Streams

DSM Woes

Friday, May 03, 2013

Gary Greenberg, psychotherapist and the author of Manufacturing Depression and now The Book of Woe: The DSM and the Unmaking of Psychiatry (Blue Rider Press, 2013) offers his critique of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders that defines mental illnesses.

Event at Book Court in Brooklyn on Monday, May 20th @ 7pm.

 


Excerpt: The Book of Woe: The DSM and the Unmaking of Psychiatry

(Blue Rider Press, 2013) 

 

Guests:

Gary Greenberg
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Comments [12]

Emily from Iowa

I'm frankly a little baffled that Dr. Greenberg seems to think that the only consequence if insurance didn't pay for mental health treatment would be that psychiatrists and psychologists would earn less money. He seems completely unconcerned with the question of access to care and what that would mean for patients. Does he really not think it would be a problem if only rich people could receive mental health treatment? There's no lab test for bipolar disorder or schizophrenia, but those diseases still exist, and many people need medication to manage them. What happens to middle-class people with those diseases if we de-medicalize mental suffering, the way Dr. Greenberg suggests, and leave them with the burden of paying for their own treatment. I wish that Brian had pushed him a little bit on this.

May. 04 2013 04:53 PM
DR. MURACH, ND, LAc. from NYC and Westchester

As a Naturopathic Physician, I was taught in medical school to find the cause of the illness.

There have been many patients in my practice that have come in for anxiety, depression, stress-related disorders, insomnia, aggressive behavior, decreased cognitive functioning, etc. whose Primary Care Practitioners have diagnosed them as such, but have not performed their due diligence in looking into WHY they might have such changes in behavior.

Many (not all of course) of my patients have improved significantly when we corrected basic challenges such as poor blood sugar control / dys-glycemia (HUGE issue), utilizing proper amounts of protein each day, addressing iron deficiency, supporting healthy thyroid function, addressing poor digestion --> leads to malabsorption of nutrients.

Before diagnosing patients with such labels, I encourage Practitioners to review the very basic physiology and biochemistry of how our nervous systems work that they learned in the 1st year of medical school.

May. 03 2013 11:59 AM
Dee from Manhattan

I wonder how many members of the DSM panel work for the pharmaceutical industry.

May. 03 2013 11:55 AM
Jf from Reality

Consitering that the dsm is en engine for profit for the same corporations that are contributing to our civilizations mass murder suicide/mass extinction, the worst serial killer that could be diagnosed is sane compared to our politicians and ceos. Dsm is a false economy and propaganda.

May. 03 2013 11:51 AM
D from NYC

I wonder how many individuals on the DSM panel work for the pharmaceutical industry.

May. 03 2013 11:50 AM
John A

Summary: pathologize for profit.

May. 03 2013 11:39 AM
Taher from Croton on Hudson

Is there any real science behind this? Or is it just voodoo?

May. 03 2013 11:38 AM

HEY!! How 'bout getting rid of the Korrupt™ middle man!?!?!

WE DON'T NEED SO-CALLED HEALTH "IN$URANCE®", WE NEED MENTAL HEALTH CARE!!

SINGLE PAYER!!

May. 03 2013 11:36 AM
Anonymous

We have a mental health crisis in this country. Just yesterday, the New York Times reported the number of suicides in this country are going up. We need more access to mental health treatments and more reimbursement for mental health services by insurance. Our mental health system is not working and this conversation points to some of the reasons why.

May. 03 2013 11:36 AM
Amy from Manhattan

What if someone who's already clinically depressed has a death in the family & is grieving on top of the depression? Dr. Greenberg's description sounded as if the person wouldn't seem any different from the way they were before their family member died.

May. 03 2013 11:33 AM
Larry from Brooklyn

What makes any field of medicine a "science?" Most MD's are practitioners who apply science, not make it. Furthermore, there's not much in the creation of diagnostic categories in psychiatry that is different from other areas of medicine. While there is politics and money in the DSM revision, there is politics and money in medicine in general. No one likes it when diagnosis criteria change in medicine... no one likes change.

May. 03 2013 11:28 AM
Jon from nyc

Ah DSM .... it's all about billing, if ain't in the book you can't bill for it.

what load of ....

May. 03 2013 11:25 AM

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