Psychiatry’s New Rules Threaten to Turn Grieving Into a Sickness
2012 12 12
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
Former Chief Security Officer for NewsCorp: N. Koreans Not Behind Sony Hack, Interview Leak
Hemanshu Nigam, a former federal prosecutor and former chief security officer for NewsCorp/Fox studios, says North Korea isn’t behind the Sony Hack.
Nigam gave several bullet points for why the hack was likely an inside job.
Attack code borrowed from a previous attack on Seoul, that’s why it’s in Korean. Private hackers typically borrow malicious code from other hackers.Nations state attacks follow ...
Sony Fires Back at Obama: Actually We Did Call the White House – Several Times
Sony fired back at Obama after the press conference saying they had several conversations with the Obama White House before and after the movie was canceled.
Via The Hollywood Reporter:
After President Obama criticized Sony for its decision to cancel The Interview's release after theater chains decided not to show the film, the studio has issued a statement elaborating on the move.
The Bankster International
Geopolitical analysis, the art of explaining power relationships through the prism of impersonal geography, can be a helpful tool for observers of the Great Game – but it also has its limitations. A case in point is the renewed US-Russia confrontation. Think tanks and policy insiders easily sell the narrative that from the dark days of the Cold War to ...
Another banker dies under suspicious circumstances
52-year-old Belgian Geert Tack – a private banker for ING who managed portfolios for wealthy individuals – was described as ‘impeccable’, ‘sporty’, ‘cared-for’, and ‘successful’ and so as Vermist reports, after disappearing a month ago, the appearance of his body off the coast of Ostend is surrounded by riddles…
Impeccable. Sporty. Cared for. Successful. Just some qualifications that are attributed to ...
NATO increases military presence on Russia’s borders
The Pentagon has confirmed the military buildup along Russia’s borders to ensure long-term “peace and stability” in the region.
Earlier Moscow accused NATO of a sharp increase in air activity and intelligence flights in the border zone.
Replying to RIA Novosti’s query on the increased number of NATO flights around Russia’s borders, a Pentagon representative told the news agency that the military ...
|More News » |