Brain Science Podcast discussion

Saving Normal: An Insider's Revolt Against Out-Of-Control Psychiatric Diagnosis, DSM-5, Big Pharma, and the Medicalization of Ordinary Life
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2013 > BSP 102 Dr. Allen Frances

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Wayne Brooks | 6 comments I appreciate Dr. Frances's outlining the negative influence of economics on psychiatric treatment, including the pharmaceutical companies, and even the American Psychiatric Association placing publishing over quality due to financial reasons. His limited focus on the economic causes on the reason for excessive and inflated diagnoses, as well as too early a diagnosis when the patient is at the worst, and not spending enough time making the diagnosis, and being driven by DSM-V however are correlative, not necessarily causative. If you think about it, testing itself is the the villain, in that psychiatry has ignored testing in favor of interpersonal diagnosing without reliable and valid tests for making diagnoses which have been available for decades, and not incorporated into the psychiatric system for political and economic reasons. I am talking about the MMPI-2 which can objectively aid in diagnosing major and minor disorders from anxiety and depression to schizophrenia and manic-depression, and the Exner version of the Rorschach which can diagnose schizophrenia, pre-schizophrenia, depression, and can accurately predict a potential suicide three months out. You can see that the use of such tests could minimize the reliance on the DSM-V, and the slew of problems which Dr. Frances raises. Villifying economics while ignoring psychiatric competence is a smokescreen.

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