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Text of Divisive Psychiatric Manual Finalized
ScienceInsider ^ | 3 December 2012 | Greg Miller

Posted on 12/03/2012 5:40:23 PM PST by neverdem

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On Saturday, the board of trustees of the American Psychiatric Association (APA) voted to approve the final text of the DSM-5, the next revision to the leading manual for diagnosing mental illness. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, which originated in 1952, will be released next May at the APA's annual meeting in San Francisco. The revision process leading to DSM-5 began in 1999, and APA says it consulted more than 1500 experts in 39 countries in updating the criteria for diagnosing hundreds of psychiatric conditions. It has been a bumpy ride.

Controversy has dogged the revision process for years. Even before the first draft of proposed changes was released in 2010, critics alleged that too much of the deliberation was conducted in secret and that too many of those involved had ties to drug companies that stood to benefit from changes to diagnostic criteria—APA has repeatedly rejected these charges.

And many of the diagnostic proposals have elicited a strong reaction. A proposal to combine several autism-related disorders into a single diagnosis raised concerns among some critics that it would radically alter who gets diagnosed with those disorders and angered advocates for Asperger syndrome, a milder form of autism that would be eliminated in the new scheme. A new childhood condition called disruptive mood dysregulation disorder, characterized by irritability and violent outbursts, was intended to stem the perceived overdiagnosis of childhood bipolar disorder, but critics have argued that the diagnosis lacks scientific validity. Yet another controversial proposal, to remove language that excludes people who've recently experienced the loss of a loved one from being diagnosed with major depression, elicited complaints that it would lead to the medicalization of normal grief. These changes will stand, APA said in a press release.(PDF)

APA, however, has recently backed down from other proposals, including "attenuated psychosis syndrome," a precursor to schizophrenia. The APA work group on psychotic disorders had hoped this diagnosis could help clinicians identify people at risk and intervene before they developed full-blown schizophrenia, but they ultimately abandoned it over concerns that clinicians would be unable to make the diagnosis reliably and consistently.

In a statement, APA President Dilip Jeste acknowledged the challenges the organization had faced in attempting to create a science-based diagnostic manual and the "inevitable disagreements about some of the proposals." Even so, he concluded: "We believe that DSM-5 reflects our best scientific understanding of psychiatric disorders and will optimally serve clinical and public health needs. Our hope is that the DSM-5 will lead to more accurate diagnoses, better access to mental health services, and improved patient outcomes."


TOPICS: Science
KEYWORDS: apa; dsm5; dsmv; psychiatry

1 posted on 12/03/2012 5:40:34 PM PST by neverdem
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To: neverdem

Is heterosexuality a disorder yet?


2 posted on 12/03/2012 5:42:20 PM PST by Defiant (If there are infinite parallel universes, why Lord, am I living in the one with Obama as President?)
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To: Defiant

naaa...but you can sure as heck bet that Tea Partying is.....


3 posted on 12/03/2012 5:43:48 PM PST by mo (If you understand, no explanation is needed. If you don't understand, no explanation is possible.)
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To: neverdem; a fool in paradise; Slings and Arrows
We're all nuts now!


4 posted on 12/03/2012 5:44:18 PM PST by Revolting cat! (Bad things are wrong! Ice cream is delicious!)
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To: neverdem
A new childhood condition called disruptive mood dysregulation disorder

I prefer to call it the "needs a butt whoopin and sent to bed without supper'" disorder. I certainly don't think it's a new condition.

/johnny

5 posted on 12/03/2012 5:44:36 PM PST by JRandomFreeper (Gone Galt)
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To: neverdem

Psychiatry was hijacked by the Left decades ago and stopped being scientific in the 70s.

I respect the goals of psychiatry, I have family members in the field, but there’s a LOT of junk science and bogus policies that are implemented because of Political Correctness.


6 posted on 12/03/2012 5:56:20 PM PST by Shadow44
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To: neverdem

According to them....we’re all nuts. The goal is to get everyone on meds.


