Skip to comments.How Psychiatry Went Crazy: The "bible" of psychiatric diagnosis shapesóand deformsóboth treatment...
Posted on 05/18/2013 12:33:46 PM PDT by neverdem
The "bible" of psychiatric diagnosis shapesand deformsboth treatment and policy...
The DSM-III (1980) was an effort to jettison outdated theories and terms such as "neurosis" and replace them with an objective list of disorders with agreed-upon symptoms. The DSM-IIIR (1987) was 567 pages and included nearly 300 disorders. The DSM-IV (1994, slightly revised in 2000) was 900 pages and contained nearly 400 disorders. The new DSM-5, with its modernized Arabic number, is 947 pages. It contains, along with serious mental illnesses, "binge-eating disorder" (whose symptoms include "eating when not feeling physically hungry"), "caffeine intoxication," "parent-child relational problem" and my favorite, "antidepressant discontinuation syndrome." Now psychiatrists can treat the symptoms of going off antidepressants, which is good because the expanded criteria for many disorders allows doctors to prescribe antidepressants more often for more problems...
And he was there when those scientific aspirations met reality and all hell broke loose. Mr. Greenberg gives us a front-row seat at the APA's annual meeting in 2011, when results of the field trials were reported. Field trials are intended to test the reliability of diagnostic criteriameaning that two psychiatrists observing the same person's symptoms should have a pretty good chance of agreeing on a diagnosis. But the results were dismal. Agreement on identifying even Major Depressive Disorder and Generalized Anxiety Disorderwhat Mr. Greenberg calls the "Dodge Dart and Ford Falcon of the DSM, simple and reliable and ubiquitous" disorderswas low. Moreover, the field testing on patients failed miserably: 5,000 clinicians signed up to participate, 195 finished training for it, and only 70 enrolled any patients in trials. The APA tried to put a good spin on these numbers "nearly 150 patients have joined the study"ignoring, Mr. Greenberg notes, that their goal was 10,000. Only two months before the data had to be in,...
(Excerpt) Read more at online.wsj.com ...
They started down the slippery slope of letting politics into their “science”when they were coerced into reclassifiying homosexuality. Coprophagia and bestiality will not be too far along now from being dropped as a mental illness as well.
Thomas Szasz was right.
Psychiatry was born progressive and crazy.
Issues of brain chemistry are legitimate but beyond that its all guesswork.
Until they return homosexuality to their list of mental disorders, the book is worthless and the profession is a lie.
This travesty goes beyond politics.
Millions of Americans are caught in the psychiatric diagnoses to drugs system.
Very few patients have been told to change their diets to include healthy fats (from clean healthy animals, and coconut’, olive, and a couple other oils) for their brains, plenty of clean veggies, fruits, animals, raw dairy. And exclude seed oils, corn, artificial flavors, colors, MSG, fake sugars, etc. That alone would improve many conditions. Same with fresh air and moderate exercise.
We need psychiatry but we need to follow Hippocrates and only treat if treatment doesn’t harm the patient more than letting him be.
Psychology, literally translated from Greek, means the study of the soul. In its very definition, it is an impossible, subjective venture, and can never remotely be in the same room as the mathematics based sciences.
Being a study devoid of concrete foundations, it is subject to the winds that blow. And right now, things are blowing Politically Correct. That will change in time.
The bottom line is that the biochemistry of human thought is a function of lipid metabolism. The brain is ninety percent phospholipids. How those lipids churn in the cranium to create the higher senses is unknown. Psychiatry is the least scientific of all medical specialties and the most politically correct.Its subjective authoritative pronouncements will one day be as ludicrous as the earnest earth centered theories of the ancients are viewed today. Psychophamacology is empiricism.
The left has irrevocably corrupted science. Global warming (caused only by American corporations), Marxist economics, all gun violence is attributable to the NRA, only racism causes disparate racial representation in the professions, women can do anything men can do, (so long as the standards are different), affirmative action isn’t racist, stone age cultures are superior to all other cultures, Islamic terrorism is an oxymoron, etc., etc. Marx wrote that only Marxist thought is pure, and reality can only be understood by Marxist reasoning. It’s where we are now.
