Psychiatry is a mess. Patients who urgently need help go untreated, while perfectly healthy people are over-diagnosed with serious mental disorders and receive unnecessary medical treatment. The roots of the problem are the vast pharmaceutical industry profits and a diagnostic system--the Diagnostic and Statistical Manual of Mental Disorders (DSM)--vulnerable to exploitation. Drug companies have fostered the development of this system, pushing psychiatry to over-extend its domain so that more people can be diagnosed with mental disorders and treated with drugs. This book describes the steady…mehr
Psychiatry is a mess. Patients who urgently need help go untreated, while perfectly healthy people are over-diagnosed with serious mental disorders and receive unnecessary medical treatment. The roots of the problem are the vast pharmaceutical industry profits and a diagnostic system--the Diagnostic and Statistical Manual of Mental Disorders (DSM)--vulnerable to exploitation. Drug companies have fostered the development of this system, pushing psychiatry to over-extend its domain so that more people can be diagnosed with mental disorders and treated with drugs. This book describes the steady expansion of the DSM--both the manual itself and its application--and the resulting over-medication of society. The author discusses revisions and additions to the DSM (now in its fifth edition) that have only deepened the epidemics of major depression, premenstrual dysphoric disorder, social anxiety disorder, attention deficit disorder and bipolar disorder.
Lawrie Reznek is an associate professor of psychiatry at the University of Toronto and has written a number of books on the philosophical foundations of psychiatry.
Inhaltsangabe
Table of Contents Acknowledgments Introduction: The Fundamental Question One Snake Oil Psychiatry Are Psychiatrists Quacks? Peddling Mental Disorder Disease Mongering The Creation of Spurious Epidemics Twö The Influence of Big Pharma The Selling of Psychiatry The Corruption of Data and the Suicide Scandal Turning Psychiatrists into Quacks Three The Nature of Mental Disorder Diseases Are Explanations When Is a Mental Disorder Not a Disorder? Four The Creation of DSM-III Unreliable Diagnoses Abuse of Psychiatric Diagnosis The Antipsychiatry Movement Psychoanalysis Is Unscientific The DSM-III Solution Five The Dangers of DSM-III Medicalization and the Expandability of DSM The Myth of Political Neutrality The Sacrifice of Understanding The Death of Clinical Judgment Playing into the Hands of the Pharmaceutical Industry Six Ordinary Sadness versus Major Depression A Short History of Melancholic Depression The DSM-III Definition Overdiagnosing Depression The End of Sadness Creating a Drug Dependent Society The Creation of Subclinical Depressive Disorder DSM-5 and the End of Grief Seven Shyness versus Social Anxiety Disorder The Demise of Anxiety Neurosis Branding a Condition The Invention of Social Phobia The Epidemic of Social Anxiety Disorder DSM-5 Fans the Epidemic The Marketing of Paxil Eight Boisterous Boys versus Attention Deficit Hyperactivity Disorder A Terrible Synergy From MBD to ADHD The Manufacture of an Epidemic DSM-5 Fuels the Epidemic Pushing Drugs Onto Children Adults Join the Market An Alternative Picture Nine Female Woes versus Premenstrual Dysphoric Disorder New Bottles for Old Wine The Invention of Premenstrual Dysphoric Disorder Direct to Consumer Advertising PMDD Comes of Age in DSM-5 Ten Mood Swings versus Bipolar Disorder A Very Brief History of Manic-Depression DSM-III and the Bipolar Epidemic Borderline Personality Disorder as Bipolar Disorder Bipolar Disorder in Children Big Pharma in the Ivory Tower The DSM-5 Compromise Forgetting the Context Conclusion: The Future of Psychiatry In a Nutshell Recommendations How to Climb Off the Tiger Chapter Notes Bibliography Index
Table of Contents Acknowledgments Introduction: The Fundamental Question One Snake Oil Psychiatry Are Psychiatrists Quacks? Peddling Mental Disorder Disease Mongering The Creation of Spurious Epidemics Twö The Influence of Big Pharma The Selling of Psychiatry The Corruption of Data and the Suicide Scandal Turning Psychiatrists into Quacks Three The Nature of Mental Disorder Diseases Are Explanations When Is a Mental Disorder Not a Disorder? Four The Creation of DSM-III Unreliable Diagnoses Abuse of Psychiatric Diagnosis The Antipsychiatry Movement Psychoanalysis Is Unscientific The DSM-III Solution Five The Dangers of DSM-III Medicalization and the Expandability of DSM The Myth of Political Neutrality The Sacrifice of Understanding The Death of Clinical Judgment Playing into the Hands of the Pharmaceutical Industry Six Ordinary Sadness versus Major Depression A Short History of Melancholic Depression The DSM-III Definition Overdiagnosing Depression The End of Sadness Creating a Drug Dependent Society The Creation of Subclinical Depressive Disorder DSM-5 and the End of Grief Seven Shyness versus Social Anxiety Disorder The Demise of Anxiety Neurosis Branding a Condition The Invention of Social Phobia The Epidemic of Social Anxiety Disorder DSM-5 Fans the Epidemic The Marketing of Paxil Eight Boisterous Boys versus Attention Deficit Hyperactivity Disorder A Terrible Synergy From MBD to ADHD The Manufacture of an Epidemic DSM-5 Fuels the Epidemic Pushing Drugs Onto Children Adults Join the Market An Alternative Picture Nine Female Woes versus Premenstrual Dysphoric Disorder New Bottles for Old Wine The Invention of Premenstrual Dysphoric Disorder Direct to Consumer Advertising PMDD Comes of Age in DSM-5 Ten Mood Swings versus Bipolar Disorder A Very Brief History of Manic-Depression DSM-III and the Bipolar Epidemic Borderline Personality Disorder as Bipolar Disorder Bipolar Disorder in Children Big Pharma in the Ivory Tower The DSM-5 Compromise Forgetting the Context Conclusion: The Future of Psychiatry In a Nutshell Recommendations How to Climb Off the Tiger Chapter Notes Bibliography Index
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