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	<title>Before You Take That Pill &#187; APA</title>
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		<title>New Questionable Diagnoses on the Horizon from the DSM-5 Committee</title>
		<link>http://www.beforeyoutakethatpill.com/index.php/2011/11/08/new-loony-tunes-diagnoses-on-the-horizon-from-the-dsm-5-committee/</link>
		<comments>http://www.beforeyoutakethatpill.com/index.php/2011/11/08/new-loony-tunes-diagnoses-on-the-horizon-from-the-dsm-5-committee/#comments</comments>
		<pubDate>Tue, 08 Nov 2011 17:13:39 +0000</pubDate>
		<dc:creator>Doug Bremner</dc:creator>
				<category><![CDATA[DSM Shadow Team]]></category>
		<category><![CDATA[pharmaceutical industry]]></category>
		<category><![CDATA[Psychiatry]]></category>
		<category><![CDATA[APA]]></category>
		<category><![CDATA[David Kupfer]]></category>
		<category><![CDATA[Diagnostic and Stat]]></category>
		<category><![CDATA[DSM]]></category>
		<category><![CDATA[DSM-5]]></category>
		<category><![CDATA[petition]]></category>

		<guid isPermaLink="false">http://www.beforeyoutakethatpill.com/?p=5834</guid>
		<description><![CDATA[<p>&#8220;Oh, what are you getting so excited about? I told you I was bi-polar.&#8221;</p> <p>I just signed a recent <a href="http://www.ipetitions.com/petition/dsm5/">petition</a> from a committee of the American Psychological Association (APA) and the Society for Humanistic Psychology protesting the proposed Diagnostic and Statistical Manual (DSM)-5 committee&#8217;s new diagnostic structure (read more about it and Dr. Kupfer&#8217;s [...]]]></description>
			<content:encoded><![CDATA[<a href="http://www.beforeyoutakethatpill.com/index.php/2009/01/26/my-view-of-bi-polar/bipolar2/" rel="attachment wp-att-29"><img src="http://www.beforeyoutakethatpill.com/wp-content/uploads/2009/01/bipolar2.jpg" alt="&quot;Oh, what are you getting so upset about? I told you I was Bi-Polar&quot;" title="bipolar2" width="300" height="220" class="size-full wp-image-29" /></a>
<p><strong>&#8220;Oh, what are you getting so excited about? I told you I was bi-polar.&#8221;</strong></p>
<p>I just signed a recent <a href="http://www.ipetitions.com/petition/dsm5/">petition</a> from a committee of the American Psychological Association (APA) and the Society for Humanistic Psychology protesting the proposed Diagnostic and Statistical Manual (DSM)-5 committee&#8217;s new diagnostic structure (read more about it and Dr. Kupfer&#8217;s response <a href="http://societyforhumanisticpsychology.blogspot.com/2011/11/response-to-letter-from-dsm-5-task.html">here</a>). I agree with the concerns about the loosening of diagnoses that will increase the number of people who officially meet criteria for psychiatric disorders, the changing of language that makes individuals who stand apart from prevalent societal and political mores as &#8220;mental&#8221;, and the creation of a dynamic range within the personality disorders that is not based on any empirical evidence. </p>
<p>In particular DSM-5 has come up with these wacky-doodle &#8220;disorders.&#8221;</p>
<li>&#8220;Attenuated Psychosis Syndrome,” which describes experiences common in the general population and is based on a concept of risk of proneness to the development of psychosis but has not been demonstrated to commonly &#8220;convert&#8221; to a real disorder. This just gives people an excuse to give powerful anti-psychotic drugs to normal people. Let my people go!</li>
<li>The medicalization of grief. By removing the bereavement exclusion from Major Depressive Disorder we are now no longer able to undergo the normal ’s bereavement exclusion, which currently prevents the pathologization of grief, a normal life process. Come on, guys, <a href="http://www.beforeyoutakethatpill.com/index.php/2009/03/02/on-grief-its-complicated-and-i-shall-say-goodbye-till-it-be-morrow/">grief is not a medical disorder </a>so stop looking for more excuses to put people on antidepressants.</li>
