Wednesday, June 20, 2012

9:53 AM 6/20/2012 - Mike Nova's starred items: FILE - The 2007 file photo provided by the Uniformed Services University of the Health Sciences (USUHS) shows Nidal Malik Hasan when he undertook the ...

9:53 AM 6/20/2012 - Mike Nova's starred items

via psychiatry - Google News on 6/19/12

Judge bars Fort Hood suspect from hearing after Army psychiatrist ...
Greenfield Daily Reporter
FILE - The 2007 file photo provided by the Uniformed Services University of the Health Sciences (USUHS) shows Nidal Malik Hasan when he undertook the ...

via psychiatry - Google News on 6/19/12

AMA Inaugurates Denver Psychiatrist Jeremy Lazarus as President
MarketWatch (press release)
Dr. Lazarus is a clinical professor of psychiatry at the University of Colorado Denver School of Medicine and a voluntary professor of psychiatry at the University ...

and more »

via psychiatry - Google News on 6/19/12

WLTX.com
Lawyers Argue Jerry Sandusky Has Psychiatric Disorder
WLTX.com
(USA TODAY) - Few outside the psychiatric community knew about "histrionic personality disorder" until it was reported that attorneys for former Penn State ...
Experts cast doubt on Sandusky's disorder defense - Offbeat NewsSan Francisco Luxury News
Jerry Sandusky defense expected to argue ex-coach had 'histrionic ...Boston Herald

all 872 news articles »

via psychiatry - Google News on 6/19/12

Independent Online
Psychiatrists stand by findings on Breivik sanity
Independent Online
Oslo - Two court-appointed psychiatrists said on Tuesday they had little evidence contradicting their conclusion that Norwegian self-confessed mass murderer ...
Norwegian killer slams court for sanity focusFox News
Norwegian mass killer slams court, says trial has centered too much ...Washington Post

all 228 news articles »

via international psychiatry - Google Blog Search by unknown on 6/19/12
"It's quite sad that the monster of Norwegian court psychiatry has managed to take over this case. It should have been about the victims and their families, and about the political basis and causes," Breivik told the court. "Because July 22nd is ...

via international psychiatry journals - Google Blog Search by Andrea Muhrrteyn on 6/19/12
Secondly: I am a Radical Honoursty Libertarian EcoFeminist; and one of the few publications who were willing to publish my writings was: Noel Ignatiev's Race Traitor: 'Timothy McVeigh and Me' (#15, Fall 2001 ). I don't expect you to agree with me, appreciate my opinions ... Both your articles imply you are FULLY COGNISANT that Norway is hosting a StaliNorsk Political Psychiatry Show Trial on the world stage. Your response: YOU DON'T GIVE A FUCK! YOU ARE ...

via international psychiatry journals - Google Blog Search by climateer on 6/14/12
... that brain levels of serotonin, the 'happy hormone' are regulated by the amount of bacteria in the gut during early life. Their research is being published June 12 in the international psychiatry journal, Molecular Psychiatry.

via Twitter / NMD_online on 6/19/12
NMD_online: New Article: Should Prolonged Grief Be Reclassified as a Mental Disorder in DSM-5?: Reconsidering the Empirical ... http://t.co/MHeYF4pW

via international psychiatry - Google News on 6/19/12

BoxingInsider.com (blog)
Discussing PEDs in Boxing with Dr. Ronald Kamm, Sports Psychiatrist
BoxingInsider.com (blog)
Specializing in Sport Psychiatry, Dr. Kamm was selected as one of America's 100 Most Influential Sports Educators by the Institute for International Sport.


Judge bars Fort Hood suspect from hearing after Army psychiatrist ... - Greenfield Daily Reporter

via psychiatry - Google News on 6/19/12

Judge bars Fort Hood suspect from hearing after Army psychiatrist ...
Greenfield Daily Reporter
FILE - The 2007 file photo provided by the Uniformed Services University of the Health Sciences (USUHS) shows Nidal Malik Hasan when he undertook the ...

