Impairments Quotes

Altogether, these observations suggest that several processes contribute to psychotic experience: the loss of familiarity with the world, hypothetically associated with noisy information processing; increased novelty detection mediated by the hippocampus; associated alterations of prefrontal cortical processing, which have reliably been associated with impairments in working memory and other executive functions; increased top-down effects of prior beliefs mediated by the frontal cortex that may reflect compensatory efforts to cope with an increasingly complex and unfamiliar world; and finally disinhibition of subcortical dopaminergic neurotransmission, which increases salience attribution to otherwise irrelevant stimuli. Furthermore, increased noise of chaotic or stress-dependent dopamine firing can reduce the encoding of errors of reward prediction elicited by primary and secondary reinforcers, thus contributing to a subjective focusing of attention on apparently novel and mysterious environmental cues while reducing attention and motivation elicited by common and natural and social stimuli. ~ Andreas Heinz

Many abused children cling to the hope that growing up will bring escape and freedom.

But the personality formed in the environment of coercive control is not well adapted to adult life. The survivor is left with fundamental problems in basic trust, autonomy, and initiative. She approaches the task of early adulthood――establishing independence and intimacy――burdened by major impairments in self-care, in cognition and in memory, in identity, and in the capacity to form stable relationships.

She is still a prisoner of her childhood; attempting to create a new life, she reencounters the trauma. ~ Judith Lewis Herman

Disability is something imposed on top of our impairments by the way we are unnecessarily isolated and excluded from full participation in society ~ Lennard J. Davis

IMPAIRMENT: Lacking part or all of…or having a defective limb, organism or mechanism of the body

DISABILITY: The disadvantage or restriction of activity caused by a contemporary social organization which takes no or little account of people who have physical [and/or cognitive/developmental/mental] impairments and thus excludes them from the mainstream of society.
~ ~ Mike Oliver

The closest term to sociopath is antisocial personality disorder. The criteria for diagnosis include impairments in self-esteem, self-direction, empathy, intimacy, plus the use of manipulation and deceit, and the presence of hostility, callousness, irresponsibility, impulsivity, and a lack of concern for one's limitations: risk-taking. ~ A.J. Rich

The major impairments of ADD - the distractibility, the hyperactivity and the poor impulse control - reflect, each in its particular way, a lack of self-regulation. Self-regulation implies that someone can direct attention where she chooses, can control impulses and can be consciously mindful and in charge of what her body is doing. Like time literacy, self-regulation is also a distinct task of development in human life, achieved gradually from young childhood through adolescence and adulthood. We are born with no capacity whatsoever to self-regulate emotion or action.

For self-regulation to be possible, specific brain centers have to develop and grow connections with other important nerve centers, and chemical pathways need to be established. Attention deficit disorder is a prime illustration of how the adult continues to struggle with the unsolved problems of childhood. She is held back precisely where the child did not develop, hampered in those areas where the infant or toddler got stuck during the course of development. ~ Gabor Mate

Researchers consistently find that most older volunteers, when compared to older nonvolunteers, have fewer functional and physical impairments, overall better health, higher life satisfaction and less depression. In addition, they attend religious services more frequently and belong to more social organizations. ~ Edgar Bronfman, Sr.

Having worked as a clinician for almost 40 years, I have seen some young adults, who had the classic, clear and conspicuous signs of Asperger's syndrome in early childhood, achieve over decades a range of social abilities and improvements in behaviour such that the diagnostic characteristics became sub-clinical; that is, the person no longer has a clinically significant impairment in social, occupational, or other important area of functioning. There may still be very subtle signs of Asperger's syndrome, but when the diagnostic tests are re-administered, the person achieves a score below the threshold to maintain the diagnosis. There is now longitudinal research that is starting to confirm clinical experience that about 10 per cent of those who originally had an accurate diagnosis of Asperger's syndrome in childhood no longer have sufficient impairments to justify the diagnosis (Cederlund et al. 2008; Farley et al. 2009). ~ Tony Attwood

The good part about having a mental disorder is having a valid reason for all the stupid things we do because of a damaged prefrontal cortex. However, the best part is seeing someone completely sane do the exact same things, without a valid excuse. This is the great equalizer of God and his little gift for all us crazy people to enjoy. ~ Shannon L. Alder

One form of insecurity of attachment, called "disorganized/disoriented", has been associated with marked impairments in the emotional, social, and cognitive domains, and a predisposition toward a clinical condition known as dissociation in which the capacity to function in an organized, coherent manner is at times impaired.

