Dialog: On Unbelievably High Opioid Use in the US

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Richard S. Waguespack, Ph.D., LCSW

Dialog:

On Unbelievably High Opioid Use in the US

Richard S. Waguespack, Ph.D., LCSW

Keith LePage, Ph.D.

More than a third of US adults prescribed opioids in 2015

 

WOW!!!   :   [

Compare to SOMA in Brave New World.  Also see articles and quotes at the end of this blog to verify that in the not too distant past, this guess would have been more or less correct.  Also note that this is a distinctively “American problem”.

Richard Waguespack  August 1 at 10:17pm ·

I find this very hard to believe – My guess would be 12-15 percent tops and as low as 6-7 percent. Any insight about the validity of this article?

More than a third of US adults prescribed opioids in 2015
By Andrew M. Seaman Reuters Health – The United States needs to curb excessive opioid prescribing and improve access to pain management techniques, suggests a new government study. “A very large… ca.news.yahoo.com

Keith LePage

Looks like a real journal. http://annals.org/…/prescription-opioid-use-among-u-s…

Prescription Opioid Use Among U.S. Adults: Our Brave New World | Annals of Internal Medicine | American College of Physicians
Acknowledgment: The author thanks Maxim D. Shrayer, PhD, and Robert H. Fletcher, MD, MSc, for reviewing earlier drafts of this manuscript.
annals.org  August 1 at 10:38pm

Richard Waguespack

I guess there are several different definitions of opioids. August 1 at 10:54pm

Reply
Keith LePage

The prototypical opioid is morphine. However, any compound that interacts with one of the opioid receptors, and produces a morphine-like effect is considered an opioid. For example Dextromethorphin, which is contained in many cough syrups, is a dextrorotary opioid. August 1 at 11:06pm

Reply
Keith LePage

Of course the primary target of the Dextrophin, metabolic product of Dextromethorphan is the NMDA receptor and is called a dissociative analgesic. August 1 at 11:12pm

Reply
Richard Waguespack

Richard Waguespack I would say at least 7-8 lobes or more have opiate/opioid receptors and there are probably at least 15 different kinds. Then we have peripheral ones that may not be opiate/opioid per se but are related to analgesic pain relief… this may be the largest category… and some drugs are hybrids or just outside of… x, but connect to y. I would say that the “keys” coming from the agonist/antagonist agents might be flexible in some cases, though the “locks” are staples. It is just like ADD medication. Strattera is not an amphetamine, but it “kinda” acts like one. August 1 at 11:17pm
 
Reply
Richard Waguespack

For several years in private practice in SC I treated a number of patients with dissociative disorders. I thought giving medication of almost any kind blunted the effect of the abreactive therapy and made it take much longer to bring about integrations.  August 1 at 11:21pm

Reply
Richard Waguespack

Why do they refer to dextroamphetamine as a dissociative analgesic? August 1 at 11:25pm

Reply
Keith LePage

There are four classed of opioid receptors;mu, kappa, delta and NOR. A fifth, zeta, was proposed several years ago, but was found to share very little homology with any other OR. There a number of subtypes in each class.  August 2 at 8:27am

Reply
Keith LePage

A dissociative analgesic (Dextroamphetamine, PCP, Ketamine) induces memory loss. This effect is likely due to high density of NMDA receptors (the high affinity binding site for these compounds) found in the hippocampus. Blockade of NMDARs inhibits short-term memory. Dextroamphetamine is an amphetamine and to my knowledge is not considered a dissociative analgesic.  August 2 at 8:35am

Reply
Richard Waguespack

Thanks. Anything affecting memory, especially long term memory would present major obstacles for therapy focused on dissociative disorders. Yet, I bet there are physicians prescribing such medication to people with dissociative disorders because they did not even recognize them or believe in them or care… they treat symptoms in a superficial way… it may be getting better these days with more education.  August 2 at 11:54am

Reply
Keith LePage

Unfortunately, the inappropriate use pharmaceutics in the treatment of dissociative disorders is still widespread.  Amphetamines are often viewed as “genius” drugs that enhance learning and memory. While there is evidence that such drugs enhance learning, the therapeutic window is narrow and the abuse potential is high. August 2 at 12:09pm

Reply
Richard Waguespack

Morphine is considered an opiate, right?… close to the original chemical formula of secretion from opiate bulbs. August 1 at 11:27pm

