Yesterday, I posted about the epidemiological crisis being reported regarding an explosion in substance use disorders resulting in increases in untreated SUDs and low rates of problem recognition. (There's been a parallel explosion in recovery prevalence.) All of this was predictable. In fact, we were writing about it here 13 years ago. Despite the foreseeability … Continue reading Substance Use Disorders – The epidemiological mess more than a decade in the making
Tag: American Psychiatric Association
DSM 5 Substance Use Disorders: A Concise Summary
Terry Gorski has a nice summary of substance use disorders in the DSM-5. Here's his analysis at the end of the post: The DSM 5 is criticized for combining the the DSM IV categories of substance dependence (addiction marked by a pattern of compulsive use or loss of control) and substance abuse disorders (using in … Continue reading DSM 5 Substance Use Disorders: A Concise Summary
Cash, sexual favors and drugs
Cash, sexual favors and drugs. We're not talking about a dope house. Some people (and companies) never learn: ...last week, UK pharma firm GlaxoSmithKline admitted that Chinese doctors were bribed by its execs with cash and sexual favours in return for prescribing the company's drugs. That coincided with rival AstraZeneca having its Shanghai office raided … Continue reading Cash, sexual favors and drugs
Intellectual conflicts of interest
Allen Frances, Chair of the DSM-IV Task Force lets loose on the DSM-5. He acknowledges the noxious effects of professional interests on research and practice in a way that is rarely seen from leaders of his stature. [emphasis mine] This is the saddest moment in my 45 year career of studying, practicing, and teaching psychiatry. The Board of … Continue reading Intellectual conflicts of interest
The DSM-5 is coming
Change is coming, but is it good? At its December meeting today, APA’s Board of Trustees approved the final diagnostic categories and criteria for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The trustees’ action marks the end of the manual’s comprehensive revision process, which has spanned over a decade and included … Continue reading The DSM-5 is coming
Addiction diagnoses to rise
I've posted before about problems with the proposed approach to addiction in the DSM-5. These changes were intended to clear up language problems, specifically the conflation of dependence and addiction leading to "false positives" for addiction. Looks like the DSM-5 is causing its own language problems before it's even adopted. [emphasis mine] Many scholars believe … Continue reading Addiction diagnoses to rise
Even more on the DSM-V
The Fix follows up on the previous piece about the coming changes in the DSM-V. The writer captures my concerns: I don’t foresee any negative results from dropping those two misguided terms. (abuse and dependence) But what does concern me is the fact that rather than still having two separate and distinct conditions—one, a short-term, … Continue reading Even more on the DSM-V
Recovery Review 