Psychiatry’s 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. It’s a disagreement over the boundaries of normality,” Wakefield said. “What kind of world do you want to have? One where intense, negative feelings we don’t like are labeled as disorders, or a world where people grieve?”
Defenders of the bereavement exclusion’s 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 isn’t fundamentally different from what’s 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 psychiatry’s official tool for deciding between mental disorders and normality. First drafted in 1952, it’s now known euphemistically as psychiatry’s 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 they’re 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 they’d 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
Your Smartphone Could be Tracking You Every 3 Minutes, Study Says
Your apps want to know where you are
Smartphone apps regularly collect large amounts of data on usersâ€™ locations, sometimes as often as every three minutes, new research suggests.
Researchers at Carnegie Mellon University conducted a study where they asked 23 people to use their Android smartphones normally, and tracked location data requests from each device with specially designed software, the Wall ...
Facebook accused of tracking all users even if they delete accounts, ask never to be followed
A new report claims that Facebook secretly installs tracking cookies on usersâ€™ computers, allowing them to follow users around the internet even after theyâ€™ve left the website, deleted their account and requested to be no longer followed.
Academic researchers said that the report showed that the company was breaking European law with its tracking policies. The law requires that users are ...
'Gay cake' bakery discriminated against client over sexual orientation, court told
David Scoffield QC, acting for the bakery, said if Leeâ€™s argument was right, a Muslim printer could not turn down a contract to print leaflets about the prophet Muhammad, an atheist could not turn down an order saying God made the world and a Roman Catholic printer could not decline making leaflets calling for the legalisation of abortion on demand.
Gay rights groups criticize Indiana religious liberties law
Editor's note: Would it be ok if a court forced a bakery operated by homosexuals, to make a cake for a Christian that says: "Homosexuality is a sin"?
What would the reactions be? One way tolerance?
Respecting peoples beliefs extends in all directions or in no direction.
Indiana Gov. Mike Pence (R) signed a religious liberties bill into law Thursday that has been ...
Daily Show's Trevor Noah under fire for Twitter jokes about Jews and women
Trevor Noah â€“ the surprise choice to succeed Jon Stewart as high-profile host of satirical news program The Daily Show â€“ has come under fire for a series of controversial tweets he posted before his appointment.
The South African comedian â€“ son of a Swiss-German father and half-Jewish South African mother â€“ was criticised for having made tasteless jokes about Jews ...
|More News » |