Reply
Keith LePage

Yes. Morphine is considered the prototypical opioid. Morphine was originally thought to be a good tool to combat opium addition. Heroin was once thought to be the cure for morphine addiction. Methadone is……. Well you get the idea. Substituting one opioid derivative another addictive opioid has not been a particularly successful strategy. August 2 at 12:09pm

Reply
Richard Waguespack

The way I see it, Methadone is true synthetic and Morphine is an opiate… right… (?) the “prototypical” is the chemical structure model for synthetics to fit into…  August 2 at 12:32pm

Reply
Keith LePage

There are many synthetic opioids such Hydromorphine, Demerol, Fentanyl, Diluadid etc. They nomenclature is based on the structure from which they have been derived from. August 2 at 12:34pm

Reply
Keith LePage

I spend a good bit of time evaluating novel synthetic opioids. The goal was to develop compounds with less likely to cause dependence while maintaining the analgesic benefits.  August 2 at 12:37pm

Reply
Richard Waguespack

Better to be on Methadone (or other more advanced synthetics as you mention), even though it may hurt a bit because addicts do very bad things when their supply runs out.  Methadone has little high and creates some basis of stability. I think detox centers need to find ways of moving people off methadone with higher success rates with little recidivism… but since it depends on willpower and character in short supply with most addicts, we have a problem, a human rather than a chemical problem, primarily – there must be a law of diminishing return in improving synthetics. You should mean “synthetic opiates”…right??… I think this definition offers a more contained representation — these days opioid is too broad with more license to move away from the original prototype as you say… a ‘synthetic of a synthetic’? If we have synthetic opioids then we are really in trouble because maybe even Tylenol would fit the category, right…? I am exaggerating for the sake of discussion…do you agree with my take here?  August 2 at 12:48pm

Reply
Keith LePage

Acetaminophen may act on TPRV1 and endogenous cannabanoid pathways. I am unaware of any activity at any of the opioid receptors. The date is incomplete. Actually, I believe most of today’s abuse is tied to synthetics such as Oxycontin, Dilaudid, Fentanyl and so on. Just fyi, most pharmacologists steer clear of the word “addiction”. Dependence is a more accurate term when discussing biological activity.  Addiction is more of a psychological state that my very well include dependence on some drug.
August 2 at 12:49pm

Reply
Richard Waguespack

It would be better to have conversations like this on beingbecoming.us or waguespack-seminars.org Wish I had thought of that.  August 2 at 12:50pm (Edited August 13 at 10:07am)

Reply
Keith LePage

Feel free to copy to your page.  August 2 at 12:50pm

Reply
Richard Waguespack

I might edit a little and put in a blog and put your picture on the bottom with a description and then invite others from around the world to comment. I will put a google translator on the page.  August 2 at 12:52pm

Reply ·
Keith LePage

Sounds good. Pays to keep the old noggin in action.  August 2 at 12:53pm

Reply
Keith LePage

Do you own a copy of Goodman and Gilman? August 2 at 12:54pm

Reply
Richard Waguespack

No question… use or lose…. please comment on the conceptual issue I brought up… August 2 at 12:54pm  (Edited August 13 at 10:13am)

Reply
Richard Waguespack

I have Psychopharmacology: Straight Talk on Mental Health Medications by Joe Wegmann, RPh, LCSW. He is a pharmacist and clinical social worker like me. How good are Goodman and Gilman in balancing and supplementing and withholding medication interventions in reference to the other treatments available? August 2 at 12:59pm

Reply
Richard Waguespack

Like psychotherapy.  A medical malpractice attorney I know should take note… the new normal for physicians it to refer for such treatments and recognize the limitations of what they may be attempting. August 2 at 1:00pm

Reply
Keith LePage

G&G is the “gold standard” for describing the physiological actions of therapeutics.  August 2 at 12:59pm

Reply ·
Richard Waguespack

: ] In what phenomenological background? Meds and organicity only? August 2 at 1:00pm

Reply
Richard Waguespack

Of course, this term “organicity” as I mention in first chapter of my forthcoming book Being Becoming: Integrative Theory has undergone many changes… and in terms of interventions may require a much broader synthesis… August 2 at 1:02pm

Reply
Richard Waguespack

I hope you will see fit to endorse… August 2 at 1:02pm

Reply
Keith LePage

It is a reference material that describes the pharmacology of a therapeutic (site of action, pharmacokinetics, structure etc). I would think it would be a valuable resource to anyone seeking to describe medicinal interventions. August 2 at 1:04pm

