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Archive for May, 2012

kappa karma…

When I read this in January, my first thought was that they’d seen the Field Trial results and were preparing us for the bad news. I guess everybody thought that [don’t expect too much…]: DSM-5: How Reliable Is Reliable Enough? by Helena Chmura Kraemer, David J. Kupfer, Diana E. Clarke, William E. Narrow, and Darrel […]

prove it…

Counter-argument: Changes to DSM-V bring needed improvements FoxNews.com By Dr. Joseph Lieberman May 22, 2012 For decades, the APA has worked diligently to provide definition in the environment of mental health through the development of the Diagnostic and Statistical Manual of Mental Disorders. Since DSM-III, each edition has provided evidence-based guidance in manual form for […]

legitimacy…

We hear a lot about Validity and Reliability when we read about diagnosis. What is less often discussed is Legitimacy, though that seems the most important thing on the table at times. Is the illness a legitimate illness? Is it being treated with a legitimate treatment? Is psychiatry even a legitimate medical specialty? This must […]

to think about that…

Be wary of the American Psychiatric Association FoxNews.com By Dr. Keith Ablow May 14, 2012 The American Psychiatric Association [from which I resigned in protest, some time ago] is at it again — making up, then retracting, new diagnoses that their committees generate and debate. It’s as if those committees have some sort of microscope […]

a natural…

What Is the “Bible of Psychiatry” Supposed to Do? The Peculiar Challenges of an Uncertain Science Discover Magazine by Vaughn Bell May 22nd, 2012 The American Psychiatric Association have just published the latest update of the draft DSM-5 psychiatric diagnosis manual, which is due to be completed in 2013. The changes have provoked much comment, […]

an editorial…

Re-reading my last post, I think I got entangled in the facts, the front page story, and didn’t fully make it to the editorial page. Here’s the editorial… From it’s earliest days, our DSM-5 Task Force set out to make a change. They were going to realize the dream of the St. Louis fathers of […]

to take us seriously…

Well, the APA has come and gone with its DSM-5 Track. Frankly, after the report of the results of the Field Trials, I didn’t pay very much attention to their report on the various changes in the Disorders. The Field Trials themselves were so devastating that everything else seemed immaterial. In the absence of the […]

speechless…

Sanctioned Psychiatrist Gets First NIH Grant in 3 Years Science by Jocelyn Kaiser 22 May 2012 A psychiatrist whose failure to disclose drug company income contributed to a furor over conflicts of interest in biomedical research has just received his first National Institutes of Health (NIH) grant in 3 years. Charles Nemeroff’s lax reporting of […]

what price, reliability?…

An Aside: I’m starting this with a bias. In 2012, I think the diagnosis Major Depressive Disorder used in the 1980 DSM-III and since has been a maelstrom – an egregious error with multiple negative consequences. So my looking back on its roots is not just a casual jaunt into history. It’s more in the […]

don’t seem to know…

Following the New York Times article [New Guidelines May Sharply Increase Addiction Diagnoses] about the DSM-5 Changes in the Addiction Diagnostic category [quoting people from both sides of the issue], Dr. Kupfer, chairman of the D.S.M.-5 Task Force, responded with a letter to the editor: It is an unsubstantiated claim that the proposed changes to […]