March 1, 2013

DSM-5: A call on the American physicians to reject the DSM-5
"Let us not dream that reason can ever be popular. Passions, emotions, may be made popular, but reason remains ever the property of the few."
-- Goethe

1. A call on the American physicians to reject the DSM-5
About ME/CFS


This is just a brief quote on the DSM-5. There is no more today because again I did not sleep enough because I got woken up by painful eyes - keratoconjunctivitis sicca - which I probably got because I watched too many videos while having the disease.

Otherwise, things are, seen in context, not so bad, comparatively speaking.

In fact, I mean it, but I am also speaking - somewhat - in irony, which reminded me that, decades ago, I read about an irony sign, and indeed it is, as I just found otu, centuries old. I quote the Wikipedia's first paragraph on the subject, minus most links:

Although in the written English language there is no standard way to denote irony or sarcasm, several forms of punctuation have been proposed. Among the oldest and frequently attested are the percontation point invented by English printer Henry Denham in the 1580s, and the irony mark, used by Marcellin Jobard in an article dated June 11th, 1841 and commented in a 1842 report. It was furthered by French poet Alcanter de Brahm in the 19th century. Both of these marks were represented visually by a backwards question mark, ⸮ (in Unicode: U+2E2E reversed question mark (HTML: ⸮)).

These punctuation marks are primarily used to indicate that a sentence should be understood at a second level.

It's a pity this was not adopted, though I would not always use it as Wikipedia says (which also has strange explanations of the terms "irony" and "sarcasm"):

Sometimes I use expressions with a double entendre that needs not be sexual at all, but simply arises from the fact that I see it could be used in two senses, that both seem apt. (The present divagation arose from this recogition.)

1. A call on the American physicians to reject the DSM-5

For more on the DSM-5 see Suzy Chapman's fine website about things relating to the DSM-5:

The present item I owe 1 boring old man's fine website, and it is quoted from Hooked: Ethics, Medicine and Pharma, which is by Howard Brody, MD, PhD, from an article with the title DSM-5 and the Sorry State of American Psychiatry. I added my bolding:

(..) I agree with Whitaker that there is a group of folks (he estimates about a fifth of those now taking psychiatric medications in the US) who suffer miserably without their meds and who are vastly more functional with them. But when we decide that a quarter of the US population is mentally ill and probably ought to be on drugs, then what used to be a thoughtful and helpful medical specialty seems to have turned into nothing more than a marketing agency for Big Pharma.

What to do? There is probably a simple step that could well be effective. We usually figure that a medical specialty group can be trusted to tell us how to diagnose conditions that fall within their specialty. So, for instance, if cancer specialists tell us that such-and-such is what make a cancer of the prostate Stage 2, then other specialists use those criteria and the Stage 2 label for that form of disease. So it has been logical that other specialties that treat patients with mental illnesses, such as family physicians, pediatricians, internists, etc., have routinely used the DSM's earlier editions as their guide to diagnosing and labeling mental illness.

Therefore, the American Academy of Family Physicians, the American College of Physicians, and all other specialty groups ought to declare officially that they reject DSM-5 and will advise their members not to employ its terminology or criteria. Unless and until the American Psychiatric Association can come up with a scientifically more valid manual created by people free of conflicts of interest, they should not be able to foist their commercial product (off which they make huges sums in sales) on the wider medical community.
Quite so!


About ME/CF (that I prefer to call M.E.: The "/CFS" is added to facilitate search machines) which is a disease I have since 1.1.1979:
1. Anthony Komaroff

Ten discoveries about the biology of CFS(pdf)

3. Hillary Johnson

The Why  (currently not available)

4. Consensus (many M.D.s) Canadian Consensus Government Report on ME (pdf - version 2003)
5. Consensus (many M.D.s) Canadian Consensus Government Report on ME (pdf - version 2011)
6. Eleanor Stein

Clinical Guidelines for Psychiatrists (pdf)

7. William Clifford The Ethics of Belief
8. Malcolm Hooper Magical Medicine (pdf)
Maarten Maartensz
Resources about ME/CFS
(more resources, by many)

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