Reply
Richard Waguespack

I can send you a fairly advanced draft for your comments, especially on first chapter “Re-Framed Physiology”.  August 2 at 1:05pm

Reply
Keith LePage

I would be happy to review portions in which I have some expertise. Remember that I am not a clinician.  August 2 at 1:06pm

Reply
Richard Waguespack okay… thanks…August 2 at 1:07pm

Reply
Keith LePage

Have to run. Good talk, Richard.  August 2 at 1:07pm

Reply
Janice Cooper Beard

I can believe this. I had two surgeries in the last year and both times the doctor insisted I leave with a script for one, even with my stating I did not want or need one. when I was being discharged a few weeks ago, the NP asked what level my pain was, I told her zero. She said I had to have a pain script to leave the hospital. My discharge papers said my pain was a level 3! I guess that was to justify pain script…August 2 at 11:08pm

Reply
Richard Waguespack

I find it a good practice to fill the prescription and keep it in the medicine cabinet for those really bad days when an aspirin or Tylenol or Motrin just does not do enough… They should be the furthest thing from one/s mind +/- 340 days out of the year… Maybe our supreme academic pharmacist Keith will have a comment.   🙂 August 2 at 11:13pm

Reply
Janice Cooper Beard (Retired Math Teacher, Meridian MS Public Schools)

Richard Waguespack scripts are still on my desk…..I just don’t take them. If I am in enough pain, I will give myself a toradol injection. August 3 at 12:14am

Reply
Keith LePage Pharmacologist.

Richard Waguespack  I agree with you, Richard. The prudent use of pain meds is fine. If pain continues to require the use of pain medication for more than 5 – 7 days one should contact one’s physician. The potential for abuse, and subsequent dependence, associated with pain medication is great and trained supervision of their use is critical. I would also caution people to keep such drugs in a private and secure location. Particularly if other people have access to your medicine cabinet.  August 3 at 8:59am

Conclusion of FB Dialog which ends here.  HOWEVER IT MAY CONTINUE ON THIS SITE!!!        :   ]

See Postscripts Below for future discussions.  August 13 10:29am

 According to Here are 10 opiate addiction statistics in the making

“Between the years 1999 and 2010, sales for prescription painkillers to hospitals, doctors and pharmacies increased fourfold. By 2010, the number of pain medications prescribed was enough to keep every single American medicated for one month’s time.”

“Since 1999, the number of overdose deaths from pain medications has increased by 300 percent. In 2008, opiate addiction statistics deaths resulting from prescription pain meds totaled 14,800. This number amounts to over and above the combined total for heroin and cocaine-related deaths.”

Supplemental Note:  According to CDC Centers for Disease Control and Prevention, The amount of opioids prescribed per person was three times higher in 2015 than in 1999.  [180 MME to 640 MME].  Further, “a dose of 50 MME or more per day, doubles the risk of opioid overdose death, compared to 20 MME or less per day.  At 90 MME or more, the risk increases 10 times.

Final Note: One must wonder if other drugs such as Benzodiazepines are included or excluded from these statistics.  What is the difference between pain and antianxiety medications in the minds of statisticians?  What are some statistical blind spots that may mask our country’s drug crisis?  What can we do about such issues?

This commentary is not to be construed as individual medical advise.  Please consult with your own personal physician(s) or other authorized health professional(s).

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Keith LePage, Ph.D.

Keith LePage, Ph.D.

–Worked at Tulane University School of Medicine 
–Worked at University of Georgia
–Studied Genetics at University of New Hampshire
–Studied Microbiology at LSU
–Went to Mandeville High School
–Lives in New Orleans, Louisiana
–From Mandeville, Louisiana

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Preface Part II: Being Becoming: Integrative Paradigms For Developmental Metaphysics

BEING BECOMING

NOTES (PART II)

BEING BECOMING: PARADIGMS FOR INTERDISCIPLINARY ONTOLOGY

Richard Waguespack, Ph.D., LCSW

     Many great thinkers in contemporary neurology such as Michael Gazzaniga, author of Who’s in Charge, play to a middle ground in recognizing mind-body perspectives that propose an interface between animate and inanimate domains of being.  He does this by expanding the parameters of “emergence theory” that has traditionally been quite nebulous and somewhat adversarial to recognizing dimensions outside the physical and quantum.  His evident strategy is to give the reader much empirical evidence about the nature of the brain and human decision making within scientific parameters explained through interactive systems theory and offering a blurry olive branch; some semblance of a separate ‘mind’ sustained in whole greater than the sum of its parts.  Though he may vaguely signal this is metaphysical or spiritual there is no clear cut alliance with this position.

