{"id":57779,"date":"2015-06-10T20:21:27","date_gmt":"2015-06-11T00:21:27","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=57779"},"modified":"2015-06-12T20:31:13","modified_gmt":"2015-06-13T00:31:13","slug":"path-dependence-and-lock-in-continued","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2015\/06\/10\/path-dependence-and-lock-in-continued\/","title":{"rendered":"path-dependence and lock-in [continued]…"},"content":{"rendered":"\n

I decided that trying to summarize Why is the Diagnostic and Statistical Manual of Mental Disorders so hard to revise? Path-dependence and "lock-in" in classification<\/a> in the last post [a curious inertia…<\/a>] was too much, but rereading it this morning, I changed my mind. Independent from how the DSM<\/font><\/strong>s came into being, this article has something to say about any future attempts to change it no matter what changes are proposed [and changing it yesterday would be absolutely okay with me]. As Allen Frances tweeted about this article, "DSM is so hard to change not because it’s right –  it’s that every change has harmful unintended consequence.<\/font><\/strong><\/em>"<\/p>\n

Actually path-dependence<\/font><\/em> and lock-in<\/font><\/em>  aren’t two separate things, but two parts of the same process. The article brings up an interesting example – the QWERTY<\/font><\/strong> keyboard…<\/p>\n\n\n\n\n
FLASH!<\/font><\/strong><\/td>\n<\/tr>\n
I typed the above when I got up, and then set off on a busy morning. When I got home from my busy morning, I did what old men do after a busy morning [boring or not]. When I woke up, I checked my messages and found this one. This paper is available on the Internet after all. Thanks to <\/sup>Rachel Cooper<\/font><\/strong><\/sup> for posting it and to Antipaxos<\/font><\/strong> for sending it my way. Obviously, my follow-up just got a lot easier to write. I’ll finish my paragraph and move on…<\/sup><\/em> <\/p>\n
<\/td>\n<\/tr>\n
\n
Antipaxos<\/a>
June 10, 2015 | 4:23 PM |<\/font><\/strong><\/div>\n

Dr. Rachel Cooper provides a preprint of her article<\/font><\/strong> here<\/a>.<\/td>\n<\/tr>\n<\/table>\n

I’m a self-taught typist with a spastic technique. I actually look at the keyboard, so I never knew why the keyboard is laid out so oddly. But in the day, fast typists could jam up pretty easily if the keybar from the last letter isn’t out of the way of the next. So the keyboard layout is designed to put keys that frequently follow each other in words far apart. Very clever! Now, that doesn’t matter with the computer keyboards, but because all jillion of you real typists out there would rise up in arms if it got changed to the Dvorak layout, it stays the same – QWERTY<\/font><\/strong>. And if there were a major revision of the DSM, the administrative and actuarial changes would fall into the "Y2K<\/font>" range. If I may be allowed an editorial comment, the third party carriers don’t trust us to make \"the<\/a>reasonable treatment recommendations. Instead they force us to squeeze patients into these often ill-fitting categories with somewhat fixed coverage. The profoundly depressed Melancholic and the situationally depressed may have the same coverage – a silly use of a Dx category… <\/p>\n

The best part of this paper has to do with her commentary about the DSM-5 Task Force and how these basic concepts played out in fact in their deliberations. But now, I don’t need to summarize anything. It’s there for the reading. Enjoy…<\/div>\n","protected":false},"excerpt":{"rendered":"

I decided that trying to summarize Why is the Diagnostic and Statistical Manual of Mental Disorders so hard to revise? Path-dependence and "lock-in" in classification in the last post [a curious inertia…] was too much, but rereading it this morning, I changed my mind. Independent from how the DSMs came into being, this article has […]<\/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":[5],"tags":[],"class_list":["post-57779","post","type-post","status-publish","format-standard","hentry","category-opinion"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/57779","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=57779"}],"version-history":[{"count":47,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/57779\/revisions"}],"predecessor-version":[{"id":57849,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/57779\/revisions\/57849"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=57779"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=57779"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=57779"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}