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    <title>DSM</title>
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    <description>BLOG-DSM: Is it scientific, political, social control, or simply for profit?</description>
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 <title>DSM</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=4#171</link>
<description><![CDATA[Jacob Mack pending M.S. Forensic/Clinica: Thank you for this post. I am a graduate student who has taken extensive courses in interpeting and applying the DSM-IV. I must concede that despite many claims to the contrary, the basis of ICD-9 for insurance purposes has ruined clinical diagnostic assessment as it is distorted by corporate one size fits all classification. I like having a multi axial system, but human behavior and thought processes are far more complex than such a limited biopsychosocial model can account for or function in terms of predictive value.]]></description>
 <category>DSM</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=4#171</comments>
 <pubDate>Sun, 4 Jul 2010 23:00:23 -0500</pubDate>
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 <title>DSM</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=4#112</link>
<description><![CDATA[Helen T. Whitley, LCSW: Thank you for this forum. I am a licensed clinical social worker in private practice full-time. I am also proud to say I am a Certified Laughter Yoga Teacher. I train mental health professionals and others to be Certified Laughter Yoga Leaders. Laughter has only recently been given the credit it is due, and the new med and disorder being proposed is likely to scare people away from the thousands of free laughter clubs that exist worldwide. There is an expanding body of research on the NUMEROUS health benefits of laughter. Those benefits are markedly increased when laughing in a group for 20 minutes, interspersed with deep, yogic breathing. It is aerobic and social activity at its finest. So many of us agree that the DSM is mostly a sham supported by big pharma. RE: the new pill for &quot;emotional incontinence&quot; for controlling uncontrollable laughter is going to pathologize laughter (THE best medicine) to the point that people are going to be worried about laughing too much.]]></description>
 <category>DSM</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=4#112</comments>
 <pubDate>Fri, 27 Nov 2009 12:37:00 -0600</pubDate>
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 <title>DSM</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=4#111</link>
<description><![CDATA[Elizabeth Miller, grad stdt, Clin MH Cnl: Regarding the disease model and trauma assessment/Dx/treatment:  I wonder if the same diagnostic approach were used in physical medicine, would the diagnosis for a broken leg be &quot;Broken Leg Syndrome&quot; or &quot;Somatic Fibular Pain Disease&quot;?  Instead of looking for the cause of the pain, would the patient be given medicine to manage or mute the symptoms and be told to stay on the meds and &quot;make the best of things&quot;?<br />
<br />
Would the patient be asked to diagnose himself or herself with a question such as &quot;Is your leg broken?&quot; (Compare with the lone question SOMETIMES included in psych evals: &quot;Have you ever been abused?&quot;, vs. including appropriate questions/items to detect probable trauma).<br />
<br />
I work with complex trauma and dissociation, where I find many clients whose psychic pain reaction to psychological (and other) wounding is commonly pathologized, and often medicated down with strong pharma-cocktails that can mute their somatic and affective cries of pain (i.e., their trauma reactions).  (To clarify: I am not speaking out against appropriate psychopharmacology, but against pathologizing a pain reaction.) <br />
<br />
We KNOW that a high percentage (e.g., over 70% of multiple-admission female mental unit patients) report childhood abuse, yet we do not appropriately screen or treat. How can we call this ethical?]]></description>
 <category>DSM</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=4#111</comments>
 <pubDate>Thu, 19 Nov 2009 19:38:09 -0600</pubDate>
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 <title>DSM</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=4#110</link>
<description><![CDATA[Brad Beebe, Ph.D.: There are some settings and consumer groups for whom the DSM system's utility more or less outweighs the drawbacks. However, even these best of circumstances for the utility of this diagnostic system itself, an additional problem is that there are no necessary qualifications for the people who &quot;make&quot; these diagnoses, and from what I have seen first-hand, diagnoses often are ascribed by people who have no more expertise than a simple ulterior motive. Since the DSM system is likely going to be around for awhile, I propose that there be a multidiscplinary board to oversee a certification in DSM diagnoses, and certified diagnosticians can therefor be recognized as meeting minimal requirements. Then, you would at least be able to argue whether or not certified (implying qualified) diagnoses are an imporovement in reliability, if not external validity.]]></description>
 <category>DSM</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=4#110</comments>
 <pubDate>Mon, 26 Oct 2009 11:27:13 -0500</pubDate>
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 <title>DSM</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=4#109</link>
