Comments on: American Psychiatric Association’s DSM 5 draft is now available for review http://wthrockmorton.com/2010/02/10/american-psychiatric-associations-dsm-5-draft-is-now-available-for-review/ A College Psychology Professor's Observations About Public Policy, Mental Health, Sexual Identity, and Religious Issues Thu, 24 May 2012 07:55:47 +0000 hourly 1 http://wordpress.org/?v=3.3.2 By: Jayhuck http://wthrockmorton.com/2010/02/10/american-psychiatric-associations-dsm-5-draft-is-now-available-for-review/comment-page-1/#comment-233474 Jayhuck Wed, 17 Feb 2010 05:08:53 +0000 http://wthrockmorton.com/?p=6081#comment-233474 Concerned, <blockquote>When do we get to pathologize the APA</blockquote> It seems as if you and David already are. Hardly a surprise! Concerned,

When do we get to pathologize the APA

It seems as if you and David already are. Hardly a surprise!

]]> By: Mary http://wthrockmorton.com/2010/02/10/american-psychiatric-associations-dsm-5-draft-is-now-available-for-review/comment-page-1/#comment-231201 Mary Fri, 12 Feb 2010 00:15:23 +0000 http://wthrockmorton.com/?p=6081#comment-231201 Somehow - I think there is money to be made with the changes here. Somehow – I think there is money to be made with the changes here.

]]> By: concerned http://wthrockmorton.com/2010/02/10/american-psychiatric-associations-dsm-5-draft-is-now-available-for-review/comment-page-1/#comment-231050 concerned Thu, 11 Feb 2010 16:38:29 +0000 http://wthrockmorton.com/?p=6081#comment-231050 When do we get to pathologize the APA, I think their stance and position on sex addiction and other difficulties that people have to deal with is not only pathetic it is pathological and cause great harm to many people. Perhaps they want the number of people to have to rely on there services to increase in order that they can remain in business. And their attack on religion is equally damaging to many good people. When do we get to pathologize the APA, I think their stance and position on sex addiction and other difficulties that people have to deal with is not only pathetic it is pathological and cause great harm to many people. Perhaps they want the number of people to have to rely on there services to increase in order that they can remain in business. And their attack on religion is equally damaging to many good people.

]]> By: David Blakeselee http://wthrockmorton.com/2010/02/10/american-psychiatric-associations-dsm-5-draft-is-now-available-for-review/comment-page-1/#comment-231029 David Blakeselee Thu, 11 Feb 2010 15:09:28 +0000 http://wthrockmorton.com/?p=6081#comment-231029 It will be interesting to assess the political influence a decidely left leaning (APA) organization who has had a history of pathologizing religion (DSM III) as well as pathologizing the general population (lifetime incidence of mental health at 50%...and growing) has on this new rendition of the DSM. :). It will be interesting to assess the political influence a decidely left leaning (APA) organization who has had a history of pathologizing religion (DSM III) as well as pathologizing the general population (lifetime incidence of mental health at 50%…and growing) has on this new rendition of the DSM.

:) .

]]> By: Manuel Mota, M.D. http://wthrockmorton.com/2010/02/10/american-psychiatric-associations-dsm-5-draft-is-now-available-for-review/comment-page-1/#comment-230785 Manuel Mota, M.D. Thu, 11 Feb 2010 01:46:41 +0000 http://wthrockmorton.com/?p=6081#comment-230785 My premonition has become a painful reality: The psychiatric establishment, once again, betrayed the best interest of the pediatric patients. In the name of saving children from been labeled with "adult" illnesses they continue denying the presence of bipolar disorder in preschoolers. First (with DSM-III) they manufactured Oppositional-Defiant Disorder and Conduct Disorder to justify clinical pictures that we could not call mood or anxiety disorders…even if both parents had the same particular disease. Now, these "wise guys" had pulled out of their magic bag TEMPER DYSREGULATION DISORDER "as an alternative to diagnosing children with bipolar disorder." Now, in the name of the God they claim to follow, I going to ask this question: How is it that a two-year old can be diagnosed with Leukemia or a brain tumor but not with a bipolar spectrum disorder? How are they supporting this "mental illness shield" conferred by the APA to children? I invite Dr. David J. Kupfer, DSM-5 Task Force Chair and Dr. Darrel A. Regier, DSM-5 Task Force Vice-Chair to check my website www.psychiatricanswers.com and what the parents of children with bipolar disorder are telling to the psychiatrist in denial. Today, the APA made me feel embarrassed of identifying myself as a psychiatrist. My premonition has become a painful reality: The psychiatric establishment, once again, betrayed the best interest of the pediatric patients.
In the name of saving children from been labeled with “adult” illnesses they continue denying the presence of bipolar disorder in preschoolers. First (with DSM-III) they manufactured Oppositional-Defiant Disorder and Conduct Disorder to justify clinical pictures that we could not call mood or anxiety disorders…even if both parents had the same particular disease. Now, these “wise guys” had pulled out of their magic bag TEMPER DYSREGULATION DISORDER “as an alternative to diagnosing children with bipolar disorder.”
Now, in the name of the God they claim to follow, I going to ask this question: How is it that a two-year old can be diagnosed with Leukemia or a brain tumor but not with a bipolar spectrum disorder? How are they supporting this “mental illness shield” conferred by the APA to children?
I invite Dr. David J. Kupfer, DSM-5 Task Force Chair and Dr. Darrel A. Regier, DSM-5 Task Force Vice-Chair to check my website http://www.psychiatricanswers.com and what the parents of children with bipolar disorder are telling to the psychiatrist in denial.
Today, the APA made me feel embarrassed of identifying myself as a psychiatrist.

