Category Archives: Conflicts of interest

DSM-5 released: Media, professional and advocacy reaction: Round up #6

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Post #256 Shortlink: http://wp.me/pKrrB-34A

For earlier responses to the release of DSM-5 see Round up Posts #255, #254, #253, #252, #251 and #249

On May 16, CDC published a new report on children’s mental health which I am including in this DSM-5 round up.

Washington Post: CDC says 20 percent of U.S. children have mental health disorders Tony Pugh, May 19, 2013

Up to one in five American youngsters — about 7 million to 12 million, by one estimate — experience a mental health disorder each year, according to a new report billed as the first comprehensive look at the mental health status of children in the country.

CDC article on new Report released May 16, 2013 can be accessed here:

http://www.cdc.gov/features/childrensmentalhealth/

Report in text format here: Children’s Mental Health – New Report

Report in PDF format here: PDF Children’s Mental Health – New Report

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Thompson Reuters News & Insight: Lawyers worry new measure of mental retardation could prompt more executions Elizabeth Dilts, May 13, 2013

Lexology, US: “DSM-5 anxiety” may be new disorder for employers trying to navigate ADA Squire Sanders, Ryan A. Sobel, May 22, 2013

Pacific Standard, US: Now That the ‘DSM-5′ Is Out Can We Start Talking About the Effect It Will Have? Michael Dahr, May 23, 2013

The newly revised, hotly contested book of psychiatric diagnoses is finally here. How will it change the way we consider and treat substance use problems?

Michael Dahr is a medical and science writer who has written for Livescience.com, Science & Medicine, Iowa Outdoors, and various medical and research institutions.

The Conversation: DSM-5 won’t increase mental health work claims – here’s why Nick Glozier, May 23, 2013

Professor of Psychological Medicine, BMRI & Discipline of Psychiatry at University of Sydney

Times Higher Education: Psychiatry’s cause for anxiety Matthew Reisz, May 23, 2013

Focus on people, not technology or the DSM, to treat mental illness, Tom Burns tells Matthew Reisz

Telegraph, UK: Why are women still considered more insane than men? Will Nicholl, May, 23, 2013

ABC Australia: The Pulse DSM-5: why all the fuss? Claudine Ryan, May 23, 2013

…Dr Maria Tomasic, president of the Royal Australian and New Zealand College of Psychiatrists, says the DSM-5 is a useful tool designed to be used by medical professionals who understand its limitations. “We are concerned about the use of classification systems such as the DSM-5 by institutions such as courts or government bodies who often do not understand the complexity of diagnosis, and seek to simplify difficult decisions about funding or eligibility…”

[Professor Perminder] Sachdev says “it should not be used as a legal document or to help bench-mark social services and welfare payments, nor is it suitable for use in seven-minute consultations in a GPs office”.

Wood TV, US: Shrinks, critics face off over psychiatric manual Associated Press Medical Writer Lindsey Tanner, May 22, 2013

The Take Away, US: Presenter John Hockenberry

The show is a co-production of WNYC Radio and Public Radio International, in collaboration with New York Times Radio and WGBH Boston.

Listen again The DSM and Mental Health in America, May 22, 2013

Guest: Allen Frances, MD | Produced by: Nikolay Nikolov and Jillian Weinberger

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Listen again In Defense of the DSM-5 May 23, 2013

Guest: Jeffrey Lieberman, MD | Produced by: Kristen Meinzer

…the incoming president of the American Psychiatry Association, which revises the DSM, says the criticism is unwarranted. His name is Jeffrey Lieberman, MD, and he’s also chairman of psychiatry at Columbia University.

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From Dx Summit platform

Counselors for Social Justice Position Statement on DSM-5 (first published August, 2011)

For earlier responses to the release of DSM-5 see Posts #255, #254, #253, #252, #251 and #249

DSM-5 released: Media, professional and advocacy reaction: Round up #5

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Post #255 Shortlink: http://wp.me/pKrrB-346

For earlier responses to the release of DSM-5 see Posts #254, #253, #252, #251 and #249

Division of Clinical Psychology

Earlier this month, the Division of Clinical Psychology (DCP), a division of the British Psychological Society, published a Position Statement on the “Classification of Behaviour and Experience in Relation to Functional Psychiatric Diagnoses, Time for a Paradigm Shift.”

Lucy Johnstone, who helped formulate the DCP’s Position Statement, contributed to a BBC Radio 3 broadcast, last night.

BBC Radio 3

Duration: 45 minutes | One year left to listen | First broadcast: Wednesday 22 May 2013

Night Waves May 22, 2013

Segment starts at 23:45 mins in and runs for 15 mins

Khaled Hosseini, Man Booker International Prize, Disgraced, the Future of Psychiatry, with Rana Mitter

“The British Psychological Society’s division of clinical psychology is calling for a ‘paradigm shift’ in psychiatry away from diagnosis. They claim treating ‘mental distress’ as an illness stigmatises sufferers and leads us to ignore more complicated social dimensions to conditions like depression or schizophrenia. So what is the way forward for psychiatry? Rana is joined by Lucy Johnstone who helped formulate the BPS’s position, consultant psychiatrist Tom Burns, and the historian of psychiatry Matthew Smith.”

Critical Psychiatry Network

The Critical Psychiatry Network (CPN) has issued a statement on DSM-5, dated May 22, 2013. The Statement can be downloaded from this page or the PDF opened, here, on Dx Revision Watch: CPN statement on DSM-5

Social Justice Solutions

“Is a social worker conceived and operated organization born out of the Stony Brook School of Social Welfare’s commitment to active participation in creating a socially just world.”

In DSM-5: A Call to Opposition for Social Workers, Georgianna Dolan-Reilly, LMSW, calls on the organization’s constituency to oppose DSM-5, sign the Open Letter developed by the Society for Humanistic Psychology, Division 32 of the American Psychological Association, and criticizes the National Association of Social Workers (NASW) for not issuing its position on DSM-5.

Social Work Helper

Follow Up Interview with Dr Allen Frances: Dishing the Dirt on the DSM 5 Deona Hooper, MSW May 20, 2013

Article links to: Mother Jones: Psychiatry’s New Diagnostic Manual: “Don’t Buy It. Don’t Use It. Don’t Teach It.” By Michael Mechanic, May 14, 2013, which I don’t think has been previously posted.

