|
DSM-5 Track at the 2012 APA Annual Meeting
|
|
DSM-5: Research and Development
Saturday, May 5, at 9-10:30 a.m. Chair: David Kupfer, M.D.; Co-Chair: Darrel A. Regier, M.D., M.P.H Presenters:
Field Trial Testing of Proposed Revisions to DSM-5: Findings and Implications
Saturday, May 5, at 2-5 p.m. Chair: David J. Kupfer, M.D. Co-Chair: Darrel A. Regier, M.D., M.P.H. Presenters:
Updates on Proposed Diagnostic Criteria for DSM-5 (Part I)
Sunday, May 6, at 8-11 a.m. Chair: Darrel A. Regier, M.D., M.P.H. Co-Chair: David J. Kupfer, M.D. Presenters:
Updates on Proposed Diagnostic Criteria for DSM-5 (Part II)
Sunday, May 6, from 1-4 p.m. Chair: David J. Kupfer, M.D.; Co-Chair: Darrel A. Regier, M.D., M.P.H.; Presenters:
Updates on Proposed Diagnostic Criteria for DSM-5 (Part III)
Monday, May 7, at 9 a.m. – 12 noon Chair: Darrel A. Regier, M.D., M.P.H. Co-Chair: David J. Kupfer, M.D. Presenters:
|
By my reckoning, in about three weeks we’re slated to find out what impact all the discourse has had on the DSM-5 Task Force, and I’m not feeling very hopeful. Their responses to Dr. Allen Frances started contemptuously in July 2009 [Setting the Record Straight: A Response to Frances Commentary on DSM-V]. Along the way, their reactions have been sometimes condescending, often defensive, but rarely gave any sign of a genuine engagement – not just with Dr. Frances, but with anyone else. When they did respond, they responded to the content, but seem oblivious to the music behind the complaints.
What they don’t hear is that they no longer occupy a position of respect. My guess-timate is that the respect curve turned abruptly downward somewhere around mid-decade. It was the time when Dr. Insel was drawing grandiose timetables for the coming era of Clinical Neuroscience. The disappointing mega-trials were around that time – CATIE, STAR*D, etc. That was the beginning of the end of Dr. Nemeroff’s reign as boss-of-bosses when he lost the editorship of Neuropsychopharmacology. It was, most importantly, the time when the extensive Neuroscience/PHARMA/Psychiatry Complex began to become common knowledge. Senator Grassley’s investigations greased the skids in 2008, and things have been deteriorating in that arena ever since.
The Conceptual Evolution of DSM-5 highlights recent advances in our understanding of cross-cutting factors relevant to psychiatric diagnosis and nosology. These include developmental age-related aspects of psychiatric diagnosis and symptom presentation; underlying neuro-circuitry and genetic similarities that may clarify diagnostic boundaries and inform a more etiologically-based taxonomy of disorder categories; and gender/culture-specific influences in the prevalence of and service use for psychiatric disorders…
There’s going to be an APA Meeting in Philadelphia soon. Outside, there will be a protest movement, Occupy the APA, that’s growing in size. And inside, they’re going to be rolling out the results of a disappointing set of Field Trials and announcing the changes in the Manual, none of which are popular or even very helpful additions. As a prequel, right now there’s a discussion going on in the comment section over at Mad in America on a blog post by Psychiatrist Dr. Steven Moffic called Why We Still Need Psychiatrists! for those who have any doubt about the music I was talking about them not hearing. It would make good reading for the members of the DSM-5 Task Force, some of whom are still apparently living in the fantasy that their expertise is the point.
I find it appalling that Dr Moffic writes for Mad In America without disclosing to his commenters there that he is on the Editorial Board and writes for Psychiatric Times
http://bipolarsoupkitchen-stephany.blogspot.com/2012/04/psychiatrist-dr-steven-moffic-writes-at.html
Where he called for a “Occupy Medicine” at the Philly APA, and also said these damning words (IMO):
“”Psychiatry is a strange kind of business. We’ve given out our products for free, then watched as other businesses—whether they be other types of clinicians or insurance companies—take over what we do.
Care to try to reclaim more of that 99%? Let us try to reclaim some of our lost leadership. Let us reclaim the upcoming DSM-5 as ours. ”
The people over in the comment section are up in arms, some defend him, most don’t. The guy wants to “reclaim the DSM-5 as ours” he says to other psychiatrists, the very book of labels most ppl who read Mad In America want tossed! the doctor stands for that, and does not disclose it to innocent readers there. Seems that lack of disclosure runs rampant in psychiatry and the pharma data, etc.