7 posted on 12/03/2012 5:58:11 PM PST by Sacajaweau
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To: neverdem

I’m sure Dilip isn’t responsible for his name, but it seems a fitting wind-up for what looks more and more like a conference of clowns.


8 posted on 12/03/2012 5:59:13 PM PST by HiTech RedNeck (How long before all this "fairness" kills everybody, even the poor it was supposed to help???)
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To: JRandomFreeper

When it goes on nonstop for months something more might be the matter.


9 posted on 12/03/2012 6:00:35 PM PST by HiTech RedNeck (How long before all this "fairness" kills everybody, even the poor it was supposed to help???)
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To: Defiant

“Excessive desire to breed” or some such thing in a Malthusian world.


10 posted on 12/03/2012 6:02:04 PM PST by HiTech RedNeck (How long before all this "fairness" kills everybody, even the poor it was supposed to help???)
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To: Shadow44
A whole bunch of kids got named as ADHD. Now, the quiet ones....the ones that don't look you in the eye...the ones that want you to stop annoying them are autistic.

I'm watching a friend go through this crap...The kids 4. The therapy??? Just another type of headstart program with higher paid pros. What a scam !!

11 posted on 12/03/2012 6:02:30 PM PST by Sacajaweau
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To: Defiant

I’m sure Hoplophilia is in there somewhere....


12 posted on 12/03/2012 6:03:24 PM PST by Cyber Liberty (Obama considers the Third World morally superior to the United States.)
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To: HiTech RedNeck

Guess which specialty in medicine is least respected by other doctors? Also which medical specialty has the highest suicide rate? Go figure.


13 posted on 12/03/2012 6:03:56 PM PST by ogen hal (First amendment or reeducation camp?)
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To: Defiant

are these the same idiots who tried to say that sexual molestation didn’t do long term harm to a child?

liberaltarians??


14 posted on 12/03/2012 6:08:33 PM PST by GeronL (http://asspos.blogspot.com)
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To: neverdem

I think there’s a thread somewhere in FReeperville regarding the Homosexual groups forcing homosexuality out of the old DSM-III back in the 70’s. It’s a good read. I might sound a lot like cap’n obvious but so many of these psychological descriptors are more political than medical, new age mumbo-jumbo. Forgive, if you know this, signed, an old “shrink”nurse.


15 posted on 12/03/2012 6:09:41 PM PST by Karliner ( Jeremiah 29:11, Romans 8:28, Romans 8:38"...this is the end of the beginning."WC)
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To: Defiant

“Is heterosexuality a disorder yet?”

Not yet, but conservatism probably is.


16 posted on 12/03/2012 6:10:24 PM PST by Rebelbase
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To: neverdem

Obama’s picture in on the page where narcissism is discussed.


17 posted on 12/03/2012 6:10:39 PM PST by ImNotLying (The MSM bears a close resemblance to the world's oldest profession!)
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To: ogen hal

not chirporactors or acupuncturists?

no?... gotta be the shrinks, they all nuts


18 posted on 12/03/2012 6:10:39 PM PST by GeronL (http://asspos.blogspot.com)
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To: neverdem

Did the Obama Obsessive Compulsive Behaviour Syndrome make it? Oh wait... there it is ,, under new political ailments right next to TEA Party voter.


19 posted on 12/03/2012 6:22:03 PM PST by NormsRevenge (Semper Fi)
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To: Sacajaweau

Unfortunately there’s a lot of over-diagnosing of ADHD, but that has a lot more to do with the public school systems than psychiatry in general.

My sister originally wanted to be a guidance counselor, but she gave up the idea when she realized that essentially the School District could interfere with things, like forcing rambunctious children to be medicated.

She went to a private practice, and works according to her ethics and never regretted it.


20 posted on 12/03/2012 6:32:25 PM PST by Shadow44
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To: neverdem
Homosexuality isn't a pathology but "seasonal affective disorder" is.

