March 26, 2007

UPDATED: DSM Author Says Many Diagnoses Incorrect

Much credit to Vera Sharav at AHRP for unearthing a BBC documentary wherein Robert Spitzer, godfather of the current DSM and lead author of the revolutionary 1980 DSM-III (the one that shifted psychiatry to the biologically-based model), admits that 20 percent to 30 percent of mental disorder diagnoses are incorrect. Sharav writes that he even admits that ADHD is "an erroneous made up diagnosis." If so, that's major news.

I've got to track down this documentary, which obviously I haven't seen.

UPDATE: Spitzer now says his comments were twisted. He was, instead, speaking of adult anxiety disorders. Apparently, flacks for the BBC misunderstood him and attached his comments to ADHD, which of course the European press ate up. Funny how incorrect information can blow up on the Net. I hope the news organizations that reported the incorrect statement issue the appropriate correction.

Meanwhile, while I am still interested in what Spitzer actually said in the documentary, I am leaving the initial post above as a record of this odd incident.

Posted by Philip Dawdy at March 26, 2007 10:38 AM
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Comments

"I am leaving the initial post above as a record of this odd incident."

Good idea.

Posted by: Stephany at March 26, 2007 06:55 PM

The (Australian) ABC's Media Watch program ripped into the print media's interpretations of Spitzer's comments last night. A transcript, together with graphics and video link, can be found here.

Wikipedia's summary of the relevant part of the episode in question, which screened on 18 March, is as follows:

"The second episode reiterated many of the ideas of the first, but developed the theme that the drugs such as Prozac and lists of psychological symptoms which might indicate anxiety or depression were being used to normalise behaviour and make humans behave more predictably, like machines.

"This was not presented as a conspiracy theory, but as a logical (although unpredicted) outcome of market-driven self-diagnosis by checklist, discussed in the previous programme.

"People with standard mood fluctuations self-diagnosed as abnormal; they then presented at psychiatrist's offices and fulfilled diagnostic criteria without explaining personal histories and so were medicated. The alleged result was that vast numbers of Western people have had their behaviour and mentation modified by SSRI drugs without any strict medical necessity.

Posted by: Ruth at March 26, 2007 10:37 PM

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