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With all our graphs and tables, we can lose sight of the nuts and bolts of clinical medicine – signs and symptoms. Symptoms are those things patients report, and signs are things a clinician can see. In studying mental illness, we mostly have to rely on subjective reports of symptoms since the objective signs, like […]

RDoC…

“To a man with a hammer, everything looks like a nail.” Whether you attribute the quote to Mark Twain or to Abraham Maslow, the meaning is clear. Which brings me to Aaron Beck, Sigmund Freud, and Tom Insel [OK, actually to Tom Insel]. When a new chairman appeared in my department in the early 1980s, […]

inkblot?…

Robert Spitzer, 83, Dies; Psychiatrist Set Rigorous Standards for Diagnosis New York Times By Benedict Carey December 26, 2015 The Passing of Robert Spitzer Architect of the DSM Psychology Today By Edward Shorter December 28, 2015 Setting the Record Straight: The Psychiatric Legacy of Robert Spitzer Mad in America By Bonnie Burstow, PhD January 05, […]

life’s problems…

APA Receives Federal Grant to Train Psychiatrists in Integrated Care PSYCHIATRICNEWS by Mark Moran October 29, 2015 This major milestone is in recognition of APA’s commitment to integrated care. The training that psychiatrists receive will enable them to expand their psychiatric expertise to larger populations of primary care patients.APA is one of just 39 health […]

go often askew…

this is the way the world ends   this is the way the world ends   this is the way the world ends   not with a bang but a whimper                     T.S.Eliot 1922 Dr. Tom Insel to Step Down as NIMH Director … A national search for a new NIMH Director will be launched, but in the meanwhile […]

a recession…

“We are at an extraordinary moment when the entire scientific foundation for mental health is shifting, with the 20th century discipline of psychiatry becoming the 21st century discipline of clinical neuroscience,” Thomas Insel said before a meeting on the challenges facing mental health research at the Royal Society in London on 31 August… The seismic […]

chasing rainbows…

I should’ve just let things lie with my last post – stuck with my bit of sarcasm and moved on. Instead, I clicked on the link that lead to Fusion‘s interview of Dr. Insel, and it wound me up all over again. I’ve characterized Dr. Insel as a breakthrough·freak…– moving from one shiny object to […]

a reset button…

Tom Insel came to the NIMH at the height of the rise of neuroscience. It was a new century. The future DSM-5 team was just setting its sights on finally adding the hard science fixings to the psychiatrized brain. The drugs were steadily pouring from the pharmaceutical pipeline and were hitting the top of the […]

lost its mojo…

One might think that with all of the supportive media coverage our Study 329 article has received, I would be able to shake off the response from lead author, Martin Keller, reproduced from Retraction Watch in the last post [keller responds…], or his comment in The Chronicle of Higher Education: Dr. Keller contacted The Chronicle […]

in a rut…

Gregor Mendel was an Augustinian Monk in Moravia whose studies of plant inheritance brought such things into the realm of science. My sister’s blue eyes meant that both of our brown-eyed parents carried recessive blue-eye genes. The postman was out of the picture. Mendel’s schemes of inheritance were like that – very precise statistical predictions […]