Science Live Chat: Does ‘Psychiatry’s Bible’ Need to Be Rewritten? (Video)

Talk to experts in a live Google Hangout about the controversy over the DSM-5 Emily Underwood, May 20, 2013

With Frank Farley, William Eaton and Allen Frances

Join us on Thursday, 23 May, at 3 p.m. EDT on this page for a live Google Hangout to chat with experts about the fate of the DSM. Be sure to leave your questions for our guests in the comment box below. [See site for more details]

New Internationalist: Corporates cashing in on mental-health diagnosis Adam McGibbon, May 21, 2013

Pittsburgh Post-Gazette: Critics blast new manual on mental disorders David Templeton, May 21, 2013

Interview with Brent Dean Robbins, who heads the Psychology Department at Point Park University, is a leading critic of DSM-5 and committee member of the recently launched, Global Summit on Diagnostic Alternatives: An Online Platform for Rethinking Mental Health http://dxsummit.org/

AHRP: Two NIMH Directors Debunk DSM & Deplore Psychiatry’s Unscientific Modus Operandi Vera Sharav, May 8, 2013

San Francisco Weekly: Brain Distrust: Shrinks and Scientologists Find Weird Common Ground Over the DSM-5 Joe Eskenazi, May 22, 2013

Counterpunch, US: Taking on Big Pharma A Mental Health Declaration of Independence Bruce E Levine, May 21, 2013

Economist, US: The DSM-5 Attention, everyone CH, May 22, 2013

New York Times: Mind: The Book Stops Here Richard A Friedman, MD, May 20, 2013

Lexology, US: Employers beware: psychiatry’s latest Diagnostic Manual (DSM-5) creates new mental disorders, expands others, Hunton & Williams LLP, May 20, 2013

Education Week, US: Revised Psychiatric Disorders ‘Bible’ Changes Disability Definitions Christina Samuels on May 20, 2013

Human Resource Executive Online, US: New Mental-Health Manual Likely to Impact HR James J McDonald, Jr., May 22, 2013

Making accommodations for employees with mental disabilities has never been easy, and it’s about to get more difficult with the release of the American Psychiatric Association’s new manual of mental disorders.

Fox News, US: The new DSM-5 fails to accurately describe mental illness Dr Keith Ablow, May 22, 2013

Huffington Post: The Role of Biological Tests in Psychiatric Diagnosis Allen Frances, MD, May 22, 2013

Slate, US: You Do Not Have Asperger’s Amy S F Lutz, May 22, 2013

What psychiatry’s new diagnostic manual means for people on the autism spectrum

For earlier responses to the release of DSM-5 see Posts #254, #253, #252, #251 and #249

APA to release DSM-5 at Annual Meeting (May 18-22): What next?

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Post #249 Shortlink: http://wp.me/pKrrB-313

Media coverage following release of DSM-5 is compiled in Posts #251 and #252

Update: APA issued this press release today

Click link for PDF document   APA Press Release No. 13-31 May 17, 2013

American Psychiatric Association Releases DSM-5, Publication of diagnostic manual culminates 14-year development process

Purpleblue1DSM-5 is scheduled for release at the 2013 American Psychiatric Association Annual Meeting (May 18-22), in San Francisco. The official APA publication date is May 22.

Amazon US had been quoting a release and shipping date of May 22, but the site currently gives May 27 for both hardback and paperback editions. Amazon UK currently gives the release and shipping date for both hardback and paperback as May 31.

APA is anticipated to release DSM-5 on Saturday, May 18, with an early morning press briefing.

No heads-up yet from UK Science Media Centre, but SMC New Zealand has already put out press briefing materials here.

Australian SMC DSM-5 background briefing materials and presentation here:
BACKGROUND BRIEFING: DSM 5 – Psychiatric bible or fatally flawed?

DSM-5 will launch; a lot of stuff will be written about it.

What next?

On Monday, May 13, the Division of Clinical Psychology, a division of the British Psychological Society, published a “Position Statement on the Classification of Behaviour and Experience in Relation to Functional Psychiatric Diagnoses, Time for a Paradigm Shift.”

You can download a copy of this document here: Position Statement on Diagnosis.

Two new platforms for discussion launched this week:

The first, Dx Summit website. Article on Mad in America here DxSummit Officially Launches, by Jonathan Raskin, May 15.

http://dxsummit.org/

DxSummit Officially Launches

by Diagnostic Summit Committee

DSM-5 Is Widely Criticized, and Pursuit Of Alternatives in Mental Health Care Is Underway

For Immediate Release:

The latest edition of the Diagnostic and Statistical Manual (DSM-5) of the American Psychiatric Association is being released on May 22, 2013. It is the fifth revision of this widely influential manual for diagnosing mental distress and illness, and has been the subject of national and international criticism for the quality of its science, its criteria for defining disorders and categories, its rationale for inclusion or exclusion of particular symptoms or features, and the considerable inflation in its number of diagnosable disorders since the original DSM was published in the 1950s. Over the past several decades, there has been sharp criticism of the various DSM revisions, but in the case of DSM-5, a critical mass of scholarly opposition has reached a tipping point, including an unprecedented rebuke by the U.S. government’s National Institute of Mental Health, which has stated it will be reorienting away from research that involves the DSM-5. For many mental health professionals it seems clear that fresh thinking–about ways to possibly improve the DSM, prospects for developing possible alternatives to it, and what those prospects might look like–are called for. Regardless of where one stands on these issues, it is clear that new approaches to diagnosis are sorely needed, as both a national and global health concern.

To that end, a new website (dxsummit.org) has been launched to help create an on-line, on-going global forum for scholarly and professional dialogue of humane approaches to mental health diagnosis. Sponsored by the Diagnostic Summit Committee (DSC), a national committee of concerned psychologists, this collaborative effort provides an opportunity for the widest possible input and deliberation of mental health diagnosis from the ground-up. Offering blogs, discussion posts, and psychiatric and psychological articles by stakeholders and leaders in the field, dxsummit.org will open up the discussion of diagnosis to its full range of possibilities, from brain science to cultural variations to the examination of normal human responses to difficult life challenges. The website, underwritten by the efforts of the Society for Humanistic Psychology (SHP) will be a platform for international debate and consensus of comprehensive and valid approaches to mental health diagnosis.

Media inquiries should be directed to Dr. Frank Farley, co-chair of the DSC, and former President of the American Psychological Association and the SHP, at frank.farley@comcast.net or (215) 668-7581; or Dr. Donna Rockwell.

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The second new platform is Tom Nickel’s DSMOOC, introduced by Allen Frances, MD, in a May 16 blog at Huffington Post:

DSM-5: Where Do We Go From Here? 

Dr Frances writes:

“That’s why I am so pleased that Thomas Nickel Ph.D., Head of Continuing Education at Alliant International University, has set up a new interactive DSMOOC web site that will undoubtedly become the focal point for diagnostic discussion and remediation. Check it out.