<description><![CDATA[thomas scheff: In my work I have treated what is called mental illness as a vast variety of deviant acts (rule breaking) for which there is no vernacular tag: crime, drunkeness, selfishness, etc. In this scheme, the DSM is virtually meaningless.<br />
<br />
Most of my fellow sociologists have accepted this idea, but most psychiatrists don't get it.]]></description>
 <category>DSM</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=4#109</comments>
 <pubDate>Wed, 21 Oct 2009 20:17:33 -0500</pubDate>
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 <title>DSM</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=4#105</link>
<description><![CDATA[Julianne Sobel, Psy.D.: There might be value in this medication and diagnosis of emotional incontinence secondary to a neurological condition e.g. pseudobulbar palsy or post-stroke emotional incontinence. Person's who are unable to stop laughing or crying often feel very embarrassed and fear being seen by other's as socially inappropriate.]]></description>
 <category>DSM</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=4#105</comments>
 <pubDate>Tue, 20 Oct 2009 23:09:46 -0500</pubDate>
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 <title>DSM</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=4#106</link>
<description><![CDATA[Tedd Judd, PhD, ABPP-CN: I don't want to detract from your criticism of the pharmacological influence on DSM one bit--I think you are right on target. But as a neuropsychologist I do want to inform your readers that laughing or crying too much in a way that does not correspond to the internal feeling state that the person appears to be expressing is no laughing matter. It is a fairly common consequence of stroke and sometimes other neurologic disorders. The crying is more common and more socially disabling, but the laughing can be problematic if it is severe enough. Fortunately, most of the time it can be dealt with quite effectively through education and some simple control techniques, and most of those with the condition prefer them. But there are a few people where the condition is so severe that they prefer a pill, as well. These are individuals who can barely converse because laughing and crying continually interrupt.<br />
   The problem here, of course, is that that limited legitimate medication use becomes the camel's nose under the tent. Big pharma will barge on in.<br />
    I have always hated the term &quot;emotional incontinence&quot; for this condition. It's demeaning. I have preferred &quot;reflex laughing&quot; and &quot;reflex crying.&quot; They emphasize the neurologic nature of the disorder and the disconnect of emotional expression from emotional state. <br />
    That being said, I find the idea of medicating someone for laughing too much in the absence of a clear neurological cause to be repulsive.]]></description>
 <category>DSM</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=4#106</comments>
 <pubDate>Tue, 20 Oct 2009 21:57:57 -0500</pubDate>
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 <title>DSM</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=4#104</link>
<description><![CDATA[Edahn: Pills to make people laugh less? LOL<br />
<br />
If there are people who really are laughing when it's not socially appropriate, how about talking to them and helping them feel less guilty, or teaching them ways to explain to others that they are just more prone to giggling? The DSM needs to be revised by someone with greater insight and less avarice.]]></description>
 <category>DSM</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=4#104</comments>
 <pubDate>Tue, 20 Oct 2009 20:47:23 -0500</pubDate>
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 <title>DSM</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=4#100</link>
<description><![CDATA[Nola Nordmarken, MA: Yes! Yes!!, Azzia Zur.  One big laugher here...ready for work.]]></description>
 <category>DSM</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=4#100</comments>
 <pubDate>Sat, 10 Oct 2009 08:00:02 -0500</pubDate>
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 <title>DSM</title>
 <link>http://www.zurinstitute.com/blogs/index.php?blogid=4#99</link>
<description><![CDATA[Azzia Zur, B.A. Philosophy: Now big laughers and feelers are pathologized:<br />
<a href="http://irnewsservice.com/general/avanir-pharmaceuticals-avnr-2-44-up-0-31-14-55-on-patent-for-neurological-disorder-drug/" rel="nofollow">http://irnewsservice.com/ge...</a><br />
<br />
Can I have the laughter disorder please? We should send big laughers to the children's cancer wards to cheer up patients, not medicate the laughter.<br />
<br />
&quot;Labile affect or pseudobulbar affect refers to the pathological expression of laughter, crying, or smiling.&quot;  What do do? &quot;Treatment for labile affect is usually pharmacological . . .&quot;<br />
<br />
These are just feelings, folks. We should spend more time helping TV, consumer, internet, food addicts come into their bodies and emotions than medicating the emotions out of expressive people. <br />
<br />
Unless we're trying for 1984. . .]]></description>
 <category>DSM</category>
<comments>http://www.zurinstitute.com/blogs/index.php?blogid=4#99</comments>
 <pubDate>Fri, 9 Oct 2009 12:22:17 -0500</pubDate>
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