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Old 12-29-2010, 06:54 PM #1
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Default NPR story about the DSM IV and DSM 5

Hi,

I heard these two psychiatrists talk on NPR about the DSM.

Allen Frances -- was involved in putting together the DSM IV. He thinks that drug companies have made lots of money selling mood stabilizers and antipsychotics to people who may not need them.

William Carpenter -- now working on the new DSM 5 hopes that people with psychotic disorders will be identified and diagnosed earlier so that they can get appropriate help.


http://www.npr.org/2010/12/29/132407...rts-cant-agree
What's A Mental Disorder? Even Experts Can't Agree

Quote:
"Drug companies got indications for treating bipolar disorder," Frances says. "Not just with mood stabilizers, but also with the newer antipsychotic drugs. And they began very intensive ubiquitous advertising campaigns. So the rates of bipolar disorder doubled. And lots of people got way too much antipsychotic and mood stabilizing medicines. And these aren't safe drugs."

And for Frances, the lesson of these experiences is clear. Once you put a new diagnosis in the DSM, there is no controlling what will happen to it. So there's only one thing to do:
"Anticipate the worst. If something can be misused, it will be misused," Frances says.
Quote:
"If it identifies a lot of people who otherwise would not be identified, then I would think that would be a positive good," Carpenter says.

Carpenter believes that putting this new diagnosis in the new DSM will prompt research, which ultimately could produce effective treatments.

"So there's a potential very positive benefit," he says. "It's possible that it can make a remarkable difference in the long-term trajectory of their life."
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Old 12-30-2010, 11:34 PM #2
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Quote:
On Dec. 13, 2006, police responded to a 911 call and found a little girl lying dead on the floor next to her parents' bed. The autopsy revealed that she had died from an overdose of psychiatric drugs. Rebecca Riley was being treated for bipolar disorder, or manic depression, even though she was just four years old.

I think that more children will be harmed....
very sad what is happening all over the country....
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Old 12-31-2010, 09:24 AM #3
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Very simply, the list of symptoms, regardless of underlying cause, defines the diagnosis. It is a very clumsy way to diagnose people and it can be said that all of humanity would fit into DSM diagnoses at some time or another during a lifetime, and in fact, entire cultures could as well, except that if it is cultural, whew, then the "insanity" is then exempt.

Then there are the nonpsychological diagnoses. Far too many people have gotten caught up in diagnoses of bipolar, depression, schizophrenia with underlying causes as diverse as lyme disease, brain trauma, genetic defects, toxicities, and vitamin or hormone deficiencies .

All neatly wrapped up in the DSM.

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Last edited by Jaspar; 12-31-2010 at 05:04 PM.
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