Thursday, October 3

DSM

http://www.nybooks.com/articles/archives/2011/jul/14/illusions-of-psychiatry/?pagination=false
  1. paragraph 1-5 in my article in the last issue - through psychiatry became the darling of the pharmaceutical industry, which soon made its gratitude tangible.  Mauricio and  Brandon   Meds - doctors   Eisenberg and ADD got out of Freudian view.  drugs into'd in the 50s and by the 80s the focus was set .... yippie for science .... Melvin Sebastian <-- the culprit  
  2. paragraph 5-9 In the late 1970s, the psychiatric profession struck back—hard. -through-
    The DSM-IV sold over a million copies.    Raymond:   re-medicalized psychiatry.  embraced the biological model ....  upped shrinks among the many who "talk" .... DSM iii radically diff from DSM ii     1980 265 diagnoses.    The "go to" book.    brings consistency.   funny part:   was to be more reliable, but none are really backed up by scientific studies.   
  3. paragraph 9-13 Not only did the DSM become the bible of psychiatry - through -
    the second block quote in paragraph 13 which ends with "provided a moral authority"  Aysia   no  basis for it as psychiatry started grwoing, DSM got bigger in # and in popularity.   drug intensive.   drug co's w "hand in everything."  Key opinion leaders.   
  4. paragraph 13- 15 In addition to the money spent on the psychiatric profession - through -
    As they multiply with each edition of the DSM, what are we to make of them    Kyle  $$$$ Eli LIlly  550,000    etc ....   Shrinks who use drugs = 180/hour vs. one for talk therefore they make more money    drugs vary but not much.  
  5. paragraph 15 -18  As for the medications themselves - through -
    It looks as though it will be harder and harder to be normal.     Zack and steven .... handful of umbrella categories, subjective bsis ffor choosing one cat over another.    create as many cats as possible to ID as many diseases as possible .... bonanza    .
  6. paragraph 18 - 22  Even Allen Frances, chair of the DSM-IV task force, is highly critical - through  - states will save money by shifting welfare costs to the federal government.-  Jesus and Gyzelle  expanding the DSM ... more $$ for bigpharma.   push for expansion was cronyism ....   juv bi polar multiplied 40x between 1992 - 2004.  Autism went from 1 in 500 to 1 in 90.      
  7. paragraph 22 - 26  One would be hard pressed - through -
    just as companies are prohibited from marketing them off-label.    many shrinks RX non-labelled drugs .... .
  8. paragraph 27 - 29 : Tabor
    two books are pwrful indictments of psychiatric practice
    "frenzy" of diagnosis
    overuse of drugs - sometimes devastating side effects
    many conflicts of interest
    maybe the "price" to relieve suffering is loss of brain tissue (!)
    especially need to rethink the way we treat children
    time honored medical dictum:  "Do no harm."

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