Gerald Vest: Diagnostic and Statistical Manual of Mental Disorders    
 Diagnostic and Statistical Manual of Mental Disorders24 comments
picture23 Dec 2006 @ 15:35, by Gerald Vest

"Alternative to Disatisfaction" - For all their unhappiness, few people seem to question the basic patterns of their lives. (Tarthang Tulku, Knowledge of Freedom - Time to Change., p.4)

In a Student Forum, I posted a message that describes my position on labeling clients with the DSM (all versions). I don't think that any labels are respectful of clients. This classification system is virtually the only mental health program used by this broken system. Social workers for far too long have passively bought this model, 'hook-line and sinker.' There is no organizational effort that I am aware of to change these practices. This article is written as a protest to the violation of 'best practices' and ethical considerations with mental health related clients.

"The mission of the social work profession is rooted in a set of core values. These core values, embraced by social workers throughout the profession's history, are the foundation of social work's unique purpose and perspective:

o service
o social justice
o dignity and worth of the person
o importance of human relationships
o integrity competence.

This constellation of core values reflects what is unique to the social work profession. Core values, and the principles that flow from them, must be balanced within the context and complexity of the human experience."

We don't have to buy this harmful DSM program any longer. Let's organize and do what social workers do best--engage clients with dignity and respect.

************************************************************

Dear Students and Colleagues,

Thanks for remembering my position on the Diagnostic and Statistical Manual of Mental Disorders (DSM IV). I have talked with many students and faculty about this issue, especially students who fail the licensing exam because they have little interest in becoming mental health therapists. Several of us, also don't like the idea of putting a label or a negative distinguishing characteristic on our clients. Labeling may produce a stigma or a false impression about a person, thus misrepresenting their dignity and respect as a human being and potentially establishing a self-fulfilling prophecy.

Furthermore, while discussing this issue with mental health professionals, few if any have ever changed their diagnoses to "cured," so these labels apparently stick with the person for life. Seems to me, if this is true, this approach is not just, responsible or respectful. I wonder how many clients are told at intake, if they choose to use this service, they will be labeled for life as mentally ill, emotionally disturbed, personality disordered, bipolar, etc. And, their chances for ever running for public office are minimal.

These are just a few of my objections to labels. I realize that this is not the issue that you raise, but does give me an opportunity to throw up the 'red flag.'

Finally, if we wish to interact and discover the intrinsic nature of our clients and others, I suggest that we free ourselves of judgments, control and labels. By doing so, we experience the natural flow of empathy and compassion--a healthy relationship is the result.

Our Code of Ethics has described these measures for disclosing information:
***************************************
1.08 Access to Records
(a) Social workers should provide clients with reasonable access to records concerning the clients. Social workers who are concerned that clients' access to their records could cause serious misunderstanding or harm to the client should provide assistance in interpreting the records and consultation with the client regarding the records. Social workers should limit clients' access to their records, or portions of their records, only in exceptional circumstances when there is compelling evidence that such access would cause serious harm to the client. Both clients' requests and the rationale for withholding some or all of the record should be documented in clients' files.

(b) When providing clients with access to their records, social workers should take steps to protect the confidentiality of other individuals identified or discussed in such records.
******************************************
Perhaps the key to this is: "Social workers should limit clients' access to their records, or portions of their records, only in exceptional circumstances...."

It's good talking with you Tom from Canada. It has been some time since I've been active here, but learn much from the interactions of students and professionals.

I remember our extensive discussions on using safe, skillful and appropriate touch with individuals, couples, groups and communities. We are really doing well with our touch program and would love to invite my colleagues to visit our website and view our alternatives to these labels. [link]

Best wishes for a fulfilling and loving Christmas and New Year to All,

Jerry



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24 comments

24 Dec 2006 @ 15:54 by jobrown : Thanks Jerry!
Once again a subject matter that really matters!/w/Love/Astrid  


24 Dec 2006 @ 22:05 by jerryvest : Thank you, Astrid...I knew that
classifying people into mental health categories would be one of your concerns as well. I know of many professionals who do not like this practice, but don't/won't choose to do anything about it. This is very evident in Schools of Social Work who attract many graduate students interested in doing psychotherapy and eventually going into private practice. I've "been there and done that" so I will not be overly critical of others desiring mental health practice.