<li>Further opening the flood gates for Attention Deficit Disorder (ADD) by reducing the number of criteria necessary for the diagnosis. This disorder continues to rise in number of &#8220;diagnosed&#8221; and we don&#8217;t need anymore reason for kids to be medicated with drugs that can stunt growth, inhibit playfullness, and have other side effects unless they absolutely need it.</li>
<li>Loosening of the criteria for Generalized Anxiety Disorder.</li>
<li>Disruptive Mood Dysregulation Disorder &#8211; bad babies now have to take Risperdal.</li>
<li>Internet Addiction Disorder &#8211; I <a href="http://www.beforeyoutakethatpill.com/index.php/2009/07/10/dsm-5-internet-addiction-disorder-and-keeping-the-troops-in-line/">already wrote about this one </a>and I am particularly against this one because I am afraid they will use it to lock me up in a mental hospital, lol.</li>
<li>A new PTSD criterian A that by removing the reaction to the event (e.g. &#8220;intense fear horror or helplessness&#8221; required for the current diagnosis) and generalizing to include threatening events to anyone you have ever known or talked to effectively makes the entire US population eligible to be diagnosed with PTSD. Oh, um, except for atheists, since they probably won&#8217;t get the symptom &#8220;I lost my soul forever&#8221; which is <a href="http://www.beforeyoutakethatpill.com/index.php/2010/04/20/letting-the-horse-out-of-the-barn-impending-disaster-with-new-dsm-5-criteria/">part of the proposed new criteria</a>. </li>
<li>Pushing for Gender Identity Disorder on political grounds so they can get money for sex change operations.</li>
<li>Female Sexual Dysfunction Disorder (I mean, maybe their boyfriends are smelly or gross or something, think about that, huh?)</li>
<p>I <a href="http://www.beforeyoutakethatpill.com/index.php/tag/dsm/">wrote about this before </a> which provoked some pretty strong blow back to say the least. I think academic psychiatry is going down the wrong road by thumbing their noses at the entire discipline of psychology, ignoring the general public, and conducting a process of revising diagnostic criteria cloaked in secrecy, not to mention the conflict of interest involved in the American Psychiatric Association receiving a lot of its income from selling the DSM books, which require successive new editions in turn requiring more revisions, which are not always based on scientific evidence. </p>
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		<title>Psychiatry Update: Conflicts of the Conflicted</title>
		<link>http://www.beforeyoutakethatpill.com/index.php/2009/06/29/psychiatry-update-conflicts-of-the-conflicted/</link>
		<comments>http://www.beforeyoutakethatpill.com/index.php/2009/06/29/psychiatry-update-conflicts-of-the-conflicted/#comments</comments>
		<pubDate>Mon, 29 Jun 2009 08:55:24 +0000</pubDate>
		<dc:creator>Doug Bremner</dc:creator>
				<category><![CDATA[DSM Shadow Team]]></category>
		<category><![CDATA[Alan Schatzberg]]></category>
		<category><![CDATA[APA]]></category>
		<category><![CDATA[CL Psyc]]></category>
		<category><![CDATA[Daniel Carlat]]></category>
		<category><![CDATA[Danny Carlat]]></category>
		<category><![CDATA[DSM]]></category>

		<guid isPermaLink="false">http://www.beforeyoutakethatpill.com/?p=3442</guid>
		<description><![CDATA[The past week has been an interesting one in the psychiatry field. After I described my experiences getting "un-invited" for my post on the DSM-5 Anxiety Disorders Committee, there was this followup in the Carlat Psychiatry blog. He described his own experiences getting blocked from a practice guidelines committee of the American Psychiatric Association (when I couldn't think of anyone to provide more scholarly and unbiased to do it). ]]></description>
			<content:encoded><![CDATA[<p>The past week has been an interesting one in the psychiatry field. After I described my <a href="http://www.beforeyoutakethatpill.com/index.php/2009/06/23/dsm-5-beware-of-consequences/">experiences getting &#8220;un-invited&#8221;</a> for my <a href="http://www.beforeyoutakethatpill.com/index.php/2009/05/21/dsm-v-shadow-team-on-developmental-trauma-disorder-in-children/">post on the DSM-5 Anxiety Disorders Committee</a>, there was <a href="http://carlatpsychiatry.blogspot.com/2009/06/apa-power-and-exclusion-of-dissent.html">this followup in the Carlat Psychiatry</a> blog. He described his own experiences getting blocked from a practice guidelines committee of the American Psychiatric Association (when I couldn&#8217;t think of anyone more scholarly and unbiased to do it).</p>
