{"id":22349,"date":"2012-04-17T07:00:11","date_gmt":"2012-04-17T11:00:11","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=22349"},"modified":"2012-04-17T14:57:11","modified_gmt":"2012-04-17T18:57:11","slug":"someday-soon","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2012\/04\/17\/someday-soon\/","title":{"rendered":"someday soon…"},"content":{"rendered":"
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<\/p>\n

DSM-5 Track at the 2012 APA Annual Meeting
Philadelphia, PA; May 5-9, 2012<\/font><\/strong><\/p>\n

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<\/p>\n
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:<\/div>\n
    \n
  1. Darrel A. Regier, M.D., M.P.H.<\/li>\n
  2. Lawson Wulsin, M.D.<\/li>\n
  3. David Goldberg, M.D.<\/li>\n
  4. William E. Narrow, M.D., M.P.H.<\/li>\n<\/ol>\n
    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:<\/div>\n
      \n
    1. Helena Kraemer, Ph.D.<\/li>\n
    2. Diana E. Clarke, M.Sc., Ph.D.<\/li>\n
    3. Darrel A. Regier, M.D., M.P.H.<\/li>\n
    4. William E. Narrow, M.D., M.P.H.<\/li>\n
    5. Eve Mo\u00c5\u203acicki, Sc.D., M.P.H. <\/li>\n<\/ol>\n
      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:<\/div>\n
        \n
      1. Sue Swedo, M.D. [Neurodevelopmental Disorders]<\/li>\n
      2. Daniel Pine, M.D. [Childhood and Adolescent Disorders]<\/li>\n
      3. David Shaffer, M.D. [ADHD and Disruptive Behavior Disorders]<\/li>\n
      4. Andrew Skodol, M.D. [Personality and Psesonality Disorders]<\/li>\n
      5. Ron Petersen, M.D., Ph.D. [Neurocognitive Disorders]<\/li>\n<\/ol>\n
        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:<\/div>\n
          \n
        1. Will Carpenter, M.D. [Psychotic Disorders]<\/li>\n
        2. Jan Fawcett, M.D. [Mood Disorders]<\/li>\n
        3. Trisha Suppes, M.D. [?]<\/li>\n
        4. Katharine Phillips, M.D. [Anxiety, OCD, PTSD, Dissociative Disorders]<\/li>\n
        5. Matthew Freidman, M.D., Ph.D. [?]<\/li>\n<\/ol>\n
          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:<\/div>\n
            \n
          1. Joel Dimsdale, M.D. [Somatic Symptom Disorders]<\/li>\n
          2. Tim Walsh, M.D. [Eating Disorders]<\/li>\n
          3. Charles Reynolds, M.D. [Sleep-Wake Disorders]<\/li>\n
          4. Ken Zucker, Ph.D. [Sexual and Gender Identity Disorders]<\/li>\n
          5. Charles O’Brien, M.D., Ph.D. [Substance-Related Disorders]<\/li>\n<\/ol>\n

            <\/sup><\/td>\n<\/tr>\n<\/table>\n

            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<\/font><\/strong><\/u><\/a>]. 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.<\/p>\n

            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. <\/p>\n

            But that was also when this DSM-5 Task Force was starting up and they had a dream for the future – how it might be. They’ve insisted on sticking with their Brave New World [in spite of being seen more like Big Brother]. They even wrote a book<\/font><\/strong><\/u><\/a> about their dreams along the way:<\/div>\n
            \n
            The Conceptual Evolution of DSM-5<\/font><\/strong><\/u> 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…<\/sup><\/div>\n<\/blockquote>\n
            What lead to the landslide? Was it the disappointment in the efficacy of the medications? or their toxicity? Or was it the failure to make the scientific breakthroughs as advertised? Maybe the widespread corruption of the KOLs signing on with industry was the Achilles heel? Perhaps the biased weighting of the diagnostic system contributed? Or was it simply their arrogance? Whatever the case, as things stand today, it’s no longer just the DSM-5 that’s in distress, it’s psychiatry as a whole. <\/div>\n

            There’s going to be an APA Meeting in Philadelphia soon. Outside, there will be a protest movement, Occupy the APA<\/font><\/strong>, 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<\/font><\/strong> on a blog post by Psychiatrist Dr. Steven Moffic called Why We Still Need Psychiatrists!<\/font><\/strong><\/u><\/a> 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.<\/p>\n

            There are two meanings to the word authority<\/em>. One is an authority<\/em> of power – as in "by the authority<\/em> invested in me by the State of Kansas …" or "because I’m the Sergeant and you’re a Private, that’s why!" And there’s an authority<\/em> of wisdom or knowledge – "he is an authority<\/em> on Astrophysics -Chaucer -Elvis -etc." The first kind is delegated or seized. The second kind is earned. The first kind is accepted, or feared, or resisted, or overthrown. The second kind is respected. The APA and the DSM-5 Task Force are in troubled waters on both fronts right now. Back in 1980 when there was a similar crisis, Dr. Spitzer was able to calm the turbulence with a promise of a new future. That is not likely to happen this time. The present is too loud…<\/div>\n","protected":false},"excerpt":{"rendered":"

            DSM-5 Track at the 2012 APA Annual Meeting Philadelphia, PA; May 5-9, 2012 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: Darrel A. Regier, M.D., M.P.H. Lawson Wulsin, M.D. David Goldberg, M.D. William E. Narrow, M.D., M.P.H. Field Trial Testing of Proposed […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","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-22349","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/22349","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=22349"}],"version-history":[{"count":32,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/22349\/revisions"}],"predecessor-version":[{"id":22391,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/22349\/revisions\/22391"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=22349"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=22349"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=22349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}