<instructions>Your goal is to analyze the following comment and estimate how highly it will be upvoted by the Hacker News community.</instructions><comment><author>imgabe</author><text>&amp;gt; First, I think van der Kolk downplays the importance of the APA’s philosophical commitment to categorizing by symptoms rather than cause. Consider four patients, Alice, Bob, Carol, and Dan. Alice has poor concentration caused by child abuse. Bob has poor concentration caused by bad genes. Carol throws tantrums because child abuse. Dan throws tantrums because bad genes. The current DSM would categorize Alice and Bob as ADHD, and Carol and Dan as intermittent explosive disorder. Van der Kolk would like to classify Alice and Carol as having Developmental Trauma Disorder, and Bob and Dan as…I don’t know. Bad Gene Disorder? Seems sketchy. When the APA decides not to do that, they’re not necessarily rejecting the seriousness of child abuse, only saying it’s not the kind of thing they build their categories around.&lt;p&gt;This seems like a problem with the APA. Why would they categorize around symptoms? The same symptoms can have different root causes and would then require different treatments. So doesn&amp;#x27;t it make sense to categorize around root causes?&lt;p&gt;The rest of medicine seems to be more concerned with causes. A sore throat might be a cold, or it might be cancer. Obviously they require different treatments, so they don&amp;#x27;t lump them all into &amp;quot;sore throat&amp;quot; and do the same thing every time there&amp;#x27;s a sore throat.&lt;p&gt;Likewise if someone exhibits the symptom of ADHD and the cause is &amp;quot;Bad Genes&amp;quot; but you&amp;#x27;re trying to treat them for non-existent trauma, it doesn&amp;#x27;t seem like it&amp;#x27;s going to be effective.</text><parent_chain></parent_chain></comment><story><title>Book Review: The Body Keeps the Score</title><url>https://slatestarcodex.com/2019/11/12/book-review-the-body-keeps-the-score/</url></story>
<instructions>Your goal is to analyze the following comment and estimate how highly it will be upvoted by the Hacker News community.</instructions><comment><author>jacek</author><text>Another summary of the book that was discussed on HN three weeks ago: &lt;a href=&quot;https:&amp;#x2F;&amp;#x2F;praxis.fortelabs.co&amp;#x2F;the-body-keeps-the-score-summary&amp;#x2F;&quot; rel=&quot;nofollow&quot;&gt;https:&amp;#x2F;&amp;#x2F;praxis.fortelabs.co&amp;#x2F;the-body-keeps-the-score-summary...&lt;/a&gt;&lt;p&gt;Discussion: &lt;a href=&quot;https:&amp;#x2F;&amp;#x2F;news.ycombinator.com&amp;#x2F;item?id=21340636&quot; rel=&quot;nofollow&quot;&gt;https:&amp;#x2F;&amp;#x2F;news.ycombinator.com&amp;#x2F;item?id=21340636&lt;/a&gt;</text><parent_chain></parent_chain></comment><story><title>Book Review: The Body Keeps the Score</title><url>https://slatestarcodex.com/2019/11/12/book-review-the-body-keeps-the-score/</url></story>