Winnie the Pooh has a few problems....

Discussion in 'Off-Topic Chat' started by rutty, May 25, 2004.

  1. rutty

    rutty Active Member

    Pathology in the Hundred Acre Wood: a neurodevelopmental perspective on
    A.A. Milne Sarah E. Shea, Kevin Gordon, Ann Hawkins, Janet Kawchuk and
    Donna Smith Sarah-the-Shea, Ann-the-Hawkins, Janet-the-Kawchuk and
    Donna-the-Smith are with the Division of Developmental Pediatrics and
    Kevin-the-Gordon is with the Division of Neurology, Department of
    Pediatrics, Dalhousie University, Halifax, NS.


    Somewhere at the top of the Hundred Acre Wood a little boy and his bear
    play. On the surface it is an innocent world, but on closer examination by
    our group of experts we find a forest where neurodevelopmental and
    psychosocial problems go unrecognized and untreated.

    On the surface it is an innocent world: Christopher Robin, living in a
    beautiful forest surrounded by his loyal animal friends. Generations of
    readers of A.A. Milne's Winnie-the-Pooh stories have enjoyed these
    seemingly benign tales.1,2 However, perspectives change with time, and it
    is clear to our group of modern neurodevelopmentalists that these are in
    fact stories of Seriously Troubled Individuals, many of whom meet DSM-IV3
    criteria for significant disorders (Table 1). We have done an exhaustive
    review of the works of A.A. Milne and offer our conclusions about the
    inhabitants of the Hundred Acre Wood in hopes that our observations will
    help the medical community understand that there is a Dark Underside to
    this world.

    We begin with Pooh. This unfortunate bear embodies the concept of
    comorbidity. Most striking is his Attention Deficit Hyperactivity Disorder
    (ADHD), inattentive subtype. As clinicians, we had some debate about
    whether Pooh might also demonstrate significant impulsivity, as witnessed,
    for example, by his poorly thought out attempt to get honey by disguising
    himself as a rain cloud. We concluded, however, that this reflected more on
    his comorbid cognitive impairment, further aggravated by an obsessive
    fixation on honey. The latter, of course, has also contributed to his
    significant obesity. Pooh's perseveration on food and his repetitive
    counting behaviours raise the diagnostic possibility of Obsessive
    Compulsive Disorder (OCD). Given his coexisting ADHD and OCD, we question
    whether Pooh may over time present with Tourette's syndrome. Pooh is also
    clearly described as having Very Little Brain. We could not confidently
    diagnose microcephaly, however, as we do not know whether standards exist
    for the head circumference of the brown bear. The cause of Pooh's poor
    brain growth may be found in the stories themselves. Early on we see Pooh
    being dragged downstairs bump, bump, bump, on the back of his head. Could
    his later cognitive struggles be the result of a type of Shaken Bear

    Pooh needs intervention. We feel drugs are in order. We cannot but wonder
    how much richer Pooh's life might be were he to have a trial of low-dose
    stimulant medication. With the right supports, including methylphenidate,
    Pooh might be fitter and more functional and perhaps produce (and remember)
    more poems.

    I take a PILL-tiddley pom It keeps me STILL-tiddley pom, It keeps me
    STILL-tiddley pom Not fiddling.

    And what of little Piglet? Poor, anxious, blushing, flustered little
    Piglet. He clearly suffers from a Generalized Anxiety Disorder. Had he been
    appropriately assessed and his condition diagnosed when he was young, he
    might have been placed on an antipanic agent, such as paroxetine, and been
    saved from the emotional trauma he experienced while attempting to trap

    Pooh and Piglet are at risk for additional self-esteem injury because of
    the chronic dysthymia of their neighbour, Eeyore. What a sad life that
    donkey lives. We do not have sufficient history to diagnose this as an
    inherited, endogenous depression or to know whether some early trauma
    contributed to his chronic negativism, low energy and anhe(haw)donia.
    Eeyore would benefit greatly from an antidepressant, perhaps combined with
    individual therapy. Maybe with a little fluoxetine, Eeyore might see the
    humour in the whole tail-losing episode. Even if a patch of St. John's wort
    grew near his thistles, the forest could ring with a braying laugh.

