Monday, August 28, 2006

Debateable Improvement

Last week I again participated in the hospital discharge of a person who has both Axis I and Axis II disorders. We have effectively treated his paranoia - the best I have ever seen him in 25 years on that score - and he has been sober for the two months in hospital. But he's still an Antisocial Personality Disorder, now a more organized and effective one, and I wonder if we've done the world any favors.

Perhaps so. He seems to get into more fights when he's psychotic. On the other hand, when he's psychotic he can usually only manage to get ahold of alcohol and a little weed (plus whatever falls in his lap); when healthier, he can organize himself to get ahold of harder drugs.

Mamas, don't let your babies grow up to be social workers.

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