Our fairly recent reliance on prisons and homelessness as solutions to mental illness was the common fashion 200 years ago but now seems anachronistic and indecent in a society that has the tools and can afford to do much better.
I have known hundreds of patients who were not helped or were directly harmed by psychiatry. But I have also known many thousands of patients who have benefited greatly. The overall results in psychiatry are quite good and compare favorably to other medical specialties.
If a legendary figure like Bob Spitzer can correct his mistakes, surely the American Psychiatric Association can do the same -- for the sake of protecting our patients and keeping the mental health field united.
Sigh of relief. The DSM 5 website announced Wednesday morning that two of its most controversial proposals have finally been dropped. We have dodged bullets on "psychosis risk" and "mixed anxiety depression." Both are now definitively rejected as official DSM 5 diagnoses.
A new study on the effectiveness of psychosis prevention is a clear caution against the DSM 5 proposal for a psychosis risk syndrome, and it should temper enthusiasm for rushing ahead with "ultra high risk" prevention programs.