Dr. Nickel writes:

“Now that DSM-5 is about to be released, it is time to determine how best to reduce, if not entirely eliminate, the risk that people will be misdiagnosed and improperly treated.”

“Solutions will not come from one group or one project. As one of what will hopefully be many initiatives, we have developed a MOOC (Massive Open Online Conversation) to bring together concerned clinicians and the public in order to give voice to the many different perspectives about psychiatric diagnosis.”

“Our intention is to stimulate conversations that will lead to useful products. People will find each other and work together to produce materials that can empower patients and influence practitioners. Suggestions for guidelines, practice standards, public policy, and research will hopefully emerge. Certainly, we will make every effort to facilitate this.”

“Previous MOOCs have resembled traditional university courses with lectures and quizzes on technical topics like artificial intelligence or mechanical engineering. Until now, MOOCs have not been closely linked to events happening in the world, nor have they been a channel for real world action. In this regard, a MOOC focused on DSM-5 may be pioneering.”

“Our MOOC will consist of about 15 channels, each one dedicated to one area of significant change or controversy in DSM-5. Each will provide background information; videotaped discussions by leading experts and consumer advocates; references; links; vivid portrayals of psychiatric diagnosis in films and fiction; and an opportunity for discussion. There are even Google Hangouts all set up for study groups to use.”

“Our DSMOOC should be equally interesting for professionals and consumers- and will provide a uniquely open forum for interaction between them.”

“We hope that you will roll up your virtual sleeves, join us at: http://discuss.thementalhealthmanual.com

Follow DSMOOC on Twitter @RethinkingDSM

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DSM-5 Development site

The APA’s DSM-5 Development site will remain online.

On May 15, the Home Page text was revised and the site’s content is being reorganized. As everything on the site is nailed down with Licensing and Permissions clauses, you will need to visit the site to read what new text has gone up so far. No doubt APA would like to register the trademark rights to hex #260859, too.

See: UNDER CONSTRUCTION: DSM-5 Implementation and Support

According to what little text is currently displaying, the site will be reorganized to serve as a resource for stakeholders: providers, payers, researchers and patients.

New content is planned to include FAQs, information on implementation of the manual and a mechanism for submitting questions and feedback. Professional users will be able to provide feedback on online assessment measures; there will be links to educational webinars and training courses for US and other countries. The site will list DSM-5 corrections.

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Additional media coverage from this week

Too much to include this week, so just a few links:

Concern for the implications of DSM-5‘s new Somatic Symptom Disorder was highlighted by Allen Frances in a Diane Rehm radio broadcast, on May 14. The programme also included an interview with DSM-5 Task Force Chair, David J Kupfer, MD, on the understanding that he would not be engaging with Dr Frances.

The Diane Rehm Show May 14, 2013: http://tinyurl.com/byxupm6

Transcript

Listen again: http://thedianerehmshow.org/audio-player?nid=17729  [51.40 mins including listener phone in]

The site page includes an excerpt from the book “Saving Normal: An Insider’s Revolt Against Out-of-Control Psychiatric Diagnosis, DSM-5, Big Pharma, and the Medicalization of Ordinary Life” by Allen Frances. Published by William Morrow. Copyright © 2013 by Allen Frances. Reprinted with permission.

Somatic Symptom Disorder also featured in a Susan Donaldson James’ article, for ABC News Health, on May 14:

Brain Science Upstages DSM-V, So-Called Mental Health ‘Bible’

Christopher Lane, Ph.D., published The Distortion of Grief on May 14, which has been widely syndicated.

DSM-5: Mental Health Professionals, Critics Face Off Over Upcoming Psychiatric Manual by Lindsey Tanner at Huffington Post, May 15:

“The psychiatric industry, allied with Big Pharma, have massively misled the public,” the Occupy Psychiatry group contends. Organizers include Alaska lawyer Jim Gottstein, who has long fought against overuse of psychiatric drugs.

“The new manual “will drastically expand psychiatric diagnosis, mislabel millions of people as mentally ill, and cause unnecessary treatment with medication,” says the website for the Committee to Boycott the DSM-5, organized by New York social worker Jack Carney.”

More on Occupy APA from Jack Carney, DSW, for Mad in America, May 17:
Occupy APA in San Francisco: Joined in Spirit

NIMH Director issues joint statement with APA President-elect on DSM’s validity as diagnostic tool

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NIMH Director issues joint statement with APA President-elect on DSM’s validity as a diagnostic tool

Post #248 Shortlink: http://wp.me/pKrrB-308

180degrees

Less than two weeks after throwing DSM under the bus, NIMH’s Director, Thomas Insel, has issued a joint statement with APA President-elect, Jeffrey Lieberman.

This week, DSM…

…represents the best information currently available for clinical diagnosis of mental disorders

In a Pharmalot report titled NIMH Director Says The Bible Of Psychiatry Is Valid, After All, Ed Silverman writes:

‘Just 10 short days after trashing the widely regarded bible of psychiatry for lacking validity, National Institutes of Mental Health director Tom Insel has had a change of heart. Along with American Psychiatric Association president-elect Jeff Lieberman, he has now issued a statement saying the forthcoming version…is a valuable diagnostic tool. Their missive amounts to a combination of face saving and damage control…’

Report, here, from Sharon Jayson, for USA Today:

NIH official clarifies criticism of diagnostic manual

‘The groups also make it clear that DSM-5 isn’t going away.

‘DSM-5 and RDoC represent complementary, not competing, frameworks…As research findings begin to emerge from the RDoC effort, these findings may be incorporated into future DSM revisions and clinical practice guidelines,” the statement says. “But this is a long-term undertaking. It will take years to fulfill the promise that this research effort represents for transforming the diagnosis and treatment of mental disorders.”‘

1 Boring Old Man’s take here: a long and winding road…

Gary Greenberg at the New Yorker: The Rats of N.I.M.H.

Tuesday’s joint statement from Thomas Insel and Jeffrey Lieberman, here:

 Click link for PDF document   Joint APA and NIMH Statement

Or here on NIMH site: DSM-5 and RDoC: Shared Interests

Full text APA Release No. 13-37

For Information Contact:
Eve Herold, 703-907-8640 May 14, 2013
press@psych.org Release No. 13-37
Erin Connors, 703-907-8562
econnors@psych.org
DSM-5 and RDoC: Shared Interests
Thomas R. Insel, M.D., director, NIMH
Jeffrey A. Lieberman, M.D., president-elect, APA

NIMH and APA have a shared interest in ensuring that patients and health providers have the best available tools and information today to identify and treat mental health issues, while we continue to invest in improving and advancing mental disorder diagnostics for the future.

