This article examines some of the issues surrounding and emanating from the Ethan Couch verdict in Texas. Needless to say, this situation is sparking tremendous outrage from many directions. Here, I am discussing my clinical take on the matter.
I've argued before that all or most diagnoses of severe psychopathology involve trauma. Trauma represents an aspect of diagnosed psychopathology, even though it may not meet the criteria for a diagnosis of post-traumatic stress disorder. Trauma often involves confrontation with death, and fear of death can bolster trauma. It's a vicious cycle.
Sleep is an evolutionary paradox. In pre-historic times, periods of sleep would have been windows of opportunity for predators and periods of susceptibility to dangerous natural calamities. The chances of losing life for early humans during sleep must have been very very high. Yet sleep has persisted throughout evolution in practically all animals -- why?
Psychopathology may be represented as residing on a continuum, ranging from, at one end "psychotic" to at the other end, "normal". "Personality disordered" and "neurotic" lie between the two. However, there are general differences in the psychological and relational experience of individuals with schizophrenia versus those with borderline personality disorder.