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

2012’s most popular posts #10 – Almost Alcoholic

This article demonstrates a big problem in understanding addiction and the a big problem in the current diagnostic categories. ...when we think about alcohol abuse or alcoholism, our thoughts often go to situations like this where someone is at a stage where they are doing immediate damage to themselves or others, but what about the stage … Continue reading 2012’s most popular posts #10 – Almost Alcoholic

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

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

More on the DSM-V

The Fix has a good opinion piece on the DSM-V, praising its movement away from dependence and abuse. The focus on dependence also implied that cocaine—which does not produce physical dependence—isn’t “really” addictive. That lulled many people in the '80s—including yours truly—to think that cocaine wasn’t likely to be hard to kick. We all know better now. … Continue reading More on the DSM-V