And they wonder why psychology isn't taken seriously ...

21 posted on 12/03/2012 6:32:34 PM PST by IronJack (=)
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To: Shadow44

Psychiatry has never been and never will be “science”.


22 posted on 12/03/2012 6:39:30 PM PST by Lurker (Violence is rarely the answer. But when it is it is the only answer.)
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To: Shadow44
Psychiatry was hijacked by the Left decades ago and stopped being scientific in the 70s.

That is when Psych and Sociology got the big influx of draft deferment majors and the New Left was really feeling its oats.

They had to do something with all the fresh diplomas, so they created a need through studies for their services.

A lot of people who couldn't hack it in other majors or who were trying to 'get their head together' ended up writing their own ticket and using the general population (especially the welfare class) for lab rats. It isn't over yet.

23 posted on 12/03/2012 6:43:16 PM PST by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing)
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To: Lurker

Why? Because it’s not a natural science? I understand that the mathematical aspect that has been a cornerstone of the natural sciences is not as strong in social sciences, and never will be, but it’s still a field of study.

When Keynesian and Marxist economists continue to peddle crackpot theories, we say that they’re wrong. We don’t question the validity of economics.

I don’t get why it is acceptable to attack psychology/psychiatry as such just because the Left has hijacked it like they have with all forms of academia.


24 posted on 12/03/2012 6:43:49 PM PST by Shadow44
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To: Sacajaweau

They way things are going, we may need them. ;>)


25 posted on 12/03/2012 6:48:23 PM PST by Gator113 (**WHO in the hell gave the damn order to NOT rescue our men in Benghazi?**)
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To: ogen hal

Many years ago, dentists had the highest suicide rate within the medical community.... I never understood why.


26 posted on 12/03/2012 6:54:46 PM PST by Gator113 (**WHO in the hell gave the damn order to NOT rescue our men in Benghazi?**)
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To: Defiant
Is heterosexuality a disorder yet?

Obviously, you're a FReeper who has not only wit, but knowledge of how they arbitrarily, under pressure from the homosexual lobby, just re-defined homosexuality and it suddenly became normalized.

More people should know the truth about the APA. It's more political than scientific.

27 posted on 12/03/2012 7:16:08 PM PST by sauron ("Truth is hate to those who hate Truth" --unknown)
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To: Defiant
Is heterosexuality a disorder yet?

Obviously, you're a FReeper who has not only wit, but knowledge of how they arbitrarily, under pressure from the homosexual lobby, just re-defined homosexuality and it suddenly became normalized.

More people should know the truth about the APA. It's more political than scientific.

28 posted on 12/03/2012 7:16:31 PM PST by sauron ("Truth is hate to those who hate Truth" --unknown)
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To: Gator113

Maybe they were down in the mouth?


29 posted on 12/03/2012 7:22:12 PM PST by darkangel82 (I don't have a superiority complex, I'm just better than you.)
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To: sauron

Remember how homosexuality was viewed in the 1950s, and then the 1970s? It went from shameful and life-ending to deeply embarrassing. Pedophilia has made the leap to the the 1970s, and will be accepted as just another personal choice within 10 years if present trends continue. There will be no taboos at all soon enough—multiple spouses, transwhatever, you name it. PETA will have it out with those who love animals, and that battle between competing types of marxists will be about the only kind of limit there is.


30 posted on 12/03/2012 7:33:16 PM PST by Defiant (If there are infinite parallel universes, why Lord, am I living in the one with Obama as President?)
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To: Revolting cat!
We're all nuts now!

Hit it!

31 posted on 12/03/2012 7:41:31 PM PST by Slings and Arrows (You can't have IngSoc without an Emmanuel Goldstein.)
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To: Shadow44

Science, true science, demands repeatable results in experiments that can be performed by anyone. Psychiatry, and its bastard child psychology, can’t perform these experiments in anything remotely resembling the scientific method.

