{"id":30672,"date":"2012-12-03T23:47:57","date_gmt":"2012-12-04T04:47:57","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=30672"},"modified":"2012-12-04T00:34:18","modified_gmt":"2012-12-04T05:34:18","slug":"in-his-debt","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2012\/12\/03\/in-his-debt\/","title":{"rendered":"in his debt…"},"content":{"rendered":"
Something extraordinary happened in psychiatry in our recent past. Something that I could never have imagined in my wildest dreams. The two men who had shepherded the revolution in psychiatric diagnosis [DSM-III, DSM-IIIR, DSM-IV, and DSM-IVTR], Drs. Robert Spitzer and Allen Frances, not only became critics of the DSM-5 Revision, they came out of retirement and took their complaints to the street – particularly Dr. Frances who kept us informed about what the Task Force was doing and where they were going off track in his blogs, articles, op-eds, and speeches: <\/div>\n
\n
DSM5 in Distress<\/a>
The DSM’s impact on mental health practice and research<\/sup>
Psychology Today: DSM5 in Distress<\/font><\/strong>
by Allen Frances, M.D.
March 6, 2010 through December 2, 2012<\/div>\n<\/blockquote>\n
If you don’t know how all of this came about, Gary Greenberg<\/a>‘s 2010 article in Wired<\/font><\/strong> is the definitive narrative: <\/div>\n
\n
Inside the Battle to Define Mental Illness<\/a>
The Book of Woe<\/sup><\/font>
Wired<\/font><\/strong>
By Gary Greenberg
December 27, 2010<\/div>\n<\/blockquote>\n
Concretely, Dr. Frances’ tireless campaigning alerted us to some of the more inappropriate diagnostic categories being considered and was influential in keeping them out of the final revision. Even more, he pointed out the closed shop nature of the DSM-5 process, the encouragements for overdiagnosis and overmedication, and the idiosyncratic pet projects of the Task Force members. But his lasting contribution will be that he was an insider who spoke frankly and openly about many of the broad misdirections of modern psychiatry. In his career including being Chairman at Duke and Director of the DSM-IV Revision, he has long been a leader in our field. His willingness to stand up for psychiatry by opposing this misbegotten revision of our diagnostic system was unprecedented – a courageous extension to an already distinguished career. Maybe he couldn’t totally stop this ill-conceived revision, but in the process of trying, he turned on some lights that will be seen for some time. We are in his debt… <\/div>\n
\n
DSM 5 Is Guide Not Bible—Ignore Its Ten Worst Changes<\/a>
APA approval of DSM-5 is a sad day for psychiatry<\/sup><\/font><\/strong>
Psychology Today: DSM5 in Distress<\/font><\/strong>
by Allen J. Frances, M.D.
December 2, 2012<\/div>\n

<\/p>\n

This is the saddest moment in my 45 year career of studying, practicing, and teaching psychiatry. The Board of Trustees of the American Psychiatric Association has given its final approval to a deeply flawed DSM 5 containing many changes that seem clearly unsafe and scientifically unsound. My best advice to clinicians, to the press, and to the general public – be skeptical and don’t follow DSM 5 blindly down a road likely to lead to massive over-diagnosis and harmful over-medication. Just ignore the ten changes that make no sense…<\/strong><\/sup><\/div>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"

Something extraordinary happened in psychiatry in our recent past. Something that I could never have imagined in my wildest dreams. The two men who had shepherded the revolution in psychiatric diagnosis [DSM-III, DSM-IIIR, DSM-IV, and DSM-IVTR], Drs. Robert Spitzer and Allen Frances, not only became critics of the DSM-5 Revision, they came out of retirement […]<\/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-30672","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/30672","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=30672"}],"version-history":[{"count":11,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/30672\/revisions"}],"predecessor-version":[{"id":42822,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/30672\/revisions\/42822"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=30672"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=30672"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=30672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}