A spot-on post by Cate on CFS Un-Tied Blog
By Cate, February 15, 2010 @ 8:11 am
My contribution to DSM-5
Complex Psychiatry Hoodwinking Syndrome (CPHS)
Here are the criteria:
Medical Doctors posit simplified unsubstantiated personal opinions and theories regarding a patients mental state and physical diagnosis with the absence of any supporting testing to confirm said opinions.
CPHS is a deceptive, delusional state, whereby the individual believes they are superior in judgment, and that all there is to know about the human brain and body is now known, and that any symptom set that does not neatly fall into the currently assigned categories are Psychiatric in nature.
Psychiatry is a subjective, collective belief system that attempts to claim some validity through the science of Neurology but it is unclear just where that validity lies.
To meet criteria for CPHS, criteria A, B, and C are necessary.
A. Somatic symptoms: Sitting behind desks, paper/chart shuffling, pencil playing, leg and arm crossing, lack of eye contact and often flat facial affect.
B. Misattributions, lack of concern regarding patients physical symptoms and/or test results, and preoccupation with their own grandiosity. At least two of the following are required to meet this criterion:
(1) High level of Anti Depressant prescription writing.
(2) Abnormal bodily symptoms are viewed as personality traits and cognitive choices
(3) A tendency to assume the least about their patients health concerns (minimizing).
(4) Belief that anti depressants are not dangerous medications that should be prescribed with caution, despite evidence to the contrary.
(5) Health concerns assume a minimal role in their practice
C. Chronicity: Although any one symptom may not be continuously present, the state of an aggravated sense of self importance and recognition of their superiority without commensurate achievements chronic and persistent (at least 6 months, but often found throughout entire careers).
The following optional specifiers may be applied to a diagnosis of CPHS where one of the following dominates the clinical presentation:
XXX.1 Fifteen minute patient appointments, one hour Drug Rep lunches.
XXX.2 Egotistical behavior (co-morbid, Narcissistic Personality Disorder.)
XXX.3 Psychiatry Lobbying disorder.
This classification is reserved for those individuals presenting with CPHS, who go
beyond the scope of individual practice and seek to psychologize all misunderstood, baffling symptom sets within the medical community.
I have posted my initial reaction to this blog subject Khaly to provide a little comic relief regarding the very serious and threatening Complex Somatic Symptom Disorder diagnostic code, that if adopted, will affect EVERYONE with atypical forms of neruo immune disease, neurological or immune damage in general, or any patient presenting with chronic pain.
My intent with this facetious response was to show the TOTAL subjectivity of such a diagnosis, and to question the current field of Psychiatry within similar subjectivity and opinion.
( I will post a more serious response shortly)