Today, the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM), along with the International Classification of Diseases (ICD) represents the best information currently available for clinical diagnosis of mental disorders. Patients, families, and insurers can be confident that effective treatments are available and that the DSM is the key resource for delivering the best available care. The National Institute of Mental Health (NIMH) has not changed its position on DSM-5. As NIMH’s Research Domain Criteria (RDoC) project website states, “The diagnostic categories represented in the DSM-IV and the International Classification of Diseases-10 (ICD-10, containing virtually identical disorder codes) remain the contemporary consensus standard for how mental disorders are diagnosed and treated.”

Yet, what may be realistically feasible today for practitioners is no longer sufficient for researchers. Looking forward, laying the groundwork for a future diagnostic system that more directly reflects modern brain science will require openness to rethinking traditional categories. It is increasingly evident that mental illness will be best understood as disorders of brain structure and function that implicate specific domains of cognition, emotion, and behavior. This is the focus of the NIMH’s Research Domain Criteria (RDoC) project. RDoC is an attempt to create a new kind of taxonomy for mental disorders by bringing the power of modern research approaches in genetics, neuroscience, and behavioral science to the problem of mental illness.

The evolution of diagnosis does not mean that mental disorders are any less real and serious than other illnesses. Indeed, the science of diagnosis has been evolving throughout medicine. For example, subtypes of cancers once defined by where they occurred in the body are now classified on the basis of their underlying genetic and molecular causes.

All medical disciplines advance through research progress in characterizing diseases and disorders. DSM-5 and RDoC represent complementary, not competing, frameworks for this goal. DSM-5, which will be released May 18, reflects the scientific progress seen since the manual’s last edition was published in 1994. RDoC is a new, comprehensive effort to redefine the research agenda for mental illness. As research findings begin to emerge from the RDoC effort, these findings may be incorporated into future DSM revisions and clinical practice guidelines. But this is a long-term undertaking. It will take years to fulfill the promise that this research effort represents for transforming the diagnosis and treatment of mental disorders.

By continuing to work together, our two organizations are committed to improving outcomes for people with some of the most disabling disorders in all of medicine.

The American Psychiatric Association is a national medical specialty society whose physician members specialize in diagnosis, treatment, prevention, and research of mental illnesses including substance use disorders.

Visit the APA at www.psychiatry.org
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More on the RDoC from the NIMH website

Research Domain Criteria

The National Institute of Mental Health Strategic Plan Released August 2008

Division of Clinical Psychology (DCP) calls for paradigm shift away from ‘disease model’

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British Division of Clinical Psychology (DCP) calls for paradigm shift away from ‘disease model’

Post #247 Shortlink: http://wp.me/pKrrB-2Zj

Update: Prof Richard Bentall on BBC Radio 4 Start the Week, Monday, May 13, 2013

http://www.bbc.co.uk/programmes/b01sd3jq

Lucy Johnstone on BBC Radio 4 Today programme, Monday, May 13, 2013 | 2 hours 50 mins in from start

http://www.bbc.co.uk/programmes/b01sd3jn

Lucy Johnstone article at Mad in America, May 13, 2013:

UK Clinical Psychologists Call for the Abandonment of Psychiatric Diagnosis and the ‘Disease’ Model

Lucy Johnstone World Service interview  | MP3 file | 8.2 MB at Dropbox (no Dropbox account required)

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Update: Statement released: May 13, 2013

Division of Clinical Psychology

Position Statement on the Classification of Behaviour and Experience in Relation to Functional Psychiatric Diagnoses

Time for a Paradigm Shift

Click link for PDF document   Position Statement on Diagnosis

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Today’s Observer reports on the release, tomorrow, of a Position Statement by the British Division of Clinical Psychology (DCP), a sub-division of the British Psychological Society, calling for the abandonment of diagnosis and the ‘illness/disease’ model.

Observer

Psychiatrists under fire in mental health battle
(British) Psychological Society to launch attack on rival profession, casting doubt on biomedical model of mental illness

Jamie Doward | May 12, 2013

“…In a groundbreaking move that has already prompted a fierce backlash from psychiatrists, the British Psychological Society’s division of clinical psychology (DCP) will on Monday issue a statement declaring that, given the lack of evidence, it is time for a “paradigm shift” in how the issues of mental health are understood. The statement effectively casts doubt on psychiatry’s predominantly biomedical model of mental distress – the idea that people are suffering from illnesses that are treatable by doctors using drugs. The DCP said its decision to speak out “reflects fundamental concerns about the development, personal impact and core assumptions of the (diagnosis) systems”, used by psychiatry…”

Also in today’s Observer, opposing positions from Oliver James and Professor Sir Simon Wessely, a member of the Royal College of Psychiatrists and chair of psychological medicine at King’s College London, in which he defends the need to create classification systems for mental disorder and downplays the influence of the DSM:

Do we need to change the way we are thinking about mental illness?
Experts on both sides of the debate over the classification of mental disorders make their case

The Observer | Oliver James | Prof Sir Simon Wessely | Sunday 12 May 2013

Comment from Allen Frances, MD, on Huffington Post, on today’s Observer report:

[Note the position statement is issued by the Division of Clinical Psychology (DCP), a sub-division of the British Psychological Society (BPS) and is not the official position of the BPS.]

 The Inmates Seem to Have Taken Over the Asylum

“…Then the NIMH recklessly renounced all syndromal DSM diagnosis as invalid. But NIMH has nothing to offer now in its place except an oversold and undeliverable promise of some future strictly biological model of mental illness that will take decades to deliver — assuming it can ever be delivered at all…

“…Now the British Psychological Society has produced its own brand of extremist posturing, offering its own quixotic paradigm shift..”

Further mainstream media coverage of the DSM debate

An Editorial and an Opinion piece in the New York Times:

Editorial

Shortcomings of a Psychiatric Bible

The Editorial Board | May 11, 2013

Opinion

Why the Fuss Over the D.S.M.-5?

Sally Satel | May 11, 2013

Nature | News

Psychiatry framework seeks to reform diagnostic doctrine

Critics say clinical manual unfit for mental-health research.

Heidi Ledford | May 10, 2013

Quotes from NIMH’s director, Thomas Insel; epidemiologist, Jane Costello, who resigned from the DSM-5 Work Group for Child and Adolescent Disorders in 2009, and Steven Hyman, a former NIMH director and a former DSM-5 Task Force member, who has chaired the APA-WHO International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders [Members].

