Psychiatry divided as mental health ’bible’ denounced
2013 05 07

By Andy Coghlan and Sara Reardon | NewScientist

The world’s biggest mental health research institute is abandoning the new version of psychiatry’s "bible" – the Diagnostic and Statistical Manual of Mental Disorders, questioning its validity and stating that "patients with mental disorders deserve better". This bombshell comes just weeks before the publication of the fifth revision of the manual, called DSM-5.

On 29 April, Thomas Insel, director of the US National Institute of Mental Health (NIMH), advocated a major shift away from categorising diseases such as bipolar disorder and schizophrenia according to a person’s symptoms. Instead, Insel wants mental disorders to be diagnosed more objectively using genetics, brain scans that show abnormal patterns of activity and cognitive testing.

This would mean abandoning the manual published by the American Psychiatric Association that has been the mainstay of psychiatric research for 60 years.

The DSM has been embroiled in controversy for a number of years. Critics have said that it has outlasted its usefulness, has turned complaints that are not truly illnesses into medical conditions, and has been unduly influenced by pharmaceutical companies looking for new markets for their drugs.

There have also been complaints that widened definitions of several disorder have led to over-diagnosis of conditions such as bipolar disorder and attention deficit hyperactivity disorder.

Now, Insel has said in a blog post published by the NIMH that he wants a complete shift to diagnoses based on science not symptoms.

"Unlike our definitions of ischaemic heart disease, lymphoma or AIDS, the DSM diagnoses are based on a consensus about clusters of clinical symptoms, not any objective laboratory measure," Insel says. "In the rest of medicine, this would be equivalent to creating diagnostic systems based on the nature of chest pain, or the quality of fever."

Insel says that elsewhere in medicine this type of symptom-based diagnosis been abandoned over the past half-century as scientists have learned that symptoms alone seldom indicate the best choice of treatment.

To accelerate the shift to biologically based diagnosis, Insel favours an approach embodied by a programme launched 18 months ago at the NIMH called the Research Domain Criteria project.

The approach is based on the idea that mental disorders are biological problems involving brain circuits that dictate specific patterns of cognition, emotion and behaviour. Concentrating on treating these problems, rather than symptoms is hoped to provide a better outlook for patients.

"We cannot succeed if we use DSM categories as the gold standard," says Insel. "That is why NIMH will be reorienting its research away from DSM categories," says Insel.

[...]

Read the full article at: newscientist.com



Related Articles
Firestorm Over New Psychiatry Bible
The Psychiatric Drugging of America’s Foster Children
One in five Afghan children suffers psychiatric disorder
Dr Thomas Szasz on Psychiatry


Latest News from our Front Page

Björn Söder, Swedish Jews, and Multiculturalism
2014-12-23 2:12
Of all the accusations commonly leveled against a Jews as a group, perhaps the one they find most frightening is the accusation that they are disloyal, or aren’t ‘quite’ like the rest of us. Arguably, a large part of the Jewish evolutionary strategy consists of maintaining a pose, or pretence, to be fully in and of the nation and its ...
'Spectre' Is Doomed: Did North Korea Kill James Bond? No, but Political Correctness will
2014-12-22 22:01
Comment: Below is an interesting article from Forbes on the fate of the Bond franchise. They asks: 'Spectre' Is Doomed: Did North Korea Kill James Bond? North Korea probably wasn't behind the Sony hack, China also chimed in. Looks more like a False Flag Hack. North Korea is a lot of things, but behind the Sony attack? Probably not. They have ...
NYPD officer slayings: When the Left's False Narratives Have Deadly Consequences
2014-12-22 21:12
On Saturday afternoon, Black Brooklynite Ismaaiyl Brinsley ambushed two NYPD police officers and shot them both to death while they were sitting in their patrol car. According to early reports, there was “no warning” and “no provocation.” Brinsley simply approached the vehicle and “unloaded” on the two officers sitting inside. Hours before the assassination, he had announced his intent ...
Saudi oil chief: No conspiracy behind oil prices
2014-12-22 20:36
Nothing to see here or here Saudi Arabia's oil chief on Sunday dismissed allegations that his kingdom conspired to bring down oil prices in order to harm other countries and told a summit of Arab energy leaders that he was confident the market would stabilize. The kingdom, which is dependent on oil revenues, is able to weather lower oil prices due to ...
North Korea's internet is having serious problems
2014-12-22 19:13
North Korea is having serious connectivity issues this morning, North Korea Tech reports. The country has extremely limited web infrastructure to begin with, but reports from Dyn indicate the country's infrastructure has suffered a series of major outages over the past 24 hours. As a result, anyone at a North Korean IP would have found it nearly impossible to connect ...
More News »