Mental health is really a misnomer because what affects the mind affects the body so it is important to practice integrative or holistic health practice that include the body, mind and spirit. I think we can consider the talk therapies as limited in their effectiveness as they generally treat symptoms rather than the whole person--for example, the DSM identifies symptoms for each category of 'illness' or 'disease.' And, consequently, medication is prescribed to treat the symptoms. A practice that includes a strength's perspective, mindfulness, daily health routines, with empowerment skills, are much more motivating, attractive and effective.  



25 Dec 2006 @ 18:29 by jobrown : This was one of my earliest
revelations, that SOMETHING in our Society wasn't quite right, when "all" the most evil people were the most "successful" and honored by the Establishment... and people were NOT considered responsible for own health etc... So much was so angled in /to weird non-sensical angles! Those who knew how to make a good fscade were always hailed as heroes, no matter what their actions were "behind the scenes, for instance.
I had a good friend (ten years older than me, ) who was a psychiatrist and who also was very skeptical to the System. He told me about many Whistle blowers and Ground breakers, like Ivan Illich, Eric Berne, Robert Audrey, R. Laing, Rupert Sheldrake. Read books by them all and started my quest for the Real Truth! Early on did I notice how the ones, labeled as "Mentally Ill" were only responding intelligently to a sick Norm-System in/of our Western Culture and that is where it still stands -if you ask me.
No questionabout it that many of these labeled people do get emotionally sick and their mind short circuites.... but it is NOT -originally- any flaws in them, that make this all to come to pass. The cause is to be found in accepting the sick OLD Paradigm, that denies Nature /Universe, A higher Intelligence than the Human, to be the Source and Replenisher of ALL Life including our own being' ness, being dependent on that Source, that is the kulprit to all human and Nature's - suffering.
In whichever avenues the madness of this Old Paradigm manifests in civilian individuals, is more a question of what doctor they went to when overwhelmed by this all -and what label that first doctor happened to choose!
What the "Authorities" are doing -especially to our Children- today with their label-hysteria so that they can justify pushing drugs on them, is beyond criminal: it is so immoral that we all should just chase the evil-doers down the street and give them what they deserve!....
Of course, the real remedy beyond such a drastic action is what you suggest: " A practice that includes a strength's perspective, mindfulness, daily health routines, with empowerment skills, are much more motivating, attractive and effective."
Absolutely!!! One by one we heal -until a critical mass of healing/ change/transformation has been evoked and the healing can get into work "via osmosis": Instant Insights of Cosmic Wisdom, Love and Relatedness, genuine caring for each other; this is what will bring relief from guilt, shame, apathy, fear an such, that always are at heart in any "mental" disturbance.

From a socio-political point of view this is a quite interesting site:
http://www.planetsave.com/ps_mambo/index.php?option=com_simpleboard&Itemid=75&func=view&id=68&catid=6  



25 Dec 2006 @ 20:25 by swan : I am a therapist
and I don't like the idea of labeling people either, I never have. We don't all fit neatly into a specific catagory. I perfer to look at my clients as individuals and work from there, using strengths as the foundation. I once had a supervisor who told me she liked the way I worked with people because I didn't go by the book. I said " What Book!" I have always remembered that compliment, especially at times when colleagues have tried to force me into the clinical box of labeling.  


25 Dec 2006 @ 22:05 by jerryvest : Thanks, Astrid....your post is so right
with our nature. This link is remarkable:
******************
"The link between Mind and Social / Environmental-Issues.

The fast-paced, consumerist lifestyle of Industrial Society is causing exponential rise in psychological problems besides destroying the environment. All issues are interlinked. Our Minds cannot be peaceful when attention-spans are down to nanoseconds, microseconds and milliseconds. Our Minds cannot be peaceful if we destroy Nature."
********************

Yes,so many of you/us--our community, if you will, here at NCN do recognize and discuss this partnership. Unfortunately, humanity has not made friends with Nature--we abuse and neglect her and now must face our consequences. I'm sure that Tsunami's, hurricanes, tornados, massive fires, climate changes could/should be a wake up call for those of us who never get enough--money, power, sex, things, et al. Perhaps we will continue to eat ourselves to death or drug ouselves till we can no longer feel or experience anything positive or pleasant.