    Gazzaniga appeals to a sustained quantum complexity – akin to recognizing two separate properties in mind-body distinction, but not acknowledging two distinct domains (material and spiritual).  This is known as property dualism rather than substance dualism as traditionally defined by Cartesian theorists.  Cartesian dualism states that man has a body and a soul and each of is composed of a separate substance.  Those with this orientation weigh the value of a neurological theory by the level of accommodation.  

     Property dualism is a half-mast sail for those who do not want to alienate either side of the Cartesian dualism debate.  Now having made this point, the limitations and problems with Cartesian dualism are addressed in this book – but the remedies do not migrate in the direction of monism or property dualism.  More broadly, coexistence or functional alignment between the animate and inanimate components of being are at the heart of the Three Essence Paradigm (or Theory), a perspective that is developed in this publication.  The nature of this relationship is something that will require many people many years to further explore, expand and clarify.  What can be established from the onset is that the notion of substance, more than the constructs it was meant to cover in Cartesian Dualism must be reexamined for efficacy given certain issues in Western Philosophy and Christian Theology. 

     Unfamiliar with the approach of this book, Gazzaniga, primarily a property dualist, explains that the “whole” is greater (and of different status and quality) than the sum of its parts, substitutes the mind for the whole and the parts for components of physiology.   To cap it off, he vaguely alludes to ‘possibly more’ while at the same time elusively allowing room from the scientific community to retain long held, insular, materialist assumptions that some believe should be stripped out to make room for more valid and holistic interdisciplinary models.  At the same time, Gazzaniga avoids explicitly diminishing the merit of orientations of those who see how quantum mechanics opens the door to a more holistic view that may in some manner be construed to incorporate the metaphysical and spiritual essence of humans integrated with their physical nature or body.

     In some ways, The Being Becoming Series goes beyond the work of Gazzaniga and others (many more accustomed to even more reductionist models) to explore cohesive interpretations that interface the physical, quantum, morphic, metaphysical and spiritual when addressing the physiology and overall functioning of humans.  Chapter one of the first publication is thus aptly titled Physiology Reframed.

     Because our world continues to increase in both complexity and wholesale automation that invades individual autonomy and decision making, the basic structures, systems and processes that once enabled individuals and organizations to get from point A to point B to point C, may paradoxically be overly effective and frighteningly inadequate at the same time. This is especially true if certain core understandings and principles are missing from goals and objectives.  The runaway train stays on track and has brakes, but is also very dangerous and out of control.  The same may be said of certain kinds of scientific research.

     Many more gaps and much dissonance may appear when relying on old strategies combined with new technologies to advance to points D, E and F.  Again, lack of knowledge and false  (or reductionistic) assumptions about the nature of being and potential as well as underestimating the extent of erosion and moral change that we are called upon to embrace, can and will affect the relative thresholds of success and failure of work environments.

   The goals of an organization can be well formulated in terms of service and outcome, but without a cultural shift to support ongoing openness to new and better modes of being, the mindful practice of high receptivity to other kinds of information and flexibility for change may in and of itself be insufficient to bring the group through the jungle one year and the desert the next. Principles founded upon improved interpretations of humans and the human condition are required to filter knowledge and assemble the best model for mission, goals, objectives and outcomes.

    Just because we are now understanding the brain to be far more plastic than hard wired, does not mean we properly understand what constitutes the person who uses the brain.  In fact, such advanced understanding in isolation can easily yield to strategies that involve unprecedented abuse and unethical manipulation.  This is especially true for those committed to incorporating a materialist view of being and existence.

   Nimble capacity when one’s understanding of “the meaning” and content for “the mission” is inadequate creates barriers to discovering and acting upon the best vision, navigation and criteria for success.  Those scrambling to be ’orchestrators’ instead of ‘orchestrees’ need to possess the character and vision necessary to avoid nihilistic “group think” processes that may offer hollow confirmation to “the boss”.  They need to understand what constitutes their own being as well as variables that signal deficits in process and formation.

