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Monday 30 July 2012

DSM-5 : Psychiatric diagnosis is simply too important to be left exclusively in the hands of psychiatrists....

ALLEN FRANCES


May 13, 2012

The D.S.M. is the victim of its own success and is accorded the authority of a bible in areas well beyond its competence. It has become the arbiter of who is ill and who is not — and often the primary determinant of treatment decisions, insurance eligibility, disability payments and who gets special school services. D.S.M. drives the direction of research and the approval of new drugs. It is widely used (and misused) in the courts....
Frances rejects the accusation that the D.S.M. is "shilling for drug companies":
The mistakes are rather the result of an intellectual conflict of interest; experts always overvalue their pet area and want to expand its purview, until the point that everyday problems come to be mislabeled as mental disorders. Arrogance, secretiveness, passive governance and administrative disorganization have also played a role....

Psychiatric diagnosis is simply too important to be left exclusively in the hands of psychiatrists....

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