New Scientist Print edition

Feature article This Week

How a scientific DSM will transform psychiatry

Peter Aldhous, Andy Coghlan and Sara Reardon | May 8, 2013

This article appears in the print edition under the headline “A revolution in mental health, Patients deserve better than an unscientific manual, says leading health institute.”

Also in this week’s New Scientist print edition:

Editorial Opinion

Don’t count on this manual, The future of psychiatric research lies in simpler questions

Allen Frances, MD | May 8, 2013

A longer version of this Allen Frances opinion piece appeared online, earlier in the week, here

DSM-5 Round up: May #1

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Post #245 Shortlink: http://wp.me/pKrrB-2WM

More reports on last week’s announcement by NIMH Director, Thomas Insel

BMJ News [Full report behind paywall]

Director of top research organization for mental health criticizes DSM for lack of validity

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f2954 (Published 8 May 2013)

Michael McCarthy, Seattle | May 8, 2013

New Scientist print edition No 2196 May 11, 2013

[The first of these two print edition articles is behind a subscription]

How a scientific DSM will transform psychiatry

Peter Aldhous, Andy Coghlan, additional reporting by Sara Reardon

This article appears in the print edition THIS WEEK section under the headline

A revolution in mental health, Patients deserve better than an unscientific manual, says leading health institute

…don’t expect the landscape of mental illness to change any time soon. Insel accepts that it will take at least a decade to conduct the research necessary to devise a new approach to diagnosis. In the meantime, patients’ illnesses will continue to be diagnosed using the DSM’s symptom-based categories…

…Even the transition in research will be gradual – the NIMH isn’t going to stop funding projects based around DSM diagnoses overnight. But it is clear that new approaches will get priority in future, and with a budget of almost $1.5 billion per year, the NIMH is in a position to call the shots…

This week’s Editorial in the print edition is an edited version of the Allen Frances opinion piece published by New Scientist earlier this week:

Print edition Editorial > Opinion

Don’t count on this manual, The future of psychiatric research lies in simpler questions, by Allen Frances

UK Independent

The Diagnostic and Statistical Manual of Mental Disorders has been updated but should we beware this manual’s diagnosis?

The book which gives doctors a checklist for mental illnesses – as made famous by The Psychopath Test – has been updated. But does it really work?

…An alternative – and free – publication, International Statistical Classification of Diseases (ICD), issued by the World Health Organisation, provides an official international classification system of mental illness that the DSM sometimes borrows. The ICD is used in Europe for clinical treatment in preference to the DSM and without the lurid headlines. The DSM, though, is increasingly influential on our way of thinking about mental health…

Mark Piesing | May 8, 2013

Comment to article from Dx Revision Watch

For global usage of DSM v ICD by practising psychiatrists and country by country breakdown see
Slide 17 Global use of DSM-5 and ICD-10; Slide 18 Use by country breakdown http://www.aaidd.org/media/3192013.pdf
Data from The WPA-WHO Global Survey of Psychiatrists’ Attitudes Towards Mental Disorders Classification Free full paper

UK Radio

BBC R4 Today programme

Discussion on DSM-5 | Today programme, Thurs, May 9

http://www.bbc.co.uk/iplayer/episode/b01s8qx7/Today_09_05_2013/

1 hr.50 mins in from start |  7 minutes

With James Davies, Lecturer and author of “Cracked” (has also had two articles around his book published in the Times)

Does your child really have a behavioural problem? James Davies, May 6 2013

and Prof Nick Craddock

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BBC R4 All in the Mind [One year left to listen again]

http://www.bbc.co.uk/programmes/p018qfjm

Presenter Claudia Hammond

The new edition of the American Diagnostic and Statistical Manual of Mental Disorders will be launched later this month, Professor Simon Wessely discusses its potential impact in the UK.

Duration: 9 mins at start of 28 min broadcast| Tuesday 07 May 2013 21:00 | Repeated Wed 8 May 2013 15:30

Discussion omitted any reference to, and implications for the WHO/APA International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders commitment to strive as far as possible for harmonization between the mental health chapter of the forthcoming ICD-11 (Chapter 5) and DSM-5.

The Scientist

NIMH to Steer Away from New Manual

The agency will no longer use the newly revised guide to mental disorders to categorize its funding priorities.

Kate Yandell | May 9, 2013

…To better classify mental disease, the NIMH has started the Research Domain Criteria (RDoC) project, which Insel said will “transform diagnosis by incorporating genetics, imaging, cognitive science, and other levels of information to lay the foundation for a new classification system.” However, biological biomarkers for mental disease are few, so Insel said that RDoC is more of a framework for future knowledge to fit into than a completed classification system…

…In order to better fill in the gaps, he said that NIMH grant applicants will be asked to think of research projects that cut across diagnoses…

…NIMH is not “ditching” the DSM completely, Insel told Time. DSM diagnostic criteria will continue to be important in the clinic, just not as guides for research.

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Not specific to recent announcement by NIMH’s, Thomas Insel

Huffington Post [Also at Psychiatric Times, Psychology Today]

Hippocratic Humility in the Face of ‘Unexplained’ Medical Problems

Allen Frances, MD | May 7, 2013

With contribution from Dr Diane O’Leary

National Pain Report

Could Fibromyalgia Be Labeled as a Psychiatric Illness?

Celeste Cooper, RN | May 5, 2013

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Related material

National Institute of Mental Health (NIMH) announcement Transforming Diagnosis
Published by Thomas Insel, Director, NIMH, April 29, 2013

Full text of rebuttal statement from David J Kupfer, Chair, DSM-5 Task Force, press released by APA on May 6, 2013
Dx Revision Watch Post #242: http://wp.me/pKrrB-2VO

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DSM-5 and the NIMH Research Domain Criteria Project Psychiatric Times, James Phillips, MD, April 13, 2011

NIMH Research Domain Criteria (RDoC) Draft 3.1: June, 2011

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International media Round up #1: National Institute of Mental Health to re-orientate research away from DSM categories

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International media Round up #1: National Institute of Mental Health to re-orientate research away from DSM categories

Post #243 Shortlink: http://wp.me/pKrrB-2VZ

Update: Additional media coverage on NIMH added (Matthew Herper, Forbes; Deborah Brauser, Medscape Medical News; Ferris Jabr, Scientific America; John M Grohol, PsychCentral; TIME; 1 Boring Old Man), plus details of DSM-5 on BBC R4 radio

BBC R4′s All in the Mind this evening will be discussing the impact of the DSM on UK mental health and asking whether or not we in the UK pay any attention to what it contains. No other details about whom Claudia Hammond will be interviewing:

http://www.bbc.co.uk/programmes/b01s8cpf

BBC Radio 4 | Duration: 28 minutes | Tuesday 07 May 2013 21:00 | Wed 8 May 2013 15:30

Yesterday, American Psychiatric Association press released a rebuttal from DSM-5 Task Force Chair, David J Kupfer, to the announcement, last week, that the world’s largest federal mental health funding agency will be re-orientating research away from DSM categories.

