Tuesday, May 26, 2020

Comments by James OBrien MD

Showing 4 of 4 comments.

  • I don’t practice coercive psychiatry. All my patients are voluntary. I am also against gun control. And with few exceptions, I am against involuntary commitment.

    Since you don’t know me you ought to be careful about making unfounded statements based on preconceived notions. I thought you were against stigma and branding? Maybe not so much.

    It seems like you are coming from the position that the Aurora shooter should not have been committed. I am telling you right now that 99% of people will tune you out if you persist in that way of thinking.

    Just because you don’t agree with Pies does not mean the other extreme is right either.

  • Civil commitment in the US in the 1950s was a lot higher before DSM even existed. The correlation between DSM and using diagnosis as a tool to commit is nil. The same is true of forensic psychiatry.

    I cannot agree with those who say there is no such thing as mental illness or that the dangerous mentally ill should not be placed in hospitals for their own good and public safety.

    If you’re going to take that position, then you are saying it is a good thing that James Hughes, the Colorado shooter, was never committed after he was identified as mentally ill and dangerous.

    You will lose that argument with any rational person. Set aside your own personal feelings and look at the reality.

  • I wouldn’t be too hard on Dr. Frances right now and he can be a valuable ally because of his credentials. If you read his recent work, he’s done a major mea culpa on the excesses of DSM-4 and regrets it. This is not easy to do and I admire his intellectual honesty, though I don’t agree with him on everything.

  • I enjoyed reading your response on the NYT and this blog. I consider myself a passionate moderate on the issue of psychiatric diagnosis (somewhere between Pies and Thomas Szasz) but wholly opposed to the nightmare that is DSM5.

    To his credit, Dr. Pies is not erasing my critical posts on Psychiatric Times on the issue of stigma and DSM5. As a forensic psychiatrist, I have rather enjoyed the debate, and you might too. Please see my responses to his recent articles. I trust you will find he has put himself in an untenable position with his high minded ethics opposing stigma and “branding” while advocating what I called the ultimate branding iron.