Psychiatric Madmen? New manual makes everyone mentally sick.

Perhaps an alternate title for this would be “We’re in it for the money.”

See also another related entry entitled “Mental Health Profession has Mental Health problems.”
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“We’re all mad here”

Medication misuse is out of control in the US and more psychiatric labelling in DSM-5 will not help.

by Allen Frances | Tuesday, 21 May 2013

That’s the message of the new edition of the bible for American psychiatrists, DSM-5. Diagnostic inflation is about to become hyperinflation.

“We are all mad here” explains the Cat to Alice when she wonders about the strangeness of Wonderland. Well, life is starting to follow art. If people make the mistake of following DSM-5, the new diagnostic manual in psychiatry that was published on Saturday, pretty soon all of us may be labelled mad.

When I worked on the taskforce for DSM-4, we were very concerned about taming diagnostic inflation – but we only partly succeeded. Then four years ago, I became aware of the excessive enthusiasm around all the new diagnoses being proposed for DSM-5, including many that were untested. I hate to rain on anyone’s parade, but I knew this would be disastrous for the millions of people who were likely to be mislabelled, stigmatised and given excessive treatment.

In the US, the “sick” are distinguished from the “well” by the diagnostic and statistical manuals developed by the American Psychiatric Association.

The problem is that definitions of mental disorders are already written too loosely and are applied much too carelessly by clinicians, especially by the GPs who do most of the prescribing of psychiatric drugs.

And things are about to get much worse. Under DSM-5 diagnostic inflation looks set to become hyperinflation and will lead to an even greater glut of unnecessary medication. I would qualify for a bunch of the new labels myself – and you might too.

The grief I felt when my wife died would now be called “major depressive disorder”; forgetfulness in older age “mild neurocognitive disorder”; my gluttony now “binge eating disorder”; and my hyperactivity “attention deficit disorder”. As for my twin grandsons’ temper tantrums, this could be misunderstood as “disruptive mood dysregulation disorder”. And if you have cancer and your doctor thinks you are too worried about it, there’s “somatic symptom disorder.” It goes on, but you get the idea.

About half of Americans already qualify for a mental disorder at some point in their lives and the rates keep skyrocketing, especially among kids. In the past 20 years, the prevalence of autism has increased, childhood bipolar has multiplied 40-fold and attention deficit disorder has tripled.

One consolation: the kids are not suddenly getting much sicker – human nature is pretty stable. But the way we label symptoms follows fickle fashions, changing quickly and arbitrarily. And freely giving out inaccurate diagnoses can

Mental Health Profession has Mental Health problems

“How hard is it to criticize an organization that seriously thinks that it’s okay to call “Internet Use Disorder” a mental illness? They’re going to take shot after shot. And the response will be ineffectual and weak. They’ll bob and weave, talk about the “living document,” and unleash their line of bullshit.”

For more than two years, author and psychotherapist Gary Greenberg has embedded himself in the war that broke out over the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders—the DSM—the American Psychiatric Association’s compendium of mental illnesses and what Greenberg calls “the book of woe.”

Since its debut in 1952, the book has been frequently revised, and with each revision, the “official” view on which psychological problems constitute mental illness. Homosexuality, for instance, was a mental illness until 1973, and Asperger’s gained recognition in 1994 only to see its status challenged nearly twenty years later. Each revision has created controversy, but the DSM-5, the newest iteration, has shaken psychiatry to its foundations. The APA has taken fire from patients, mental health practitioners, and former members for extending the reach of psychiatry into daily life by encouraging doctors to diagnose more illnesses and prescribe more therapies—often medications whose efficacy is unknown and whose side effects are severe. Critics—including Greenberg—argue that the APA should not have the naming rights to psychological pain or to the hundreds of millions of dollars the organization earns, especially when even the DSM’s staunchest defenders acknowledge that the disorders listed in the book are not real illnesses.

Greenberg’s account of the history behind the DSM, which has grown from pamphlet-sized to encyclopedic since it was first published, and his behind-the-scenes reporting of the deeply flawed process by which the DSM-5 has been revised, is both riveting and disturbing. Anyone who has received a diagnosis of mental disorder, filed a claim with an insurer, or just wondered whether daily troubles qualify as true illness should know how the DSM turns suffering into a commodity, and the APA into its own biggest beneficiary. Invaluable and informative, The Book of Woe is bound to spark intense debate among expert and casual readers alike.

http://j.mp/12vPoHk

http://www.theatlantic.com/health/archive/2013/05/the-real-problems-with-psychiatry/275371/

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.