Read Kupfer’s statement here:

Statement, David Kupfer, MD, May 3, 2013 [press@psych.org Release No. 13-33]

Chair of DSM-5 Task Force Discusses Future of Mental Health Research

Click link for PDF document American Psychiatric Association Press Release

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The story is trickling into mainstream media and being picked up internationally. For earlier media and blogger coverage, see Dx Revision Watch post: National Institute of Mental Health (NIMH) to ditch the DSM (May 3).

There has been mixed reaction to this announcement by NIMH’s Director, Thomas Insel, with many welcoming a shift from DSM dominance but scepticism, also, over whether NIMH might realistically achieve its objectives, as set out a couple of years ago.

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Media Round up #1

Forbes

Pharma & Healthcare

Why Psychiatry’s Seismic Shift Will Happen Slowly

Matthew Herper Forbes Staff | May 8, 2013

…I called the NIMH, and was put on the phone with Bruce Cuthbert, the director of the division of adult translational research. I had a pretty simple question. If the NIMH were really rejecting or abandoning the DSM, that would mean the agency wouldn’t accept studies that use DSM-5 criteria. For instance, if you wanted to test a new schizophrenia drug in schizophrenics, you’d have to find some new RDoC way of describing the disease.

Cuthbert said repeatedly that would not be the case. It’s not so much that studies that use the DSM-5 will be excluded and abandoned, but that researchers would now be allowed to apply for grants that would not use the manual’s diagnostic criteria, or subdivided them in new, creative ways…

Medscape Medical News > Psychiatry

NIMH, APA Clash Over Upcoming DSM-5

‘Patients Deserve Better,’ NIMH Director Says

Deborah Brauser | May 7, 2013

Scientific America

No One Is Abandoning the DSM, But It Is Almost Time to Transform It

Ferris Jabr | May 7, 2013

PsychCentral

Did the NIMH Withdraw Support for the DSM-5? No

John M. Grohol, Psy.D. | May 7, 2013

…Will this replace the DSM-5? No, because as Dr. Insel notes, “This is a decade-long project that is just beginning.” If the NIMH effort ever replaces the DSM, it will be a long time from now…

“I also should point out that these comments reflect [only] our translational research portfolios. Our Division of Services and Intervention Research mostly supports research conducted in clinical settings that is relevant to current clinical practice and services delivery. Thus, [...] grants in these areas will continue to be predominantly funded with DSM categories for some time.” [according to Dr. Bruce Cuthbert, director of the Division of Adult Translational Research at the National Institute of Mental Health]

1 Boring Old Man

…groundhog day

1 Boring Old Man | May 7, 2013

TIME

Mental Illness

Mental Health Researchers Reject Psychiatry’s New Diagnostic ‘Bible’

Maia Szalavitz | May 7, 2013

Just weeks before psychiatry’s new diagnostic “bible”—the DSM 5— is set to be released, the world’s major funder of mental health research has announced that it will not use the new diagnostic system to guide its scientific program, a change some observers have called “a cataclysm” and “potentially seismic.” Dr. Thomas Insel, the director of the National Institute on Mental Health, said in a blog post last week that “NIMH will be re-orienting its research away from DSM categories.”

The change will not immediately affect patients. But in the long run, it could completely redefine mental health conditions and developmental disorders. All of the current categories — from autism to schizophrenia — could be replaced by genetic, biochemical or brain-network labeled classifications. Psychiatrists, who are already reeling from the conflict-filled birth of the fifth edition of the Diagnostical and Statistical Manual of Mental Disorders, are feeling whipsawed…

…The NIMH has outlined a new diagnostic system — called Research Domain Criteria (RDoC) — that could ultimately replace the DSM, but it’s not yet ready for prime time. For the time being, NIMH and the psychiatrists who use the manual will continue to abide by existing classifications for diagnosing patients and getting treatment reimbursed. “Some people have the idea that we’re trying to ditch or diss the DSM and that’s not a fair assessment,” says Insel…

New York Times

Psychiatry’s Guide Is Out of Touch With Science, Experts Say

Pam Belluck and Benedict Carey | May 6, 2013

…“As long as the research community takes the D.S.M. to be a bible, we’ll never make progress,” Dr. Insel said, adding, “People think that everything has to match D.S.M. criteria, but you know what? Biology never read that book.”

…Dr. Insel said in the interview that his motivation was not to disparage the D.S.M. as a clinical tool, but to encourage researchers and especially outside reviewers who screen proposals for financing from his agency to disregard its categories and investigate the biological underpinnings of disorders instead. He said he had heard from scientists whose proposals to study processes common to depression, schizophrenia and psychosis were rejected by grant reviewers because they cut across D.S.M. disease categories.

“They didn’t get it,” Dr. Insel said of the reviewers. “What we’re trying to do with RDoC is say actually this is a fresh way to think about it.”

He added that he hoped researchers would also participate in projects funded through the Obama administration’s new brain initiative.

Dr. Michael First, a psychiatry professor at Columbia who edited the last edition of the manual, said, “RDoC is clearly the way of the future,” although it would take years to get results that could apply to patients. In the meantime, he said, “RDoC can’t do what the D.S.M. does. The D.S.M. is what clinicians use. Patients will always come into offices with symptoms.”

For at least a decade, Dr. First and others said, patients will continue to be diagnosed with D.S.M. categories as a guide, and insurance companies will reimburse with such diagnoses in mind…

Science Insider

NIMH Won’t Follow Psychiatry ‘Bible’ Anymore

Emily Underwood | May 6, 2013

…Helena Kraemer, a biostatistician at Stanford University in Palo Alto, California, who was responsible for field trials of diagnostic categories proposed for DSM-5, says that Insel is right that the NIMH’s new program, called Research Domain Criteria (RDoC) is “the direction we have to go.” However, she says, “he’s wrong in saying that DSM-5 is to be set aside.” When it comes to validity, there now is no gold standard, she says. “The DSM is a series of successive approximations.” Kraemer’s vision is that future versions of the manual will not have to wait 10 to 15 years for revision, but incorporate new scientific data from RDoC as it emerges. She says that a meeting is scheduled in June to discuss the possibility of converting the DSM into an electronic document that could incorporate those changes. “Everybody I’ve talked to about it thinks that’s a good idea.”