    Our neurodevelopmental group agrees about poor Owl: obviously bright, but
    dyslexic. His poignant attempts to cover up for his phonological deficits
    are similar to what we see day in and day out in others so afflicted. If
    only his condition had been identified early and he received more intensive

    We especially worry about baby Roo. It is not his impulsivity or
    hyperactivity that concerns us, as we feel that those are probably age
    appropriate. We worry about the environment in which he is developing. Roo
    is growing up in a single-parent household, which puts him at high risk for
    Poorer Outcome. We predict we will someday see a delinquent, jaded,
    adolescent Roo hanging out late at night at the top of the forest, the
    ground littered with broken bottles of extract of malt and the butts of
    smoked thistles. We think that this will be Roo's reality, in part because
    of a second issue. Roo's closest friend is Tigger, who is not a good Role
    Model. Peer influences strongly affect outcome.

    We acknowledge that Tigger is gregarious and affectionate, but he has a
    recurrent pattern of risk-taking behaviours. Look, for example, at his
    impulsive sampling of unknown substances when he first comes to the Hundred
    Acre Wood. With the mildest of provocation he tries honey, haycorns and
    even thistles. Tigger has no knowledge of the potential outcome of his
    experimentation. Later we find him climbing tall trees and acting in a way
    that can only be described as socially intrusive. He leads Roo into danger.
    Our clinical group has had its own debate about what the best medication
    might be for Tigger. Some of us have argued that his behaviours, occurring
    in a context of obvious hyperactivity and impulsivity, would suggest the
    need for a stimulant medication. Others have wondered whether clonidine
    might be helpful, or perhaps a combination of the two. Unfortunately we
    could not answer the question as scientifically as we would have liked
    because we could find only human studies in the literature.

    Even if we were able to help Tigger, we would still have the problem of
    Roo's growing up with a single parent. Kanga is noted to be somewhat
    overprotective. Could her possessiveness of Roo relate to a previous run-in
    with social services? And where will Kanga be in the future? It is highly
    likely that she will end up older, blowsier, struggling to look after
    several joeys conceived in casual relationships with different fathers,
    stuck at a dead end with inadequate financial resources. But perhaps we are
    being too gloomy. Kanga may prove to be one of those exceptional single
    mothers who show a natural resilience — an ability, if we may say so, to
    bounce back. Maybe Kanga will pass her high school equivalency test, earn a
    university degree and maybe even get an MBA. Perhaps some day Kanga will
    buy the Hundred Acre Wood and develop it into a gated community of $500 000
    homes. But that is not likely to happen, particularly in a social context
    that does not appear to value education and provides no strong female

    What leadership there is in the Hundred Acre Wood is simply that offered by
    one small boy, Christopher Robin. Our group believes that Christopher Robin
    has not exhibited any diagnosable condition as yet, but we are concerned
    about several issues. There is the obvious problem of a complete absence of
    parental supervision, not to mention the fact that this child is spending
    his time talking to animals. We also noted in the stories early signs of
    difficulty with academics and felt that E.H. Shepard's illustrations
    suggest possible future gender identity issues for this child. The more
    psychoanalytical member in our group indicated that there could be some
    Freudian meaning to his peculiar naming of his bear as Winnie-the-Pooh.

    Finally, we turn to Rabbit. We note his tendency to be extraordinarily
    self-important and his odd belief system that he has a great many relations
    (many of other species!) and friends. He seems to have an overriding need
    to organize others, often against their will, into new groupings, with
    himself always at the top of the reporting structure. We believe that he
    has missed his calling, as he clearly belongs in senior-level hospital

    Somewhere at the top of the forest a little boy and his bear play. Sadly,
    the forest is not, in fact, a place of enchantment, but rather one of
    disenchantment, where neurodevelopmental and psychosocial problems go
    unrecognized and untreated. It is unfortunate that an Expotition was never
    Organdized to a Child Development Clinic.


    Contributors: Sarah Shea was the principal author and contributed to the
    concept and writing of the article and analysis of the literature. Kevin
    Gordon, Ann Hawkins, Janet Kawchuk and Donna Smith contributed to the
    concept, the literature analysis and revision of the initial draft.

    Reprint requests to: Dr. Sarah E. Shea, Developmental Clinic, IWK Grace
    Health Centre, 5850 University Ave., Halifax NS B3J 3G9; fax 902 428-3284


    Milne AA. Winnie-the-Pooh. London: Methuen; 1926. Milne AA. The House at
    Pooh Corner. London: Methuen; 1928. American Psychiatric Association.
    Diagnostic and statistical manual of mental disorders. 4th ed. Washington:
    The Association; 1994.
  2. TheMusicMan

    TheMusicMan tMP Founder Staff Member

    :shock: good God Dave... where on earth do you find these eh.....:)
  3. sorry am i ment to read all of that???

    far too much text there and no piccies!! :p
  4. rutty

    rutty Active Member


    Stolen from one of my other forums of course ;)

    Synopsis for those too lazy to read the whole thing:

    Winnie the Pooh suffers from ADHD and Obsessive Compulsive Disorder, as well as being a bit dim due to head trauma caused by Christopher Robin dragging him down the stairs by his legs.

