May 16, 2013
me+ME: NOT so good news about DSM-5
1. The antics of Lieberman and Insel
2. What I think of it
About ME/CFS


Well... I am still paying back my walk of three weeks ago, so I am still not feeling very well. (But it may be improving some.)

Earlier today, there was Part 1 of Quotations from "Walden", but I have to upload a brief file on the DSM-5 now, that is not optimistic.
1. The antics of Lieberman and Insel

Earlier this month, on May 3 and 4, I had what I called on May 4 VERY good news about the DSM-5. I think I was right for as I explained then
dr. Thomas Insel, who is the head of the National Institute of Mental Health of the USA, quite completely also, and for good reasons, said: No, thiis is not valid, we need "to begin to develop a better system".
Well... he has retracted. As Ed Silverman puts it in his NIMH director does an about face on the bible of psychiatry:
Just 10 short days after trashing the widely regarded bible of psychiatry for lacking validity, National Institutes of Mental Health director Tom Insel has had a change of heart. Along with American Psychiatric Association president-elect Jeff Lieberman, he has now issued a statement saying the forthcoming version of the Diagnostic and Statistical Manual of Mental Disorders, to be called DSM-5, is a valuable diagnostic tool.
Or at least... here is some from the statement of Lieberman (APA) and Insel (NIMH):
The National Institute of Mental Health (NIMH) has not changed its position on DSM-5. As NIMH’s Research Domain Criteria (RDoC) project website states, “The diagnostic categories represented in the DSM-IV and the International Classification of Diseases-10 (ICD-10, containing virtually identical disorder codes) remain the contemporary consensus standard for how mental disorders are diagnosed and treated.”
That is: There he is in favor of the DSM-IV. And as the former statement ends: He now thinks "DSM-5, is a valuable diagnostic tool".

Thirteen days ago I learned that he had said, all by himself, that
While DSM has been described as a “Bible” for the field, it is, at best, a dictionary, creating a set of labels and defining each. The strength of each of the editions of DSM has been “reliability” – each edition has ensured that clinicians use the same terms in the same ways. The weakness is its lack of validity.
That is why NIMH will be re-orienting its research away from DSM categories. Going forward, we will be supporting research projects that look across current categories – or sub-divide current categories – to begin to develop a better system.
2. What I think of it

I think both gentlemen - Lieberman and Insel - are lying. But then that is the normal behavior for psychiatrists: They do not know what the self is; they do not know how the brain manufactures conscious experience; they do not have any valid theory that is provably relevant to going insane or neurotic; and in fact they do hardly know anything about how the human mind works, for nobody does, and so they lie, for they do want to make a very well-paid living.

Mr. Insel conceivably thought around May 1 that he could do a little less lying, and wrote then what I last quoted, but Mr Lieberman convinced him that he must keep up front with the APA, and so
The National Institute of Mental Health (NIMH) has not changed its position on DSM-5.
It did, but within two weeks it doesn't. It's a great pity.

Underneath, nothing has changed - Insel will go further with his RDoC, and Insel and Lieberman know as much as I do about the human mind: nothing significant - but the position of the patients has been made darker again, for nobody cares about them or at least hardly anyone does who is a psychiatrist.

And the great pity of this is that it will make it harder for patients to defend themselves in court.


About ME/CFS (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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