…Implementing RDoC will present some practical challenges, [William] Carpenter acknowledges. “This does shift the paradigm.” Rather than excluding all study subjects who do not fit a DSM diagnosis, such as major depression, for example, the new approach might include a range of participants with different diagnoses who all demonstrate anhedonia, the impaired ability to experience pleasure, and might look for underlying brain abnormalities that they share in common. “I bet that the rough spots are overcome pretty quickly,” Carpenter says, “but of course we have to see how well that actually works out…”

The Globe and Mail [Canada]

American Psychiatric Association rebuked over new diagnostic manual

Wency Leung | May 6, 2013

…[Gary] Greenberg says that while he believes that this change in the institute’s research direction will generate a huge amount of science on mental health, he is skeptical that researchers will be able to boil down the extraordinarily complex workings of the brain into sound and specific diagnostic criteria.

In response to Insel, the APA issued a statement on Saturday by David Kupfer, chair of the DSM-5 task force, noting that it has been waiting for decades for reliable biological and genetic markers on which to base precise diagnoses. “We are still waiting,” Kupfer said.

In the meantime, the DSM is the “strongest system currently available for classifying disorders,” he said.

“Efforts like the National Institute of Mental Health’s Research Domain Criteria (RDoC) are vital to the continued progress of our collective understanding of mental disorders,” Kupfer said. “But they cannot serve us in the here and now, and they cannot supplant DSM-5…”

Psychology Today Blog Mood Swings

NIMH: A Requiem for DSM – and its Critics
A new generation will reject DSM, and the anti-biological critics of DSM too

Dr. Nassir Ghaemi in Mood Swings | May 5, 2013

Update: Response from Gary Greenberg and further comment from Bernard Carroll, MD

Wetenschap 24 News [Netherlands]

Psychiaters verwerpen psychiatriebijbel

Door: Nadine Böke | mei 03, 2013

De grootste onderzoeksinstelling voor geestelijke gezondheidszorg ter wereld, het Amerikaanse NIMH (National Institute for Mental Health) verwerpt ‘psychiatriebijbel’ DSM.

LaPresse [French Canadian]

Le blogue santé

DSM-5: une bible controversée

Valérie Simard | 6 mai 2013

Agence Science-Presse [French Canadian]

Recherche: désaveu de la bible des psychiatres

Agence Science-Presse |  le 6 mai 2013

(Agence Science-Presse) L’ouvrage qu’on décrit sans cesse comme la «bible» des maladies mentales, et dont la nouvelle édition, après des années d’attente, doit paraître ce mois-ci, vient d’être écarté par rien de moins que le plus gros organisme subventionnaire de la recherche sur les maladies mentales au monde.

De Morgen [Belgium]

Something rotten in de psychiatrie

OPINIE − 07/05/13

De labelingmachine van de DSM 5 is mensonwaardig.
Wat doet de overheid, vraagt Marc Calmeyn. Calmeyn is psychiater en psychoanalyticus. Hij werkt in Brugge.

For earlier media and blogger coverage, see Dx Revision Watch post: National Institute of Mental Health (NIMH) to ditch the DSM.

DSM-5 Round up: April #3

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DSM-5 Round up: April #3

Post #240 Shortlink: http://wp.me/pKrrB-2T2

…Psychiatry has already reached far into our daily lives, and it’s not by virtue of the particulars of any given D.S.M. It’s because the A.P.A., a private guild, one with extensive ties to the drug industry, owns the naming rights to our pain. That so significant a public trust is in private hands, and on such questionable grounds, is what we ought to worry about.

The New Yorker, April 9, 2013

The Book of Woe

Gary Greenberg is a Connecticut psychotherapist, author of four books and cultivator of an impressive braid.

Greenberg’s new book The Book of Woe: The DSM and the Unmaking of Psychiatry on the politics and controversies surrounding the making of DSM is published by Blue Rider Press on May 2. Read an excerpt here.

Extracts from “Manufacturing Depression” (Harpers, May 2007), essays, articles and other writings can be read here. Media interviews and podcasts here.

Gary Greenberg blogs here.

Interview with Gary Greenberg:

The Atlantic

The Real Problems With Psychiatry

A psychotherapist contends that the DSM, psychiatry’s “bible” that defines all mental illness, is not scientific but a product of unscrupulous politics and bureaucracy.

“…take the damn thing away from them.”

Hope Reese | May 2, 2013

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DSM-5 Media Round up: April #3

Nature | News Feature

Nature Volume: 496, Pages: 416–418 Date published: (25 April 2013) DOI:doi:10.1038/496416a

Mental health: On the spectrum

Research suggests that mental illnesses lie along a spectrum — but the field’s latest diagnostic manual still splits them apart.

David Adam | April 24, 2013

p. 397 Editorial

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Globe and Mail (Canada)

When did life itself become a treatable mental disorder?

Patricia Pearson | Special to The Globe and Mail | April 27, 2013

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Plos Open Access

Perspective doi:10.1371/journal.pbio.1001544

Subgrouping the Autism “Spectrum”: Reflections on DSM-5

Meng-Chuan Lai, Michael V. Lombardo, Bhismadev Chakrabarti, Simon Baron-Cohen

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Monitor on Psychology (Organ of the American Psychological Association)

The Next DSM

A look at the major revisions of the Diagnostic and Statistical Manual of Mental Disorders, due out next month.

Rebecca A Clay | April 2013

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Psychology Today

Saving Normal

The International Reaction to DSM-5

Allen Frances, MD | April 23, 2013

For WPA/WHO survey of global usage of ICD-10 v DSM-5 see Presentation slides: Slides 17 and 18:
Revising the ICD Definition of Intellectual Disability: Implications and Recommendations March 19, 2013
Data from World Psychiatry. 2011 Jun;10(2):118-31.
The WPA-WHO Global Survey of Psychiatrists’ Attitudes Towards Mental Disorders Classification.
Reed GM, Mendonça Correia J, Esparza P, Saxena S, Maj M. Free full paper

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Huffington Post Allen Frances MD
Allen Frances MD, Professor Emeritus, Duke University | April 21, 2013

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Slide presentation David J Kupfer

Psychiatry Update – American College of Physicians | March 2, 2013

www.acponline.org/about_acp/chapters/va/13mtg/kupfer_psychiatryupdate.pptx

File Format: Microsoft Powerpoint .pptx

(Emerging options for DSM-5 Primary Care Version from Slide 18)

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Psychiatric News | April 19, 2013
Volume 48 Number 8 page 5-5
10.1176/appi.pn.2013.4b14
American Psychiatric Association

