{"id":21960,"date":"2012-04-10T14:18:22","date_gmt":"2012-04-10T18:18:22","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=21960"},"modified":"2012-04-10T14:42:39","modified_gmt":"2012-04-10T18:42:39","slug":"21960","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2012\/04\/10\/21960\/","title":{"rendered":"aku aku&#8230;"},"content":{"rendered":"<br \/>\n<blockquote>\n<div align=\"center\"><a target=\"_blank\" href=\"http:\/\/www.psychologytoday.com\/blog\/dsm5-in-distress\/201204\/why-social-workers-should-oppose-dsm-5\"><u><strong><font color=\"#200020\">Why Social Workers Should Oppose DSM-5<\/font><\/strong><\/u><\/a><br \/>            <strong><font color=\"#200020\"><sup>Because they bring a missing and much needed perspective<\/sup><\/font><\/strong><br \/>             <strong><font color=\"#0033ff\">DSM5 in Distress: Psychology Today<\/font><\/strong><br \/>            by Allen J. Frances, M.D.<br \/>            April 5, 2012<\/div>\n<p>          <\/p>\n<div align=\"justify\"><sup>Social workers make up by far the largest single constituency among all the potential users of <em>DSM-5<\/em>,  a plurality of over 200,000 mental health clinicians. Until recently,  they have been silent while psychologists, counselors, psychiatrists,  the press, and the public have all strongly opposed <em>DSM-5<\/em>.  Things are changing. Recently, two prominent social workers have stepped  forward to explain why it is important for their profession to take a  stand on <em>DSM-5<\/em>. Jack Carney, DSW, is a social worker  with over forty years in the public mental health system as clinician  and program director. Dr. Carney writes:<\/sup><\/div>\n<ul>\n<div align=\"justify\"><sup>&quot;Where are the social  workers? Where are the NASW and its local and state-wide chapters? Over  12,000 individuals mental health professionals have publicly declared  their concern at the planned 2013 publication of the <em>DSM-5<\/em>. They&rsquo;ve signed the petition launched six months ago by the Society for Humanistic Psychology requesting that the <em>DSM-5<\/em>&nbsp;Task  Force delay publication of the new DSM and subject it to an independent  scientific review. Fifty-one professional organizations have also  endorsed the petition. It is extremely puzzling that the National  Association of Social Workers and its local affiliates are not to be  found among them.&quot;<\/sup><\/div>\n<\/ul>\n<\/blockquote>\n<div align=\"justify\">Psychiatrists and Social Workers have traditionally been aligned together, even founded together [<u><strong><a target=\"_blank\" href=\"http:\/\/1boringoldman.com\/index.php\/2012\/04\/07\/adolf-meyer-1866-1950\/\"><font color=\"#200020\">Adolf Meyer [1866-1950]&hellip;<\/font><\/a><\/strong><\/u>], and I suspect there&#8217;s an inertia in that long-standing pairing. But there&#8217;s little in the modern version of psychiatry that would support or even foster that tradition. In psychoanalytic training programs, the majority of our candidates these days are now Social Workers &#8211; and that might be the axis of that the former alliance anyway. The changes in Psychiatry have radically changed the mental health landscape as Psychiatry has tried to make its bed with Medicine. I frankly think that rather than achieving the wished-for place in the medical pantheon, medical psychiatry will simply dissolve into primary care, family practice, and the other front-line specialties &#8211; and a big portion of what psychiatrists used to do will be picked up outside of medical circles. But what I&#8217;m calling &quot;the mental health landscape&quot; has yet to reshuffle to meet the changes in psychiatry.<\/div>\n<p align=\"justify\">Yesterday, I posted a blurb from the Lancet [<a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736%2812%2960540-6\/fulltext?version=printerFriendly\" target=\"_blank\"><u><strong><font color=\"#200020\">Psychiatry&rsquo;s identity crisis<\/font><\/strong><\/u><\/a>] that said, &quot;<em>But more fundamental  still, it is time for the specialty to stop  devaluing itself because of  its chequered history of mental asylums and  pseudo-science, and to  realign itself as a key biomedical specialty at  the heart of mental  health.