I learned during my experience as a mental health administrator and therapist that we had much more to learn from those we identified as mentally ill than we had the answers for improving the quality of their lives, health, and relationships. Many of us felt that we were/are operating in the 'dark ages' with our methods.

One summer, I was invited to serve as a consultant to a mental hospital in southeast Ohio, and learned very quickly that this maximum security "hospital" was much like working or teaching in a maximum security prison. As a part-time teacher, a couple of years earlier, I learned that I couldn't tell the difference between the jailed and the jailors and now the patients and therapists. They/We were all suffering and trapped in these punitive and sick care institutions. No doubt, "One Flew Over the CooCoo's Nest" is a true story.

I had a teacher once describe our Divine Principles--Holy Perfection, Holy Will, Holy Harmony, Holy Origin, Holy Omniscence, Holy Strength, Holy Wisdom, Holy Truth and Holy Love. While learning the "9 Ways to Zhikr"/Dance and to sing these divine ideas it became apparent to me that the harmony, movement and interaction of the Whole group allows us to experience ourselves as one body, mind and spirit. Hmm, perhaps we can have a day of Zhikr this coming new year to begin a new direction of health, happiness and wellbeing.

Thank you Astrid for joining this discussion. Hope you are feeling better--sending you waves of love.

Jerry  



25 Dec 2006 @ 23:13 by jerryvest : Hi Swan...I appreciate your
contributions to our spirit and wellbeing. I'm also certain that people who connect with you are very fortunate and blessed to have found you. I don't know of others here who are part of the social work profession, but I know that your approach to therapy could be a model for our schools of social work. From my point of view, your comments, art, poetry and guidance are beautiful. Yes, "love and relatedness,genuine caring" could well be our mantra this year, Thank you, Swan.  


25 Dec 2006 @ 23:25 by jobrown : Swan,
I love the idea of finding the Point of Power in each person and to start working on the healing from there! So, if Music/singing is someone's forte and Big Love in life; then why not start there, indeed!?! Absolutely brilliant!

Wishing you all the Best this Holiday Season!Astrid  



3 Jan 2007 @ 15:37 by jerryvest : Diagnoses get in the way of Health?
Essay NY_Times -

By H. GILBERT WELCH, LISA SCHWARTZ and STEVEN WOLOSHIN
Published: January 2, 2007
For most Americans, the biggest health threat is not avian flu, West Nile or mad cow disease. It’s our health-care system.

Harry Campbell
You might think this is because doctors make mistakes (we do make mistakes). But you can’t be a victim of medical error if you are not in the system. The larger threat posed by American medicine is that more and more of us are being drawn into the system not because of an epidemic of disease, but because of an epidemic of diagnoses.

Americans live longer than ever, yet more of us are told we are sick.

How can this be? One reason is that we devote more resources to medical care than any other country. Some of this investment is productive, curing disease and alleviating suffering. But it also leads to more diagnoses, a trend that has become an epidemic.

{link:http://www.nytimes.com/2007/01/02/health/02essa.html?_r=1&ref=health&oref=slogin}  



3 Jan 2007 @ 16:45 by jobrown : Pills
cannot be prescribed for symptoms -ONLY for things defined as (their own distinct) Illness/Disease/DIAGNOSE. This is the reason -for instance- why the so called (children's ) Attention Deficit Disorder; "ADD" "became" its own DISEASE/DIAGNOSE, so that the Drs could sell ( force) Ritalin to the kids/could force the parents to buy the Ritalin for their kids.
Every person with as much as a thimbles amount of Common Sense/Intelligence understands that ADD really is a natural HEALTHY reaction to a SICK SYSTEM, but, oooohhhh, we are NOT allowed to say THAT out loud!.... cos' POISONOUS/TOXIC Pills ARE a blessing to Mankind, eh -or is it huh? ( there was a time when I, Astrid, believed in them without even questioning the whole scam!... but thank God there was always a bit of that nagging feeling that "Not ALL was OK"...)
The whole process for Allopathic Medicine ( the Western Medicine) started already in the old Mother Country of Europe, espcially Paris, France and Vienna, Austria, with some "discoveries" and 'invention's :
http://www.newadvent.org/cathen/10122a.htm /// Scroll down to : Medicine in the Nineteenth Century
http://en.wikipedia.org/wiki/Medical_science
http://www.newstarget.com/019930.html  



3 Jan 2007 @ 16:54 by jerryvest : Thanks, Astrid...pretty frightening
'links', but they do offer the reader an overview of the development of medicine as we know it today. Unfortunately, few people realize the alternatives to medicine, especially those who offer integrative health care.

