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conflict of interest: Dr. Lieberman

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New-Psychiatry

Anti-Psychiatry Prejudice? A response to Dr. Lieberman
by Judy Stone at Scientific American

… the Director of the National Institutes of Mental Health (NIMH), Dr. Thomas Insel, has rejected the DSM, stating:

“The weakness is its lack of validity. Unlike our definitions of ischemic heart disease, lymphoma, or AIDS, the DSM diagnoses are based on a consensus about clusters of clinical symptoms, not any objective laboratory measure. In the rest of medicine, this would be equivalent to creating diagnostic systems based on the nature of chest pain or the quality of fever. Indeed, symptom-based diagnosis, once common in other areas of medicine, has been largely replaced in the past half century as we have under-stood that symptoms alone rarely indicate the best choice of treatment. Patients with mental disorders deserve better…NIMH will be re-orienting its research away from DSM categories.”…

… Dr. Frances chides, “I believe that the American Psychiatric Association (APA)’s financial conflict of interest, generated by DSM publishing profits needed to fill its budget deficit, led to premature publication of an incompletely tested and poorly edited product. The APA refused a petition for an independent scientific review of the DSM-5 that was endorsed by more than 50 mental health associations. Publishing profits trumped public interest.

 New psychiatric diagnoses are now potentially more dangerous than new psychiatric drugs, because diagnos-tic expansions may lead to drug company pro-motions that dramatically increase the use of unnecessary medications, with high cost and potentially harmful side effects.”


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