biggentleben

Huh? Why did Keys need a lyrics sheet? She nailed the words.

It really was the complete reshuffling of their line. Osemele is the one who really impressed me. I've heard guys who aren't known for overblown statements say that he could be the best guard in football as soon as next year.

JFK conspiracy? Seriously, this is still a thing?

Personality = borderline, antisocial, disassociative (though that's going away), OCD, PTSD. You can rail on treating symptoms vs. treating disease, but it is a major distinction. You don't give a borderline Clozapine without a primary diagnosis requiring it. All personality disorders are classified as Axis II disorders, meaning they are not to be a primary diagnosis in medication. I can tell you from the families who have struggled with a child out of control (far beyond the description in your first post, mind you), having a diagnosis and knowing treatment options is often akin to the cancer patient hearing the word "remission". It's huge, monumental. Yes, it's a "label", but in more cases than not, that label then allows for progress to be made in order to allow the person to live the life they were created to live.

Nah, how they do that is they tab another diagnosis with it. I've yet to treat someone who's a pure personality disorder in my work, mainly because I work with a very intense unit of those just one step away from the step hospital. Even if the major issue is a personality disorder, there is often a diagnosis like bipolar along with it in order to validify using anti-psychotics. However, lesser intensive personality disorders would have great difficulty being diagnosed with anything else because they wouldn't exhibit any of the physical symptoms.

I get the concern, but I don't see any way this leads to more medication of children just with that added diagnosis. You cannot treat a personality disorder with medication, and it'd frankly be a legal nightmare to defend any person without a diagnosis beyond personality disorder causing any self (or public) harm with an anti-psychotic. The treatment for any personality disorder is behavior modification, such as CBT, DBT, or ACT therapy strategies. A big part of the issue with lack of available service also has to do with the lack of ability for anyone but a psychiatrist to make decent money working in mental health, and even a psychiatrist goes to school as long as any other doctor and, depending on which study you read, sits on the bottom of the average salary of a position requiring an MD degree. I could not work in social work in Minnesota because my undergraduate happens to be in Marketing. The near-decade that I've worked in social services has no bearing whatsoever. Minnesota requires licensing, and to obtain that licensing, I need a bachelor's in the field of social work (including psychology, counseling, etc.) plus experience or a master's degree. I wouldn't even be able to be hired for my current job if I came in with the experience I had when I was originally hired because South Dakota now requires a bachelors in a social work field or a minimal amount of experience (and the latter requires a petition to the state just to make an offer to a candidate). Making it harder and harder for those who have a heart to do the job to get into the field simply means the folks in the job, who are quite underpaid, have no issue being for sale. Who's going to stop them? I will tell you that my boss recently went through our office and removed anything (pens, sticky notes, clocks, etc.) that had a drug company's logo on it. It cost significant dollars to replace medication trays and a number of other items that had been given by drug companies in the past. There are people out there doing what is best for consumers and what is right, but all too often, much like the iPhone toting welfare recipient, people are skewed in their thoughts by the bad apples.

It's been in the works for 2 years as we were asked to give input at quite a wide spectrum of things in early 2011. What's interesting is that neither articles discuss the personality disorders being removed from the DSM-V reportedly (because even the authors haven't seen the true final version yet). For instance, in the new DSM, there is not such a thing as multiple personality disorder, and disassociative personality disorder (where multiple personalty was brushed into when it was removed in the DSM-IV) will be drastically rewritten or completely removed to combat overdiagnosis of a personality disorder. One thing that intrigues me, having worked with adults primarily, but also spending some times with our children's unit, is the tantrum disorder. I had not heard of this, but it actually makes a ton of sense for the reasoning explained. A personality disorder is not addressed with medications as a primary method of treatment. Diagnosing that same child as having bipolar disorder of any type means medication is the initial method of treatment, meaning children as young as 6 years old will now be getting behavior modification treatment rather than throwing drugs down their throat and never approaching the real issue. The major issue here is the broadening of diagnostical allowances. In order to be eligible for certain programs and insurance, one must show they have a severe and persistent mental illness (SMI). Where this most often gets abused is not to acquire Social Security disability payments or Medicaid, but in the court of law. Social Security and Medicaid/Medicare require psychiatrists with very good reputations (as determined by those organizations) to make/confirm the diagnosis of SMI. In South Dakota, for instance, there are less than a dozen such psychiatrists that can make that determination in the whole state. In the court of law, any psychiatrist holding active certification and degree will be allowed to render whether a person is sane or not at the time of criminal activity in any state at this time. Some states even allow for those with state certifications and an MSW or related master's level degree to be used in determination for court of law. Broadening the definitions to qualify for SMI won't really change how many people get benefits, but it could have a drastic change on our legal system, and honestly, that's not an area I can really address with a lot of knowledge as far as the effects on increased SMI diagnosis in our prison system. Overall, a lot of the things leaked to our psychiatrist in our agency have been clarifications on broad statements about SMI that made diagnosing too subjective in his eyes. Perhaps that's because he had direct input on those areas that he's been leaked them, but he has reported being pleased with changes made for the ability of mental health professionals to more accurately treat consumers. As far as the overall manual, I'll have to withhold judgement on the totality until I've had a chance to see it.

Hint: never join a football team fan club with your congregants. No good can come from it! One thing you can do is get 2-3 people to share an MLB.tv account, and you can always get their radio service as well. Depending on your TV, you may be able to plug your computer right into your TV to watch the game live or use a wireless connection to stream on your TV. You can also take the radio service and mlb.tv on your mobile anywhere. It's not as well-known as it should be, but one thing major league baseball is incredibly far in the lead on in major sports leagues is internet media usage. It is really quite remarkable when you get into all the things MLB's IM (interactive media) division offers, it's tremendous.