Hope Reese May 2 2013, 9:08 AM ET

On May 22, the American Psychiatric Association will release the fifth Diagnostic and Statistical Manual of Mental Disorders, the DSM-5. It classifies psychiatric diagnoses and the criteria required to meet them. Gary Greenberg, one of the book’s biggest critics, claims these disorders aren’t real — they’re invented. Author of Manufacturing Depression: The Secret History of a Modern Disease and contributor to The New Yorker, Mother Jones, The New York Times and other publications, Greenberg is a practicing psychotherapist. The Book of Woe: The Making of the DSM-5 and the Unmaking of Psychiatry is his exposé of the business behind the creation of the new manual.

Can you talk about how the first DSM, published in 1952, was conceived?

One of the reasons was to count people. The first collections of diagnoses were called the “statistical manual,” not the “diagnostic and statistical manual.” There were also parochial reasons. As the rest of medicine became oriented toward diagnosing illnesses by seeking their causes in biochemistry, in the late 19th, early 20th century, the claim to authority of any medical specialty hinged on its ability to diagnose suffering. To say “okay, your sore throat and fever are strep throat.” But psychiatry was unable to do that and was in danger of being discredited. As early as 1886, prominent psychiatrists worried that they would be left behind, or written out of the medical kingdom. For reasons not entirely clear, the government turned to the American Medico-Psychological Association, (later the American Psychiatric Association, or APA), to tell them how many mentally ill people were out there. The APA used it as an opportunity to establish its credibility.

How has the DSM evolved to become seen as the “authoritative medical guide to all of mental suffering”?

The credibility of psychiatry is tied to

Adolphus Busch IV Resigns From NRA

“It disturbs me greatly to see this rigid new direction of the NRA.
As a starting point, one only has to ask why
the NRA reversed its original position on background checks.
Was it not the NRA position to support background checks when

Roll Tide! Alabama Man is FBI’s Most Wanted Terrorist

Roll Tide!

Alabama man makes FBI’s Most Wanted Terrorist List.

Omar Shafik Hammami, an American-born U.S. citizen, is Southern Baptist, from

Alabama Legislature OK’d tax money for private schools. Now Governor Bentley backpedals.

The Texas State Legislature doesn’t think public tax dollar$ should go to private schools.

But Alabama’s State Legislature just OK’d & Governor Bentley signed the Alabama Accountability Act of 2013 (HB 84), aka the School Flexibility Bill, aka the Private School Voucher Act.

http://educationblog.dallasnews.com/2013/04/house-votes-to-bar-state-funding-for-private-school-vouchers.html/

Flickr revamped w 1TB of FREE storage!

Flickr gets revamp — with 1 TB of storage space free — and Yahoo gets new NYC office

By Laura Hazard Owen

20 May 2013

Summary:More news from Yahoo on Monday: The company is revamping photo-sharing service Flickr and is also opening a New York office.

Yahoo’s already had a busy Monday, what with that little $1.1 billion Tumblr acquisition, but the company had a few more announcements to make at a press conference Monday afternoon in New York. It’s revamping its photo-sharing service Flickr , which has largely been left to languish since Yahoo acquired it in 2005. “We want to make Flickr awesome again,” Yahoo CEO Marissa Mayer said.

Flickr is getting three big updates. All users will get 1 terabyte of photo storage for free. The photo service’s interface is also being redesigned to

Criticizing the President: This one’s on Obama

This OpEd is probably some of the best, and most genuinely warranted criticism of President Obama which I’ve yet read.

As late former president Theodore Roosevelt wrote:
“The President is merely the most important among a large number of public servants. He should be supported or opposed exactly to the degree which is warranted by his good conduct or bad conduct, his efficiency or inefficiency in rendering loyal, able, and disinterested service to the nation as a whole. Therefore it is absolutely necessary that there should be full liberty to tell the truth about his acts, and this means that it is exactly necessary to blame him when he does wrong as to praise him when he does right. Any other attitude in an American citizen is both base and servile. To announce that there must be no criticism of the president, or that we are to stand by the president, right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public.* Nothing but the truth should be spoken about him or any one else. But it is even more important to tell the truth, pleasant or unpleasant, about him than about any one else.”

