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Narcissistic personality disorder, characterized by an inflated sense of self-importance and the need for constant attention, has been eliminated from the upcoming manual of mental disorders, which psychiatrists use to diagnose mental illness. As Charles Zanor reports in today’s Science Times, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders — due out in 2013 and known as D.S.M.-5 — has eliminated five of the 10 personality disorders that are listed in the current edition. The best known of these is narcissistic personality disorder. It is a puzzle why the manual’s committee on personality disorders has decided...

I read an article recently, by Brandon Turbeville, about the Executive Actions Obama signed January 3 further limiting our gun rights, and it got me to thinking about the “Axis of Evil” which have now joined forces to disarm us. Although there are plenty of tertiary players, it’s mainly Obamacare, NSA and the American Psychiatric Association (APA) who make up this merry collaboration of oppressors. Although Mr. Turbeville covered the idea of using mental disorders to disarm the population in his article, I wanted to dig deeper and further illustrate how all of the elements are in place now to...

Gun grabbers have found an issue where they can get almost unanimous consent across the board, including from gun owners. Nobody wants the dangerously insane to have weapons. not even the NRA. So using that bit of light coming in under the edge of the door, they’ve found a point of attack. Since we all agree that the insane shouldn’t have guns, we’ll pass a law to enforce that. And then we’ll start dumbing down the definition of “insane” to include as many people as possible. Because in the end, this was never about helping people. This is about taking...

It’s not a stretch to suggest that Americans are over medicated. In 2011 doctors across the nation wrote an astounding four billion medical prescriptions, amounting to an average of 13 prescriptions for every man, woman and child in the United States. In the next few weeks the American Psychiatric Associations is releasing their updated fifth version their Diagnostic and Statistical Manual of Mental Disorders (DSM-5); the so-called ‘bible’ of psychiatric diagnoses. The new manual promises to take mental illness and the use of prescription drugs to a whole new level. You may not be considered “crazy” or “mentally ill” today,...

The "bible" of psychiatric diagnosis shapes—and deforms—both treatment and policy... --snip-- 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...

“In the days of the Malleus, if the physician could find no evidence of natural illness, he was expected to find evidence of witchcraft: today, if he cannot diagnose organic illness, he is expected to diagnose mental illness.” (1) The Malleus Maleficarum was a 15th century text which instructed Inquisitors on the proper method of identifying, trying and burning witches. Though it was many years ago that renowned psychiatrist Thomas Szasz (1920-2012) used the example of the Malleus to comment on the diagnostic practices of his fellow physicians, it seems he might have been on to something as today psychiatrists...

The National Institute of Mental Health (NIMH) is distancing itself from the the American Psychiatric Association and its upcoming Diagnostic and Statistical Manual of Mental Disorders (DSM-5). While they acknowledge that the goal of DSM "is to provide a common language for describing psychopathology" they are no longer convinced that approach has value if we are going to solve 21st century cognitive science problems.  It is, paraphrasing the statement  of Thomas R. Insel, M.D., Director of the National Institute of Mental Health, more of a dictionary than a manual.  He uses the term "Bible" instead of 'manual' but I would...

Although fewer than 6 percent of American adults will have a severe mental illness in a given year, according to a 2005 study, many more—more than a quarter each year—will have some diagnosable mental disorder. That’s a lot of people. Almost 50 percent of Americans (46.4 percent to be exact) will have a diagnosable mental illness in their lifetimes, based on the previous edition, the DSM-IV. And the new manual will likely make it even "easier" to get a diagnosis. If we think of having a diagnosable mental illness as being under a tent, the tent seems pretty big. Huge,...

Enlarge Image 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...

Shyness, bereavement and eccentric behavior could be classed as a mental illness under new guidelines, leaving millions of people at risk of being diagnosed as having a psychiatric disorder, experts fear. Under changes planned to the diagnosis handbook used by doctors in the US, common behavioral traits are likely to be listed as a mental illness, it was reported. The fifth edition of the Diagnostic and Statistical Manual (DSM) of Mental Disorders could also include internet addiction and gambling as a medical problem. … "We need to be very careful before further broadening the boundaries of illness and disorder," Simon...

The way psychiatrists describe childhood mood swings, gender identity, autism and dozens of mental health disorders could soon change drastically. The American Psychiatric Association (APA) is in the midst of massive revisions to the Diagnostic and Statistical Manual of Mental Disorders, better known as the DSM. This tome is the repository of diagnostic criteria for everything from schizophrenia to insomnia. The implications are far-reaching, from how a disorder is named and so how it's viewed by the public to whether treatment for the disorder gets covered by health insurance. For instance, the controversy over the naming and inclusion of gender-identity...