I know that it is not a good feeling to be caught in the allopathic or sick care system as it seems the scans, blood tests, etc. are never ending. As you so wisely show, the drug treatment industry needs to be investigated for sure. I don't know how they can call what they do as scientific as most of their drug research is done or paid for by the pharmaceutical industry themselves. Very little oversight by government entities and because legislators are given such big campaign funding, little if anything will be done to protect us.

I realize that none of this is new to our participants, but I believe that we should continue to call for investigations of this fraud and these 'buyer beware' products. As you so aptly stated: they primarily treat symptoms.

Astrid, thanks again for contibuting significant content to this log.  



3 Jan 2007 @ 19:32 by jobrown : You are very welcome, Jerry! : )
...and -as "always" we need to consider whether we should throw the Baby out with the Bath Water -or not! There is "always" something good mixed into the Madness ( that's what makes it to a one big Soup of CONFUSION) The Western Medicine put injured people back together, like no other practice does! On the other hand.... of course.... we "should not have accidents".... well... we still do... The Snake in the Garden is double /split tongued... One part of the Lie that needs to dealt with; destroyed/removed are all the Fundamentalist Religions of ANY "shade"as well as the concept upon which "Mainstream Science" is founded and the other part is the FRAUDULENT Monetary System. Remove these and we be well on our way cleaning up the "Garden of Eden"; a not only LIFE / Nature friendly but SUPPORTIVE society, with smallish Communities where people stay happy, hence healthy etc etc.
I can't wait to see what kind of Medical System this Community, for instance, eventually ends up building for itself! http://www.csmonitor.com/2006/1220/p01s03-woeu.html

( I am recovering -finally- quite nicely! What a relief! I used Chiropractise and Homeopathic treatment( Phenocane for the Nerv Inflammation and Arnica Creme to sooth the trauma) but I used Advil whenever the pain became overwhelming.)
Wishing you all the Best! / Astrid
One more thing; I just have to say: I love the pic of your little Grandchildren rollerskating! Makes me envious,ahhhh I wish I was there (in their age ) and could the skating -including roller-one all over again! They are adorable!/ Hug them from me , will you? : ) w/ Love/Astrid  



4 Jan 2007 @ 15:14 by jerryvest : Like you, I believe there is a need for
allopathic medicine for the reasons you point out. I think that those practicing conventional medicine should open their minds to alternatives and many are doing so. As in mental health, there is little if any followup to see if their orders and treatment are effectively carried out to determine if their medicine works. I think they are too busy and overextended so it is not likely that there will be any "best practice" research to determine that what 'they' do is positive.

Also, patients/clients are going to have to recognize that, as in Chinese and Tibetan medicine, it is how we live our lives and relate to nature that we can determine how to define our health and wellbeing--health is not the opposite of being sick or ill. Health is an *experience of wellbeing* in dynamic relationship with our natural and social environment. (Fritjof Capra)  



4 Jan 2007 @ 20:57 by jobrown : Yeahh,
there's a lot that can be said about the so called Modern Medicine/Medical system -and a lot is being said right now! http://www.newswithviews.com/HNB/Hot_New_Books24.htm

Yes, I do think the Surgeon aspect is something that can and maybe even should be saved; the rest, like their whole so called Internal Medicine, SHOULD be thrown out and replaced with more Holistic ways of doing things, so to speak. The Allopathic Medicine system ("Internal Med.") has literally helped NO ONE; not one single person! People who recovered, did so DESPITE the abuse they went through within the walls of Internal Medicine! THAT is the sad truth about it all! the kulprit to all this evil is -of course- this DIAGNOSE thing -in order to push drugs on people! sad but true!

I like a lot your distinction here about what Health is and is not.  



