fasd and mental illness: correlations

FETAL ALCOHOL SPECTRUM DISORDER SYMPOSIUMSEEING THE OTHER PERSPECTIVE

DA DWA DA DEHS NYE>SSEPTEMBER 9, 2014

Barry Stanley. www.barrystanleyfasd.com. Docstoc bstanley31

http://www.barrystanleyfasd.com/

CORRELATION – CAUSE AND EFFECT

Because there is a correlation it can not be assumed that there is a cause and effect.But, there cannot be cause and effect without correlation.

Where there is a strong, significant correlation relating to the health of individuals and society the medical profession has a moral and ethical duty to investigate possible cause and effect.

barry stanley www.barrystanleyfasd.com docstoc bstanley31


FOLIC ACID AND SPINA BIFIDA 1970s- 1980s Correlation – Spina Bifida was related to Folic Acid deficiency in the mothers.

1991 – Cause and Effect confirmed - Publication of the results from the Medical Research Council Vitamin Study [U.K.]

1992, 14 months later the Centers of Disease Control and Prevention [U.S.A.] recommended Folic Acid to reduce incidence of Spina Bifida



MENTAL ILLNESS AND PAE/FASD

Streissuguth et.al 1996



FAS @ Street Level. Conference. Toronto, 2003.

The Incidence and Prevalence of Fetal Alcohol Syndrome and Alcohol-Related Neurodevelopmental Disorder – Implications for Mental Health Workers.

“So what are the implications for mental health workers.? The diagnosis of FAS/ARND should be considered for those clients who have a history of secondary disabilities. Especially those diagnosed with chronic mental health problems.”



• Review of Canadian and American Journals of Psychiatry

C.J.P- Feb.1996 – Oct.2006Only one article on FASD = 0.O8 per cent of all articles published

A.J.P.- Jan.1996 – Sep.2007Only one article on FASD [ 3 – 2014]= 0.03 per cent of all articles published



PSYCHIATRIC ASSESSMENT (Calgary Consultation practice)

O’Malley , 2001 ( CDC), O’Malley 2007

57 Patients, 3 to 32 Years40 Males, 17 FemaleAXIS IADHD 58%,Mood Disorder 44%Personality Change: Labile/Aggressive 36%AXIS IIAvoidant Personality 14%Dependent Personality 13%Passive/ aggressive personality 9%Schizoid Personality 8%



Parallel Tracks

The Brain of Mental Illness The Brain of Fasd


Psychiatry and PAE/FASD are on parallel tracks. The psychiatric train is a closed train. Those on the PAE/FASD train are reaching out but are not seen or heard.


Correlations between Prenatal Alcohol Exposure and Mental Illnesses

Those parts of the brain known to be affected in attention, mood and personality disorders are also know to be affected in FASD

The functions of these parts of the brain correlate with the disturbed behaviors of mental illness andthose afflicted with fasd.



> The brain is a complex system

PAE creates a complex chaotic system

Manipulation of a complex system by a simple system leads to unintended consequences

The more complex the system is the greater the unintended consequences

barry stanley www.barrystanley.com docstoc bstanley 31

http://www.barrystanley.com/

Epigenetics explains the many puzzling and contradictory observations about FASD.The brain dysfunctions of PAE are only part of the disease effect of PAEThe factor of the mother drinking in a pregnancy no longer stands alone.The term “prenatal” for any given pregnancy has to include alcohol exposure from both parents, including previous generations. The nomenclature of FASD needs to be changed to reflect our understanding of epigenetics without diminishing acknowledgment and treatment of FASD, as occurs at present. Disorders of mood and personality need to be redefined in the context of environmental factors that cause changes in gene expression- alcohol being a major factor.Society needs to be aware that the manipulation of gene expression will result in harmful unintended consequences

CONCLUSIONS

barry stanley www.barrystanleyfasd.com docstoc bstanley 31


fasd and mental illness: correlations

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