Didn’t you get the memo?
We are all crazy.
As long as a person can run his/her own life, there is no reason to go to a professional counselor, or psychologist, or psychiatrist.
If a person cannot run his/her own life, counseling from one of the professionals will usually help.
Note, I didn't stick “medicine” in there. The only mental health professional who can prescribe medicine, is a psychiatrist. They normally don't counsel with the patient themselves. If there is counseling, the psychiatrist may have a professional counselor on his staff. That patient would likely get medicine plus counseling.
If your problem or problems prevent you from running your life, such as you can't go to work, you stay in bed all day, you can't think, you can't concentrate to get anything done, etc., search out a professional counselor or a psychologist - don't go to a psychiatrist if you don't want pills.
I evaluated private patients, patients referred to me by government entities, patients a psychiatrist put in a mental health hospital and needed an evaluation of that patient while they were in that hospital. Usually, the ones in the mental health hospital needed to be there.
I evaluated an ex-military man and gave a diagnosis of PTSD and I knew it was severe. A psychiatrist sent him to my office and immediately after the man left, I found out he had been discharged from the hospital - I thought he had come from the hospital and was going back there. I immediately tried to find the psychiatrist and found a psychologist friend in the same building had taken over that man's care due to the psychiatrist leaving town.
I told him it was a serious mistake to let the man leave the hospital because he was going to attack someone and that would probably be his mother. Sure enough, the next day, the man barricaded himself in the house and was holding off the police and his mother had gotten out of the house before he got to her.
I say that to show there are mentally ill people. This man could not run his life.
I evaluated a woman in a mental hospital and she needed to be there as she was a danger to herself and her children at that time. She was convinced the Mafia was after her and she had taken her small children into the woods to hide and wouldn't come out. I gave her a proper diagnosis based on her behavior and mental condition at that time.
This lady could not run her life.
Diagnosing a mental condition takes knowledge and the ability to know what psychological tests are indicating, and what an extended interview with the patient is indicating. A diagnosis doesn't happen when a patient sits down in your office. It takes extensive evaluation in all those areas to make a proper diagnosis.
I know most of you people will dump on mental health workers but one reason you do that is because you haven't been there to know the process.
But watch. Soon everyone is going to be named bi-polar (happy sometimes and sad sometimes.)
At a big practice of psychiatrists (MD’s!) in Houston, they use a software program and key in your answers to a series of clinical questions into their little apple tablet. No talking. Only answer the question and in the end they assign you a mental illness and drugs.
A good friend was really devastated when dad died and thought it had been too long and she couldn't settle down inside, so she sought some “counseling” at the above mentioned pill mill. Antidepressants. She shared this with me because she was surprised the lady doc. did not talk with her at all about the loss of her father which is why she went.
I asked her to please forgo the drugs and seek out a real counselor. I know one from a Christian service organization I have interacted with so referred her. She just had a lot of unfinished business with her dad - guilts and resentments. All she needed was a loving confessor; someone who could tell her “officially” that it is normal to deal with everything like that when your parent dies. Let it go. Forgive yourself and forgive your dad. Exactly what Jesus told us to do for mental health!
I was well into my 50’s before I began to realize that Psychiatry and ‘psycho-analysis’ was a made-up science based on purely secular fear and hysteria. To me, those who espouse it and swear by its conclusions are nothing more than medieval clerics arguing over how many angels will fit on the head of a pin.
Well, this thread will be full of meaningless and snide comments ..I doubt very few who have worked for years with people with mental illness will even bother replying.
Psychiatry is very difficult because it is so complex, unlike a broken foot or pneumonia. We sure have come a long way from locking everyone up in “insane aslylums” because there were no modern treatments.
“And there it is. Treat all behavioral problems as psychiatric disorders which no one but psychiatrists can understand [or treat].”
