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09:44 PM on 12/04/2012
maybe you should read up on Binge Eating Disorder and talk with some sufferers before attempting to explain it...ignorance at its finest
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RJ9255
Bless the Beasts & the Children
02:21 PM on 12/04/2012
I believe it! I wouldn't believe anything the APA says because I think they're already suffering from delusions if they think their Diagnostic and Statistical Manual of Mental Disorders is the go-to reference for psychiatrists. Personally I think most of those on the APA board are already suffering from many of the ailments listed in this guide, consequently they are incapable of issuing common sense guidelines.
12:03 AM on 12/14/2012
Amen and Yes. When I worked at NY Hospital, my friends and I would often wonder how some of the medical staff managed to tie their shoes in the morning. The psychiatric area is often (sadly) populated with many lacking humane instincts, having the reverse. Due to its nature, there is very little accountability in the psychiatric field. Unlike surgery, etc.
12:42 PM on 12/04/2012
I would say that the bible is a guide also. Anyone who takes the bible word for word or as a historical account should be interviewed by the aforementioned psychiatrists! Merry Christmas!
11:58 AM on 12/04/2012
I gather by your comment on autism that it is the use of the diagnosis in providing educational services that you have an issue with, not the actual clarifications for diagnosis now in DSM 5. If that's the case, the fault doesn't lie with with APA.

Although I'm no fan of the APA it was crystal clear that the DSM IV was fatally flawed. It was vague and offered no way for clinicians to characterize or distinguish severity or impact. Therefore, what was autism or Aspergers in one office might not be in another. Parents looking ot access services are smart so it became the diagnosis de jour for these shoppers looking to access services because it was attainable with the cooperation of well meaning, flexible clinicians. This has rendered the diagnosis pretty meaningless in many case, and does great harm to those severely impacted by the disorder across a wide front of issues.

Personally, I think autism needs to be broken into subtypes (and Aspergers cleaved out into a separate category) but, in the absence of that, it is a very good thing that the definitions are being tightened up and will exclude those to whom the diagnosis should have never been applied in the first place.
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andvoodoo2
My micro-bio is teeming with biodiversity.
03:49 PM on 12/04/2012
Asperger's is no longer a sub-type under DSM-5. It's now grouped with autism. I think the umbrella just got bigger.
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11:52 AM on 12/04/2012
aa profession thet need much tighter regulation and licensing standards
11:29 AM on 12/04/2012
It is unfortunate that the medical community seems only trained to see & treat symptoms instead of looking at the whole person and finding the root of the symptoms. But I guess it's easier and more lucrative to write a Rx for a symptom and send them on their way. I'm willing to bet that if they had their patients eliminate all neuro-toxins from their homes (fragranced laundry products, bleach, household cleaners, air freshers, fragranced personal products, etc) for 90 days they would not need that Rx for anxiety or ADD or depression. But on the flip side, maybe the changes will have more people diagnosed and the stigma of mental illness will lessen greatly.
10:51 AM on 12/04/2012
Having worked in the eating disorder field for many years, your characterization of Binge Eating as a "manifestation of gluttony" is truly heartbreaking. Although you raise some many interesting and valid points in your article, reading such a blatant lack of understanding of the characteristics of Binge Eating Disorder by a Professor Emeritus from Duke University is not 'the saddest moment in my career" but it makes me pretty sad nonetheless.
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ChrisinHappyValley
My kids were raised right ~ they vote left!
11:12 PM on 12/05/2012
My takeaway was, I believe, quite different from yours.
My impression was Dr. Frances was warning that, with the parameters as defined in the new DSM-V, those patients that would have been previously described as "gluttonous" or simply manifesting issues of self control will now be diagnostically grouped together with those that are truly suffering from and/or fighting Binge Eating Disorder.
Furthermore, this muddying of the diagnostic waters, could un-necessarily limit the legitimacy and availability of services to those you've met in your years working in the field.
Just my opinion... Cheers!
10:00 AM on 12/04/2012
I don't understand how the publication of the DSM-5 can simply bypass fielding testing. Are their no outsider governing bodies that oversee this process? What was the expressed rational for such an action by the DSM-5 members?
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11:50 AM on 12/04/2012
science has become a religion - take it on faith or unproven theory - not much difference
02:34 PM on 12/04/2012
I don't really see how this answers my original question.
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askonemom
09:35 AM on 12/04/2012
temper tantrums are now diagnosis????? You are going to label a two year old for the rest of his/her life because they tantrum?

I would never take my child to a psychiatrist, they only diagnosis and medicate; a good therapist/psychologist is usually willing to work with the whole person and system within which they exist to remedy the problems they are experiencing.

all the changes mentioned here have only created a larger market for drug companies and the misuse and overuse of prescription drugs (which by the way are still drugs!).
08:47 AM on 12/04/2012
Great article! I see first hand the damage created by this system. The DSM is unfortunately followed like a bible to often and it has a direct impact in the social/human service field. It sickens me that the DSM continues to be published without proper studies and research.
06:13 AM on 12/04/2012
Thank you for this very good article.

DSM-5 somehow turns the individual imperfection of being human at different stages of life into an illness. That's disease mongering.
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11:51 AM on 12/04/2012
makes it covered by medical insurance - its all about the money
05:25 AM on 12/04/2012
This is great article, except for item #5. Critique of the actual criteria is perhaps needed, but Binge Eating Disorder has been recognized for years by professionals who focus on eating disorders, usually diagnosed under the unspecific label that's become the most widely used of the eating disorders, EDNOS. Binging is decidedly NOT the same as overeating, as anyone who works with ED patients should know.
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Professor Wagstaff
My micro-bio is a lie.
02:03 AM on 12/04/2012
Scary stuff. I believe the old Greek Hippocrates motto, "First, Do NO Harm", has been updated to be more applicable to modern realities. The revised motto is "First, Secure A Revenue Stream".
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BOBinPS
Really?
09:00 PM on 12/03/2012
All this just emphasizes the lack of progress science has made in discovering the underlying causes of psychological disorders. I understand that the studies will be difficult, but these are the same old arguments between "lumpers" and "splitters" that we say 20 years ago in other medical areas.
08:29 PM on 12/03/2012
part two- see if you will mend, 9/10 do, but its always about the drugs causing their psychosis, to eliminate from their bodies, they say from two, up to ten days in the worse of cases, before any diagnosis should or could safely,ethically, or surely, be made, to do anything else, is unethical and extremely traumatising, terrifying, and detrimental to the victim and their family. Be good if you could add an attachment, id give you fourteen national rehabs in Australia saying exactly what Ive said, and two very prominent people in mental health one a director, and one a leading psychiatrist who also supports what Ive said here today, and what you have said also, its one thing to go mad before you go sane, with you look or imagination, but to add mad to temporary mad is not only insane, it causes it, and in my heart and mind is the act of a criminal, or at the very lest, should be. And should be seen as a criminal act, and carry jail sentences for the psychiatrists that do it.
12:31 PM on 12/05/2012
You need an editor.
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Querent
I say the things that have to be said.
02:09 PM on 12/05/2012
Urgently.