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Title: Who’s crazy now?
Source: Boston Globe
URL Source: http://www.boston.com/ae/books/arti ... f_new_psychological_disorders/
Published: Jul 17, 2009
Author: Alex Beam
Post Date: 2009-08-20 17:38:50 by Original_Intent
Keywords: Shink, Psych, Money, Quack
Views: 290
Comments: 17

Every couple of decades or so, psychiatrists publish their Diagnostic and Statistical Manual of Mental Disorders, which functions as the instruction booklet for their profession. The manual always attracts its fair share of mockery, and the last one was no exception.

That 886-page volume, published in 1994, famously included snoring (“Breathing-Related Sleep Disorder’’; DSM code 780.59), smoking (“Nicotine Dependence’’; 305.10), quitting smoking (“Nicotine Withdrawal’’; 292.0), and jet lag among the nation’s mental disorders. One writer called it “a naked land grab by a profession threatened with marginalization by biomedical research.’’

I am quoting my past self, doubtless a diagnosable disorder of some kind.

Surprise, surprise, the psychiatrists are at it again. The fifth edition of DSM is in the making, and already the fur is flying. “What began as a group of top scientists reviewing the research literature has degenerated into a dispute that puts the Hatfield-McCoy feud to shame,’’ wrote Dr. Daniel Carlat, a professor at Tufts Medical School, on his blog recently.

What’s going on? For one thing, there is continuing pressure to keep adding questionable diagnoses to the DSM stew. There is talk of expanding the ever-fashionable ADHD diagnosis (attention deficit hyperactivity disorder) to include an adult-onset version. Last time around, some shrinks wanted to include PMS (premenstrual dysphoric disorder, or premenstrual syndrome), an effort headed off at the pass because it risked stigmatizing healthy women. Eating disorders will probably be broadened, too.

In an editorial published in Psychiatric Times, Dr. Allen Frances, the editor of DSM-IV, called DSM-V “a wholesale imperial medicalization of normality that will trivialize mental disorder and lead to a deluge of unneeded medication treatment - a bonanza for the pharmaceutical industry but at a huge cost to the new false positive ‘patients’ caught in the excessively wide DSM-V net.’’

Frances and others say there hasn’t been enough progress in sussing out mental disorders to merit publication of a new $89 volume. “The idea was that in these 20 years the science would have progressed to where it had hard scientific and biological markers for diagnoses,’’ Carlat told me. “It just hasn’t happened. We are wrestling with our identity as medical professionals. The lack of biological markers to help us diagnose has made us feel in some ways inferior to other medical professionals, as if we were not real doctors because we don’t base our decisions on hard science.’’

In a prepared statement, the American Psychiatric Association, publisher of the DSM, accused Frances and another critic of conflict of interest, noting that they “continue to receive royalties’’ on the DSM-IV and “related case book and study products.’’ That seems a little rich to me. Frances said his royalties amount to about $10,000 a year and that he “never regarded this as a motivation for anything.’’

While the APA and Frances were trading insults, Jane Costello, a professor of medical psychology at Duke University, volubly quit one of the DSM-V working groups. In a letter explaining her actions, she wrote: “I am increasingly uncomfortable with the whole underlying principle of rewriting the entire psychiatric taxonomy at one time.’’ Concerning new DSM diagnoses, she writes: “More and more, changes seem to be made for reasons that have little basis in new scientific findings or organized clinical or epidemiological studies.’’

The most serious, recurring accusation is that the pill-pushing shrinks are dreaming up ever-new syndromes at the behest of their funders in the pharmaceutical industry. Such diverse critics as Tufts, the Center for Science in the Public Interest, and the occasionally loony CounterPunch magazine have highlighted the extensive ties between Big Pharma and the DSM’s authors.

“The drug barons’ ongoing campaign to pathologize entirely natural emotional responses to hunger, humiliation, financial insecurity, racism, sexism, overwork, and isolation is a mercenary tactic, designed to create markets, maximize profits, and minimize dissidence,’’ Eugenia Tsao writes in the current CounterPunch. You would think the APA would respond to these accusations of self-dealing, but a spokeswoman assured me that DSM representatives were too busy to speak with me.

Who are the losers? The mentally ill, of course. Meaning the men and women for whom a few days’ worth of jet lag or the “pain’’ of nicotine withdrawal would be a welcome walk in the park. Because ultimately a profession that medicalizes trivial conditions, and seeks reimbursement for treating them, will find itself being reimbursed for nothing.

