LOGO: Truthdig: Drilling Beneath the Headlines. A Progressive Journal of News and Opinion. Editor, Robert Scheer. Publisher, Zuade Kaufman.
2010 Webby Award Winner for Best Political Blog
 
February 21, 2012
Log in / Register

 Choose a size
Text Size

Trending:     barack obama     congress     greece     gay marriage     iran     colbert report
Most Read

Acts of Love

Fearful GOP May Hope for a Brokered Convention

Ideological Hypocrites

Santorum Staffer Links Obama, Islam Via 'Slip'

Bill Moyers: Attack Ads Inside and Out

Most Comments
Most Emailed

Reports
Acts of Love
Ideological Hypocrites
The Lowdown on Fracking

Ear to the Ground

A/V Booth

Arts & Culture
Déjà Pooh

Digs
Financial Meltdown 101

Truthdig Bazaar
A River Dies of Thirst: journals

A River Dies of Thirst: journals

By Mahmoud Darwish
$12.00

Deus Ex Machina

Deus Ex Machina

By Deus Ex Machina
$10.17

more items

 
Ear to the Ground

Doctors Propose Revisions to DSM Manual

Email this item Email    Print this item Print   

Posted on Feb 10, 2010
DSM-IV
Flickr / richardmasoner

Mental manual: The fifth edition of the DSM, shown here in its fourth iteration, is currently under construction.

What ends up (or doesn’t) in the DSM manual, otherwise known as the bible of psychiatry, can have a major impact on patients, doctors and, of course, Big Pharma. So, it’s no surprise that the debates and discussions around what will be included in the DSM’s fifth edition are already involved and intense, some three years before the guidebook is due to be released.  —KA

The New York Times:

The eagerly awaited revisions — to be published, if adopted, in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, due in 2013 — would be the first in a decade.

For months they have been the subject of intense speculation and lobbying by advocacy groups, and some proposed changes have already been widely discussed — including folding the diagnosis of Asperger’s syndrome into a broader category, autism spectrum disorder.

But others, including a proposed alternative for bipolar disorder in many children, were unveiled on Tuesday. Experts said the recommendations, posted online at DSM5.org for public comment, could bring rapid change in several areas.

“Anything you put in that book, any little change you make, has huge implications not only for psychiatry but for pharmaceutical marketing, research, for the legal system, for who’s considered to be normal or not, for who’s considered disabled,” said Dr. Michael First, a professor of psychiatry at Columbia University who edited the fourth edition of the manual but is not involved in the fifth.

“And it has huge implications for stigma,” Dr. First continued, “because the more disorders you put in, the more people get labels, and the higher the risk that some get inappropriate treatment.”

Read more

More Below the Ad

Advertisement


Comments

Are you a Truthdig member yet? Login now, or register with Truthdig.

RenZo's avatar

By RenZo, February 10, 2010 at 8:50 pm Link to this comment

Your comment, gerard, is insighful. The psycholinguistic lens you gazed through is an excellent metaphor for our inability to leaves things unnamed. Clearly the variety of human behavior is SO GREAT that we cannot (in spite of good linguistic skills) tame it all into submission or control. It will become easier to really “understand” atypical human behavior when we have the neurological (neurons, fissures, neurotransmitters, etc) correlates to discuss instead of the behaviors. It may be a while and in the meantime I hope the contributors to DSM-V(5) know how greatly their decisions shape human society and human lives.

Report this

By gerard, February 10, 2010 at 3:18 pm Link to this comment

Perhaps more than any other profession, psychiatarists and psychologists have to be constantly aware of the dangers of language itself.
An ever-present human urge is to try to name everything in life—and many major languages are organized on an either/or basis—something is one thing or another thing, one thing or not that thing, this or that—not both, plus a third of fourth thing in addition. The urge to simplify complexities.
  Naming things tends to give humans a sense of power over those things—they move fron Unknown to Known. (Oh, we know what that is!)  Then, through a largely unknown process and over an unknown period of time, the known becomes settled, obvious, and even tends to exclude other possibilities that might be discovered if people’s minds were not already made up.
  This is a huge problem in diagnosis, obviously. There is no way to be absolutely sure in many cases.  This or that?  Or something else? Or both, and something in addition?  Or this minus that?  It’s a mare’s nest of confusion.
  The best that can be said is that all doctors and those who treat human beings’ health problems need always more and more knowledge and experience, PLUS
a sensitive, keen power of on-going observation and by remembering to consider intuitive responses carefully.
  Anything less will often lead to trouble.  A decent respect for the unique, individual human soul is at stake in every case that sits down in the chair in front of you.

Report this

By GW=MCHammered, February 10, 2010 at 9:43 am Link to this comment
(Unregistered commenter)

Much needed revisions, agreed. Publish p-doc diagnosis vs. successful treatment rates too.

And require ALL other docs to simply read anti-depressant inserts. Far too many mis-prescribing known bipolar sufferers causing costly (and needless) mania and psychosis.

Report this

Add Your Comment

Posts by unregistered readers are moderated. Posts by members
are published immediately. Why wait? Register today!






                        Number of characters remaining: 4000

Are you a human? Retype the word you see here.

     

Please read and abide by our comment policy.
By submitting this comment, you agree to this site's terms and conditions.

Newsletter

Get Truthdig in your inbox


 
 
 
Join the Liberal Blog Advertising Network
 
 
 
 
 
 
 

A Progressive Journal of News and Opinion. Editor, Robert Scheer. Publisher, Zuade Kaufman.
Copyright © 2012 Truthdig, L.L.C. All rights reserved.