{"id":24724,"date":"2012-06-26T08:00:08","date_gmt":"2012-06-26T12:00:08","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=24724"},"modified":"2012-06-26T08:34:02","modified_gmt":"2012-06-26T12:34:02","slug":"perhaps-forever","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2012\/06\/26\/perhaps-forever\/","title":{"rendered":"get a consultation&#8230;"},"content":{"rendered":"<br \/>\n<blockquote>\n<div align=\"center\"><a target=\"_blank\" href=\"http:\/\/www.huffingtonpost.com\/allen-frances\/dsm-5-petition_b_1610569.html\"><u><strong><font color=\"#200020\">DSM 5 Continues to Ignore Criticism From Petitioners<\/font><\/strong><\/u><\/a><br \/>           <strong><font color=\"#200020\">Huffington Post<\/font><\/strong><br \/>           by Allen Frances<br \/>      06\/20\/2012<\/div>\n<p>      <\/p>\n<div align=\"justify\"><sup>The petition to reform DSM 5 speaks with the powerful voice of  more than 50 mental-health associations. Perhaps more important to APA&#8217;s  publishing ambitions and budgetary needs, it represents a significant  percentage of the potential customers who eventually will have to decide  whether or not DSM 5 is worth buying and using. Displaying its usual  &quot;the customer is always wrong&quot; arrogance, APA has previously been  dismissive of the completely reasonable recommendation that there be an  independent scientific review of all controversial DSM 5 suggestions. Here is an excerpt of the&nbsp;petition&#8217;s&nbsp;most recent letter to the APA  and DSM 5 leadership by the authors of the petition [the full text of  the letter is&nbsp;available <u><strong><a href=\"http:\/\/dsm5-reform.com\/2012\/06\/response-to-the-final-dsm-5-draft-proposals-by-the-open-letter-committee\/\" target=\"_blank\">here<\/a><\/strong><\/u>]&#8230;<\/sup><\/div>\n<p>     <\/p>\n<div align=\"justify\"><sup>DSM 5 is taking the foolhardy step of alienating its users. Its  responses to critics are framed in public-relations jargon convincing to  no one outside its own inner circle. Instead of PR, we need straight  answers to four questions:<\/sup><\/div>\n<ol><sup>             <\/p>\n<li>\n<div align=\"justify\">How can you rush a DSM 5 to print with such low reliability?<\/div>\n<\/li>\n<li>\n<div align=\"justify\">Why don&#8217;t you delay publication to allow time for the quality-control step that was part of your own original plan?<\/div>\n<\/li>\n<li>\n<div align=\"justify\">Was quality control &nbsp;cancelled for reasons other than your pressing need for quick DSM profits to meet budget projections?<\/div>\n<\/li>\n<li>\n<div align=\"justify\">Why not agree to an independent scientific review of all  controversial proposals to salvage the badly tarnished credibility of  DSM 5?<\/div>\n<\/li>\n<p>     <\/sup><\/ol>\n<div align=\"justify\"><sup>APA&#8217;s high-priced public-relations geniuses never address these  questions, because not even the cleverest &quot;image consultants&quot; can turn  this sow&#8217;s ear into a silk purse.<\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\">I left out the letter, but it&#8217;s well worth the read. It&#8217;s very clear and precise. But I included all of Dr. Frances&#8217; words to say that he&#8217;s finally getting mad. All along the way, he&#8217;s gone out of the way to give the DSM-5 Task Force the benefit of the doubt. They have certainly not earned it. Now, he uses words like &quot;arrogance,&quot; &quot;dismissive,&quot; &quot;alienating,&quot; and &quot;foolhardy&quot; &#8211; all of which apply. He continues&#8230;<\/div>\n<blockquote>\n<div align=\"center\"><a target=\"_blank\" href=\"http:\/\/www.psychologytoday.com\/blog\/dsm5-in-distress\/201206\/my-debate-the-dsm-5-chair\"><u><strong><font color=\"#200020\">My Debate With The DSM 5 Chair<\/font><\/strong><\/u><\/a><br \/>  <strong><font color=\"#0033ff\">Psychology Today: DSM5 in Distress<\/font><\/strong><br \/>  by Allen Frances, M.D.<br \/>  June 25, 2012<\/div>\n<p>   <\/p>\n<div align=\"justify\"><sup>&#8230; I  think &#8216;Newspeak&#8217; is the best way to characterize the APA defense of DSM-5. For those who haven&#8217;t read George Orwell&#8217;s &#8216;1984&#8217; lately, &#8216;Newspeak&#8217;  was his term for the kind of bureaucratic upside-down language that  attempts to turn night into day. The idea is that if you say something  enough times, the repetition will magically make it so. Let&#8217;s do a quick back-translation from APA &#8216;newspeak&#8217; to DSM 5 reality.<\/sup><\/div>\n<ul><sup>   <\/p>\n<li>\n<div align=\"justify\">APA Newspeak: DSM 5 has been open and &quot;transparent to an unprecedented degree.&quot;<\/div>\n<\/li>\n<ol>\n<div align=\"justify\">DSM  5 Reality: APA forced work group members to sign confidentiality  agreements; has kept its &#8216;scientific&#8217; review committee report secret;  tries to censor the internet using <a href=\"http:\/\/www.psychologytoday.com\/basics\/bullying\" title=\"Psychology Today looks at Bullying\">bullying<\/a>  threats of trademark litigation; keeps secret the content of public  input; and has not, as promised, provided more complete data sets from  its failed field testing.<\/div>\n<\/ol>\n<li>\n<div align=\"justify\">APA Newspeak: DSM 5 has been an &quot;inclusive&quot; process.