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Title: Meet the DSM: Big Pharma's Psychiatric Bible
Published: 2013-12-11
Source: https://www.youtube.com/watch?v=xR8RwCZ7xyQ
Title: Meet the DSM: Big Pharma's Psychiatric Bible
Published: 2013-12-11
Source: https://www.youtube.com/watch?v=xR8RwCZ7xyQ
1/27
since nineteen fifty two the American psychiatric association has published the diagnostic and statistical manual of mental disorders or the DSM as a guideline for the classification and diagnosis of mental health issues the DSM according to the AP a itself is the standard classification of mental disorders used by mental health professionals in the United States and contains a listing of diagnostic criteria for every psychiatric disorder recognized2/27
by the U. S. healthcare system earlier this year the EPA published the DSM five the fifth major revision of the manual that is some five was created in order to assist clinicians and being able to better recognize %HESITATION mental disorders and patience and establish a diagnosis treatment so to the extent that he has some five is an improvement over its predecessor and rough reflects the %HESITATION3/27
current state of our scientific knowledge then it will help doctors provide better care and will improve the quality of life in the health of patients and that's really the main goal the DSM in all its iterations and and particularly in this iteration descent five it doesn't jump ahead of where scientific researches it's up the costs or it lags just behind to be conservative and not you4/27
overstate evidence that has not been firmly established it reflects the state of our science but doesn't tell you where science is going to go in the future commonly referred to as the psychiatric diagnostic Bible the guy does always generated controversy how're disorders diagnosed what criteria are used to establish disorders in the first place are the category subjective do they reflect cultural biases these questions are not5/27
unique to the DSM they've played psychiatry since its earliest days but the DSM as the base guideline for the use of clinical psychiatrists across America for the past half century is the place where these philosophical issues are decided in concrete terms some of the D. S. M.'s most strident critics dispute the very name of the guide itself pointing out the does not statistical and that the6/27
term diagnosis is itself misleading and it's called the diagnostic and statistical manual of mental disorders so that tells you something right away the statistical part makes it sound statistical scientific actually there's no statistics I am a diagnostic richer whatsoever there's a little bit of statistics in the discussion but it really isn't a statistical manual which no she tester cars where Sharon and then it's the diagnostic7/27
manual so soon as you call it the diagnostic manual you're clearly saying it's medical and these are diagnoses meaning illnesses but then when you read the book it says they're disorders not diseases so there's kind of a double speak kind of having it both ways at the same time it's clearly psychiatrist Randi's their doctors they diagnose mental illnesses but they're not actually technically diseases tried and8/27
it says in the manual that there's an ongoing aboard tree test for any of the diagnoses it is specifically in their criteria for schizophrenia ever pizza was normal more trees test of any kind Romano so clearly they are not in fact establish specific medical diseases we would love to have science brought us the point where we know that this gene our this toxin or this trauma9/27
into produces this disorder and you can make a diagnosis by this blood test for this kind of X. ray for this type of elections have the graphic procedure %HESITATION and god willing that day will be coming fairly soon it's a question of terminology is not mere quibbling over semantics if the label of medical diagnosis is extended to the field of psychiatry even in the absence of10/27
any objective or external criteria for producing that diagnosis then the medical prognosis of prescription medicine seems justified perhaps even inevitable again far from an academic debate the question of when and how to justify pharmaceutical treatment for mental health issues is one with real world implications implications that impact the bottom line of the trillion dollar pharmaceutical industry criticisms of the DSM and questions of big farmers influence11/27
over the process of creating the manual are not happening at the fringes of medical debate either perhaps surprisingly one of the leading critics of the DSM five was the chair of the task force for the previous edition of the guide the DSM four our society is already up immersed in hope popping one out of every five adults takes medication every day six percent of the population12/27
is addicted to psychotropic medications we of sales of anti psychotics are eighteen billion dollars a year amongst the highest of all of classes of drugs the sales of anti depressants twelve billion dollars a year stimulants seven billion dollars a year I think that from the point of your questions it's important to be cautious in your diagnosis don't jump to conclusions don't make fancy diagnoses after brief13/27