Professional News

Gambling Disorder to Be Included in Addictions Chapter

Mark Moran | April 19, 2013

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Full paper PDF:

www.luc.edu/law/media/law/students/publications/llj/pdfs/hass.pdf

Could the American Psychiatric Association Cause You Headaches? The Dangerous Interaction between the DSM-5 and Employment Law

Douglas A. Hass | March 9, 2013

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Scientific American

New DSM-5 Ignores Biology of Mental Illness

The latest edition of psychiatry’s standard guidebook neglects the biology of mental illness. New research may change that

Ferris Jabr | April 2013

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UK Times

First, the good news: you’re not having a nervous breakdown

John Naish | April 16, 2013

Behind a paywall

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DSM-5 publication date May 22: American Psychiatric Association to release DSM-5 between May 18-22, San Francisco

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DSM-5 publication date May 22: American Psychiatric Association to release DSM-5 between May 18-22, San Francisco

Post #235 Shortlink: http://wp.me/pKrrB-2Lq

After 14 years and with a staggering $25 million thrown at it, the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) will be launched during the American Psychiatric Association’s (APA) Annual Meeting in San Francisco, May 18-22, 2013.

The Bumper Book of Head Stuff has cost $25,000 a page.

“…ignore DSM 5. It is not official. It is not well done. It is not safe. Don’t buy it. Don’t use it. Don’t teach it.”

Commentary: “Does DSM 5 Have a Captive Audience?” Saving Normal, Allen Frances, MD

Further revisions and refinements to the criteria sets and disorder descriptions, following closure of the third and final stakeholder review and comment period (June 15, 2012) and the finalizing of texts in December and January, are embargoed and won’t be evident until the manual is released, next month.

Draft proposals, as they had stood on the DSM-5 Development site for the third stakeholder review, were removed from the APA’s website last November. Additional pages archiving draft proposals for DSM-5 Development internal use which remained publicly accessible were put behind a webmaster log in, around mid March.

(No drafts of the expanded texts that accompany the disorder sections and categories have been available for public scrutiny at any stage in the drafting process.)

The official publication date for DSM-5 is May 22 for the U.S. (May 31 for UK). The manual is 1000 pages and costs nearly $200 for the hardcover edition. An electronic version of the DSM-5 is understood to be in development for later this year.

According to this December 1 interview with Task Force Chair, David J Kupfer, MD, for the Washingtonian,

…While it will likely be some time before we can expect a DSM-6, it may only be a few years until a DSM-5.1 or -5.2, thanks to the expected digital version of the manual. “We don’t wait to wait another 19 to 20 years to have a new revision of the whole volume,” says Kupfer. “But if there is some unexpected consequence, which we can’t anticipate, we have an opportunity to fix something two to three years from now.”

A DSM-5 Table of Contents listing the new disorder sections and category names for DSM-5 (but not the criteria sets) can be accessed on this APA page.

Also at that URL – fact sheets, articles and videos for selected categories, which are being added to every few weeks (including justifications for some of the more controversial changes and new inclusions), and the following documents relating to the overall development process:

Insurance Implications of DSM-5 (New document)
Highlights of Changes from DSM-IV-TR to DSM-5 (updated April 5, 2013)
From Planning to Publication: Developing DSM-5
The Organization of DSM-5
The People Behind DSM-5

A number of books are publishing around the DSM-5 this April and May:

The Intelligent Clinician’s Guide to the DSM-5® by Joel Paris (Apr 17, 2013)

The Book of Woe: The DSM and the Unmaking of Psychiatry by Gary Greenberg  (May 2, 2013) (also available as an Audio Book and Audio CD)

Saving Normal: An Insider’s Revolt Against Out-of-Control Psychiatric Diagnosis, DSM-5, Big Pharma, and the Medicalization of Ordinary Life by Allen Frances (May 14, 2013)

Essentials of Psychiatric Diagnosis: Responding to the Challenge of DSM-5 by Allen Frances MD (May 17, 2013)

Making the DSM-5: Concepts and Controversies by Joel Paris and James Phillips (May 31, 2013)

Recent press releases

December 1, 2012: APA Release No. 12-43 American Psychiatric Association Board of Trustees Approves DSM-5 (includes Attachment A: Select Decisions Made by APA Board of Trustees)

January 18, 2013: APA Release No. 13-06 DSM-5 Now Available for Preorder

February 28, 2013:  APA Release No. 13-11 APA Annual Meeting in San Francisco, May 18-22; DSM-5 to be Released

April 9, 2013: APA Release No. 13-19 APA 2013 Annual Meeting Special Track to Present DSM-5 Changes

DSM and DSM-5 are registered trademarks of the American Psychiatric Association.

DSM-5 Round up: April #2

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DSM-5 Round up: April #2

Post #232 Shortlink: http://wp.me/pKrrB-2IU

Update at April 13:

Slate

Abnormal Is the New Normal

Why will half of the U.S. population have a diagnosable mental disorder?

Robin S Rosenberg | April 12, 2013

Via Patrick Landman @landman35635068

News of a forthcoming event about the ”medicalization of childhood” and the consequences of DSM-5. The organizers belong to the STOP DSM international movement.

6-8 June, 2013  Palais Rouge, Buenos Aires, Agentina

and

Fundación Sociedades Complejas

La FUNDACION SOCIEDADES COMPLEJAS. PROYECTOS EN SALUD Y EDUCACION se instituye con el objeto de promover el desarrollo, la capacitación, la formación, la investigación y el perfeccionamiento continuo de todos aquellos profesionales de la salud, la educación y la cultura que trabajan con bebes, niñas…

See also guest editorial by Patrick Landman on Side Effects at Psychology Today

Why DSM-5 Concerns European Psychiatrists

A guest contributor from Paris explains why the manual’s power is misplaced

Published on March 18, 2013 by Christopher Lane, Ph.D. in Side Effects

Patrick Landman, Université de Paris VII

http://www.stop-dsm.org

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The New Yorker

The D.S.M. and the Nature of Disease

Gary Greenberg | April 9, 2013

…The D.S.M. has enormous impact on the public health. It determines which conditions insurers will cover, which drugs regulators will approve, which children will receive special-education services, and which criminal defendants will be able to stand trial and, in some cases, how they will be sentenced. Psychiatry has already reached far into our daily lives, and it’s not by virtue of the particulars of any given D.S.M. It’s because the A.P.A., a private guild, one with extensive ties to the drug industry, owns the naming rights to our pain. That so significant a public trust is in private hands, and on such questionable grounds, is what we ought to worry about.

Continue reading →