I am so far Up North that I heard a radio interview with Uncle Ted Nugnet on the best kinds of arrowheads to bring down feral pigs. Internet still only once daily mlh
Step into my parlor, and let me wave my diagnosticulator at you. OK, let me just consult the book.
Ah! Just as I suspected. Since you yelled at that IRS agent during your audit, we know you suffer from temper dysregulation disorder with dysphoria. This is normally seen in children, and is what we used to call a temper tantrum. Actually, it is a mental disease.
When seen in adults such as yourself, it requires medication, if not confinement. It’s for your own good.
And speaking of children, you have some, do you not? With a guardian such as yourself already known to be suffering from a mental disease, your children are at risk. In fact, I’m going to write a prescription for Psychosis Risk Syndrome. You just give them these pills, OK?
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, the DSM-V is on its way. Just as did DSM-II, DSM-III, and DSM-IV, the fifth entry in this best seller from the American Psychiatric Association will expand the number, kinds, and ranges of mental disease.
Thus, the APA will have fulfilled at least one of its functions: providing job advocacy for its members.
As in previous editions, we can predict that the creators of the maladies will be as certain sure that the diseases they discover will be just as real as the old diseases they discovered and said were real, only to later say that they were not.
For example, homosexuality, which used to be a mental disease classified by the DSM, is now normal. In DSM-IV, “problems with law enforcement” was a disease, and in number five, it won’t be. Why? Because of “cultural issues”. Cancer is cancer whether you are Chinese of Zimbawayan. But a mental disease can depend on where you live?
Anyway, now “heartache over a lost spouse” will be a disease “Suck it up, Bob. Everybody dies. What made your wife special? Walk it off before they come at you with the nets.”
According to an official draft which was released in February, “internet addiction” nearly made the cut. But the consensus committee to develop a consensus—all science is done by Consensus nowadays; didn’t you know?—thought they couldn’t quite get away with this one.
Still, it was too sexy to ignore. Reports are that it will be relegated to the Appendix. As if that will stop shrinks and social workers from making the diagnoses.
Even if they cannot (yet) officially use “internet addiction”, they can still take somebody’s iPhone from them, and if those deprived squabble, they can be hit with “miscellaneous discontinuation syndrome.”
Is it merely your malcontented author complaining, or is there something untoward occurring in the ranks of the white-coated lithium prescribers? After all, we know more about the brain and its functioning now then we knew when the last manual appeared in 1994. Shouldn’t these advances be incorporated?
Professor Til Wykes from Kings College London coauthored an editorial in the August issue of the Journal of Mental Health arguing that DSM-V is “leaking into normality. It is shrinking the pool of what is normal to a puddle.”
Docs at Psychiatric Times, social workers at New York University, and others are are writing in to say, “Slow Down.”
We can visualize the so-called progress of the DSM with this cartoon, which shows the range of human behavior.
At the extremes, people are considered, or actually are, nuts. But as time progresses, what used to be considered eccentric, is viewed as abnormal and in need of medicating, or at least worthy of employing members of the APA to treat.
Nobody, not even the APA, disagrees that, according to the progressive editions of the DSM, a narrower and narrower range of behavior had been labeled “normal.”
If this trend towards limiting acceptable behaviors continues, psychitary will soon be indistinguishable from psychoanalysis or scientology, systems in which it is believed everybody suffers and must be “made clear”, and where only occult experts can guide one on the path to enlightenment.