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From: Mark Irwin
Date: 20 Oct 2008
Time: 07:37:24 -0500
Remote Name: 220.127.116.11
Tom, yes psychology/psychiatry does make changes to how mental health disorders are described. (Thank goodness people can no longer be diagnosed with Inadequate Personality Disorder: with a name like this it could be expected the self help group would not be much fun!). These changes reflect new awareness within the professions. Unfortunately stuttering has been beset with descriptive and definition issues for many years. Surely you are not suggesting that progress by the speech pathology profession is not necessary? Also while I thank you for your comment it seems you are making my point ie that there are two groups of pws : those with anxiety based psychopathology and those without. This is why I am offering a different name. Are you suggesting that the presence of SAD would have no impact on therapy and that a one size fits all approach should be used? I am unsure what you mean by complications caused by piling yet more disorders on pws. At the end of the day there is only one disorder, SSS, and while it may be uncomfortable for some pws to be diagnosed with comorbid psychopathology, this must be a secondary consideration to the potential therapeutic value gained by recognizing this situation. Tom , I’d be pleased to discuss this further if you wish.