I am quoting myself again. Maybe I should see someone.

Alex Beam is a Globe columnist. His e-dress is beam@globe.com. © Copyright 2009 Globe Newspaper Company.

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#1. To: Original_Intent (#0)

psychiatriasts

psychistriasts = quacks

sizzlerguy  posted on  2009-08-20   17:55:02 ET  Reply   Trace   Private Reply  


#2. To: Original_Intent (#0)

“The idea was that in these 20 years the science would have progressed to where it had hard scientific and biological markers for diagnoses,’’ Carlat told me. “It just hasn’t happened. We are wrestling with our identity as medical professionals. The lack of biological markers to help us diagnose has made us feel in some ways inferior to other medical professionals, as if we were not real doctors because we don’t base our decisions on hard science.’’

Confession is good for the soul.

_________________________________________________________________________
"This man is Jesus,” shouted one man, spilling his Guinness as Barack Obama began his inaugural address. “When will he come to Kenya to save us?”

“The best and first guarantor of our neutrality and our independent existence is the defensive will of the people…and the proverbial marksmanship of the Swiss shooter. Each soldier a good marksman! Each shot a hit!”
-Schweizerische Schuetzenzeitung (Swiss Shooting Federation) April, 1941

X-15  posted on  2009-08-20   17:58:56 ET  Reply   Trace   Private Reply  


#3. To: sizzlerguy, IndieTX, X-15, all (#1)

psychistriasts = quacks


I thought CrazyPsychiatry.org summed it up nicely:

We in Psychiatry Will:

A) Whip up a disease to account for any complaints you have about life.
B) Speculate on the presence of a disease to explain any strange behavior you exhibit or any comments you make.
C) Based on these guesses, label you as "diseased", with no proof .
D) Give you powerful drugs and shock without care for the side effects.
All services will be billed to your insurance company until the coverage runs out, at which time you will be "cured".

Our Simple Strategy:
1) Observe a common human trait or unusual behavior.
2) Declare such as symptoms of a disease.
3) Deliver drugs and shock.
4) Get paid.
5) Seek to prove our made-up disease is real.

"I think the subject which will be of most importance politically is Mass Psychology...It's importance has been enormously increased by the growth of modern methods of propaganda...Although this science will be diligently studied, it will be rigidly confined to the governing class. The populace will not be allowed to know how its convictions were generated." Bertrand Russel, Eugenicist and Logician

Original_Intent  posted on  2009-08-20   18:06:13 ET  Reply   Trace   Private Reply  


#4. To: christine, Cynicom, farmfriend, CadetD, Rotara, TwentyTwelve, James Deffenbach, Jethro Tull, IndieTX, X-15, HOUNDDAWG, bluegrass, Kamala, Deacon Benjamin, HappyToBeMe-4um, Itistoolate, Esso, Clitora, farmfriend, all (#0)

“The drug barons’ ongoing campaign to pathologize entirely natural emotional responses to hunger, humiliation, financial insecurity, racism, sexism, overwork, and isolation is a mercenary tactic, designed to create markets, maximize profits, and minimize dissidence,’’ Eugenia Tsao writes in the current CounterPunch. You would think the APA would respond to these accusations of self-dealing, but a spokeswoman assured me that DSM representatives were too busy to speak with me.

"I think the subject which will be of most importance politically is Mass Psychology...It's importance has been enormously increased by the growth of modern methods of propaganda...Although this science will be diligently studied, it will be rigidly confined to the governing class. The populace will not be allowed to know how its convictions were generated." Bertrand Russel, Eugenicist and Logician

Original_Intent  posted on  2009-08-20   18:08:24 ET  Reply   Trace   Private Reply  


#5. To: Original_Intent (#4) (Edited)

In the absence of objective, scientific evidence, psychiatry has decreed the following to be mental illnesses:

Phonological Disorder [speech sounds and pronunciation]
Caffeine Related Disorder
Conduct Disorder
Mathematics Disorder
Nicotine Use or Withdrawal Disorder
Non Compliance With Treatment Disorder
Separation Anxiety Disorder
Sibling Rivalry Disorder Phase of life problem Sexual abuse of a child problem

And the all-encompassing "unspecified mental disorder".