<\/em>&quot; I thought that was backwards. I think the chequered part of our history is actually right now. I expect most people think that. Those old guys with their asylums, psychosurgery, insulin coma therapy were certainly operating in a primitive sphere. And I expect the pseudoscience he&#8217;s talking about was psychoanalysis circa 1920. But those old guys weren&#8217;t working for drug companies, publishing advertisements as scientific articles, or jury-rigging a diagnostic system to increase drug sales. They just didn&#8217;t know what to do and were flailing about. And the notion that psychiatry&#8217;s current flight path will &quot;<em>realign itself as a key biomedical specialty at  the heart of mental  health<\/em>&quot; is laughable.<\/p>\n<div align=\"justify\">I expect the field of Social Work actually carries the bulk of the good traditions of American Psychiatry right now, but hasn&#8217;t found a way to claim ownership or assert its place in the new order. It will be interesting to see how this plays out. Even if Dr. Frances et al were successful in expunging some of the more offensive parts of the DSM-5, what would be left would be of little use for a non-prescribing mental health professionals. After discussing what&#8217;s not right about the DSM-5, Dr. Carney concludes:     <\/div>\n<blockquote>\n<div align=\"justify\"><sup>&quot;What can social workers do? We can raise our voices individually and as a profession. Write to the DSM-5 work groups and APA Trustees and to the NASW leadership. Sign the American Psychological Association&#8217;s 32nd Division&#8217;s petition. Work with clients on a sliding scale so that you can forego the diagnostic process when it is unnecessary. Volunteer in your community to help those who suffer. There are many, many wonderful nonprofit groups that provide direct, compassionate, mindful services to families. And, if we cannot use our voices to alter the trajectory of DSM-5, we may be forced to take political action at the state and congressional levels and to organize a boycott of DSM-5.&quot;<\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\"><img decoding=\"async\" hspace=\"4\" border=\"1\" width=\"190\" align=\"right\" src=\"http:\/\/1boringoldman.com\/images\/easter.jpg\" \/>I&#8217;m not much of a television watcher, but I do have favorites &#8211; those things on the history Channel or the Discovery Channel about some culture that&#8217;s come and gone. I watched one not so long ago about Easter Island that went into a lot of detail about how those amazing statues came to be built. It took a lot of trees to roll those monuments into place, so the islanders denuded the island in the process of building the statues to protect them from the unknown evil in the seas. It&#8217;s an often told story &#8211; destroying important things in the service of some contemporary and misdirected campaign. By the time ships discovered Easter Island, a few half starved cannibals were all that was left of a people that used up its resources building idols. The ones that remained welcomed what came from the sea with open arms.  <\/div>\n<p><\/p>\n<div align=\"justify\">Am I suggesting that psychiatrists will end up as cannibals? No, but I am suggesting that the DSM-5 Task Force is actually on the path to remove psychiatry as the &quot;<em>key biomedical specialty at  the heart of mental  health<\/em>.&quot; Psychiatry itself is already thinning its own ranks from the bottom up and shows little sign of changing direction that I can see, in spite of the excellent &quot;heads up&quot; from Dr. Frances and others. From my vantage, the boycott of the DSM-5 is already underway&#8230;<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Why Social Workers Should Oppose DSM-5 Because they bring a missing and much needed perspective DSM5 in Distress: Psychology Today by Allen J. Frances, M.D. April 5, 2012 Social workers make up by far the largest single constituency among all the potential users of DSM-5, a plurality of over 200,000 mental health clinicians. Until recently, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-21960","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/21960","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=21960"}],"version-history":[{"count":11,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/21960\/revisions"}],"predecessor-version":[{"id":21970,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/21960\/revisions\/21970"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=21960"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=21960"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=21960"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}