Pressing Issues

A biopsychosocial model based on negative feedback and control

Although the biopsychosocial model has been a popular topic of discussion for over four decades it has not had the traction in fields of research that might be expected of such an intuitively appealing idea. One reason for this might be the absence of an identified mechanism or a functional architecture that is authentically...
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Pressing Issues

Neuroscientific psychiatry and the problem of consciousness

Psychiatric diagnosis and psychiatry is in crisis. Evidence of this is to be found in the National Institute of Mental Health’s (NIMH) decision not to use the American Psychiatric Association’s DSM-5 published in May. It is also marked by the existence of DxSummit, as well as the critical responses to DSM-5 of organisations as...
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Pressing Issues

The “Mental Illness” Paradigm: Itself an “Illness” that is Out of Control

For those of you who haven’t read this story in the New York Times, I highly recommend it. It is essentially a woman’s (Linda Logan’s) rich and moving autobiographical account of her struggle with “bipolar disorder.” The main message that I imagine most people will take away from this story is that the current...
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Current Status of Dx

Toward an In-Person Summit

While DxSummit continues to offer opportunities for critique of traditional DSM-style diagnosis, its main goal has been to provide a place for the discussion of diagnostic alternatives. To wit, many posts have attempted to sketch out, in basic form, what diagnosis in the helping professions might look like in the future. Some of the...
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Cultural Issues

Trauma Nation?

Medicine is where hope is alive and well in America. During the past fifty years, due to rapid advances in microbiology, many persons who once might have died prematurely, or suffered from debilitating diseases or disorders, instead enjoy productive lives, albeit often with chronic illnesses to manage. Through its near-miracle successes, the field has...
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Cultural Issues

The Failure of Diagnostic Psychiatry and Some Prospects of Scientific Progress Offered by Critical Realism

A brief overview is provided of sociological and historical critiques of Western psychiatry before focusing on pre-empirical, non-empirical and empirical aspects of psychiatric diagnosis. These are then discussed by using the analytical devices of the ontic fallacy, the epistemic fallacy and generative mechanisms. It is concluded that mental disorders do not really exist but...
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Current Status of Dx

Replies, Replies, to Dr. Pies

It would be a shame if Dr. Pies stops contributing to this debate. I think we’re addressing important things here, and debate between well-meaning people with different opinions is often very illuminating. That said, we shouldn’t get into ‘tit-for-tat’. But I think we should continue to talk. I completely agree with Dr. Pies’ suggestion...
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