommodation and in matrimonial disputes, divorce, disputes over residence, and contact including domestic violence. Consideration will also be given to the child s capacity to contribute to the decision-making, and the child s rights to express his or her view and have it taken seriously, or his or her right to decide.

The setEntityContext method serves a similar function for entity beans as the setSessionContext method does for session beans. The entity context allows your entity beans to learn about and communicate with the EJB container. Later in this chapter, you ll read about the methods available in the EntityContext interface and the methods in the superinterface of both SessionContext and EntityContext the EJBContext interface. Typically, your bean class contains a method implementation of setEntityContext that holds onto a reference of the entity context object. The implementation will closely resemble the following example. //Declared outside any method private myEntityContext ; public void setEntityContext( EntityContext ectx ) throws RemoteException { myEntityContext = ectx ; } Now, any bean method can access the entity context through myEntityContext, which is known throughout the bean class.

However, if we do observe that people come to suffer in similar ways and with similar beliefs then this may give clues not only about sociological generalisations but also, perhaps especially, about innate and probably biological mechanisms which may underpin their disorder People may come to be more similar when they are stuck within a morbid process than when they are well because the range of their behaviour and experience is at least in part constrained by potentially de nable processes in which such biological mechanisms are playing some limiting part Tolstoy wrote, all happy families resemble one another, but each unhappy family is unhappy in its own way This is questionable even with regard to families and unhappiness, but with individuals and disorder it seems likely that the reverse is true The range of what is morbid is narrower than the range of the non-morbid.

There is often a delay in diagnosing Parkinson s disease The early symptoms of Parkinson s disease can be vague (see box) The signs are usually asymmetrical, leading to confusion with strokes and tumours The core features of Parkinson s disease are bradykinesia and rigidity Bradykinesia is a lack of spontaneous movements (often most noticeable as reduced blinking, lack of facial expression and reduced arm swing when walking), and a slowing of movements, especially ne repetitive ones Rigidity is an increase in tone throughout the full range of movement, unlike spasticity which builds up and then gives way Rigidity may have a constant resistance (like bending a lead pipe) or a juddering feel (like turning a cogwheel against a ratchet).

Antipsychiatrists tend to emphasise the prescriptive nature of normality and to portray the person who is labelled mentally disordered as something of a free spirit However, the.

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