Difference between revisions of "User:SoaPuffball/Permarank Syndrome"

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(Only Mayors-Governors can have this syndrome)
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*{{u|JohnNotTech}} - 5 years as {{rank|Mayor}}
*{{u|JohnNotTech}} - 5 years as {{rank|Mayor}}
*{{u|MikeRoma}} - 2.8 years as {{rank|Senator}} prior to leaving.
*{{u|MikeRoma}} - 2.8 years as {{rank|Senator}} prior to leaving.
*{{u|ICTman}} - 4.7 years as {{rank|Citizen}}, cured on August 6th, 2019
*{{u|Dragonbloon419}} - 1.8 years as {{rank|Senator}}
*{{u|Dragonbloon419}} - 1.8 years as {{rank|Senator}}
*{{u|allifarki|JustFarkie}} - 3.9 years as {{rank|Mayor}}
*{{u|allifarki|JustFarkie}} - 3.9 years as {{rank|Mayor}}

Revision as of 23:06, 6 August 2019

Permarank syndrome (PRS) is a disease (or phenomenon) where a player gets stuck in a rank for seemingly forever, even though they are trying to advance to the next. It has been observed in members from [Mayor] to [Governor], although [Mayor] cases are most common. Permarank syndrome can be cured, although it is unlikely, as proven when SoaPuffball ranked up to Senator. However, it is possible for it to become chronic and relapse when the member has been promoted and they haven’t been promoted again for a long time.

The syndrome was named for Cornelius Jasper Permarank, a practicing psychologist in Nymphalia who discovered the disease after ironically suffering from it himself. It was entered into the MRT Public Health Service's Diagnostic and Statistical Manual (DSM-MRT) on August 5, 2019.

Symptoms, Epidemiology, and Pathophysiology

There is no definitive cause of PRS, in part because it is still being studied. Recent research conducted by the MRT Public Health Service has pointed toward a diet low in tacos, bacon, and/or waffles as a contributing factor; but this does not mean such a diet will cause PRS. Other studies have found a statistically significant presence of comorbidity in PRS patients, with the four most common intercurrencies being mayor's block, project overload syndrome, chronic procrastination, and excess real-life responsibilities syndrome.

All types of PRS have been observed in members ranking from [Mayor] to [Governor]; however, it is most common in [Mayor]s.

Criteria for Diagnosis

PRS may be acute or chronic, with varying levels of severity. Hence, the MRT Public Health Service has a variety of diagnostic criteria to determine the type of PRS by which a given patient is afflicted. Note that if a patient has been suffering from undiagnosed PRS for a relatively significant amount of time, while displaying only acute symptoms, their diagnosis may be upgraded to a higher level of severity.

To issue a diagnosis of mild Permarank syndrome, the patient must fulfill ALL of the below criteria:

  • being in the same rank for 1.5 years or more;
  • conversing about how long they have been stuck in their rank;
  • displaying significant progress toward earning their next rank within one year of diagnosis.

To issue a diagnosis of severe Permarank syndrome, the patient must:

  • have a diagnosis of mild Permarank syndrome that has not improved within one year of the diagnosis, OR
  • fulfill AT LEAST THREE of the below criteria:
    • being in the same rank for 2 years or more;
    • conversing about how long they have been stuck in their rank;
    • expressing anxiety and hopelessness in reaching their next rank;
    • expecting to be denied in CRPB requests;
    • becoming less active on the server due to inability to reach their next rank;
    • developing self-esteem issues pertinent to their building; comparing themselves to other members with higher ranks.

By default, all new diagnoses of Permarank syndrome are considered acute. Chronic Permarank syndrome is diagnosed if symptoms occur while the patient is at two or more different ranks.


Treatment of Permarank syndrome is possible through various mechanisms. Acute Permarank syndrome has been known to spontaneously disappear in patients who were recently promoted. In most cases, however, treatment centers on the patient's confidence and comfort in their current rank.

Positive motivational therapy. By reminding patients that the MRT is meant to be expressive, that there is no set pace at which ranks must be achieved, their symptoms may lessen. They may also feel more motivated to continue putting proper efforts in to become stronger CRPB candidates.
Community therapy. Patients may find comfort in befriending others dealing with PRS.
Collaborative build therapy. A small degree of collaboration either from other members or in a collaborative build environment may also help patients dealing with PRS in addition to treating comorbidities.

Notable Cases

Permarank Syndrome is or has been notably experienced by the following people: