YOUTUBE : "What's Wrong with Psychiatry?" A Psychiatrist Explains - Dr Niall McClaren - Coutesy of the CCHR website
DSM 5 got off to a bad start and was never able to establish sure footing. Its leaders initially articulated a premature and unrealizable goal — to produce a paradigm shift in psychiatry. Excessive ambition combined with disorganized execution led inevitably to many ill-conceived and risky proposals.And before you ask, yes, I can count. The list starts with 4 and ends with 8 because this is the order the points appeared in Dr. Frances’ column on Psychology Today. Read the whole post to see his other 7 points.
4) DSM 5 will likely trigger a fad of adult attention-deficit disorder leading to widespread misuse of stimulant drugs for performance enhancement and recreation, and contributing to the already large illegal secondary market in diverted prescription drugs.
6) The changes in the DSM 5 definition of autism will result in lowered rates — 10 percent, according to estimates by the DSM 5 work group, perhaps 50 percent, according to outside research groups. This reduction can be seen as beneficial in the sense that the diagnosis of autism will be more accurate and specific — but advocates understandably fear a disruption in needed school services. Here, the DSM 5 problem is not so much a bad decision, but the misleading promises that it will have no impact on rates of disorder or of service delivery. School services should be tied more to educational need, less to a controversial psychiatric diagnosis created for clinical (not educational) purposes and whose rate is so sensitive to small changes in definition and assessment.
8) DSM 5 has created a slippery slope by introducing the concept of behavioral addictions that eventually can spread to make a mental disorder of everything we like to do a lot. Watch out for careless overdiagnosis of Internet and sex addiction, and the development of lucrative treatment programs to exploit these new markets.
Except for autism, all the DSM 5 changes loosen diagnosis and threaten to turn our current diagnostic inflation into diagnostic hyperinflation. Painful experience with previous DSMs teaches that, if anything, in the diagnostic system can be misused and turned into a fad, it will be. Many millions of people with normal grief, gluttony, distractibility, worries, reactions to stress, the temper tantrums of childhood, the forgetting of old age, and ‘behavioral addictions’ will soon be mislabeled as psychiatrically sick and given inappropriate treatment.
People with real psychiatric problems that can be reliably diagnosed and effectively treated are already badly shortchanged. DSM 5 will make this worse by diverting attention and scarce resources away from the really ill and toward people with the everyday problems of life who will be harmed, not helped, when they are mislabeled as mentally ill.