initial contact with patients concerns over big pharma's influence on the creation of the DSM are not trivial in twenty twelve a study led by university of Massachusetts Boston researcher Lisa cost growth noted that sixty nine percent of the DSM five task force members had ties to the pharmaceutical industry including paid work as consultants and spokespersons for drug manufacturers on certain panels the conflict of interest was14/27
even more profound eighty three percent of the members of the panel working on mood disorders had pharmaceutical industry ties and one hundred percent every single member of the sleep disorder panel had ties to the pharmaceutical companies that manufacture the medications used to treat these disorders or to companies that service the pharmaceutical industry even the chair of the DSM five task force himself is not above these15/27
accusations prior to sharing the task force he worked as a consultant for Novartis Pfizer Eli Lilly Johnson and Johnson and a host of other pharmaceutical related companies and organizations the EPA has responded to criticism of task force member ties to big pharma by issuing disclosure statements listing each member's ties to drug manufacturers and other commercial groups and an agreement limiting their income from industry sources to16/27
ten thousand dollars in any calendar year in which they worked on the DS and despite these assurances many point to the depth of the pharmaceutical industry ties as a fundamental cause for concern over the DSM process in particular and the direction of psychiatry as a whole one such critic is doctor Bruce Levine a practicing clinical psychologist and a vocal critic of the DSM and its methods17/27
well I think we should definitely address the drug issue because this seems to be the real heart of the the issue and what's driving these side these different revisions and the expansion of the number of people who are included in them and %HESITATION and there are a lot of different %HESITATION different aspects to this but obviously you mentioned for example the over prescription of anti Cicotte18/27
psychotics which is now an eighteen billion dollar a year industry one of the most prescribed class of drugs on anti depressants I believe another twelve billion dollars a year on just a incredible amounts of money obviously are being pumped into this and are facilitated by these TSM's what's talk about the drug issue and that the the influence of the drug manufacturers over the creation of this19/27
site so called Bible it sure is huge I mean or like I said that about sixty nine percent of the people who are in the DSM of Phi kaps fourth had ties to the drug companies and the I think one folks here these numbers sometimes lately yet loss went near billion billion to kind of give folks a sense of how you choose anti psychotics or just20/27
wanna close psychotic is now this one called abilify which you might be seen at least in America we see on turtle vision being advertised regularly as a that you get you could use first like courses you could used for depression is sort of like an anti depressant chaser taken longer to Prozac listing abilify eyes Lantos psychotic loam is gonna is harder to is on pace to21/27
grow six billion dollars this year it's there in the first quarter up to terrorism thirteen it already come the largest grossing of all drugs such as psychiatric drugs Saric will another anti Socratic hit six billion dollars in two dozen Aladdin and so these gigantic amounts of money on me to kind of get people's sets Arabic up that kind of money is Facebook only grows five billion22/27
dollars last year Yahoo only grows five billion dollars just use a warrant anti psychotic drugs okay is gross not much money water and I was like roasting it wheels not being given just for kids wiggle eight you know it's just not been giving for people who have psychoses it's being given to control population total Quebec kids Eugene your jhed billions are called to be made off23/27
of just control the kids but also all people in nursing homes that's a lot of places that they're being given also folks in prison armor that's where there'd be a lot of these jobs are being used so any population out there of vulnerable people who you know what Tories got pretty much complete control over who they wanted it they wanted most easily our control on there24/27
they're getting control of his anti psychotic drugs and that's war on their debate and so much money off of them in the end what is at stake is not merely the utility of the DSM as a diagnostic guidelines the credibility of the psychiatric profession as a whole as critics like Dr Frances and others have argued in the relentless drive to expand the number and the scope25/27
of mental disorders with the attended increase in potential customers it brings to the drug manufacturers more and more people are being driven from the ranks of the normal into the care psychiatrists this diverts attention from the extreme cases of individuals most in need of mental health care and makes him personal interactions dictated by DSM guidelines and ending with knee jerk drug prescriptions all the more likely26/27
for many the direction of psychiatry has to be diverted from its current course before the very human condition itself is pathology ized and medicated out of existence he was brought to you by subscribers of boiling frog post dot com for more information on this and other topics please go to boiling frog post dot com for more information and commentary from James Corbett please go to court