United Nations Statement Criticizes Medicalization of Depression on World Health Day
"There is a need of a shift in investments in mental health, from focusing on 'chemical imbalances' to focusing on 'power imbalances' and inequalities"
Will Psychiatry’s Harmful Treatment of Our Children Bring About Its Eventual Demise?
The safety of our children is a sacred obligation we strive to preserve. Anything or anyone that harms them becomes the object of our...
United Nations Report Calls for Revolution in Mental Health Care
In a new report, the United Nations Special Rapporteur on the right to health, Dr. Dainius Pūras, calls for a move away from the biomedical model and “excessive use of psychotropic medicines.”
Mental Health Professionals Critique the Biomedical Model of Psychological Problems
While a great deal of the excitement about advances in psychological treatments comes from the potential for research in neuroscience to unlock the secrets of the brain, many mental health experts would like to temper this enthusiasm. A special issue of the Behavior Therapist released this month calls into question the predominant conception of mental illnesses as brain disorders.
“DSM-5: Caught between Mental Illness Stigma and Anti-Psychiatry Prejudice”
Jeffrey Lieberman, incoming president of the APA, responds to criticism of the DSM and psychiatry, saying "it’s important to understand the difference between thoughtful,...
How Reliable is the DSM-5?
More than a year on from the release of DSM-5, a Medscape survey found that just under half of clinicians had switched to using the new manual. Most non-users cited practical reasons, typically explaining that the health care system where they work has not yet changed over to the DSM-5. Many, however, said that they had concerns about the reliability of the DSM, which at least partially accounted for their non-use. Throughout the controversies that surrounded the development and launch of the DSM-5 reliability has been a contested issue: the APA has insisted that the DSM-5 is very reliable, others have expressed doubts. Here I reconsider the issues: What is reliability? Does it matter? What did the DSM-5 field trials show?
Diagnosis Dilemma
Not long ago I had a conversation with a psychiatrist. He told me about a diagnostic dilemma he’d run up against at work; When a judge makes an unfunded treatment mandate as part of her judgment, she pressures the doctor to make a “payable” psychiatric diagnosis. If the doctor stretches the truth out of sympathy and provides an inaccurate but payable diagnosis so that his patient can have access to medical care and money to live on, he is committing fraud that can mean heavy fines and incarceration for himself.
The DSM-5 Field Trials: Inter-Rater Reliability Ratings Take a Nose Dive
The American Journal of Psychiatry (January, 2103) recently published a series of articles that analyzed the outcomes of the field trials that were conducted by the DSM-5 Task Force, to determine the inter-rater reliability of the multiple diagnostic categories that will comprise the DSM-5. A table below tracks the downward progression of inter-rater reliability from DSM-III through DSM-5.
“Multigenerational Poverty”
The practice of medicine in our country is being swallowed whole by a snake. The snake started with the poor, the black, the brown; the already disenfranchised of the deep south and inner cities many years ago. It was an easy sell to the better-off taxpayers. Who wants to give up money to take care of poor people?
No Brain Connectivity Differences Between Autism, ADHD, and “Typical Development”
Neuroscience researchers find no differences in brain connectivity between children with diagnoses of autism, ADHD, and those with no diagnoses.
Questioning the Philosophical Assumptions of Neuroscience Research
Are philosophical misunderstandings behind the failure of neuroscience to provide useful clinical research?
Psychologists Push For New Approaches to Psychosis: Part 1
Psychologists and people with experience of psychotic symptoms publish a report on new ways of understanding psychosis.
An Alternative Perspective on Psychotherapy: It is Not a ‘Cure’
Kev Harding argues against conceptualizations of therapy as a ‘cure’ to an ‘illness’ and instead offers alternative approaches.
Researchers Question the Utility of an ADHD Diagnosis
A new article examines the usefulness of the ADHD diagnosis and suggests alternatives
Mental Health Concerns Not “Brain Disorders,” Say Researchers
The latest issue of the journal Behavioral and Brain Sciences features several prominent researchers arguing that mental health concerns are not “brain disorders.”
Duty to Warn – 14 Lies That Our Psychiatry Professors in Medical School Taught...
Revealing the false information provided about psychiatry should cause any thinking person, patient, thought-leader or politician to wonder: “how many otherwise normal or potentially curable people over the last half century of psych drug propaganda have actually been mis-labeled as mentally ill (and then mis-treated) and sent down the convoluted path of therapeutic misadventures – heading toward oblivion?”
The Genetics of Schizophrenia: A Left Brain Theory about a Right Brain Deficit in...
In recent months, two teams of researchers in the UK and the US published complementary findings about the epigenetic origins of schizophrenia that have scientific communities who indulge in ‘genetic conspiracy theories’ abuzz. While these results are intriguing, and no doubt involve pathbreaking research methodologies, this line of thought represents a decontextualized understanding both of the symptoms that are typically associated with schizophrenia, and their causes.
Developing Alternatives to the DSM for Psychotherapists
A new article suggests counselors and psychotherapists are dissatisfied with current diagnostic systems and outlines some potential alternatives.
Constructing Alternatives to the DSM: An Interview with Dr. Jonathan Raskin
Dr. Raskin discusses psychotherapists’ dissatisfaction with current psychiatric diagnostic systems and explores alternatives.
Why the Rise of Mental Illness? Pathologizing Normal, Adverse Drug Effects, and a Peculiar...
In just two decades, pointing out the pseudoscience of the DSM has gone from being an “extremist slur of radical anti-psychiatrists” to a mainstream proposition from the former chairs of both the DSM-3 and DSM-4 taskforces and the director of NIMH. In addition to the pathologizing of normal behaviors, another explanation for the epidemic — the adverse effects of psychiatric medications — is also evolving from radical to mainstream, thanks primarily to the efforts of Robert Whitaker and his book Anatomy of an Epidemic. While diagnostic expansionism and Big Pharma certainly deserve a large share of the blame for this epidemic, there is another reason.
The Role of Racial Bias in the Overdiagnosis of Schizophrenia
Researchers detect disparity between white and African American patients diagnosed with schizophrenia when symptoms of a mood disorder are present.
Minimal Evidence for Disruptive Mood Dysregulation Disorder in Childhood
Researchers offer a critical take on the inclusion of the Disruptive Mood Dysregulation Disorder in the DSM-V.
Lancet Psychiatry’s Controversial ADHD Study: Errors, Criticism, and Responses
Amid calls for a retraction, Lancet Psychiatry publishes articles criticizing the original finding and a response from the authors.
Moral and Political Implications of the DSM
-A special issue of Public Affairs Quarterly examines "the moral and political implications" of the Diagnostic and Statistical Manual of Mental Disorders.
Does It Matter if We Believe in Mental Illness?
It's clear that different people relate to the idea of "mental illness" and labeling differently. Many people find the experience of being diagnosed with...