DSM-5 released: Media, professional and advocacy reaction: Round up #4

Post #254 Shortlink: http://wp.me/pKrrB-33A

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

The colour of money

If you want to view the WHO’s ICD-10 “Blue Book” or the “Green Book”, the ICD-10 Tabular List Version: 2010 or the forthcoming US ICD-10-CM you can do so for free, online.

If you want to view the “Purple Book” it’s going to set you back $199 in hardcover and $149 in paperback.

American Psychiatric Association has never given free access to the DSM. According to Task Force chair, David J Kupfer, no change is planned to that policy. An online version is in the pipeline but it won’t be free.

“A digital version is promised within a few months through a secure website and also as mobile device applications. Revisions will be more frequent and most likely would be distributed only electronically…” (APA Leaders Defend New Diagnostic Guide John Gever, Medscape Today, May 18, 2013)

The finalized criteria sets and the texts that accompany the disorder sections are nailed down with copyright permissions and restrictions.

What resources are available for free?

On this page of the American Psychiatric Association’s website, you can view the DSM-5 Table of Contents, a document titled Insurance Implications for DSM-5, Psychiatric News articles, disorder descriptions and rationales fact sheets, videos and a document called Highlights of Changes from DSM-IV to DSM-5. New documents are being added to this page every few weeks.

The DSM-5 Development site, from which the third draft was removed, last November, will remain online. Currently undergoing reorganization, APA says the platform will serve as a resource for clinicians, researchers, insurers, and patients.

There is now a tab page Ask Questions or Provide Feedback with a form for submitting questions and feedback. The page states that as frequent questions are received the answers will be continually added to the FAQ pages.

Down the right hand side of the DSM-5 Development Home Page are links for disorder description and rationale documents for some new and existing disorders. (Note that at the time of writing, not all the links are live links, so you may need to hop to this page, in order to open some of the PDFs.)

At the top of the list of links, there is a new document, Important Coding Corrections and an Insurance Implications FAQ.

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No position statement issued yet from the American Psychological Association, but a Practice Central Update around DSM-5, ICD-10-CM and the cross-walk has been published: Nine frequently asked questions about DSM-5 and ICD-10-CM Practice Research and Policy staff, May 16.

Quick primer on cross-walk from a coding industry site, here: For Mental Health, how do DSM-5, CPT and ICD-10 Codes Interact?

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Medscape Medical News – A Guide to DSM-5

Today, Medscape Medical News has published a 15 section guide highlighting the major additions and revisions in the new DSM-5.

Medscape Medical News from The American Psychiatric Association’s 2013 Annual Meeting

This coverage is not sanctioned by, nor a part of, the American Psychiatric Association.

Medscape Psychiatry: A Guide to DSM-5 Bret S. Stetka, MD, Christoph U. Correll, MD, May 21, 2013


Psychiatric Times > APA Annual Meeting Conference reports

Experts Discuss Changes, Updates in DSM-5

Heidi Anne Duerr, MPH | 22 May 2013

Includes summary of revision of DSM-IV’s Somatoform Disorders to Somatic Symptom and Related Disorders for DSM-5.

“One thing that has not completely changed is the inherent ambiguity in these diagnoses…It will be up to each clinician to determine what “excessive” or “disproportionate” means in terms of pathological response.”

Registration for access to this article may be required.

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Other coverage

Jeffrey A Lieberman gets a little hot under the collar over “misguided and misleading ideologues and self-promoters…spreading scientific anarchy” in a guest blog for Scientific American:

Scientific American Guest Blog | Jeffrey A Lieberman, May 20, 2013

DSM-5: Caught between Mental Illness Stigma and Anti-Psychiatry Prejudice

Dr. Lieberman was installed as President-elect of the American Psychiatric Association (APA); he will serve as APA President from May 2013 to May 2014.

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Three radio and TV broadcasts


PBS Newshour | ANALYSIS AIR DATE: May 20, 2013 | Presenter Judy Woodruff

What DSM-5, Updated Mental Health ‘Bible,’ Means for Diagnosing Patients

Transcript plus Listen again on mp3

SUMMARY

The American Psychiatric Association released a new edition of the DSM, which doctors use to diagnose and treat mental disorders. Judy Woodruff discusses the changes and implications for both patients and professionals with Dr. Michael First of Columbia University and Dr. Steven Hyman of the Broad Institute.


World News Australia Radio | May 22, 2013, 9:00 am – Source: Kerri Worthington, SBS

Controversy over ‘psychiatry bible’

Transcript plus Listen again on mp3

Quotes from Associate Profressor Tim Carey, also Professors Helen Christensen, executive director of the Black Dog Institute, Perminder Sachder and Gordon Parker

An update to a highly influential mental health manual, the so-called bible of psychiatry, has been unveiled to criticism from both within and without the profession.


ABC Australian Broadcasting Corporation | May 20, 2013 | Reporter: Emma Alberici

Normal behaviour defined as mental illness

Transcript plus 15.58 mins Video available to watch again

Allen Frances, MD, talks to Emma Alberici on DSM-5 and diagnostic inflation.