Elliot Valenstein, Ph.D., author of Blaming the Brain, is unequivocal: "There are no tests available for assessing the chemical status of a living person's brain." No "biochemical, anatomical, or functional signs have been found that reliably distinguish the brains of mental patients."

Source: www.cchr.org/#/psych-diag...psych-diagnosis-campaigns

_________________________________________________________________________
"This man is Jesus,” shouted one man, spilling his Guinness as Barack Obama began his inaugural address. “When will he come to Kenya to save us?”

“The best and first guarantor of our neutrality and our independent existence is the defensive will of the people…and the proverbial marksmanship of the Swiss shooter. Each soldier a good marksman! Each shot a hit!”
-Schweizerische Schuetzenzeitung (Swiss Shooting Federation) April, 1941

X-15  posted on  2009-08-20   18:15:04 ET  Reply   Trace   Private Reply  


#6. To: Original_Intent (#4)

Knock off with all the wordiness and gimme my pills, Sigmund.

Godfrey Smith: Mike, I wouldn't worry. Prosperity is just around the corner.
Mike Flaherty: Yeah, it's been there a long time. I wish I knew which corner.
My Man Godfrey (1936)

Esso  posted on  2009-08-20   18:32:00 ET  Reply   Trace   Private Reply  


#7. To: Original_Intent (#0) (Edited)

Turtle had Attention Deficit Disorder as a kid, smokes cigars, drinks wine, eats greasy food, drinks coffee and tea, sleeps with a pug, has no use for minorities...I guess I'm certifiable.

There's no place better thanTurtle Island.

Turtle  posted on  2009-08-20   18:44:28 ET  Reply   Trace   Private Reply  


#8. To: X-15, all (#5)

Elliot Valenstein, Ph.D., author of Blaming the Brain, is unequivocal: "There are no tests available for assessing the chemical status of a living person's brain." No "biochemical, anatomical, or functional signs have been found that reliably distinguish the brains of mental patients."

Some of my favorites;

"Oppositional Defiant Disorder" i.e., a disobedient child. (Instead of a spanking or "time out" it requires heavy drugs for treatment e.g., Ritalin Speed.)

Can't do math so well? Why you have "Math Disorder". Again it requires many many drugs, or exhausting your insurance benefit, to cure.

R U haveng truble xpressing urself? Well we a disorder to order: "Written Expression Disorder".

Do you or your child get nervous speaking in front of a large group? Well you have "Selective Mutism" Disorder.

Do you sometimes laugh nervously or inappropriately (at least according to at least one other person) well you have a disorder. We have a drug for you - and a bill - see Nurse Wratchett on the way out.

-------------------------------------------------------------------------------

Here are a few more quotes from CrazyPsychiatry.org Crazy Psychiatry QUIZ

Is there a test for "ADHD"?

No.

Is there a test for "schizophrenia"?

No.

Is there a test for "bipolar disorder"?

No.

psychiatry

Mad In America See excerpts from this book online...

written by a medical doctor No More ADHD Help a friend keep their child off the powerful stimulants given for "ADHD" "...there is no independent test for ADHD. This is not unique to ADHD, but applies as well to most psychiatric disorders, including other disabling disorders such as schizophrenia..." -National Institute of Mental Health

"In 1948, 'neuropsychiatry' was divided into neurology, dealing with organic/physical diseases of the brain, and psychiatry, dealing with emotional/behavioral conditions in normal human beings. There was no such thing as a psychiatric disease then, and there is no such thing today!" Dr. Fred Baughman, Jr., Neurologist

"There is no "lab test" that measures some chemical only bipolar people have." -Jim Phelps, M.D.

"There is no test for bipolar disorder." -Derek Wood, RN, BSN, PhD Candidate

"There is no "test" for bipolar disorder... no blood test, imaging or other medical assessment process is available to definitively determine the presence or absence of the condition, unlike medical illnesses such as diabetes, arthritis, etc." -Peggy Elam - licensed psychologist and past president of the Nashville Area Psychological Association

I do not believe in mental illness. Depression is no more "the same as diabetes" than heartbreak is the same as a heart attack. I do not believe in hypothetical diseases of the mind but there is no mistaking damage to the brain. Psychiatric drugs and electroshock inflict real injury in the name of treating fictive maladies... My opinions are based on my years of experience with patients and review of records from all over the country as an expert witness in electroshock malpractice cases. They are based on ECT statistics from the six states which mandate reporting; and of necessity, my opinions are based on a lifetime following publications and statements issuing from the small but vocal minority of psychiatrists who believe in ECT and usually nothing but. Fortunately for me, the believers don’t always believe each other; their data frequently belie their conclusions; and what they actually do contradicts what they say they do. The truth slips out. -John Friedberg, Board Certified Neurologist

Why is there no test?