     An inferior or deficient mission grabs for external alliance and loyalty and mechanistically creates sparks simulating but not equaling the holistic success and honor many of us seek.  In the words of Sinclair Lewis in Rebel From Main Street,  we may cynically reach to accomplish without adequate assessment of goals or authentic internal validation. “What is success, but the paper helmet of a clown, more nimble than his fellows, scrambling for a peanut in the dust of an ignoble circus” (p. 490). 

Similarly, the need for deeper thinking along with self reflection in managers is explained well by Cecile Rozuel (2010):   

Successful modern managers are pictured as capable of adapting both from experience and from a knowledge-database to respond effectively and efficiently to the issues and prospects of
business (Hannagan, 2005).  On the moral front, however, successful managers need to develop
a propensity to self reflect.  They equally need to adapt less to circumstances and instead favour
the expression of their self.  Failure to do so does not make managers necessarily wrong in ethical terms but it certainly makes them much more susceptible to fail morally in the course of their job.

 

    As we work towards advancing the noble and quelling the ignoble in our sphere of influence, our vulnerabilities to demands from authority, even if discernibly irrational, are formidable.  Consider the ramifications of being in automated compliance as demonstrated by the well circulated video known  as The Waiting Room Experiment.  In our technical age with sound and visual signals for various kinds of automated delivery and conformity, peer and supervisory pressure combined with advanced tools in many domains place us at an every increasing risk of losing our voice and collegial interface with co-workers and often more distanced leaders.  The of course greatly integers with trust and investment in problem solving collaboration.

     Being Becoming recognizes that a person or group’s state of being will definitely influence the capacity for steering the ship away from atrophy, entropy and apathy and towards sustaining cohesive progress towards worthy long term goals and objectives.  While this volume of Being Becoming may not exist in the form of a throughly practical “how to” business manual, it provides a helpful framework for the reader to better conceptualize the “a-priori” “what is” before the “how to“.

     Being Becoming was written to provide a backdrop of information for other theorists in various disciplines to  more universally and ‘natively’ connect with their own being, ideas and their potential applications.  With the right priorities, they will also be involved in producing a more complete synthesis for leadership to consider when appraising “what is”, both actual and potential.  Identifying and explaining our core components on a metaphysical level – essence and potential in being as well as problems with optimal integration of self is certainly near the top of the list.

     It has often been said that “the world is shrinking”.  What we mean by this statement continues to evolve. At a minimum, it certainly entails the reality that an ever increasing constellation of “systems” will exist in closer and closer proximity to one another — quite possibly with collateral influence that is “felt” with  greater regularity and intensity.  Ultimately, some components will function in ways which will demand constructive coexistence. 

     When one focuses on new content suitable for inclusion in various systems theories and mainstream paradigms of science, technology, psychology, medicine, education, social work, human resources, and management, a “growth odyssey” of considerable magnitude at many different levels unfolds.  In putting this Series together, applications for a much larger context of interdisciplinary studies aligned with Ontology  the study of being emerges.  I believe that a significant number of people are motivated towards interdisciplinary exchanges directed towards central conduit(s) containing built in filters and scaffolds to generate increasingly holistic paradigms for universal applications.

    Being Becoming offers paradigms to unify great people, causes and modes of inquiry with both concrete and abstract references to the nature of reality.  Though the challenges involved in bringing this synthesis to the “center of operations” are formidable, if they were any easier they would already be in place, it would not take great leaders to understand and facilitate them.

     As we transition into a third 21st century decade, we can expect to see a flow dynamic partnerships, mergers, buyouts and other alliances, not just of corporate bodies, but of functional ideologies and metaphysical assumptions. If we head in the right direction, professions and disciplines will practice more effective collaboration because a shared epistemology and ontology will make it more possible to consciously formulate overlapping objectives with shared assumptions to foster constructive processes.  It will often be through interdisciplinary channels governed by these modalities that accomplished minds will gather to formulate constructive innovations and platforms to accomplish them.  

     Who is going to be early (or late) for the “Ontology Gathering”?  Who is not aware that while modern enterprise is becoming “smarter”, more technologically savvy and powerful, the possibility of nefarious assumptions and destructive ideologies taking root and molesting the service,  product or peripheral realities increases?  It takes a new additions to nomenclature and alliance with multiple disciplines oriented towards the higher good to sufficiently move frameworks, support and navigation in the best way for the good of all.

