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DSM 5 Refuses to Correct Somatic Symptom Disorder - Blog by DSM IV Leader

Discussion in 'Other Health News and Research' started by Simon, Jan 17, 2013.

  1. Simon

    Simon

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    Psychology Today Blog, by Allen Frances
    Bad News: DSM 5 Refuses to Correct Somatic Symptom Disorder

    It's quite a long piece and its not fair for me to quote it all, but a couple of his suggestions for change stood out for me, given some of the issues that are often raised about CFS:
     
  2. alex3619

    alex3619 Senior Member

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    To Aussies may I suggest the refrain "I can feel a boycott coming on ..." to the tune of a well known beer advertising jingle. DSM-V is not demonstrated to be fit for purpose.

    "The American Psychiatric Association has proven itself incompetent to produce a safe and scientifically sound diagnostic system."
     
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  3. Dx Revision Watch

    Dx Revision Watch Owner of Dx Revision Watch

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    I suggest a merger with the current, existing DSM-5 thread, which already has the link to Allen Frances' second commentary posted in it.

    http://forums.phoenixrising.me/inde...apman-opposition-to-dsm-5-ssd-category.20848/

    Dr Frances published part one of a series of three commentaries on the SSD criteria, here, in collaboration with me, on December 8:

    Mislabeling Medical Illness As Mental Disorder: Allen J Frances, M.D., December 8, 2012:
    http://www.psychologytoday.com/blog...2/mislabeling-medical-illness-mental-disorder

    Additional coverage

    Moving in the Wrong Direction: Dr Tiffany Taft, Ph.D., Northwestern University, December 13, 2012:
    http://opbmed.blogspot.co.uk/2012/12/moving-in-wrong-direction.html

    Proposed DSM-5 Criteria May Unfairly Label Physical Conditions as Psychological Disorders: IBS Impact, December, 2012:

    http://ibsimpact.wordpress.com/2012...ysical-conditions-as-psychological-disorders/

    Somatic Symptom Disorder could capture millions more under mental health diagnosis: Suzy Chapman, May 26, 2012: http://wp.me/pKrrB-29B

    Suzy Chapman
     
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  4. SilverbladeTE

    SilverbladeTE Senior Member

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    Somewhere near Glasgow, Scotland
  5. alex3619

    alex3619 Senior Member

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    This has a BPS flavour at the end, but is otherwise right about the issues. More and more are noticing. With some increased coverage there might be a boycott of DSM-V, I know many are talking about it. I wonder what would happen if many diagnosed under DSM-V took action as DSM-V is not fit for purpose?
     
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  6. Jarod

    Jarod Senior Member

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    planet earth
    Cute little video to provide some contrast.

     
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  7. maryb

    maryb iherb code TAK122

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    Jarod - good watch.
     
  8. Firestormm

    Firestormm

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    Thanks Simon :) I am confused as to the lack of effect the 'leader' has had on the panel. Is he without 'clout' or what?

    Suzy, thank you for this :)

    When you have time :eek: would you be able to write a summary of how all of this is likely to affect people with our condition? With all the excellent coverage you have afforded, I've kind of got lost in the volume.

    I realise that SSD will not embrace CFS but we are as 'at risk' for symptoms that will - theoretically - be picked up by DSM5 as the next person.

    I would also like to know if clinicians can/will simply 'opt out' or not enforce/follow these new guidelines and what the ramifications of such a decision might be for clinician and patient. Also what all this might have to do with the UK.

    Thanks for the BBC link, Silverblade. It looks very helpful :)
     
  9. In Vitro Infidelium

    In Vitro Infidelium Guest

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    Allen Frances was the leader of the previous process - creation of DSM IV - he has no formal role in the current process which will produce DSM V. However given his role in DSM IV Frances' criticisms ought to give those producing DSM V pause for thought, however a new regime with new priorities is obviously now in place. Realistically I think the battle over DSM V is lost and the focus should be on questioning the validity of the APA and its publication as any basis for diagnosis - it can certainly be resisted outside of the US by insistence that local expertise be the guide to diagnosis not the failed DSM V.

    IVI
     
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  10. alex3619

    alex3619 Senior Member

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    @IVI, I thought the battle was lost a long time ago (the history of psychiatry is to pursue these things regardless of criticism), though continuing to fight is not about winning. Its about keeping resistance galvanized and further highlighting issues that can be refered to later. After the DSM-V is released is when the real action will happen. I agree it can be resisted, or at least that can be attempted. The best thing that can happen for the world in this, and for both psychiatry and medicine, is for DSM-V to be resoundingly rejected in the marketplace and lead to a financial loss. That would be the market giving its verdict. Unfortunately making the public aware of the issues, and making the whole medical profession plus medical bodies, is not going to be easy. Many are, particularly those already involved in psychiatry, but I do not know how widespread this is. What do doctors currently in Australia, Canada, India, or Malta know about this?
     
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