There is no test because there is nothing present to be subjected to a test. To explain simply, psychiatric "diseases" are made-up. Psychiatry creates diseases by putting labels on behavior. Based on these labels, psychiatrists give one powerful drugs or shock, and afterward look for some science to support the "fact" they already told.

The term "disease" implies that there is some damaged, defective or missing tissue. One can note that in the case of psychiatric "diseases", one will find no definition of the disease in terms of what tissue is missing or damaged. Psychiatry takes common experiences of mankind and labels them as diseases. We have all experienced depression, anxiety or shyness, but psychiatry has labelled these emotions or experiences as diseases.

Psychiatrists proceed to drug or shock individuals in the name of "curing" your "disease".

If a person is having mental troubles, he should get a throrough medical checkup to discover any actual physical problems he is having. Hypothyrodism can make a person depressed; tumors can cause problems. Poor Nutrition and lack of sleep effect a person. Note that food and sleep are real things that are needed by the body.

Leave the imaginary diseases to the psychiatrists.

DO YOUR OWN INVESTIGATION

If anyone tells you a mental "illness" is a real disease, have them answer these questions borrowed from Dr. Fred Baughman's appearance before the Committee on Education and the Workforce SUBCOMMITTEE ON OVERSIGHT AND INVESTIGATIONS

"I think the subject which will be of most importance politically is Mass Psychology...It's importance has been enormously increased by the growth of modern methods of propaganda...Although this science will be diligently studied, it will be rigidly confined to the governing class. The populace will not be allowed to know how its convictions were generated." Bertrand Russel, Eugenicist and Logician

Original_Intent  posted on  2009-08-20   18:48:36 ET  Reply   Trace   Private Reply  


#9. To: Turtle (#7) (Edited)

Hmmm...tell me about your relationship with your parents and siblings, surely the root of your subjugated angst lies therein. Oh, please advance $150 for the first hour of what will most likely develop into weekly sessions.....and expensive prescription drugs for behavior modification.

_________________________________________________________________________
"This man is Jesus,” shouted one man, spilling his Guinness as Barack Obama began his inaugural address. “When will he come to Kenya to save us?”

“The best and first guarantor of our neutrality and our independent existence is the defensive will of the people…and the proverbial marksmanship of the Swiss shooter. Each soldier a good marksman! Each shot a hit!”
-Schweizerische Schuetzenzeitung (Swiss Shooting Federation) April, 1941

X-15  posted on  2009-08-20   18:52:45 ET  Reply   Trace   Private Reply  


#10. To: Turtle (#7) (Edited)

Turtle had Attention Deficit Disorder as a kid, smokes cigars, drinks wine, eats greasy food, drinks coffee and tea, sleeps with a pug, has no use for minorities...I guess I'm certifiable.

Who you sleep with is your business as long as they are consenting. I rather like a Cuban Cigar, but have to substitute full bodied Hondurans. "...eats greasy food...", and your point? Just watch that extra helping of Pork Chops - it's bad juju.

Oh, and ADD does not exist other than as a label. There is NO test for it, no known cause of it, and no proof that it even exists - other than as an excuse to bill your insurance.

"I think the subject which will be of most importance politically is Mass Psychology...It's importance has been enormously increased by the growth of modern methods of propaganda...Although this science will be diligently studied, it will be rigidly confined to the governing class. The populace will not be allowed to know how its convictions were generated." Bertrand Russel, Eugenicist and Logician

Original_Intent  posted on  2009-08-20   18:53:10 ET  Reply   Trace   Private Reply  


#11. To: Original_Intent (#8)

They had another name for ADHD when I was in grade school in the 60s.

They called it being a normal, healthy boy! Now if a little boy doesn't act like a little girl, they chemically castrate and lobotomize them.

Godfrey Smith: Mike, I wouldn't worry. Prosperity is just around the corner.
Mike Flaherty: Yeah, it's been there a long time. I wish I knew which corner.
My Man Godfrey (1936)

Esso  posted on  2009-08-20   18:58:04 ET  Reply   Trace   Private Reply  


#12. To: Esso (#11)

They had another name for ADHD when I was in grade school in the 60s.