     Near the open of a recent podcast, Being The Change: Episode 214, Lewis Howes (2015) asked, “Have you ever stopped to think what it means to be human? We have so much power yet haven’t quite mastered responsibility to ourselves, or our home, the earth, or her other inhabitants.” I believe Ontology and related venues are almost unavoidably going to be primary catalysts behind corporate and multidisciplinary developments in the future.  These should foster greater trust for sustainability of missions over more narrow definitions of ‘performance’ within specific contexts that often possess very short life spans. 

    Since constant change and need to innovate and adjust will be accelerated, creative potential will become more valued in many settings.  Advancing a compatible, epistemology, metaphysics and ontology is the key for innovators to focus on ’operationalization’ within the context of “mutuality in being”.

     At this juncture it is fitting to revisit the introductory thoughts of Edith Stein in Finite and Eternal Being. Posthumously published within one of the most pivotal epochs in the history of Western Philosophy, we find the following declaration:  “This is a book by a beginner for beginners.”  I certainly wish to echo those same sentiments for the publications of this Series. A certain kind of simplicity and humility is required for gathering many to further process and prioritize their understanding of this less than fully definitive material.

  By embracing her quest in the right spirit, in her humble acknowledgment, Stein was saying that her efforts do not equate to absolute truth, but will hopefully draw the reader to the right proximity of content relevant to the new frontier of constructing emerging and traditional fields of thought for mankind’s advancement in the greater good. This is my position as well.  There is a market for modernized work of this nature and I feel privileged to participate in it.           

END OF PREFACE PART 2 OF 2

Please note that this book contains a “working Glossary” for the reader to glance through before and during reading…   

Developmental Metaphysics: Reframing Medicine and Psychology

WAGUESPACK SEMINARS COURSES

PURCHASE BEING BECOMING

NEW LIFE COACHING

As I work to publish Being Becoming: Integrative Paradigms it is becoming evident that Three Essence Theory and other constructs discussed cross a major threshold.  No longer the offspring of any single discipline, they have taken on a unique, interdisciplinary quality – “integrative paradigms” in service of Developmental Metaphysics.  This may call for a change in the title:  Being Becoming: Integrative Paradigms For Developmental Metaphysics.

Observers may say that advanced phenomenology and at least some forms of existentialism could also be classified as Developmental Metaphysics and they may have a point.  However, I have never encountered material that described these fields in those terms even though that may have been the less than fully conscious intent of some thinkers. Perhaps it is more accurate to say these venues were precursors to Developmental Metaphysics.

I offer Developmental Metaphysics as an emerging subfield set up to integrate select components of various disciplines within the context and nomenclature of Metaphysics and modern Epistemology of Interdisciplinarity.

It is through this corridor that medicine, psychology, social work, occupational therapy, systems theory in business and other venues can be both enriched and guided on a path that is more in sync with the Judeo-Christian foundations of western society.  There is also room for careful and selective integration of experience and knowledge from sources outside this framework that do not contradict the core foundations..

The power of Developmental Metaphysics is its capacity to field an interdisciplinary mission, that is, to tether the less abstract constructs from other disciplines to a higher order of thought developed to guide and sustain them in an optimal way.  This includes nurturing a pedagogical and practice mindset that is not prone to be oppressed by approaches in Philosophy, Science, Medicine and Psychology that discount the existence of realities outside of three dimensions or the need for adequate Ontological, Moral and Spiritual reference.

Conversely, the mission is to create concepts, constructs, theories and paradigms so powerful as to eclipse and subordinate those approaches traditionally imposed by materialists and to selectively supplant them in favor of more holistic and relevant frames of reference.   In addition, Developmental Metaphysics is a sustainable platform to offer improvements to long existing constructs such as Cartesian Dualism in a way which does not throw the baby out with the bathwater.  Soon to be published, Being Becoming: Integrative Paradigms [For Developmental Metaphysics] takes on this challenge by offering some new concepts to reconstruct entrenched fabrics no longer amenable to a broader integration helpful to Theology and other disciplines.

In sum, we can begin by contemplating Developmental Metaphysics with the following tenants:

1.  Best understood as a distinctly interdisciplinary field with unique scope and frames of reference.

2.  Requires reference to Ontology. 

3.  Must meet certain litmus tests of reason, cohesion and epistemological integrity.

4.  Requires an understanding of the quest for advanced performance, spiritual, intellectual, social and emotional growth, as well as the rationale supporting aspiration and achievement.

TAKE A WAGUESPACK SEMINARS COURSE TODAY!