They may be fields of study, but they are not, nor will they ever be “science”.


32 posted on 12/03/2012 7:59:16 PM PST by Lurker (Violence is rarely the answer. But when it is it is the only answer.)
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To: Lurker

The perception on this issue is very good. I had training in this area and chose to ignore the field.. It is truly junk science...


33 posted on 12/03/2012 8:14:42 PM PST by southland ( party will lead us)
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To: Revolting cat!

Ma, Ma, we’re all crazy now!


34 posted on 12/03/2012 8:21:51 PM PST by Fred Hayek (The Democratic Party is the operational wing of CPUSA.)
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To: Karliner

http://www.thisamericanlife.org/radio-archives/episode/204/81-Words

It was absolutely political and not scientific. Homosexuality is a mental illness and needs to be reclassified as such.

Start with the weirdest of the weird and work your way back.


35 posted on 12/03/2012 8:42:48 PM PST by 1010RD (First, Do No Harm)
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To: Defiant

It was classified as such decades ago.


36 posted on 12/04/2012 3:35:33 AM PST by SatinDoll (NATURAL BORN CITZEN: BORN IN THE USA OF CITIZEN PARENTS.)
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To: 1010RD
Thanks. The terrible thing is when one goes to a high security job a person has to see the shrink and do the barrage of tests and some guy/gal behind the curtain, reads the new age tea leaves and decides"scientifically" how F**ked up you are or if you might be able to carry a pink bayonet.

My last "fun" with a shrink didn't go too well. I'm sure I'm labeled some sort of sociopath heh heh.

37 posted on 12/04/2012 7:49:23 AM PST by Karliner ( Jeremiah 29:11, Romans 8:28, Romans 8:38"...this is the end of the beginning."WC)
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To: Smokin' Joe; Shadow44; neverdem

To: Shadow44

“Psychiatry was hijacked by the Left decades ago and stopped being scientific in the 70s.

That is when Psych and Sociology got the big influx of draft deferment majors and the New Left was really feeling its oats.

They had to do something with all the fresh diplomas, so they created a need through studies for their services.

A lot of people who couldn’t hack it in other majors or who were trying to ‘get their head together’ ended up writing their own ticket and using the general population (especially the welfare class) for lab rats. It isn’t over yet.”


You are right on target.

I was in a business where Pyscs were a customer for some of our medical products. Even in the 1960’s to early 70’s, it was a field with a lot of weird guys.

As you noted in the 1970’s the so called profession was over run by the deviates of the left. By the 1980’s these deviates had basically taken over the power structure.

So they joined forces with the left wing lawyers, ACLU, social workers, and teacher unions and started working on their new normal where the deviates became the normal and the rest of us became the looney toons.

Now homosexualism or pro homosexual is the new norm. Pro non RX drug is the new norm. If your political views are different from the left wing, you are a knuckle dragging right wing bible thumping redneck fanatic.

The one rx drug area they have pushed are the treatments of the so called hyperactive, AD and etc. They lined up with the teachers unions to force young boys on Ritalin and similiar drugs. Now that has expanded to keeping adults on that family of drugs.

Now, the nuts/deviates/deranged pyschs are in charge working 24/7 to define their new normal with the help of the ACLU, left wing lawyers, teacher unions and liberal legislators at all levels.

Interesting is how a few female psychs have got past this left wing bs and provide good care to patients with appropriate conseling/therapy and the use of appropriate Rx therapy.


38 posted on 12/04/2012 7:49:39 AM PST by Grampa Dave (Tagline space for rent to pay for some of my extra taxes the next 4 years!)
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To: neverdem
A new childhood condition called disruptive mood dysregulation disorder, characterized by irritability and violent outbursts

Can I be the first to claim adult DMDD? I think it's caused by following politics too closely.

39 posted on 12/04/2012 8:17:48 AM PST by tnlibertarian
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