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

DSM-5 released: Media, professional and advocacy reaction: Round up #3

Post #253 Shortlink: http://wp.me/pKrrB-332

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

The Conversation

Two visions for understanding illness: DSM and the International Classification of Diseases
James Bradley, Lecturer in History of Medicine/Life Science at University of Melbourne, May 22, 2013

DSM-5 tells us more about psychiatry than psychiatrists
Prof, Sir Simon Wessely, Professor of Psychological Medicine at King’s College London, May 20, 2013

Under new psychiatric guidebook we might all be labelled mad
Allen Frances, Professor Emeritus of Psychiatry at Duke University, May 20, 2013

Explainer: What is the DSM?
Peter Kinderman, Professor of Clinical Psychology at University of Liverpool, May 20, 2013

Mental disorders: debunking some myths of the DSM-5
Perminder Sachdev, Scientia Professor of Neuropsychiatry, Centre for Healthy Brain Ageing (CHeBA), School of Psychiatry at University of New South Wales, April 18, 2013

Five new mental disorders you could have under DSM-5, May 20, 2013
Authors: Christopher Fairburn, Professor of Psychiatry at University of Oxford; Christopher Lane, Professor of English at Northwestern University; David Mataix-Cols, Professor and Honorary Consultant Clinical Psychologist at King’s College London; Jon Grant; Professor of Psychiatry and Behavioral Neuroscience at University of Chicago; Karen M. von Deneen, Associate Professor at Xidian University

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The Dana Foundation: Psychiatric Drug Development: Diagnosing a Crisis Steven E Hyman, MD, April 02, 2013

Steven E Hyman, MD, resigned from the DSM-5 Task Force in 2012. Dr Hyman remains listed as Chair of the APA-WHO International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders

Update: Commentary by Bernard Carroll at Health Care Renewal, April 6, 2013


Blogs Psych Central: Video NIMH’s Thomas Insel on a New Understanding of the Brain Sandra Kiume, April 2013

Video: 13:04 mins

NIMH’s Thomas Insel on a New Understanding of the Brain By Sandra Kiume

Director of the National Institute for Mental Health Thomas Insel gives a TED Talk on the new domain criteria research direction, and how an important first step is to reframe mental illness as brain disorders.

By doing so, diverse fields like psychology, cognitive science, molecular neuroscience, genetics, psychiatry, and more can work together toward a new understanding of the mind.


NIMH: Mental Disorders as Brain Disorders: Thomas Insel at TEDxCaltech, April 23, 2013

Video 15:05 mins


Psycritic: What If the NIMH Succeeds? What Then? May 11, 2013

A child psychiatrist takes a critical look at psychiatry, the news, culture, etc


Jonathan Turley: From DSM-I to DSM-5 in the Legal System: Mental Illness Issues in the Courtroom Charlton Stanley (Otteray Scribe), guest blogger, May 19


Canada.com: Infighting, boycotts, resignations: Psychiatry faces another crisis of confidence Sharon Kirkey, Postmedia News, May 17

Includes Allen Frances video


Radio New Zealand: New reference manual issued by Psychiatric Assn May 19


Healio Psychiatric Annals: APA President-Elect: ‘Our time is now’ May 19


Los Angeles Times Review of Books: Andrew Scull on The Book of Woe: The DSM and the Unmaking of Psychiatry and Hippocrates Cried : The Decline of American Psychiatry Andrew Scull, May 19

Delusions of Progress: Psychiatry’s Diagnostic Manual

Essay length article that includes reference to the legal threats issued on behalf of American Psychiatric Publishing against Dx Revision Watch site, in December 2011.


Truth Dig: British Psychologists Find Fault With DSM-V Alexander Reed Kelly, May 16

England’s Division of Clinical Psychology, which represents more than 10,000 practitioners, has criticized the latest edition of the field’s leading diagnostic manual for its categorizing of normal behaviors—such as shyness in children and depression after the death of a loved one—as medical problems treatable with drugs…


New York Post: We’re all mad here, New psychiatry manual turns ordinary American life into mental disorders Allen Frances, MD, May 18

Millions of people who went to sleep last night thinking they were normal woke up this morning with a new mental disorder…


Medscape Medical News, Psychiatry: Use DSM-5 ‘Cautiously, If at All,’ DSM-IV Chair Advises Pam Harrison, May 17

“I believe that the American Psychiatric Association (APA)’s financial conflict of interest, generated by DSM publishing profits needed to fill its budget deficit, led to premature publication of an incompletely tested and poorly edited product,” Dr. Frances states.

“The problems associated with the DSM-5 prove that the APA should no longer hold a monopoly on psychiatric diagnosis…. The codes needed for reimbursement are available for free on the Internet.”


Spiked Online, UK: Our brains aren’t moulded by abuse Ken McLaughlin. May 16

So, is mental distress caused by faulty genes or by past experiences of childhood abuse? Maybe it’s neither.


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