They called it being a normal, healthy boy! Now if a little boy doesn't act like a little girl, they chemically castrate and lobotomize them.

Exactly - which reminds me of a story I've related before but fits in here to buttress your point.

The single mom recptionish where I work became concerned over her son being so jittery and always on the move. Of course she had read the usual junk science articles, often found in women's magazines, talking about the awful awful disease of ADHD.

So, our worried single mom receptionist took here son in to see the Pediatrician to see if she could get him "medication" i.e., drugs, for his "condition". The Pediatrician, being of the old school, asked her a few questions (this is from what she told me and is just set up to be readable - and is not verbatim i.e., word for word, but is accurate as far as her account).

Doc: Does he run around a lot and semm to have trouble sitting one place?

Mom: Yes, all the time.

Doc: Does he seem to be unable to control his emotions and being very excitable?

Mom: Yes, yes.

Doc. Hmmmmmm?

Mom: Well, what do you think?

Doc. Well, after thinking it over and examining the sympoms my diagnoses is a simple one: NORMAL BOYHOOD BEHAVIOR. Take him off the white sugar, and then down to the park and let him run, jump, and play until he runs out all the excess energy.

Mom? So, are you going to give me a prescription?

Doc. No. He doesn't need it.

And so she did what the doctor prescribed. She took him down to the park and let him run around as much as he wanted until he was all tuckered out. She said the change was amazing. She brought him home from the park and he sat quietly until dinner, ate his dinner, and was ready for bed, and slept very well.

The reality is that ADD, or ADHD as it is now more commonly called, does not exist. It is a combination of too much sugar and not enough getting out from in front of the toob or nintendo. Yes, some kids are a little excitable, but drugging them into submission is not a solution.

"I think the subject which will be of most importance politically is Mass Psychology...It's importance has been enormously increased by the growth of modern methods of propaganda...Although this science will be diligently studied, it will be rigidly confined to the governing class. The populace will not be allowed to know how its convictions were generated." Bertrand Russel, Eugenicist and Logician

Original_Intent  posted on  2009-08-20   19:13:54 ET  Reply   Trace   Private Reply  


#13. To: Turtle (#7)

I guess I'm certifiable.

lol, but not for the listed reasons. ;P

It is the duty of the patriot to protect his country from its government~Thomas Paine

christine  posted on  2009-08-20   19:15:52 ET  Reply   Trace   Private Reply  


#14. To: Original_Intent (#3)

what about liberalism? is it listed in the DSM V? ;P

It is the duty of the patriot to protect his country from its government~Thomas Paine

christine  posted on  2009-08-20   19:21:08 ET  Reply   Trace   Private Reply  


#15. To: christine (#14)

what about liberalism? is it listed in the DSM V? ;P

Probably not - most Psycho-iatrists are Demoncrats I do believe. ;P

"I think the subject which will be of most importance politically is Mass Psychology...It's importance has been enormously increased by the growth of modern methods of propaganda...Although this science will be diligently studied, it will be rigidly confined to the governing class. The populace will not be allowed to know how its convictions were generated." Bertrand Russel, Eugenicist and Logician

Original_Intent  posted on  2009-08-20   19:29:19 ET  Reply   Trace   Private Reply  


#16. To: Original_Intent (#8)

odd, but your last link , even when pasted, takes me to here

http://www.house.gov/ed_workforce/hearings/106th/oi/ritalin92900/baughman.htm to http://edlabor.house.gov/

Glory to God in the highest, and Peace to His people on Earth.
"I don't know where Bin Laden is. I truly am not that concerned about him"
George W, Bush, 3/13/02 http://georgewbush-whitehouse.archives.gov/news/releases/2002/03/20020313-8.html

Artisan  posted on  2009-08-20   22:41:46 ET  Reply   Trace   Private Reply  


#17. To: Artisan (#16)

Don't know. I copied and pasted the link as it was in the article.

"I think the subject which will be of most importance politically is Mass Psychology...It's importance has been enormously increased by the growth of modern methods of propaganda...Although this science will be diligently studied, it will be rigidly confined to the governing class. The populace will not be allowed to know how its convictions were generated." Bertrand Russel, Eugenicist and Logician

Original_Intent  posted on  2009-08-20   23:11:36 ET  Reply   Trace   Private Reply  


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