]]> By: Zoe Brain http://wthrockmorton.com/2010/02/10/american-psychiatric-associations-dsm-5-draft-is-now-available-for-review/comment-page-1/#comment-230460 Zoe Brain Wed, 10 Feb 2010 07:06:55 +0000 http://wthrockmorton.com/?p=6081#comment-230460 Nowhere near as bad as had been feared in sections 302.6 and 302.85. Blanchard's idea of having those remaining attracted to a transitioned man or woman (or an amputee etc after the somatic change) being classed as mentally ill has been dropped. I don't <i>think</i> that was his original intent anyway - but could be wrong. There's been too much distortion, too much misunderstanding in the past, and CAMH's reputation doesn't help. Diagnosis of GID in children - 302.6 now requires 1. a strong desire to be of the other gender or an insistence that he or she is the other gender That will differentiate those who are what used to be called "pre-gay" from those who are strongly TS - what used to be called "primary transsexuals". Some may still be included, but to include any child as having GID when all they have is a non-conformance to an arbitrary societal code is, well, crazy. Pending movement of the cause of Transsexuality - desire for surgical and hormonal change - to a diagnosis of neuro-anatomical anomaly (where it belongs), and the differentiation between that and Transgender (which may also have a neuro-anatomical cause... but that's not well evidenced yet...) this is pretty good. I don't think GI belongs as a psychiatric illness, unless the distress caused by "phantom limb" or "lost limb" syndromes also qualify. But since the distress caused by having been a rape victim is in there, maybe it does. All in all, it could have been a great deal worse, and is nowhere near as bad as had been feared by nearly all TS groups. IS ones find little comfort though - people whose anatomy was surgically changed when they were infants to conform to one sex stereotype are still to be considered mentally disordered if they object to the arbitrary assignment. Nowhere near as bad as had been feared in sections 302.6 and 302.85.

Blanchard’s idea of having those remaining attracted to a transitioned man or woman (or an amputee etc after the somatic change) being classed as mentally ill has been dropped.

I don’t think that was his original intent anyway – but could be wrong. There’s been too much distortion, too much misunderstanding in the past, and CAMH’s reputation doesn’t help.

Diagnosis of GID in children – 302.6 now requires
1. a strong desire to be of the other gender or an insistence that he or she is the other gender

That will differentiate those who are what used to be called “pre-gay” from those who are strongly TS – what used to be called “primary transsexuals”. Some may still be included, but to include any child as having GID when all they have is a non-conformance to an arbitrary societal code is, well, crazy.

Pending movement of the cause of Transsexuality – desire for surgical and hormonal change – to a diagnosis of neuro-anatomical anomaly (where it belongs), and the differentiation between that and Transgender (which may also have a neuro-anatomical cause… but that’s not well evidenced yet…) this is pretty good.

I don’t think GI belongs as a psychiatric illness, unless the distress caused by “phantom limb” or “lost limb” syndromes also qualify. But since the distress caused by having been a rape victim is in there, maybe it does.

All in all, it could have been a great deal worse, and is nowhere near as bad as had been feared by nearly all TS groups. IS ones find little comfort though – people whose anatomy was surgically changed when they were infants to conform to one sex stereotype are still to be considered mentally disordered if they object to the arbitrary assignment.

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