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AMA Guides to the Evaluation of Disease and Injury Causation
PDF Download AMA Guides to the Evaluation of Disease and Injury Causation
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Product details
Paperback: 792 pages
Publisher: American Medical Association Press; 2nd Revised ed. edition (July 1, 2013)
Language: English
ISBN-10: 1603598685
ISBN-13: 978-1603598682
Product Dimensions:
7 x 1.9 x 9.9 inches
Shipping Weight: 3 pounds (View shipping rates and policies)
Average Customer Review:
3.9 out of 5 stars
24 customer reviews
Amazon Best Sellers Rank:
#63,621 in Books (See Top 100 in Books)
The book has an agenda which is clear in its biased conclusions. Its fronting as an AMA approved publication, but a legal disclaim on the first page states "should not be construed as the policy of the AMA."The best example is the following conclusion: "[t]here is insufficient evidence for heavy work as a risk factor for low back pain." at page 201. The entire 11 paragraphs prior to the author's conclusion are cited studies showing heavy work is a risk factor (from weak to significant) for predicting low back symptoms. Immediately following the author's conclusion (after pages of tables referencing studies) is the following quote "A systematic review of the recent literature by Heneweer concluded that the occurrence of low back pain is related to the nature and intensity of the physical activities undertaken." The section ends with a twin study showing a statistically significant relation was identified ... with respect to reported heavy physical work.The disconnect between the evidence and the conclusion only makes sense when you follow the money. If you smell the book deeply, you can smell the big money insurance industry; this book is the modern day equivalent of a man on TV in a white jacket telling you you can trust him 'cigarettes are safe.'
If you are a biased, lazy defense medical examiner who lacks time between your 25 insurance exams a day, this book's for you!Med school in Mexico? Never actually practiced medicine? Haven't cracked a book since college? These guys have you covered! Not only is this book not actually endorsed by the AMA, but the authors get to pretend it is! You don't even have to read the actual studies! Design? Methodology? Analysis? Heck no! You just want to know what to say!You didn't go to med school and become a CIME just to have to keep abreast of important developments in your profession. Read this book so you don't actually have to do the work! After all, these companies don't pay you to think.
The Mental Health Chapter is Bizarre. The authors say that five steps must be followed for assessment. They are as followsSTEP 1. DEFINITIVELY ESTABLISH A DIAGNOSISThis involves making a definitive diagnosis, have the diagnosis of an explanatory nature, objective findings, scientifically validated diagnosis. They say that none of these criteria can be satisfied with DSM-IV-TR. They say that definitive diagnosis can not be made because 1. It can not be definitively determined if someone is mentally ill. 2. The diagnoses are not well defined one from the other. These arguments are silly. 1. If someone has symptoms, abnormal mental state examination, deterioration in functioning and collateral history, then I would be happy that they have a mental illness. The level of proof required is balance of probabilities, not definitive proof. 2. It does not matter that one diagnosis shares features with another. If you can explain to me the difference between recurrent myoclonic jerks and mild simple clonic seizures without secondary generalisation, then you are doing better than me. Can you always say which people have constrictive lung disease and which ones have restrictive disease. Or glucose intolerance vs diabetes? Nope. You can't.They say that a diagnosis must be of an explanatory nature, and that in medicine, they are. Well, wrong. First, PTSD does have causation as part of the diagnosis, and idiopathic hypertension does not. Likewise, premature labour does not have causation as part of the diagnosis - it just is. They of mental illness, "None of them are real illness". Good. If you have schizophrenia, you are cured!They say that there are no objective features of diagnosis of mental illness. This is silly. If someone presents with symptoms that fit a pattern, that is objective. If they have mental state findings, that is objective. If someone stopped going to work, that is objective and independently verifiable. Stated differently, Skinner insisted that behaviour was the only thing that mattered and that thoughts were unimportant. Well, Skinner would be able to tell if someone had a mental illness. They said that psychological testing was introduced to have objective findings introduced, well, that means that there are objective was to assess - psychological testing.STEP 2. APPLY RELEVANT FINDINGS FROM EPIDEMIOLOGIC SCIENCE TO THE INDIVIDUAL CASEThey say that 75 to 90% of people who are traumatised experience posttraumatic growth. And severe psychological disturbance in response to the chronic life-threatening stress is rare. More people report positive effects than negative effects. I say that PTG is an interesting concept and I will look at the references. I have not explored what they mean by "rare".They point out that most mental illness has no identifiable cause. I say so what, we are dealing with specific cases.They reviewed the literature and found that none of it was any good, more or less. They excluded literature that did not use DSM-IV criteria. Their rationale was that the construct had changed. I think that that that decision was just bizarre. The diagnostic criteria for PTSD and MDD have not changed very much since 1980. That is just a silly out.They also complain that the assessments were done on community samples and that DSM-IV says that clinical samples should be used. That is a good laugh. That means that you literally can not do epidemiological studies of DSM-IV because the rules of DSM-IV rule them out. This stance ignores the fact that field trials were used in developing DSM-IV.My final note is that Thomas Szasz actually hated his patients. Look at his last book, Psychiatry Science of Lies, and you will see what he says about people who have gone public with their illness. Also, the biology of serious mental illness is being elucidated more and more.
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