“The word ‘metaphysics’ is derived from a collective title of the fourteen books by Aristotle that we currently think of as making up Aristotle’s Metaphysics. Aristotle himself did not know the word. (He had four names for the branch of philosophy that is the subject-matter of Metaphysics: ‘first philosophy’, ‘first science’, ‘wisdom’, and ‘theology’.) At least one hundred years after Aristotle’s death, an editor of his works (in all probability, Andronicus of Rhodes  titled those fourteen books “Ta meta ta phusika”—“the after the physicals” or “the ones after the physical ones”—the “physical ones” being the books contained in what we now call Aristotle’s Physics.”

van Inwagen, Peter and Sullivan, Meghan. (Spring, 2018). “Metaphysics”, The Stanford Encyclopedia of Philosophy. Edward N. Zalta (ed.).  Retrieved from https://plato.stanford.edu/archives/spr2018/entries/metaphysics.

Preface Part I: Being Becoming: Integrative Paradigms For Developmental Metaphysics

BEING BECOMING NOTES (Part I) BEING BECOMING: INTEGRATIVE PARADIGMS CONSTRUCTS FOR INTERDISCIPLINARY ONTOLOGY Facebook Linkedin Twitter Richard Waguespack, Ph.D., LCSW Home Waguespack Seminars Being Becoming: Posts Ontology Purchase Being Becoming Social Media Facebook LinkedIn Twitter About Richard Privacy Policy      Few argue against fuller explanations about what constitutes our being and purpose.  Being Becoming explores the conditions of our essence and potential and dynamics of existence influencing our self-concept, goals, mission, volition, and the way we participate

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Who’s Changing The Meaning?

Subscribe For New Posts * indicates required Email Address * First Name Last Name Richard S. Waguespack, Ph.D., LCSW BOOK REVIEW by Richard Waguespack, Ph.D., LCSW Pope, Dana Lynn (2017-05-05). Who’s Changing the Meaning?  Dana Lynn Pope, LLC. Kindle Edition. In Who’s Changing the Meaning?, Dana Pope explains in striking clarity the importance of integrity in language and its relationship to what is at stake in western civilization.  While meanings do expand and multiply over

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Preface Part I: Being Becoming: Integrative Paradigms For Developmental Metaphysics

BEING BECOMING NOTES (Part I) BEING BECOMING: INTEGRATIVE PARADIGMS CONSTRUCTS FOR INTERDISCIPLINARY ONTOLOGY Facebook Linkedin Twitter Richard Waguespack, Ph.D., LCSW Home Waguespack Seminars Being Becoming: Posts Ontology Purchase Being Becoming Social Media Facebook LinkedIn Twitter About Richard Privacy Policy      Few argue against fuller explanations about what constitutes our being and purpose.  Being Becoming explores the conditions of our essence and potential and dynamics of existence influencing our self-concept, goals, mission, volition, and the way we participate

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THE FUTURE OF COACHING: Come Out From The Shallows

NEW LIFE COACHING Image already added     Cordell, OK 73632 Image already added     THE FUTURE OF COACHING Come Out From The Shallows Where Will The New “Developmental Pioneers” Come From? What Will Be Their Priorities? Image already added     Facebook Linkedin Twitter Google-plus Instagram Dribbble Envelope Snapshots of “coaching” through the ages may invoke images of a prehistoric father teaching his son how to hunt, travel through difficult terrain, detect and react to danger

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Dialog: On Unbelievably High Opioid Use in the US

Richard S. Waguespack, Ph.D., LCSW Dialog: On Unbelievably High Opioid Use in the US Richard S. Waguespack, Ph.D., LCSW Keith LePage, Ph.D. More than a third of US adults prescribed opioids in 2015   WOW!!!   :   [ Compare to SOMA in Brave New World.  Also see articles and quotes at the end of this blog to verify that in the not too distant past, this guess would have been more or less correct.  Also note

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Preface Part II: Being Becoming: Integrative Paradigms For Developmental Metaphysics

BEING BECOMING NOTES (PART II) BEING BECOMING: PARADIGMS FOR INTERDISCIPLINARY ONTOLOGY Facebook Linkedin Twitter Richard Waguespack, Ph.D., LCSW      Many great thinkers in contemporary neurology such as Michael Gazzaniga, author of Who’s in Charge, play to a middle ground in recognizing mind-body perspectives that propose an interface between animate and inanimate domains of being.  He does this by expanding the parameters of “emergence theory” that has traditionally been quite nebulous and somewhat adversarial to recognizing

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