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Post Desmodromic Stress Disorder
<span style="color:rgb(51,51,51);font-family:'lucida grande', tahoma, verdana, arial, sans-serif;font-size:12.727272033691406px;New England Journal of Medical Science:
<span style="color:rgb(51,51,51);font-family:'lucida grande', tahoma, verdana, arial, sans-serif;font-size:12.727272033691406px;Abstract
<span style="color:rgb(51,51,51);font-family:'lucida grande', tahoma, verdana, arial, sans-serif;font-size:12.727272033691406px;The term Post Desmodromic Stress Disorder (PDSD) has become a household name since its first appearance in 2008 in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-lll) published by the American Psychiatric Association following a close examination of Groucho Marx look-alike Marco Melandri, an Italian motorcycle racer who won the World 250 Championship in 2002. The Ravenna-born Melandri was referred to the Association by a fellow Italian known as ‘The Doctor.’
<span style="color:rgb(51,51,51);font-family:'lucida grande', tahoma, verdana, arial, sans-serif;font-size:12.727272033691406px;Melandri had been an out-going typically Italian male. That was until he spent a year alongside Australian Casey Stoner in the Ducati MotoGP team. Melandri had been signed to a two year contract but after taking out a mortgage on the back row of the starting grids over the course of the 2008 season, while Stoner was taking pole position on a regular basis. Melandri became remote, morose, detached and exhibited symptoms not unlike those of soldiers who had been in the trenches in World War I.
<span style="color:rgb(51,51,51);font-family:'lucida grande', tahoma, verdana, arial, sans-serif;font-size:12.727272033691406px;After ‘The Doctor’ referred him to expert psychiatrists in the USA, Melandri opted out of his Ducati contract and underwent treatment at the world renown Esalen Institute in California.
<span style="color:rgb(51,51,51);font-family:'lucida grande', tahoma, verdana, arial, sans-serif;font-size:12.727272033691406px;Following a period of rehabilitation, Melandri was able to return to the world of motorcycle racing.
<span style="color:rgb(51,51,51);font-family:'lucida grande', tahoma, verdana, arial, sans-serif;font-size:12.727272033691406px;His condition was defined as Post Desmodromic Stress Disorder, a version of “soldier's heart, ” “shell shock,” and “war neurosis.”
<span style="color:rgb(51,51,51);font-family:'lucida grande', tahoma, verdana, arial, sans-serif;font-size:12.727272033691406px;Ironically, two years later, ‘The Doctor’, an interesting character who exhibits Narcissistic Personality Disorder (NPD), in which one is excessively preoccupied with issues of personal adequacy, power, prestige and vanity, himself signed a two year contract with Ducati. He firmly believed he and his Australian chief technician, Jeremy Burgess would take the Italian company back to the top and win the World MotoGP Championship. ‘The Doctor’ firmly believed his old friend Melandri had simply failed to win on the Ducati because he was intimidated by it. ‘The Doctor’ managed to persuade Ducati management to spend what is conservatively estimated at 100 million Euros in a series of new chassis for the Ducati MotoGP machine to make it a winner. Had the Ducati management recognised ‘The Doctor’ as suffering from NPD, it is doubtful it would have taken this route. NPD affects one percent of the population. High profile victims are the current Queensland Premier and his aide-de-camp, Roaring Rodney MacDonald.
<span style="color:rgb(51,51,51);font-family:'lucida grande', tahoma, verdana, arial, sans-serif;font-size:12.727272033691406px;But like his friend Melandri, The Doctor’s failure on the Ducati was complete. Unlike Melandri, he served out his two year contract, becoming introverted, morose and verging on a complete mental breakdown. He too was diagnosed as suffering Post Desmodromic Stress Disorder. The latter diagnosis was equivalent to the névrose de guerre and Kriegsneurose of French and German scientific literature. This article describes how the immediate and chronic consequences of Melandri and ‘The Doctors’ psychological trauma made their way into medical literature, and how concepts of diagnosis and treatment evolved over time, and consider the recent parting of The Doctor and Jeremy Burgess in this light.
<span style="color:rgb(51,51,51);font-family:'lucida grande', tahoma, verdana, arial, sans-serif;font-size:12.727272033691406px;Keywords: Post Desmodromic Stress Disorder, shell shock: psychotraumatology, literature, history of medicine