Wed09022015

News

West Nile fogging commences today

West Nile fogging commences today


Courtesy of the Santa Clara County Vector Control District
Fogging commences Wednesday within the highlighted area.

The detection of West Nile Virus-infected mosquitos means that Santa Clara County officials will begin mosquito fogging operations...

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Schools

LASD trustees reopen negotiations with Los Altos Teachers Association

The Los Altos School District Board of Trustees last week directed staff to reopen negotiations with the Los Altos Teachers Association, a move intended to shore up the district’s financial picture.

According to the district’s current co...

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Community

LA teenager crowned Miss Golden State, advances to national pageant in Florida

LA teenager crowned Miss Golden State, advances to national pageant in Florida


Alicia Castro/Town Crier
Alexandra McCarthy, crowned Miss Golden State Teen in July, earned “Ms. Personality” honors from her peers.

Alexandra McCarthy has a ways to go before reaching her coveted role as a U.S. Supreme Court justice. Bu...

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Sports

After rough year, Eagles aim to soar once more

After rough year, Eagles aim to soar once more


Megan V. Winslow/Town Crier
Los Altos High senior running back Patrick Vargas snares a pass in practice last week.

Don’t dismiss the Eagles. Coach Trevor Pruitt is adamant that his Los Altos High football team will be better than expected.

&#...

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Comment

Car spotting 2015: A Piece of My Mind

When I was a kid, September was exciting, almost like Christmas, because that was when the Big Three automakers would reveal the new models for the upcoming year.

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Special Sections

Loving on the Edge

Loving on the Edge


Courtesy of Ford
The Ford Edge has been redesigned for 2015. Ford lengthened the wheel base and added cargo space, among other things. The Titanium model sells for approximately $42,000.

Once in a while, a vehicle we test-drive is just right for our...

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Business

Wine bar aims for October opening

Wine bar aims for October opening


Rendering courtesy of Honcho
Honcho, the wine and beer lounge on First Street, expects an October launch. A rendering of the space reveals the interior layout, which includes bar and lounge-style seating.

A downtown libations lounge that anticip...

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People

LOIS CAROLINE WALLES

LOIS CAROLINE WALLES

November, 1928

Lois lost a long and courageous battle with a prolonged illness on July 14th, 2015. She passed away knowing how well she was loved. She was always the life of the party and loved bringing everyone to her home for dinner or an event,...

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Travel

Carmel Valley Ranch unveils upgrades

Carmel Valley Ranch unveils upgrades


Courtesy of Carmel Valley Ranch
Carmel Valley Ranch recently upgraded its Vineyard Oak suites, which feature sweeping views, rocking chairs and private outdoor tubs for soaking under the stars.

Things are heating up at Carmel Valley Ranch, with 30 n...

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Stepping Out

'Dead Man' comes alive at Bus Barn

'Dead Man' comes alive at Bus Barn


Richard Mayer/Special to the Town Crier
The cast of Los Altos Stage Company’s “Dead Man’s Cell Phone” includes, from left, Marjorie Hazeltine (as Hermia), Kristin Walter (Jean) and Adrienne Walters (Carlotta).

Los Altos Stage Company opens its ...

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Spiritual Life

Inside Mountain View

MV actress/playwright Garvin wins NY festival award for

MV actress/playwright Garvin wins NY festival award for "Corners Grove"


Courtesy of Undiscovered Countries
Kaela Mei-Shing Garvin received a New York arts festival award for a featured role in “Corners Grove,” a play she wrote.

New York recognized that one of Mountain View’s own can “make it there” when the Planet C...

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DSM-V provides new mental-health roadmap


Hot off the press, the fifth edition of the American Psychiatric Association’s DSM-V (Diagnostic and Statistical Manual), is one of the most controversial books to be published this year.

The DSM, often called the “bible of mental-health care,” attempts to identify nearly every variation in human behavior to allow for standardized health diagnoses.

Mental-health professionals use the DSM’s specific diagnoses to identify and treat psychiatric conditions. Standardized diagnostic categories allow providers to employ a common language when communicating on behalf of their patients. DSM diagnostic standards are also used for government policies, grant funding and insurance reimbursement.

While mental-health professionals primarily use the DSM behind the scenes, its very existence impacts those seeking mental-health care in this country. Patients may not even be aware that the book exists, despite the fact that it impacts their care, insurance coverage and reimbursement.

However, critics of the new edition abound. In May, officials at the National Institutes of Mental Health, the world’s largest funding agency for mental-health research, announced that they would no longer fund projects that rely exclusively on the DSM. Their primary complaint is that the manual lacks validity because it classifies disorders solely based on symptoms.

Despite the criticism, there is also praise. The DSM-V promises to be an influential and important document in mental-health care.

Changes to DSM-V

The new edition includes a number of significant changes. Among the most controversial are changes in the areas of autism and substance abuse. Basic terminology also has changed. For instance, the diagnosis of “mental retardation” has been replaced by “intellectual disability,” bringing DSM-V in line with current standards of practice by eliminating a politically incorrect term.

Of particular interest to parents may be the changes involving autism, a diagnosis that, according to the New York Times, is received by one in every 88 children today. In earlier editions, there were four previously separate diagnoses related to autism – autistic disorder, Asperger’s disorder, childhood disintegrative disorder and pervasive development disorder. Now, autism is defined by a “sliding scale” of symptoms, under the umbrella of “autistic spectrum disorders.”

This concept is consistent with current understanding of autism being a condition that manifests in a range of severity. There is some concern, however, that the new classification may end up disallowing a diagnosis for some children with mild symptoms, children who may have been previously diagnosed with Asperger’s or Pervasive Developmental Disorder. These children could end up losing special education services they receive at school, among other things.

One alternative may be “social communication disorder,” a new designation for children who have communication difficulties without other hallmarks of autistic spectrum disorder.

The earlier DSM chapter on substance abuse is now called “substance abuse disorders.” Changes in the substance abuse category are organized similarly to those in autistic spectrum disorders, where diagnoses are categorized based on symptom severity.

The term “addiction” is in and “dependence” is out. Gambling addiction and cannabis withdrawal are new diagnoses in this section, as are caffeine withdrawal and intoxication.

Mental-health professionals, consumer groups and advocates of all stripes will continue to debate the merits of the new DSM-V.

The good news is that effective mental-health care is available, including medical treatment, psychotherapy, counseling, support groups and behavioral approaches. The wise patient should be aware of the DSM-V and its potential implications, while pursuing treatment and evaluating the evidence that relates to their personal situation.

The new DSM-V can be found at Stanford Health Library.

The main branch of Stanford Health Library is located at the Hoover Pavilion, 211 Quarry Road, Suite 201, Stanford. Hours are 9 a.m. to 5 p.m. Mondays through Fridays.

Nancy Dickenson is head librarian at Stanford Health Library. For more information, call 725-8400, visit website healthlibrary.stanford.edu or email This email address is being protected from spambots. You need JavaScript enabled to view it. .

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