5 Jan 2007 @ 16:30 by jerryvest : I'll take your word for the
Internal Medicine as you've had much more experience working in these sick care systems. I hope that medicine, especially mental health, will get their act together and recognize other options for their clients and patients. Just medicating people may give some temporary relief, but using integrative medicine may offer their patients options that can give hope and relief from mental anguish, stress, anxiety, depression, anger etc. There is much valid evidence reported in health journals about alternative medicine and it is hard to believe that professionals will choose not to guide their practice with current research. After all is said and done, the professional with integity will resist causing harm while maintaining an awareness of best practice research.

So, as we started, if the best that mental health has to offer is diagnoses, labels and talk therapy, then they should turn in their license and begin paying their patients for allowing them to practice their outdated 'treatment methods.'

On another positive note, I met with a mental health colleague yesterday who feels as I do about self-care, daily health routines, breathing exercises and healthy, respectful and ethical touch to support and empower her clients. In fact, she is setting up a training session for us to introduce our touch program with all of the mental health workers in our community.

Let's stay-in-touch...Jerry.  



9 Jan 2007 @ 15:59 by jerryvest : I found an article that points out the
contradictions in the use of the DSM.

Critiques of DSM-IVand DSM-IV-TR

"A number of criticisms of DSM-IVhave arisen since its publication in 1994. They include the following observations and complaints:

The medical model underlying the empirical orientation of DSM-IVreduces human beings to one-dimensional sources of data; it does not encourage practitioners to treat the whole person.

The medical model perpetuates the social stigma attached to mental disorders.

The symptom-based criteria sets of DSM-IVhave led to an endless multiplication of mental conditions and disorders. The unwieldy size of DSM-IVis a common complaint of doctors in clinical practice— a volume that was only 119 pages long in its second (1968) edition has swelled to 886 pages in less than thirty years.

The symptom-based approach has also made it easier to politicize the process of defining new disorders for inclusion in DSMor dropping older ones. The inclusion of post-traumatic stress disorder(PTSD) and the deletion of homosexuality as a disorder are often cited as examples of this concern for political correctness.

The criteria sets of DSM-IVincorporate implicit (implied but not expressly stated) notions of human psychological well-being that do not allow for ordinary diversity among people. Some of the diagnostic categories of DSM-IVcome close to defining various temperamental and personality differences as mental disorders.

The DSM-IVcriteria do not distinguish adequately between poor adaptation to ordinary problems of living and true psychopathology. One byproduct of this inadequacy is the suspiciously high rates of prevalence reported for some mental disorders. One observer remarked that "... it is doubtful that 28% or 29% of the population would be judged [by managed care plans] to need mental health treatment in a year."

The 16 major diagnostic classes defined by DSM-IVhinder efforts to recognize disorders that run across classes. For example, PTSD has more in common with respect to etiology and treatment with the dissociative disorders than it does with the anxiety disorders with which it is presently grouped. Another example is body dysmorphic disorder, which resembles the obsessive-compulsive disorders more than it does the somatoform disorders.

The current classification is deficient in acknowledging disorders of uncontrolled anger, hostility, and aggression. Even though inappropriate expressions of anger and aggression lie at the roots of major social problems, only one DSM-IVdisorder (intermittent explosive disorder) is explicitly concerned with them. In contrast, entire classes of disorders are devoted to depression and anxiety.

The emphasis of DSM-IVon biological psychiatry has contributed to the widespread popular notion that most problems of human life can be solved by taking pills."
{link:http://www.minddisorders.com/Del-Fi/Diagnostic-and-Statistical-Manual-of-Mental-Disorders.html}  



9 Jan 2007 @ 16:11 by jobrown : Diagnoses,
diagnoses, diagnoses galore!.... all to stereotype ALL people into being NOT Unique/ theirown soverereign Individual any longer, but a slave puppet, who can swallow a LOT of PILLS! Glad this is coming ever more into daylight for scrutiny.Thanks Jerry!/Astrid  


9 Jan 2007 @ 16:45 by jerryvest : A friend and colleague of mine
who is director of a residential treatment center offers this comment to me in a recent email:

"i enjoyed your dsm-iv article. i have found in my job that i have ct.'s who come into the rtc program with extreme diagnoses and i have to re-assess them. it amazes me some of the diagnoses that these teenagers are given (such as bi-polar -- don't ALL teens present that way due to puberty, their developmental stage, etc?). it's very interesting to watch the trends. it used to be that all of the kids had adhd diagnoses, now it's mood disorders..."

