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Scientific progress stumbles without a valid case definition

Current estimates from the Centers for Disease Control and Prevention (CDC) of the number of people in the United States with chronic fatigue syndrome (CFS) increased from about 20,000 to as many as four million within a ten-year period. If this were true, we would be amidst an epidemic of unprecedented proportions. I believe that these increases in prevalence rates can be explained by unreliable case definitions.

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Comprehensive affordable solutions to a major health problem

Alcohol and drug abuse costs Americans approximately $428 billion annually. Despite this enormous cost—which, we must remember, is just the economic face of a community, family, and individually life-shattering problem—the vast majority of those with an alcohol or substance use problem do not receive treatment, and even fewer are likely to achieve long-term sobriety.

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Dilemmas of a broken substance abuse system

With rising health care expenses, we are all trying to solve the paradoxical dilemma of finding ways to develop better, more comprehensive health care systems at an affordable cost. To be successful, we need to tackle one of the most expensive health problems we face, alcohol and drug abuse, which costs us approximately $428 billion annually. Comparatively, the expenses of health care services, medications, and lost productivity for heart disease costs $316 billion per year.

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2016 US presidential election reading list

Following the 2016 US Presidential election, we have curated a series of reading lists with resources that provide insight into electoral politics, key themes that stimulated some of the major debates from the election season, and important topics of discussion relating to the potential outcomes of the election. We have selected books and resources that detail American politics and investigate issues that influenced the recent presidential campaigns,

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Why the future of social change belongs to community research

People don’t exist as isolated entities, and social programs, movements, or data analytic methods that assume they do are not aligned with reality—and may be doomed to fail. We all know that providing therapy or tutoring to a child may be less effective than hoped if the child’s parents, peers, school, and neighborhood are not also operating in a way that’s conducive to the child’s growth and well-being.

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Patients battle for justice

Is it possible that a disease as impairing as Type II diabetes mellitus, congestive heart failure, Multiple Sclerosis, and end-stage renal disease could be repeatedly belittled and delegitimized by scientists and health care professionals? Tragically, this is the case for a devastating illness affecting over one million Americans, and these patients have been deprived of their basic rights to respect, appropriate diagnosis, and humane treatment.

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The IOM’s effort to dislodge chronic fatigue syndrome

The Institute of Medicine (IOM) recently released their report regarding a new name (i.e., systemic exertion intolerance disease) and case definition for chronic fatigue syndrome (CFS). In brief, the IOM proposed that at least four symptoms needed to be present to be included in this new case definition […]

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How disease names can stigmatize

On 10 February 2015, the long awaited report from the Institute of Medicine (IOM) was released regarding a new name — Systemic Exertion Intolerance Disease — and case definition for chronic fatigue syndrome (CFS). Because I was quoted regarding this report in a New York Times article, in part due to having worked on these issues for many years, hundreds of patients contacted me over the next few days.

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What is psychology’s greatest achievement?

I am sure that there are some who still proclaim that psychology’s greatest achievement is buried somewhere in Sigmund Freud’s psychoanalytic papers, whereas others will reject the focus on early childhood memories in favor of present day Skinnerian contingencies of prediction and control.

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Diseases can stigmatize

By Leonard A. Jason
Names of diseases have never required scientific accuracy (e.g. malaria means bad air, lyme is a town, and ebola is a river). But some disease names are offensive, victim-blaming, and stigmatizing. Multiple sclerosis was once called hysterical paralysis when people believed that this disease was caused by stress linked with oedipal fixations.

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Recovery residences and long-term addiction recovery

By Leonard A. Jason, Amy A. Mericle, Douglas L. Polcin, and William L. White
Drug abuse and addiction are among the costliest of health problems, totaling approximately $428 billion annually. People recovering from substance abuse disorders face many obstacles in our current health care system.

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Keith Gandal on Baz Lurhmann’s The Great Gatsby

By Keith Gandal
The New Yorker’s predictably elitist and conservative review of Baz Lurhmann’s new movie has David Denby concluding with the following: “Will young audiences go for this movie, with its few good scenes and its discordant messiness? “

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Humane, cost-effective systems for formerly incarcerated people

By Leonard A. Jason and Ron Harvey
A recent New York Times article, reports on a study that found private, corporate-run transitional half-way houses were less effective in preventing recidivism than releasing inmates directly into communities. For those interested in understanding and improving outcomes among ex-offenders, these results are discouraging.

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