<\/div>\n<\/li>\n<ol>\n<div align=\"justify\">DSM  5 Reality: APA has rejected the input of 51 mental health associations  requesting an open and independent scientific review of the  controversial DSM 5 proposals; has not responded to highly critical  editorials in the Lancet, New England Journal, New York Times, and many  other publications; has ignored the unanimous opposition by the leading  researchers in the field to its unusable <span class=\"pt-basics-link\">personality disorder<\/span>  section; has ignored the opposition of sexual disorder researchers and  forensic experts to its forensically dangerous paraphilia section; has  brushed off outrage by <span class=\"pt-basics-link\">consumer<\/span>  groups representing the bereaved and the autistic; has not made any  changes in DSM 5 that can be associated with outside input- professional  or public; and is unresponsive even to its own APA members, dozens of  whom have told me they can&#8217;t get a straight (or any) answers from a  staff whose salaries come from their dues.<\/div>\n<\/ol>\n<li>\n<div align=\"justify\">APA Newspeak:  &quot;The stakes are far reaching: the first full revision since 1994 of the  DSM, a document that influences the lives of millions of people around  the world.&quot; <\/div>\n<\/li>\n<ol>\n<div align=\"justify\">DSM 5 Reality: APA quietly cancelled its own planned  Stage 2 of field testing. Stage 2 was to provide quality control with  much needed editing and retesting to demonstrate improved reliability.  Canceling quality control was a crucial mistake and was done for one  reason only-money. Because Stage 1 of the field trial was completed 18  months late, DSM 5 was running out of time in meeting its arbitrarily  imposed publishing deadline. Given the choice of striving for quality or  cashing in on publishing profits, APA went for the cash. Definitely  dispiriting, but not surprising. APA is in deficit, has a budget that is  totally dependent on the huge publishing profits from its DSM monopoly;  and has wasted an absolutely remarkable $25 million in producing DSM 5  (DSM IV cost only one fifth as much). The simple reality is that APA is  rushing a poor quality and unreliable DSM 5 to press purely for  financial reasons and totally heedless of the detrimental effect this  will have on &quot;the lives of millions of people around the world.<\/div>\n<\/ol>\n<li>\n<div align=\"justify\">APA  Newspeak: &quot;Charges that DSM-5 will lower diagnostic thresholds and lead  to a higher prevalence of mental disorders are patently wrong. Results  from our field trials, secondary data analyses, and other studies  indicate that there will be essentially no change in the overall rates  of disorders once DSM-5 is in use.&quot;<\/div>\n<\/li>\n<ol>\n<div align=\"justify\">DSM 5 Reality: DSM 5 made a  fatal and unaccountable error in its field testing &#8211; it failed to measure  the impact of any of its changes on rates and APA therefore has no  meaningful data on this most important question. With the exception of <span class=\"pt-basics-link\">autism<\/span>, all of the suggested DSM 5 changes will definitely raise rates, some dramatically. Adding <span class=\"pt-basics-link\">Binge Eating<\/span>  Disorder by itself would add more than ten million new &#8216;patients&#8217;;  adding Disruptive Mood Dysregulation Disorder and Minor Neurocognitive  Disorder would add millions; as would removing the <span class=\"pt-basics-link\">bereavement<\/span> exclusion to MDD and lowering thresholds for <span class=\"pt-basics-link\">ADHD<\/span> and GAD.<\/div>\n<\/ol>\n<p>  <\/sup><\/ul>\n<div align=\"justify\"><sup>Read  the full Medscape exchange for more Newspeak from Dr Kupfer, but you  get the idea. It is not at all clear to me if APA talks Newspeak  cynically, because of naivete, or because Newspeak is the language its  expensive public relations consultants put in its mouth. It  doesn&#8217;t really matter why. Newspeak is devastating &#8211; not because anyone  outside DSM 5 believes it [DSM 5 defenses are too transparently out of  touch with reality to fool outsiders], but because APA may believe its  own Newspeak or at least acts as if it does. Reflexive Newspeak,  substituting for insight, has prevented DSM 5 from the serious self  correction that would have saved it from itself. Bob Spitzer presciently  predicted five years ago that a secretive, closed, defensive DSM 5  process would lead inevitably to this failed DSM 5 product.<\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\">I think Dr. Frances must have reached the same conclusion I did in the Salt Marsh last week, though he expresses it more eloquently [<u><strong><a href=\"http:\/\/1boringoldman.com\/index.php\/2012\/06\/24\/a-thought-2\/\" target=\"_blank\">a thought&hellip;<\/a><\/strong><\/u>] &#8211; the DSM-5 spokesmen are not engaging this debate genuinely. They are &quot;blowing smoke.&quot; Whether their motive is APA Finances as Dr. Frances believes or the anachronistic ideological agenda that I suspect, refreshing their smokescreen over and over is fooling no-one. They would do well to get a consultation from someone other than their cheesy PR firm&#8230;<\/div>\n","protected":false},"excerpt":{"rendered":"<p>DSM 5 Continues to Ignore Criticism From Petitioners Huffington Post by Allen Frances 06\/20\/2012 The petition to reform DSM 5 speaks with the powerful voice of more than 50 mental-health associations. Perhaps more important to APA&#8217;s publishing ambitions and budgetary needs, it represents a significant percentage of the potential customers who eventually will have to [&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-24724","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/24724","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=24724"}],"version-history":[{"count":21,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/24724\/revisions"}],"predecessor-version":[{"id":24789,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/24724\/revisions\/24789"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=24724"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=24724"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=24724"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}