Take a look at Psychiatric Times Editorial Board members, he sits there with Schatzberg (sp) et al.
btw readers of the Mad In America blog might be interested to know I haven’t been able to leave a comment, it appears I have been blocked, my name must be in a censor loop. I tried leaving a comment several times yesterday and today, and no new comments of mine go through. I wonder about that…
Psychiatry better watch out, the rhetoric at least on the internet has really ratcheted up these past couple of years, and I truly worry about the extremist element that might be falsely empowered by the violent actions of the few and poorly thought out. I hope there will be no incidents of harm in Philadelphia come May, but, the APA has not been wise to defuse the rhetoric as noted above in the post.
I will end with this if of any interest to readers: should someone or group commit a violent act, it will run the risk of emboldening more negative press against psychiatric patients as much as psychiatrists. There is still time for dialogue, as well as peaceful resistance. A card burning ceremony of former members of the APA, that might be an interesting start. Note of cards, NOT people!
Are you saying the doctors will become violent? Dr Hassman?
FYI disclaimer:I do not condone violence, nor will I be at the protest, I generally stay away from that type of event.
WOW!! Talk about postulating some ludicrous & incendiary diatribe by a practicing psychiatrist…are you saying those with, or who have ever been given a mental health diagnosis are more prone to acts of violence than any other segment of the population?
Did you see this one coming in your magical crystal ball Joel…or are you sharing some of your fantasy fears, forecasting of the psychiatric Apocalypse, or just venting some personal issues here…
Just my humble opinion…but I would say you are most definitely fear mongering to the point of being dangerously reckless…
have a nice day 🙂
For the record Mind Freedom is having a PEACEFUL protest and attorney psych rights Jim Gottstein will be there. (he is a hero in my opinion for getting the Zyprexa docs to the public)
http://www.madinamerica.com/2012/04/an-opportunity-to-walk-the-talk-occupy-the-american-psychiatric-association-may-5th-in-philadelphia-pa/
http://www.mindfreedom.org/release/occupy-apa-news
I find it disheartening to read a comment by a doctor (Hassman) fuel the stigma of mental health and violence. This is what people are up against in society and it makes it worse when it comes from within the system from the professionals themselves.
Might I have read Hassman’s comment wrong? was he referencing the doctors? the protesters? the event is being promoted as a peaceful protest, Dr. Hassman. I have no idea what the APA members will be doing, probably just ignoring it as they enter the building. These protests are not new. Each year it happens. This time it’s being advertised.
Here’s an article about a psychiatrist being violent we all will remember this news story
http://en.wikipedia.org/wiki/Fort_Hood_shooting
I think that violence knows no boundaries, or labels.
That’s my worry & concern too…this heated rhetoric by some APA doctors vehemently protecting their ivory castles, may lead to some rouge elements in psychiatry being emboldened to commit autonomous violent actions against these peaceful protesters.. that’s why I have encouraged protesters to invest in full body armor & riot shields…just in case things get out of hand…LMAO
Intersting the interpretation was that doctors could/would be the source of violence. That was not my take per the above earlier comment, but, anything is possible.
anyone else besides the above commenters have an opinion? I mean, my interpretation of some blog threads I have read really is out beyond left field? Yeah, just like the Occupy Wall Street protests were so calm and collected.
By the way, Stan and Stephany, any transparency to your opinion of what happened in Pittsburgh in March regarding the Shick shooting? Not an APA issue, but as the facts are coming out, I have not come across profound condemnation by antipsychiatry commenters if the issue was raised at some sites. And it should be discussed. The only thing I read, and commented about as well, was at psychcentral’s blog.
dudes, you’ve really got to learn about posting ad hominems.
haha Dr Hassman that was a JOKE. I would hope NO ONE there will become violent, don’t insult me with your condenscending tone.
Dr Hassman said:
“Pittsburgh in March regarding the Shick shooting? Not an APA issue, but as the facts are coming out, I have not come across profound condemnation by antipsychiatry commenters ”
I have no idea what you are talking about. Maybe you are under the impression I participate in that sort of thing, but I don’t. I saw Gottstein participating in MindFreedom’s protest and thought his credibility was enough to promote the PEACEFUL demonstration they are planning.
I stay clear of what I call “the fringe” extremist type of movements, is that enough for transparency you are demanding, as if I am guilty of something ? I write a blog, which is an outlet as a parent of a child harmed by psych drugs. I also would appreciate you not lumping me in the same accusatory sentence as your questioning “stan”.
I have my own opinions, and do not endorse any group, church, advocacy group or commenters anywhere.
Dearest Altostrata:
I was thinking about placing a “Pay Pal” button next to my ad hominems….what do you think…is it profitable for you? Maybe even take it a step further, by adding a surcharge for any humor used….
I would also like to take this opportunity to thank you for your diligent efforts moderating comment sections across the entire web. Nanny States everywhere applaud you 🙂
Uncle!