Psychiatrys New Rules Threaten to Turn Grieving Into a Sickness
By Brandon Keim | Wired.com
A controversial change to official psychiatric guidelines for depression has raised fears that grief over the death of loved ones will be classified as clinical depression, turning a basic part of what it means to be human into a recognized sickness.
The change, contained in new revisions to the DSM-5, a set of standards used to categorize mental illness, eliminates the so-called bereavement exclusion, which exempts grieving people from diagnoses of depression for two months unless their symptoms are self-destructively extreme. Under the new standards, depression can be more easily diagnosed just two weeks after a death.
Virtually everyone who is grieving has milder symptoms of depression. What the bereavement exclusion did is separate the normal responses from the severe ones, such as feelings of worthlessness or suicidal impulses, said psychiatrist Jerome Wakefield of New York University, who studies bereavement and depression.
This goes over a line. If you can pathologize this kind of feeling, any kind of suffering can be a disorder. Its a disagreement over the boundaries of normality, Wakefield said. What kind of world do you want to have? One where intense, negative feelings we dont like are labeled as disorders, or a world where people grieve?
Defenders of the bereavement exclusions removal, officially announced Dec. 1 by the American Psychiatric Association, say worries of pathologized grief are overblown. They argue that though not all grieving is depressive, grief-related depression isnt fundamentally different from whats considered normal depression. As a result, they say the exclusion makes it unnecessarily difficult for clinicians to deal with bereaved people who legitimately need help.
I think a good clinician can separate the two, said Jan Fawcett, a University of New Mexico psychiatrist and head of the DSM-5 working group that authored the change, of normal grief and clinical depression. We feel that clinicians have been making this judgment all along.
The DSM, or Diagnostic and Statistical Manual of Mental Disorders, represents American psychiatrys official tool for deciding between mental disorders and normality. First drafted in 1952, its now known euphemistically as psychiatrys Bible, used by doctors, insurance companies, the legal system, and most any social institution that deals formally with mental health.
The DSM has been revised four times since its original publication, with the latest changes developed over the last seven years and culminating in the recent approval. These have been perhaps the most controversial changes ever, partly because theyre the first made in the cacophonous media environment of the internet age, but also because of the changes themselves. New conditions include hoarding, severe pre-menstrual syndrome, binge eating, temper tantrums and everyday forgetting among the elderly. Critics say these represent a tendency in modern psychiatry to medicalize the normal range of human experience.
Far and away the most controversial change is eliminating the bereavement exclusion, which discouraged clinicians from diagnosing as depressed grieving people whose symptoms were actually part of a normal, necessary emotional process, though in other people theyd be considered formal grounds for depression.
Read the full article at: wired.com
The Sisterhood of Grief
Good Grief: Is there a better way to be bereaved?
Grieving mothers adopt life-like dolls
Diagnosing Hollywood - Mental Illness in Film
The Americanization of Mental Illness
Salon Hit Piece Implies Truth Seeking Is A Mental Illness
Latest News from our Front Page
Confederate History - Dispelling the Myths
History books, the media, the school systems, etc abound in falsehoods and inaccuracies of Confederate and Southern history. This fact sheet will help to clarify and dispell some of these rampant inaccuracies.
MYTH - The War of 1861 - 1865 was fought over slavery.
FACT - Terribly untrue. The North fought the war over money. Plain ...
Gays Rights May Open Door for Pedophile Rights
Democrats have attempted to normalize pedophilia as a sexual orientation.
A recent Supreme Court ruling on same-sex marriage may soon allow pedophiles to argue they are suffering discrimination.
âUsing the same tactics used by âgayâ rights activists, pedophiles have begun to seek similar status arguing their desire for children is a sexual orientation no different than heterosexual or homosexuals,â writes Jack Minor ...
Government Trolls Are Using âPsychology-Based Influence Techniquesâ On YouTube, Facebook And Twitter
Have you ever come across someone on the Internet that you suspected was a paid government troll? Well, there is a very good chance that you were not imagining things. Thanks to Edward Snowden, we now have solid proof that paid government trolls are using âpsychology-based influence techniquesâ on social media websites such as YouTube, Facebook and Twitter. ...
Artificial Intelligence Takes the Battlefield: Who Is Really Running Jade Helm 15?
Who is really going to be running Jade Helm 15?
There is more to the story than just training for martial law in states designated as âhostile statesâ â already a chilling pretext with overtones of greater federal power that could spiral out of control.
But it seems that it is actually A.I. â artificial intelligence â that is at the helm ...
Robot kills man at Volkswagen plant in Germany
A 22-year-old worker was grabbed by the robot and crushed against a metal plate
A robot has killed a man at a Volkswagen car factory in Germany.
The 22-year-old worker died from injuries he sustained when he was trapped by a robotic arm and crushed against a metal plate.
The man, who has not been named, was part of a team that ...
|More News » |