I didn’t say that. I said you haven’t seen the process an evaluator goes through before a diagnsis is made. A diagnosis doesn’t just get slapped on someone in a minute. If you were the patient, you would know what steps were taken. If it was your loved one being evaluated, you would see those steps.
If you were a car mechanic and you fixed the air conditioning on my car, I wouldn’t know how you did that, either, unless I stayed there and watched you do it.
Is it any surprise that people with mental issues are hostile to psychiatry?
Like I said “I QUIT going to a psychiatrist” when I realized that the whole profession is a lie.
I reply at least once but I won't do long arguments because those who are adamant it's witchcraft will not change their minds. In a nutshell, I helped people learn to solve their problems so they could run their life and not have to come back to me. No medicine involved.
Szasz is both right and wrong. Until his overview of behavioral matters reaches the domain of spiritual behavior he will only have an incomplete theory.
There’s a lot of shooting from the hip. However I would assert boldly that most of what is conducted as psychology and psychiatry today is bereft of a sense of the spiritual. That does not make psychology and psychiatry necessarily useless, but does hobble it and sometimes misleads it badly.
It is laboring under a load of half truths. It looks like it proved singularly unhelpful for you and I’m glad you did not pursue what proved singularly unhelpful. Unless you can offer better, however, don’t just go taking an indiscriminate wrecking ball to the whole notion.
Its as valid as global warming. Nuthin but a trash profession populated by charlatans and scam artists who destroy lives for money.
The human brain is,one can say,just another organ...like the liver,heart or kidney.When one's heart is diseased it might start beating irregularly.When one's liver is diseased its owner might turn yellow or become fatigued.When the "higher" portions of one's brain is diseased one might have strange thoughts or engage in unusual,or even dangerous,behavior.Having worked in the ER of a large hospital for many years I know that mental illness exists.Several of our most regular,"dependable",patients were chronic schizophrenics with whom I had extensive contact.
There are many like you who just want to help, and as has been said before on here, a good many who chose the field because they’re trying to self-diagnose.
“Nuthin but a trash profession populated by charlatans and scam artists who destroy lives for money.”
Hmm, sorry you think that about me.
My post 16. You might has well get your kicks in, too.
You are wrong: it is a deeply flawed but sometimes still useful profession. It needs to learn about spiritual matters and to honor God again, however, to reach anything close to its potential.
Slippery slope indeed. Psychiatry is a religion with its own tenets, priests, inside knowledge, and NO God.
I have not looked at the DSM closely, but I suspect that every single topic can be recatagorized according to Biblical virtues, the Ten Commandments, etc. The Christian ‘cures’ will be quite different.
At best I would consider psychiatry to be an art form. Now if only I could find a way for courts to order people to buy my art.
No argument from me. Have known far too many people who have been helped by a psychologist. I think they get a bad rap because the ones we hear about are either the "bad" ones or the Liberal ones.
Do you think your patients just needed someone they could talk to freely?
I know that I had some very dark times after my mothers death. We had been estranged for quite awhile, tried, and almost succeeded to make peace ( but for me, I might add).
Anyway, the “but for me” haunted me for several years, not that I could not confide in my husband or others - but I would not. I came through it through pray and self examination.
My point is, I did think about seeing a psychiatrist because I knew that a neutral third party could hear what I had to say without the same judgement those close to you can, and will make even if they don’t think they are.
Anyway, I believe there is a place for psychiatry among those who believe they have nowhere else to turn.
Yes, all kinds of people are in every profession. Some medical doctors lose their license due to their incompetence or misbehavior or criminal activity. Some dentists assault their women patients and get kicked out. Some bankers steal money. Some mechanics ruin your car. One bad psychiatrist doesn't taint all of us.
I get the impression that psychologists and psychiatrists are in need of severe reality checks. Their creation of the “I’m a victim and it’s always someone else’s fault” syndrome (yes, I blame them) has created a nation of neurotic....neurotics!!