For me, this critique, your comments and others, demonstrate how ineffective the diagnostic classification system is and it should neither be used by professional social workers, nor should students be expected to learn it to pass their licensing exam. Come on, let's get real with these issues and practice what we teach--apply the "golden rule", "cause no harm", and, let dignity, respect and research guide your practice.  



9 Jan 2007 @ 18:28 by jobrown : This just makes my day! : )
I am so thrilled to see and witness in and from "all directions" this tremendous Spiritual Awakening ( Creative Awakening ) taking place! And I think I see that it's growing like "wildfire". You watch, soon more & more of your Collegues, the Professors et al, will start creating their own New treatments, giving up the Old Thinking for these more Life affirming Insights/ways to approach and help each Person, as an Individual Unique Expression of Spirit, instead of 'each Diagnose' ( as you know, Dr's have "love/d" to see and treat Diagnoses, NOT Creative Spiritual Beings, made to God's Image -how demeaning and Life denying!
Just the fact that you are talking about this whole thing helps more than 'you' can ever imagine in pushing forward this New Way of helping people, exactly where the help is needed, not "how" the diagnose is kept well and live ( for justifying ever more Pill consumption!)
Cool. So very cool!
Have a Great day/Astrid  



14 Jan 2007 @ 11:44 by jerryvest : Astrid, I thought that I had completed
this article on labeling, confidentiality and rights to privacy. However, I learned about a "National Coalition of Mental Health Professionals and Consumers, Inc." who have identified some principles and are advocating for legislation to support them in all states. If professionals would advocate for these rights and principles, we could see greater respect and dignity shown to our clients/patients and more integrity by those wishing to help others.

"Coalition for Patient Privacy organizations represent constituencies from across the ideological and political spectrum, and we urge you to include basic principles of patient privacy in any HIT legislation."

"Our coalition’s privacy principles are as follows:

Recognize that patients own their health data

Give patients control over who can access their personally identifiable health information across electronic health information networks

Give patients the right to opt-in and opt-out of electronic systems

Give patients the right to segment sensitive information

Require audit trails of every disclosure of patient information and allow patients to review those disclosures

Require that patients be notified of suspected or actual privacy breaches

Provide meaningful penalties and enforcement for privacy violations

Deny employers access to employees’ medical records

Preserve stronger privacy protections in state laws

The Markey Amendment embodies the key privacy principles that our non-partisan Coalition for Patient Privacy has been urging Congress to add to health IT legislation." {link:http://www.nomanagedcare.org/welcome.htm}

 



2 Mar 2007 @ 15:01 by jerryvest : While reading Mind over Matter
by Tarthang Tulku, he responds to labels as follows:

"For Instance, labeling a certain condition or state of mind as mental disorder automatically restricts the power of the mind to work out its own liberation. Once the label has been applied, a problem has been defined and set in place. Now the creative energy of the mind must be channeled toward solving this problem, instead of toward looking at experience just as it is. This kind of problem solving is time-consuming and expensive, and clinicins are increasingly presssured to rely on drugs as a simple and immediate solution but this does little more than conceal the problem."

Furthermore, Professor Tulku reminds us that "...mind can be our worst enemy or our best friend. It can fool us completely, trapping us in constructs that lead to wasted time, confusion, or misery, while mocking our efforts to achieve our own good; or it can give direct access to all that makes life meaningful. It can strike like a rattlesnake, infecting us with its poison, or it can be our great protetor. It has the power to shape our lives, now and in the future. Yet mind itself is a mystery."

I believe that these words of wisdom should guide those who wish to administer therapy and caution those who stick a label on their mental health patients or clients. Perhaps therapists should consider learning more about what Tarthang refers to as "Mind over Matter." This knowledge and understanding requires many years of study and experiential practice is required to learn about how our mind works and responds to questions and interventions. As our experience tells us: "The very experience of closely engaging the mind is deeply refreshing, and that sense of freshnes is what counts. It allow us to see our reality and our experience differently and spontaneously relesesmany of the tensions and concerns with which we usually operate." (Tarthang Tulku, {link:http://www.wisdom-books.com/ProductDetail.asp?PID=7568})

For those of us who have decided to study our mind with the practice of various meditations, I feel that we can learn much about ourselves, our interactions and relationships with all that is. As I introduce various methods to my students in self discover, self care and self assessment I learn that they become more conscious and aware of their actions and begin to enjoy discovering how to be a more effective professional in the helping and empowering processes.  



