In the latest mental disorders’ psychiatric manual, grief soon could be considered to be major depression after the death of a loved one. Fancy name is given to the extreme temper tantrums of childhood. And some specific senior moments become to be known as disorder that’s mild neuro cognitive.
It this these changes which are the major reasons that notable critics say American Psychiatric Association gets uncontrollable, turning the usual problems of humans to mental illnesses-the trend that they think will make the culture of pop-a-pill worse,
As a previous leader of group says that the normal should be kept form the powerful sources that are trying to urge everyone that all of them are sick.
5th edition of the manual, DSM-5, is at issue. It has been considered from a long time as an authoritative source to diagnose the mental problems. Also, a backlash too shape during the recent weeks:
- Latest 2 books by experts of mental health, “The Book of Woe” and “Saving Normal” say that the most popular psychiatric guide of this world doesn’t have any credibility left.
- A group of British psychologists is criticizing DSM-5, asking for paradigm shift that’s away from considering mental problems to be a disease. A German therapists’ organization also attacked new guide.
- Head of U.S. National Institute of Mental Health even has complained about the book lacking any scientific validity.
Director of NIMH, Dr. Thomas Insel, attempted to patch up the things this week as psychiatrists’ group and he issued a combined statement which said that they have the same goals to improve treatment and diagnosis of the mental illnesses.
Release of the manual has come at the time when there’s boosted security of costs of the health care and concern of influence of drug company over doctors. The critics point to landscape where TV ads give description of symptoms of mental disorders as well as promote some specific drugs for treating them.
In the book Saving Normal, Dr. Allen Frances writes that a lot of treatment is provided to the people who are normal but “worried well” whereas the ones really ill get very little help. He thinks that new version also adds the new diagnoses which would turn the everyday bad habits, eccentricity etc to mental disorders.
The former revisions were loudly criticized as well, but the newest has come at the time when there is increasing illnesses’ diagnoses listed in manual – including disorder of attention deficit, bipolar disorder and autism.
The 34000 members of the group are psychiatrists. Unlike the therapists that lack medical degrees and psychologists, they are able to prescribe medication. Though there has been rivalry between 2 groups from a long time, revisions of DSM-5 have stoked tensions.
Highly contentious changes involve:
- Diagnosing extreme fatigue, troubled sleeping and weight loss etc as major depression which typically is treated with antidepressants.
- Naming the extreme and frequent temper tantrums as the disruptive disorder of mood dysregulation, new diagnosis. According to psychiatric association, label applies to the youngsters who might’ve been misdiagnosed of bipolar disorder.
- Diagnosing the mental decline which is somewhat beyond the normal aging to be the mild disorder of neurocognitive. Affected people might get to know that it takes additional effort to manage medication and pay bills.
- Calling excessive feelings or thoughts regarding pain or any other discomfort as the disorder o somatic symptom, something which can affect healthy and cancer patients alike. According to critics, the normal reactions are turned as mental illness.
- Including binge eating to be a latest category for the overeating that occurs minimum once in a week and for minimum 3 months.
- Having the Asperger’s syndrome removed as separate diagnosis, instead putting it in the category, disorder of autism spectrum.
The chairman of task force which oversaw DSM-5, Dr. David Kupfer, said that changes are according to solid research made and will assist in making sure that people get the accurate treatment and diagnoses. The incoming president of psychiatry association, Dr. Jeffrey Lieberman also thinks that an up-to-date knowledge of science is taken into account in this book.
But the government chief of agency of mental health, Insel, wrote in the recent blog about guidebook that it is like a dictionary of definitions and labels. He said that he is in favor of a different approach of diagnosis which is mainly based on some biological information, like the way heart disease is diagnosed.
Still there is little concrete evidence to suggest that something goes wrong within the brain during a mental illness. The agency run by Insel began research project in order to devise some new way to have the mental illness diagnosed, making use of brain imaging and genetics etc. but the project is going to take many years.
Revisions included in this new guide are suggested by the groups assigned by psychiatric association to evaluate the various mental illnesses as well as recent research on them. In December, the trustees’ board decided the recommendations that have to be included.
The advocacy groups threatened protests of Occupy-style and boycott in the meeting this week.
The group of Occupy Psychiatry thinks that psychiatric industry that is allied with the Big Pharma, happens to have misled public a good deal. The organizers also include Jim Gottstein, the Alaska lawyer, who has fought much against psychiatric drugs overuse.
According to a website for Committee that’s boycotting the DSM-5 and which is organized by a social worker from New York, Jack Carney, new manual would expand the psychiatric diagnosis drastically, mislabel many people to be mentally ill, also causing treatment that is unnecessary and that too with medicine.
A member of Committee, Courtney Fitzpatrick, who had his 9-year-old son dead seven years back while he was hospitalized for some blood vessel disease said that she also has joined other support groups that are for parents who are grieving and she doesn’t consider that any of the people there are ill just because they are sad that their kids have passed away.
A psychotherapist at Connecticut and the author of The Book of Woe thinks that influence of pharmaceutical industry in psychiatry contributed to making normal conditions to diseases so there could be drugs prescribed for their treatment.
Many of 31 members of task force involved in the development of revised guidebook had financial ties with makers of the psychiatric drugs and that includes stock, research grants and consulting fees.
Leaders of the group dismiss such criticism and they emphasize that they agreed on not collecting above $10, 000 in the industry money during the calendar year that preceded the publication of manual.