Studies have also found that youths with a history of disorganized attachments are at great risk of expressing hostility with their peers and have the potential for interpersonal violence as they mature (Lyons-Ruth & Jacobwitz, 1999; Carlson, 1998). This disorganized form of attachment has been proposed to be associated with the caregiver's frightened, frightening, or disoriented behavior with the child. Such experiences create a state of alarm in the child. The parents of these children often have an autobiographical narrative finding, as revealed in the Adult Attachment Interview, of unresolved trauma or grief that appears as a disorientation in their narrative account of their childhoods. Such linguistic disorientation occurs during the discussion of loss or threat from childhood experiences. Lack of resolution appears to be associated with parental behaviors that are incompatible with an organized adaptation on the part of the child. Lack of resolution of trauma or grief in a parent can lead to parental behaviors that create "paradoxical", unsolvable, and problematic situations for the child. The attachment figure is intended to be the s ~ Daniel J. Siegel, M.D.

I got interested in the emotions after studying patients who had lost the ability to emote and feel under certain circumstances. Many of those patients also had major impairments in their ability to make decisions. ~ Antonio Damasio

The seriousness of emotional deprivation:
It is not difficult to understand how children who have suffered from malnutrition or starvation need food and plenty of care in their bodies are to recover so they can go on to lead normal lives. If, however, the starvation is severe enough, the damage will be permanent and they will suffer physical impairments for the rest of their lives. Likewise, children who are deprived of emotional nurturing require care and love if their sense of security and self-confidence is to be restored. However, if love is minimal and abuse high, the damage will be permanent and the children will suffer emotional impairments for the rest of their lives. ~ Mark Z. Danielewski

There was a succession of roommates, never chosen with her input and all with cognitive impairments. Some were quiet. One kept her up at night. She felt incarcerated, like she was in prison for being old. The ~ Atul Gawande

Genetics, accidents of birth or events in early childhood have left criminals' brains and bodies with measurable flaws predisposing them to committing assault, murder and other antisocial acts ...
Many offenders also have impairments in their autonomic nervous system, the system responsible for the edgy, nervous feeling that can come with emotional arousal. This leads to a fearless, risk-taking personality, perhaps to compensate for chronic under-arousal.
Many convicted criminals, like the Unabomber, have slow heartbeats.
It also gives them lower heart rates, which explains why heart rate is such a good predictor of criminal tendencies. The Unabomber, Ted Kaczynski, for example, had a resting heart rate of just 54 beats per minute, which put him in the bottom 3 per cent of the population. ~ Adrian Raine

What ever happened to mental hygiene?" he asked rhetorically. "It doesn't exist - and never did. When you went through high school, you were never taught how to deal with stress, how to deal with trauma, how to deal with tension and anxiety - with the whole list of mood impairments. There's no preventive maintenance. We know how to prevent cavities. But we don't teach children how to be resilient, how to cope with stress on a daily basis. ~ William J. Broad

I felt permanently exiled from 'normality.' Whether imposed by self or society, this outsider status - and not the disability itself - constitutes the most daunting barrier for most people with physical impairments, because it, even more than flights of steps or elevators without braille, prevents them from participating fully in the ordinary world, where most of life's satisfactions dwell. ~ Nancy Mairs

The Faustian trade of the 20th century was, we got 30 years of additional life, but in return we got heart disease, cancer, stroke, Alzheimer's and sensory impairments. The question is: What Faustian trade are we making now, as we go after heart disease, cancer, stroke and Alzheimer's? ~ S. Jay Olshansky

Autism reaches out in many different directions. It can be associated with language delays. It can be associated with epilepsy. It can be associated with some degree of intellectual disability, but the two core features of autism, I see, is impairments and social cognition, understanding and in restricted interests and repetitive behaviors. ~ Gerald Fischbach