[Guide To Psychiatry: Singapore Perspective (16th Revision) : Chee, Kuan Tsee: Amazon.sg: Books](https://www.amazon.sg/Guide-Psychiatry-Singapore-Perspective-Revision/dp/9811231303) ![[Pasted image 20230809100804.png]] But what is "normal?" ==What if their patient's premorbid baseline is false?== - Page 7 - Concept of Normality. "...There is also a tendency to pathologise existential human imperfections and sufferings or habits. For the individual, normality may refer to his/her **premorbid baseline**." - However, we know that "*The human person has physical, psychological, social, and spiritual attributes that are inter-related, interactive, and integrated in function" (page 2), "there is constant inter-relation, interaction, and integration/dissociation between - *(a) individual and environment - endogenous and exogenous factors, (b) body/brain and mind.. (c) mental functions and neural circuits (d) past and present life events and experiences (e) downloading from culture, education, social media, lifestyle, politics, policy, values..."* (page 10-11) **Page 57 - Premorbid Personality** - Refer to before the first onset of illness or during remission between episodes of the long-term disorder. The premorbid baseline is important for diagnosis, management and prognosis - ==My thoughts: Before onset, the patient may already have prodrome.. how far ahead should we trace back to find that "premorbid"?, but the patient's personality, view of the world etc might have already been shaped by earlier trauma history==