8 Mar 2007 @ 19:31 by jerryvest : A hitorical perspective on the DSM --
There is a great article in the "New Yorker Magazine" on the history of the DSM with an admission that it is far from being a reliable and scientific manual of mental health diseases. This should be read by all social workers and other mental health workers so that they can realize that it is far from being a "bible" of mental health diseases and must be used with caution. In other words--Stop Labeling your Patients with this classification system!!!{link:http://www.newyorker.com/fact/content/articles/050103fa_fact?050103fa_fact}

For some reason, this link is not working, however, this article describes how political this classification system has become.

"In 1980 the American Psychiatric Association (APA), in step with the election of Ronald Reagan and the U.S. right-wing shift, proclaimed a new mental illness: oppositional defiant disorder (ODD). Today ODD has become an increasingly popular diagnosis for a young person who “actively defies or refuses to comply with adult requests or rules” and “argues with adults”—symptoms according to the Diagnostic and Statistical Manual of Mental Health Disorders (DSM), the APA’s official diagnostic manual. While those once labeled juvenile delinquents are now diagnosed with conduct disorder (CD), ODD is applied to those doing nothing illegal, only bucking authority." {link:http://zmagsite.zmag.org/Oct2005/levine1005.html}  



10 Mar 2007 @ 13:22 by jerryvest : More on the DSM Hoax....
The DSM Hoax

Through rare historical and contemporary footage and interviews with more than 160 doctors, attorneys, educators, survivors and experts on the mental health industry and its abuses, this riveting documentary blazes the bright light of truth on the brutal pseudoscience and the multi-billion dollar fraud that is psychiatry.

PSYCHIATRY’S “DIAGNOSTIC” SYSTEM

The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) is psychiatry’s “billing bible” of so-called mental disorders....

PUBLICATIONS AND INFORMATION

For more information about the Diagnostic and Statistical Manual of Mental Disorders (DSM), and how this “billing bible” is the foundation of fraudulent billing practices, mass child-drugging, and the usurping of medicine, our courts and social agencies, read CCHR’s publications.

EXPERTS DEBUNK DSM

While medicine’s scientific credentials are undisputed, psychiatry’s lack of any systematic approach to mental health has contributed greatly to its poor reputation, both among professions and the population as a whole. Medical experts explain why DSM is unscientific and, therefore, unreliable.

THERE’S NO SCIENCE TO DSM

Seeing is believing! See for yourself the ridiculous diagnoses that psychiatry has invented to bill you and your insurance company. They are about as scientific as reading tea leaves but they can stigmatize and harm you for the rest of your life.

THE “CHEMICAL IMBALANCE” HOAX

Psychiatrists would have you believe that a brain-based, chemical imbalance underlies mental disease. While popularized by heavy public marketing, it is simply more wishful psychiatric thinking. As with all of psychiatry’s disease models, it has been thoroughly discredited by real doctors and scientists.


The DSM Hoax Cont.

The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) is psychiatry’s “billing bible” of so-called mental disorders. With the DSM, psychiatry has taken countless aspects of human behavior and reclassified them as a “mental illness” simply by adding the term “disorder” onto them. While even key DSM contributors admit that there is no scientific/medical validity to the “disorders,” the DSM nonetheless serves as a diagnostic tool, not only for individual treatment, but also for child custody disputes, discrimination cases, court testimony, education and more. As the diagnoses completely lack scientific criteria, anyone can be labeled mentally ill, and subjected to dangerous and life threatening “treatments” based solely on opinion.

Dr. Thomas Dorman, an internist and member of the Royal College of Physicians of the United Kingdom and Fellow of the Royal College of Physicians of Canada, wrote, “In short, the whole business of creating psychiatric categories of ‘disease,’ formalizing them with consensus, and subsequently ascribing diagnostic codes to them, which in turn leads to their use for insurance billing, is nothing but an extended racket furnishing psychiatry a pseudo-scientific aura. The perpetrators are, of course, feeding at the public trough.”