-Theodore Roosevelt’s OpEd Column entitled “Sedition, A Free Press and Personal Rule” published May 7, 1918 in the Kansas City Star

*Roosevelt’s sharp criticism of President Wilson‘s leadership during World War I led the Post Office to warn that the Star that such views might cost the paper its second-class mailing privileges.

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Obama A Big Hypocrite? Ask Legal Schnauzer, Roger Shuler

By Joan Brunwasser (about the author)     Permalink
Life Arts 5/18/2013 at 22:24:54

My guest today is Legal Schnauzer, Roger Shuler. Welcome back to OpEdNews, Roger. 

JB: Your recent piece The President Paints Himself Into An Ethical Corner By Voicing Outrage Over Evolving Scandal At The IRS  is pretty scathing. What’s got you so upset?

RS: In early January 2009, just a few days before he took office, President-Elect Obama said he intended to “look forward, as opposed to looking backwards” on apparent crimes under the Bush administration. As president, Obama seems to have followed through on that pledge because his Justice Department has failed to review political prosecutions such as the one involving former Governor Don Siegelman in Alabama, where I live.

Political prosecutions, of course, were just of one of many improper acts on the justice front during the Bush years–torture, warrantless wiretapping, firings of U.S. attorneys were among the others. In essence, Obama issued a decree that no one would be held accountable for those acts.

Obama’s “look forward” statement made no sense at the time, and it makes even less sense now, coming after he expressed outrage the other day over disclosures about the IRS targeting conservative groups for political reasons. Obama said in a news conference that he would not “tolerate” such actions, that wrongdoers must be held “accountable,” and the problem must be “fixed.”

But his inaction toward the DOJ shows that he will tolerate the targeting of political opponents, that he will not hold individuals accountable for such actions, and he will not take steps to fix the problem. Obama was uttering empty words at his press conference about the IRS. Many of us expect that from a Republican chief executive; we should demand better from a Democrat.

JB: For readers unfamiliar with the Siegelman case, Roger, can you give us a brief overview of what happened and why anyone outside of Alabama should care? It didn’t happen under Obama’s watch so how can he be blamed?

RS: Don Siegelman was a Democratic governor in a deep-red state, a state where Karl Rove has a strong power base. Siegelman accepted a campaign donation from a businessman named Richard Scrushy, and then appointed Scrushy to a health-care regulatory board–a board on which Scrushy had served under three previous governors.

The standard for a bribery conviction in the campaign-donation context is that the prosecution must prove an “explicit agreement” in a something-for-something deal (known in legalese as a “quid pro quo.”) No evidence at trial pointed to such an unlawful deal, and the federal judge presiding over the case (a George W. Bush appointee named Mark Fuller) gave incorrect jury instructions that did not include the “explicit agreement” requirement. He allowed the jury to

Help Wanted: Wal-Mart Door Greeter

One of my fine friends had recently commented about the speed of thought. I was reminded of a recent story, apropos to his remark.

It seems one of the local Wal-Marts had an opening for a Door Greeter job. The store manager published the help wanted notice & after receiving numerous applications, culled the job seekers to four.

Having thoroughly examined the applications, reviewed their resumes, and wanting to be as efficient as possible, he decided to conduct a group interview of the four sharpest candidates.

Because he wanted to see how they could think of their feet, he decided to ask them each a question and judge their response.

Turning to the first candidate, he said, “Young lady, what’s the fastest thing you can think of?”

She quickly replied saying, “A blink.”

“That’s good,” said the manager in response. “A blink is much less than a second, and the Scripture says Christ will come in the twinkling of an eye. That’s good.”

Turning to the second candidate, he asked

Research: Lowering BAC to .05 will NOT reduce traffic deaths

We’re now hearing the drumbeat to lower the BAC (Blood Alcohol Content) for DUI (Driving Under the Influence) from 0.08 to 0.05.

However, research by the NHTSA (National Highway Traffic Safety Administration) shows in 2008, the MAJORITY of drivers involved in fatal crashes in ALL 50 states had 0% BAC.

Put another way, in the MAJORITY of ALL traffic fatalities in ALL 50 states, the drivers were TOTALLY SOBER.

Yes, you read that correctly.

How much does Huntsville Hospital charge for procedures? You’d be surprised!

Thanks to a newly introduced aspect of ObamaCare, hospitals are now mandated to publicly show how much they charge for procedures.

Aren’t you glad?

I mean really… who goes to a grocery store or gas station and doesn’t know how much they’ll pay?

Part of market-based competition includes