    Hope this helps ;)
  5. akwarose

    akwarose Active Member

    :shock: :shock: :shock:

    ur telling me i could have given my bear serious problems by dragging him down the stairs by his legs?

    i can never forgive myself, ever.
  6. WhatSharp?

    WhatSharp? Active Member

    I do hope this is written tongue-in-cheek, otherwise I think those who wrote it are most in need of counselling! :D

    Bit like the "Harry Potter should be banned cause it doesn't represent real life and presents unrealistic fantasies for children....." mob.. DUH! HELLO? thats what books are about! (at least the ones I read are!, hell I get enough real life misery as it is!).

  7. Dave Payn

    Dave Payn Active Member

    Absolutely Steve, I mean if we were to make 'real life' versions of some well known nursery rhymes for instance....

    Simple Simon met a pieman
    Going to the fair
    Said Simple SImon to the pieman:
    'What do you have there?'
    'Pies, you ****wit!'

    Rock a bye baby on the tree top
    When the wind blows the cradle will rock
    When the bough breaks, the cradle will fall
    Down will come baby and given the length of the fall, at the very least will suffer multiple broken bones and spinal injuries.

    Harsh, but you see my point?

    I mean, this is why I still regularly play computer games at the age of 40 years and 10 months, because it's nice to get away from the realities of life for a few hours and frag some zombies or suchlike. And it's why I'll be watching Harry Potter and the Prisoner of Azkaban when it comes out in a couple of weeks!
  8. WhatSharp?

    WhatSharp? Active Member

    "Oh, ok now I'm gonna sue you for not having the correct EU recognised amount of meat in that pie!"

    and a visit from social services asking why the baby was in the treetop in the first place!

    Too right! can't wait!, Shrek 2, HP and the prisoner of Azkaban, Spiderman 2.... :D

    can you imagine if books were like real life!, Five go Camping... moan all the time, winge like crazy and the dog cr*ps all over the tent, or The Secret Seven... Hang around the shops all night getting bored and being mouthy. Lord of the Rings, and epic tale about an accountant going to work, eating lunch and coming home again.
  9. Dave Payn

    Dave Payn Active Member

    God knows what the PC brigade would make of the Happy Tree Friends......

    I know Fishsta has posted the link before, but here they are...
  10. TheMusicMan

    TheMusicMan tMP Founder Staff Member

    ... talking of Nursery Rhymes...

    Hickory Dickory Dock,
    The mice ran up the clock,
    The clock struck one
    and the others got away with minor injuries..

    Hey diddle diddle
    the cat and the fiddle
    the cow blew up on the launching pad...

  11. Dave Payn

    Dave Payn Active Member

    Hey diddle diddle
    The cat did a piddle
    All over the kitchen floor
    The little dog laughed
    To see such fun
    So the cat did a little bit more

    (Thank you, the late Bob Monkhouse!)
  12. Baldeagle

    Baldeagle Member

    Dave stick to your map reading thats bad enough!
  13. Dave Payn

    Dave Payn Active Member

  14. PeterBale

    PeterBale Moderator Staff Member

    Humpty Dumpty sat on a wall,
    Humpty Dumpty had a great fall;
    All the King's horses and all the King's men
    Had omelette for tea :oops:
  15. akwarose

    akwarose Active Member

    stop it now.... before u do urself an injury :p
  16. rutty

    rutty Active Member

    Ray's getting on a bit - obviously about time to start looking into a nursing home ;)
  17. six pints

    six pints Active Member

    i love eeyore!! sorry.
  18. rutty

    rutty Active Member

    Mary had a little lamb,
    It's fleece as white as bedding.
    And everywhere that Mary went,
    She kicked it ****ing head in.

  19. Baldeagle

    Baldeagle Member

    For Dave
    Rutty is the worlds worst map reader ask him!
  20. Baldeagle

    Baldeagle Member

    Rutty just coz you are a free agent now you dont have to win the raffle in the fox every friday night! Anyway I hear that you are a Whit Friday Vrigin! Is that true?