You've not heard me speak, apparently. I AM the big-voiced guy.

I cheer for the Braves

MLB.tv makes it easy to never have to be a local fan if you don't want to while still enjoying baseball. I saw roughly 100 Braves games last season while living in South Dakota.

Best Hrbek moment was when we didn't have to see him play anymore.

I know this may surprise folks based on my personal team alliance, but I would be all in on the idea of a team in North Carolina. There's a very intense baseball fan base there. Yes, they're typically Braves fans right now, but you'd be surprised how mixed the state is. It's akin to South Dakota - yes, the Twins are most popular, but they don't dominate the market like you would figure based on geography. Plus, to me, the biggest benefit to my team is that messing with their broadcast area may be reason to renegotiate the TV deal for the Braves, widely considered the worst team TV deal in professional sports.

Yeah, I've heard that argument. Yes, he should have slid, but I seriously do not see Gant at fault in that play, no matter how many times I watch it. I see Hrbek pulling Gant just after he had stopped on first safely, largely because he was losing his balance, probably due to the weight issues mentioned in your article. That said, the series went seven, and his faux HBP in game 7 was much more a douche move any day. When you're in a pitching duel like that and every play counts, earn your way to first base. They did a replay of game 7 with Glavine and Kevin Tapani on Fox Sports South a few years back and Tap basically said the entire Twins dugout knew he didn't get hit. MLB Network had Morris and Smoltz on for a replay of the game, and Morris wouldn't comment on it while Smoltz was more than willing to state his belief that Hrbek faked his way to first.

Yet a guy like Ripken did this constantly and maintained excellent numbers throughout his career.

Not a Hrbek fan. He may have been liked by his teammates, but he was the AJ Pierzynski of his time around MLB. Lots of cheap crap on the field and comments that were just out of line as well. Nevermind my own personal issues with the 1991 series and pulling a guy off the base and then faking an HBP. Then I had the dishonor of meeting him in person, and he was all the a-hole I'd ever heard. Every time I see his outdoor show on, I watch for just a second to see if he'll fall in the water. Yeah, I like him that much.

Prado at 3B in 2012 with the same offense wouldn't have had the same WAR. He'll be playing 3B for Arizona. Prado's just so much better than the average sloth someone throws in left field that it did skew his left field numbers.

Yes and no. Derek Lowe was essentially a 2-pitch pitcher, and he was even a staff ace for some time. Yes, Delgado could be an elite reliever as well, but a guy who has a heavy fastball like Delgado does really only need an offspeed pitch along with that fastball to be successful and rack up innings as a starter...that's considered a mid-rotation guy (a mid-rotation starter can be a 2-3-4, depending on the rotation). His delivery is repeatable, fairly fluid, and hides the ball well. His location in the zone is his real issue.

Delgado's got a floor (with obvious caveats of if he doesn't blow up or blow out) of a mid-rotation starter. He doesn't have the upside of an elite ace, but he could be a solid innings eater that gives you 6-7 k/9 and a ton of grounders as he learns to pitch more in the zone. His stuff has wicked movement, and he's been able to pitch just outside the zone coming up, and no one could touch it. Now he needs to work on locating that stuff in the zone to create contact on his heavy fastball. As he does that, he'll be very, very good. There are a lot of Braves fans who would have preferred to include Teheran in the deal over Delgado, so Delgado's no chump change.

This is incorrect, or Michael Bourn would have been brought back on a one-year deal. They're going for it for the next 3-5 years, and they have the young talent to do just that. I just REALLY like Prado, so I hate to give him up.

Hmmmm...I know the national media are all ripping on Arizona on this one, but I think the Braves gave up a solid group for Upton. Justin Upton and Chris Johnson for Martin Prado, Randall Delgado, Zeke Spruill, and Nick Ahmed Depending on your source, there are some saying the Braves made this move without give up a single top 5 prospect (though Sickels has Spruill #5 and Ahmed #7 in the system). I just really think Martin Prado is an underrated player for what he brings to the table. He's very solid defensively at multiple positions, has a good bat, and he's a great clubhouse guy. I also like Delgado more than most, seeing him as being a very solid mid-rotation guy for a long time. All that said, the Braves just got Justin Upton. The "What are you Up2" tweets are annoying already, but I do like the "Up, Up, and a Hey" comment on the new Braves outfield. The NL East will be fun to watch next year.

Unless a guy has a previous health condition, he's likely not on many lists. Gary Carter had cancer issues, so he was last year, but even famous baseball players are seldom on lists unless they've got a reason to be on there.

Absolutely. We can argue day and night about whether a player who has knowingly used should get in, but there needs to be accountability for the voting. Making absurd generalizations like that is simply not OK in a HOF voter. Jack Morris is a contentious point on this board, understandably so because of his Twins history, but people attempting to claim "the steroid era" inflated his numbers are simply asinine. There's no reason a person who can't read a calendar is allowed to vote on who makes the hall of fame.

Jim, I believe on your first point, the #1 thing that needs to be done is to publish all ballots. There are grandstanding reporters who have announced they did or did not vote for certain guys (or for anyone), but, by and large, most BBWAA guys aren't owning up and sharing their ballots. I think being accountable for the BS vote may reduce that BS vote significantly. If you're voting for Aaron freaking Sele, you should be ridiculed for it. If you're denying Craig Biggio or Jeff Bagwell the HOF, you should have to answer for why you chose that. Writers making assumptions and becoming moral police on players without accountability for their own morals in voting is complete BS in my opinion.

...and in doing so, you differentiate yourself from HOF voters, most of whom claim a player did them on this date or this date...without information to back that up.