Contrarian Concepts

Creating a Mental Disorder in Five Minutes Flat

First, let’s choose some common human experience that most people find unpleasant. How about boredom? Most people experience boredom as unpleasant—let’s get started and substitute the word “pathological” for unpleasant. Doesn’t that simple switch start to give it that ‘disease feel’ already? Pathological boredom! The next step is to name our disease. How about...
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Critiques of Diagnosis

The United States of the Biomedical Model: Five Anecdotes

It is difficult to overstate the ubiquity and influence of the biomedical model that provides the foundation for psychiatric diagnosis and treatment in the United States. As a clinical psychologist who has spent the past 15 years working in medical centers, inpatient psychiatric hospitals, outpatient mental health clinics, a residential substance abuse treatment center,...
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Alternatives to DSM & ICD

Using Psychological Formulation in Teams

In my first post I outlined the principles and practice of psychological formulation, which is one possible alternative to psychiatric diagnosis. I suggested that any genuine alternative needs to be based on the principle of restoring rather than obscuring (as diagnosis does) the meaning in madness. Formulation will already be a familiar idea to...
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Contrarian Concepts

Letting Boys Be Boys, Not ADHD Diagnoses

On April 1, The New York Times reported on the startling fact that 11% of children in the United States are now diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). One in five young males of high school age now have the diagnosis. Among children between the ages of 4 and 17, million now bear the ADHD...
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Current Status of Dx

Lead, Follow, or Get Out of the Way! (A Layman Perspective on Change)

The worthwhile discussions of DxSummit may be rendered meaningless if not accompanied by a plan of action reflecting the insights generated here.  This article proposes a plan of action for comment and refinement. Introduction I write this article out of a mixture of feelings and perceptions concerning DxSummit and its contributors. I’ve been visiting...
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Cultural Issues

The S-Word: Shame as a Key to Modern Societies

This study seeks to reclaim the many fields of study of shame that so far have used alternate terms, such as honor, stigma, fear of rejection, disrespect, and so on. Although there is a literature on shame, it is dwarfed by the many studies that use other terms. The s-word, like the f-word, seems...
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Defining Disorder

Time for a New Tale: 411.07, Privileged Dystopian Syndrome

It is time for a new tale I’m proposing a novel diagnosis for the DSM-6. Yes, , Privileged Dystopian Syndrome. I hope the APA will move swiftly and assemble a committee to review this new proposal. In fact, throughout recent history, there are vast examples of how this sociomedical disease has wreaked havoc on individuals...
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