<p>The cause? A comment posted anonymously on his blog stating that Alan Schatzberg, MD, had pressured the DSM committee to loosen the guidelines for psychotic depression so that there would be an expanded market for the medication for depression he developed, mifepristone. Dr. Schatzberg was in the news last year because he had an NIH grant to study the drug but also was revealed to be the owner of four million dollars worth of stock in Corcept, a company that he co-founded and that makes the drug. Dr Schatzberg has since stepped down as Chair of the Department of Psychiatry at Stanford, source of the complaint against me that, yes, I had brought up two of the member of the DSM Anxiety Committee in the context that they were from Brown and Dartmouth, departments that were also sites of financial disclosure issues, so add to that my own university (which cannot be named), we pretty much have brought the circle to completion for the universities involved in last year&#8217;s financial disclosure broo ha ha. Also <a href="http://clinpsyc.blogspot.com/2009/06/new-american-psychiatric-association.html">last week the CL Psych blog</a> noted that Dr. Schatzberg in his speech accepting the Presidency of the APA stated that:</p>
<blockquote><p>&#8230;some of the detractors in the press have voiced concern that some folks have earned too good a living, often by doing presentations&#8230;I have heard from colleagues and directly from one reporter asking me about one of my colleagues having too high an annual income&#8230;our members and residents have never taken vows of poverty&#8230;We need to ask ourselves how we have contributed to our own devaluation with which others seem to resonate, and we need to reverse the course. The rewards for our dedication should not be limited to a sense of pride, but we are also entitled to be paid commensurate to the challenge&#8230;</p></blockquote>
<p>It doesn&#8217;t seem to me that Dr. Schatzberg has gotten the point that the American public is fed up with academic physicians been paid large sums of money from private industry and using their academic positions to promote their own and their industry partners financial advantages, especially if it impacts on patients. But there hasn&#8217;t been a lot of soul searching in psychiatry these days. I guess they&#8217;d <a href="http://www.beforeyoutakethatpill.com/index.php/2009/06/26/reflections-on-the-dsm-process-and-academic-freedom/">rather spend their time getting people like me to shut up</a>.</p>
<p>An interesting Anonymous followup comment to <a href="http://carlatpsychiatry.blogspot.com/2009/06/apa-power-and-exclusion-of-dissent.html">Dr. Carlat&#8217;s posting</a> I was talking about earlier said that he shouldn&#8217;t wonder that people didn&#8217;t want him on their committees as he might use things he learns about in secret as &#8220;fodder&#8221; for his blog which he described as highly read. He also said you &#8220;can&#8217;t have your cake and eat it to.&#8221; Wa-aa? You mean if you want to be honest and transparent that you can&#8217;t serve on one of the APA committees? I guess because by implication they are corrupt and operate like the mafia? Hmmm, gonna go have some cake and think about that one&#8230;</p>
<div id="attachment_3468" class="wp-caption alignnone" style="width: 290px"><a rel="attachment wp-att-3468" href="http://www.beforeyoutakethatpill.com/index.php/2009/06/29/psychiatry-update-conflicts-of-the-conflicted/lolcat_cake/"><img class="size-full wp-image-3468" title="Lolcat CAN have his cake and eat it too!" src="http://www.beforeyoutakethatpill.com/wp-content/uploads/2009/06/lolcat_cake.jpg" alt="Lolcat CAN have his cake and eat it too!" width="280" height="288" /></a><p class="wp-caption-text">Lolcat CAN have his cake and eat it too!</p></div>
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