A Rationale for DSM-III's Medical Model to Be Used by Plumbers and Others

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According to Adebimpe (see record 1990-58433-001), “to deny that there is a place for a medical model is to forget that patients have been known to die of brain tumors while undergoing psychotherapy” (p. 853). This profound and insightful conclusion has stimulated quite a bit of discussion among members of local plumbers' unions. The major issue is the need for plumbers to diagnose plumbing problems based on the in-skin problems of their customers. It is a known fact among plumbers that many a leaky faucet is precipitated by anxious housekeepers who are unable to judge their own strength when closing the water tap. This disorder could be a manifestation of such in-skin problems as heart disease, hardening of brain arteries, low blood sugar, excess blood insulin, excess thyroid and adrenal hormones, and asthma. And what plumber has not encountered the Jekyll-and-Hyde syndrome of the weekend home-fix-it warrior. This devastating personality change (probably related to frontal lobe lesions) will cause a mild-mannered bank teller to attack his or her own plumbing repairs without the slightest regard for “how the damn thing works anyway.” The “weak-end” result is a flood. There is speculation that the recent floods in the Midwest may have been exacerbated by an inept homeowner who attempted some minor plumbing repairs. The list of plumbing tragedies is endless. The question then is one of prevention. If plumbers were to evaluate their patient/customer rather than the plumbing problem, they might be able to prevent further plumbing disasters. Prevention occurs not by cautioning the housekeeper to turn off the faucet gently, nor by attempting to redirect bank tellers' interest to weekend golf, but by direct referral for medical intervention. I hope it is not too late to include a plumbing disaster category in DSM-III. (PsycINFO Database Record (c) 2006 APA, all rights reserved)

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