Professors Herb Kutchins and Stuart A. Kirk, authors of Making Us Crazy, conclude: “The public at large may gain false comfort from a diagnostic psychiatric manual that encourages belief in the illusion that the harshness, brutality and pain in their lives and in their communities can be explained by a psychiatric label and eradicated by a pill. Certainly, there are plenty of problems that we all have and a myriad of peculiar ways that we struggle...to cope with them. But could life be any different? Far too often, the psychiatric bible has been making us crazy—when we are just human.”

While psychiatrists have managed for years to make it look, feel, and sound convincingly scientific, their diagnoses are being seen for the dangerous frauds that they really are. Far more than just “marketing tools” or harmless “billing codes” for treatment, in the hands of psychiatrists these manuals can literally be used to decide the fate of any individual.

{link:http://www.cchr.org/index.cfm}

A colleague just sent this short video to me that describes the hoax of the DSM and demonstrates that there are NO Cures for any of the diseases that are diagnosed by psychiatrists. Also, several report on the dangers of the drugs that given their patients.

{link:http://www.flixxy.com/psychiatry-no-science-no-cures.htm}  



17 May 2007 @ 16:38 by jerryvest : Preventable diseases kill MH patients...
I am going to continue to add articles related to the mental health systems that pose a danger to clients and social workers. In this most recent article, some research shows that health factors are not fully considered when treating mental illness and many patients die prematurly. Do visit the link to read the entire article.

"About 60 percent of the 10.3 million people with serious mental illness get care in public facilities, 90 percent as outpatients, Parks says. They have illnesses such as schizophrenia, bipolar disorder and major depression. Although the mentally ill have high accident and suicide rates, about three out of five die from mostly preventable diseases, he says."

{link:http://www.app.com/apps/pbcs.dll/article?AID=/20070515/LIFE11/705150343}  



2 Jul 2007 @ 20:07 by jerryvest : "Dump the DSM" - Psychiatric News....
April 01, 2003
Dump the DSM!
Paul Genova, M.D.

"Decades of labor have been poured into the formulation of the DSM and its descendants. Is this system of classification still useful and relevant to clinical practice? Should psychiatrists continue to revise it or get rid of it altogether?


Psychiatric Times April 2003 Vol. XX Issue 4




--------------------------------------------------------------------------------

(Please see Counterpoint article by Michael First, M.D., and Robert L. Spitzer, M.D.)

"The American Psychiatric Association's DSM diagnostic system has outlived its usefulness by about two decades. It should be abandoned, not revised. Its primary achievement was to force American psychiatrists to recognize that not all patients presenting with florid psychoses had schizophrenia. More generally, it aimed to force the idea of operationally defined syndromes down the throat of a profession that was still, in the 1970s, dominated by the vague and archaic concepts of psychoanalysis at its American 1950s worst.

These goals have long since been accomplished, and, like the preceding analytic vagueness, it is time for the arbitrary, legalistic symptom checklists of the DSM to go. (The lag time would be about the same, 20 years or so.) Let me say at the outset that I do not wish to disparage all the hard and well-intentioned labors of the various work groups that developed the different sections of these books in their several editions or to deny the enormous amount of information summarized therein. But again, the aggregate is an awkward, ponderous, off-putting beast that discredits and diminishes psychiatry and the insight of those who practice it.

Consider the fact that your clinical practice is governed by a diagnostic system that:


0 is a laughingstock for the other medical specialties;

0 requires continual apologies to primary care doctors, medical students, residents, and the occasional lawyer or judge;

0 most of our thoughtful colleagues privately rail against;;

0 insists upon rigid categories that often serve only to confuse and misinform patients and their clinical workers (sometimes abetted by televised drug advertising);

0 is so intellectually incoherent as to raise eyebrows among the well-educated, critical thinkers in our own psychotherapy clientele;

0 persuades the world at large that psychiatry no longer has anything of interest to say about the human condition.

0 If it were within your power to do so, wouldn't you get rid of this system?"

{link:http://www.psychiatrictimes.com/p030472.html}

 



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