Why did I hate my Mother? lol Just teasing!
I used to have a neighbor who suffered from PTSD and spent some 3 weeks in a VA hospital every summer. After years of “treatment” he and several other patients quit going because of touchy feely treatments and the stress of dealing with the VA.
Instead they started taking a camping and fishing trip to northern Michigan every year and said it turned out to be better than any group therapy led by a therapist. They talk about their issues when they feel on it and rag on each other when its appropriate.
Granted and agreed wholeheartedly that global warming is populated by charlatans and scam artists who destroy lives for money and control.
Zero love for fellow man involved in the global warming agenda. Man is a parasite to be restricted. Psychiatry is a place for love for fellow man to be at work. I sure do hold with you that it's responsible for a LOT of mischeif. But so are conventional medicine and education.
The global warming agenda threatens energy and food production in America because it is progressively working to halt both, and using psychology to do it. People love to feel noble, and the "save the planet" mantra is vain fantasy that truth and knowledge will ultimately prove. It's math. The Yellowstone Caldera could blow two months from now -- it blows about once every 600,000 years, but who's been counting up until what, maybe 90 years ago? -- anyway, it will blow again someday and when it does, about one third of the continental US will be under dead ash. All the electric cars and plastic bag bans on earth will have had zilch effect. Dandelion dust on a prairie.
Psychology is really only as harmful as each individual allows it to be, and for sure has been ethically good and useful to many, I've seen it myself. It's pro-people, though progressive and leftist at present. The global warming game is anti-people.
"If the plan were to pass the House and be signed by Gov. Pat Quinn, Illinois would join Louisiana and New Mexico as the only states to allow psychologists to prescribe medications for mental illness. The military also permits its psychologists to dispense psychotropic drugs, Harmon said."
I had a patient with probably serotonin syndrome, although I hadn't heard of that diagnosis yet, around 12 years ago. She was seriously tachycardic on multiple psych meds. Her shrink didn't want me to stop those meds. I did, IIRC. I believe she was on at least one SSRI.
When I nixed psychiatry, it was because I didn’t want to hear about forgiving myself, or about how human nature is, or about how I did my best, you know...all the platitudes.
My situation is, of course different from what a soldier may go through, but the bottom line is the same.
I didn’t have a campfire and friends, but I had a mirror I could look into and say “ you are such a b-—h. Now what’re you gonna do about it?
Truth hurts. But it sure does help! A psychiatrist would not dare tell the truth, IMO, its all about feeling good, even though the patient really should be feeling quite bad.
Is ‘Blissfully Ignorant’ in the DSM yet?
"Coerced" is what I once believed, now I'm not sure if that's accurate any more.
Those who would have needed to be coerced are likely no longer in positions to have a say.
Their replacements are the true believers an organization hires or moves up to best carry out its mission. The altered DSM is a symptom of a greater problem.
The progressives have been peeing in the educational punch bowl for a very long time.
The 60s radicals protesting a government sending them "to die in Vietnam" didn't go away, they stayed for grad school. Then, they became professors, teachers and administrators. Now, they're not just out in the open, they're in charge.
What else explains why things went down hill so fast, why junk science that was once laughed at and ridiculed is now called "settled science accepted by a majority of scientists" and why our once highly revered institutions, beliefs, values and traditions are mocked and ridiculed in a suddenly upside down, bad is good world?
What else explains how a 90% self-identified Christian nation that put Ïn God We Trust" on its currency and "one nation under God" in its Pledge of Allegiance, quickly morphed into a people who legalized human sacrifice to the god of convenience, choose to twice be lead and represented by a man from the party that tried three times to remove God from its party and is now a maybe 50% self-identified Christian nation hostile to Christianity and a Judeo-Christian belief system?
The virus they are infecting us with is very fast acting if properly incubated in a susceptible victim with a systemically weakened immune system. That's US.
Time to pray. Seriously. It's the only antidote to keep this thing from progressing until it's terminal.