Lyssants – incidence & prevalence – anyone
willing to be census-takers?
Just how prevalent are lyssants? At some time we have all been lyssants even
if only when we were toddlers and having a temper tantrum. It is a natural part of our behavioral
repertoire. It plays a critical role
when it occurs as defensive rage and allows us to overcome or frighten away an
assailant. And the playful frenzy during
sexual relations can serve to strengthen interpersonal attraction, and can help
overcome external pressures. But, for
teens and adults, becoming a lyssant often produces more trouble than it
solves. Lyssant behavior is not
tolerated in most societies and is quickly punished. An exception occurs to some regulated degrees
in various sports. Even here, there is
increasing recognition of progressive neural damage from multiple physical
traumas. This suggests these outlets for
our innate lyssantic behaviors need continual monitoring and improvement in
safety equipment and health surveillance. There is no chance, certainly no wish
by this author, to try to curtail these means of ‘letting off steam’. I fully believe this would be disastrous to
us as a species and would just move such behaviors further into underground
fight clubs and the like.
Given the lack of a specific accepted definition
or test, calculating the prevalence of uncontrolled lyssant behavior is
presently impossible. However, some insights
into its prevalence may be gained from comorbidity studies. For example, the occurrence of oppositional
defiant disorder and/or conduct disorder in people with ADHD is commonly
reported to be 30-50%. Certainly not all are lyssant, but some are. The rage cycle in people with an autism
spectrum disorder is well-recognized. Some
of this behavior is surely lyssantic. The prevalence of Intermittent Explosive
Behavior has been estimated to be from 3-7% of the population. What is crystal clear is that rage that
“comes out of nowhere” is common, and more so among people with other
conditions that make generating accepted social behavior difficult. It is also clear that ADHD, autism disorders,
bipolar disorder, and others are not synonymous with lyssantic behavior. Lyssants need to be uniquely defined and
specific treatments found for when their behavior interferes with the conduct
of their lives. Specific means to draw
it out, like sodium lactate for panic disorder, must be found. And, as much as I admire the accomplishments
of cognitive-behavioral therapy (CBT), I simply do not believe that overt
reinforcements or ‘mindfulness’ can address the true measure of lyssantic
behavior. I know a number of people that
can recognize they are heading toward having a migraine headache, but they
still need pharmacological treatments to blunt or block the migraine headache
itself. Lyssantic behavior is much, much
more powerful than that.
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