Psychiatry’s New Rules Threaten to Turn Grieving Into a Sickness
By Brandon Keim | Wired.com
A controversial change to official psychiatric guidelines for depression has raised fears that grief over the death of loved ones will be classified as clinical depression, turning a basic part of what it means to be human into a recognized sickness.
The change, contained in new revisions to the DSM-5, a set of standards used to categorize mental illness, eliminates the so-called bereavement exclusion, which exempts grieving people from diagnoses of depression for two months unless their symptoms are self-destructively extreme. Under the new standards, depression can be more easily diagnosed just two weeks after a death.
“Virtually everyone who is grieving has milder symptoms of depression. What the bereavement exclusion did is separate the normal responses from the severe ones,” such as feelings of worthlessness or suicidal impulses, said psychiatrist Jerome Wakefield of New York University, who studies bereavement and depression.
“This goes over a line. If you can pathologize this kind of feeling, any kind of suffering can be a disorder. It’s a disagreement over the boundaries of normality,” Wakefield said. “What kind of world do you want to have? One where intense, negative feelings we don’t like are labeled as disorders, or a world where people grieve?”
Defenders of the bereavement exclusion’s removal, officially announced Dec. 1 by the American Psychiatric Association, say worries of pathologized grief are overblown. They argue that though not all grieving is depressive, grief-related depression isn’t fundamentally different from what’s considered normal depression. As a result, they say the exclusion makes it unnecessarily difficult for clinicians to deal with bereaved people who legitimately need help.
“I think a good clinician can separate the two,” said Jan Fawcett, a University of New Mexico psychiatrist and head of the DSM-5 working group that authored the change, of normal grief and clinical depression. “We feel that clinicians have been making this judgment all along.”
The DSM, or Diagnostic and Statistical Manual of Mental Disorders, represents American psychiatry’s official tool for deciding between mental disorders and normality. First drafted in 1952, it’s now known euphemistically as psychiatry’s Bible, used by doctors, insurance companies, the legal system, and most any social institution that deals formally with mental health.
The DSM has been revised four times since its original publication, with the latest changes developed over the last seven years and culminating in the recent approval. These have been perhaps the most controversial changes ever, partly because they’re the first made in the cacophonous media environment of the internet age, but also because of the changes themselves. New conditions include hoarding, severe pre-menstrual syndrome, binge eating, temper tantrums and everyday forgetting among the elderly. Critics say these represent a tendency in modern psychiatry to medicalize the normal range of human experience.
Far and away the most controversial change is eliminating the bereavement exclusion, which discouraged clinicians from diagnosing as depressed grieving people whose symptoms were actually part of a normal, necessary emotional process, though in other people they’d be considered formal grounds for depression.
Read the full article at: wired.com
The Sisterhood of Grief
Good Grief: Is there a better way to be bereaved?
Grieving mothers adopt life-like dolls
Diagnosing Hollywood - Mental Illness in Film
The Americanization of Mental Illness
Salon Hit Piece Implies Truth Seeking Is A Mental Illness
Latest News from our Front Page
Increased tax subsidies for politically correct media
On Dec 9 last year I translated a random snapshot of the biggest newspaper in Sweden. The headlines alone spoke for themselves. It was, simply put, an orgy of political correctness, obvious attempts at emotional manipulation and general national self-loathing. In other words, a typical Swedish newspaper on any given day.
As more and more readers are waking up to the ...
When obeying the law and supporting yourself is racist
There is a huge scandal in the municipality of Ă„lmhult in Sweden. It has been revealed that there is a letter that may have been sent from the municipality offices to newly arrived immigrants informing them that the law applies to them and that theyâ€™re expected to eventually go off the dole and start pulling their own weight in society.
New political weapon: Threat to unleash immigrant invasion
Youtube description: Threatening to bombard a country with illegal immigrants has become quite the bargaining chip in political quarrels, as Polly Boiko explains.
Editors Note: Notice how the argument is twisted around at the end of the report. The word "Bogeyman" is used. This is a common allusion to a mythical creature. What is mythical about replacement immigration into Europe? ...
Facebook completes first drone flight above UK, Mark Zuckerberg confirms
Solar powered drones which provide internet access to rural and remote areas have been trialled in UK for first time by Facebook.
They â€śhave a wingspan greater than a Boeing 737 but will weigh less than a carâ€ť, according to the social network's chief Mark Zuckerberg.
The drones, developed by Somerset-based company Ascenta which Facebook bought last March, will beam down laser-guided ...
300 Young English Girls (and a few Boys) Groomed and Assaulted by Oxfordshire "Gangs," Report Finds
Editor's note: This story is a few days old now but the echoes of Rotherham just keeps coming. A few weeks ago there was Halifax, now Britain proudly can add Oxfordshire to their line up of diversity success stories.
Below is the story from the telegraph:
Serious case review finds failings by police and social services as it identifies hundreds of victims
|More News » |