Tagged: psychiatry

Blinded by narcissism?

In the Freudian Era, Narcissism was a central psychiatric concept and diagnosis. In the last several months, the likelihood that the American Psychiatric Association will drop this diagnosis from it’s new, 5th edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM) has been the subject of a string of articles in prominent newspapers and other news outlets including the New York Times and NPR. Though the debate is one about professional discourse and diagnosis, it extends well beyond...

The wide usage of antipsychotic medications may indicate social rather than biological etiology

There are many lessons to take away from the New York Times article linked below that describes a rambunctious little boy whose life was nearly ruined by anti-psychotic medications. Increasing numbers of children have been prescribed this class of drugs as of late for conditions ranging from Tourette Syndrome to bipolar disorder, which psychiatrists have begun to diagnose in children at younger and younger ages. There is controversy surrounding the very ability to diagnose these conditions in young children and...

Questions about antidepressant efficacy: But is mild depression really depression at all?

A new and highly controversial article in the Journal of the American Medical Association addresses the possible ineffectiveness of antidepressant medications (Paxil and Imipramine) on people who suffer from mild forms of depression (a more complete summary from NPR below). The JAMA article, Antidepressant Drug Effects and Depression Severity, suggests that the population that has actually become the most common users of the antidepressant – those with mild or moderate symptoms of depression – are actually those who benefit the...

Creating or Identifying Mental Illness: what American psychiatric definitions of illness do

The New York Times Sunday Magazine featured an article (a preview of a book) by Ethan Watters about the globalization of American concepts of mental illness (linked below). In short, along with our flavored lattes, burgers and GAP jeans, American concepts of illness are spreading across the globe. I would argue they have spread and are relatively well-integrated into the majority of societies’ understandings of a wide range of symptoms. There are very few places untouched by American conceptualizations of...