Judge bars Fort Hood suspect from hearing after Army psychiatrist shows up again with beard

  • ANGELA K. BROWN Associated Press
  • First Posted: June 19, 2012 - 6:54 pm
    Last Updated: June 19, 2012 - 6:55 pm

Photos:

FILE - The 2007 file photo provided by the Uniformed Services University of the Health Sciences (USUHS) shows Nidal Malik Hasan when he undertook the Disaster and Military Psychiatry Fellowship program. Hasan is charged in the fatal 2009 shooting rampage at Fort Hood which killed 13 people and injured more that 30 others. He faces the death penalty if convicted. (AP Photo/Uniformed Services University of the Health Sciences, File)

FORT HOOD, Texas — An Army psychiatrist charged in the deadly 2009 shooting rampage at Fort Hood was barred from military court by the judge Tuesday because he still has a beard.
Maj. Nidal Hasan was told that he couldn't attend any more hearings or his upcoming murder trial unless he shaves. The judge, Col. Gregory Gross, initially warned Hasan that he was violating Army regulations at a hearing earlier this month. That was the first time Hasan showed up in court sporting a beard.
Lead defense attorney Lt. Col. Kris Poppe told the judge that Hasan grew the beard as a "deeply sincere" expression of his faith and because he has a premonition he will die soon. Poppe quoted an imam who said growing a beard is mandatory or strongly encouraged for men of Islamic faith.
Hasan faces the death penalty if convicted of 13 counts of premeditated murder and 32 counts of attempted premeditated murder in the attack at the Texas Army post. Witnesses have said that on the morning of Nov. 5, 2009, a gunman wearing an Army combat uniform opened fire after shouting "Allahu Akbar!" — or "God is great!" in Arabic — in a Fort Hood medical building where deploying and returning soldiers received vaccines and other tests.

A prosecutor, Lt. Col. Steve Henricks, said Hasan never grew a beard during his military career and was only doing so now to prevent witnesses from identifying him at his trial, set for Aug. 20.
Poppe said that an Army chaplain has discussed the beard issue with Hasan, an American-born Muslim.
Gross opted not to hold Hasan in contempt of court and did not force him to shave. However, Hasan was taken to a nearby room where he watched the rest of the five-hour hearing on closed-circuit television.
Gross did not rule Tuesday on several defense motions, including a request to delay the trial from August to December and a request for copies of materials used by a terrorism expert expected to testify for the prosecution. He did grant a defense request for government funding for a neurologist to perform tests on Hasan, including scans to check for a brain tumor. The next hearing was set for June 29.
During a break in the hearing, TV monitors in the courtroom showed Hasan and one of his attorneys in another room, but the judge turned them off when proceedings resumed, saying he didn't want Hasan's appearance to be a disruption.
"I'll wait for him to shave if he wants to come back in here," Gross told Hasan's attorneys. "He has a choice."
Poppe responded that it was a choice to "to obey you or his religious faith."
"That's not a choice for a soldier," Gross shot back.
Poppe said he would appeal the judge's ruling to a higher Army court because with Hasan barred from the courtroom, he has no way to communicate with his client.
Hasan, 41, is paralyzed from the waist down after being shot by police the day of the rampage. He remains jailed.
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9:33 AM 6/20/2012 - Mike Nova's starred items

9:33 AM 6/20/2012 - Mike Nova's starred items

 

via Twitter / APAPsychiatric on 6/20/12
APAPsychiatric: For the first time in 73 years a psychiatrist becomes president of the AMA. Congratulation to Jeremy Lazarus, MD.

via psychiatry - Google Blog Search by unknown on 6/19/12
The identification of genes and gene products involved in psychiatric disorders should have very important implications for drug therapy in two ways. The first of these is in the direction of drug discovery [73]. Currently the ...

via psychiatry - Google Blog Search by unknown on 6/19/12
Endocrinology and Psychiatry: The Powerful Influence. June 19th | Psychiatry as a Neuroscience. The brain, like any other organ, is constantly exposed to and governed by hormones in the internal medium, as a way to integrate its activities ...

via psychiatry - Google Blog Search by jeantine.vangemund on 6/19/12
The study of human passions has vanished from Western psychiatry and should be restored, according to a visiting professor who will give a free public lecture at The University of Western Australia. Professor Louis Charland ...

via psychiatry - Google Blog Search by King, A. C., de Wit, H., McNamara, P. J., Cao, D. on 4/4/11
Context Excessive consumption of alcohol is a major problem in the United States and abroad. Despite many years of study, it is unclear why some individuals drink alcohol excessively while others do not. It has been ...

via candidaabrahamson by candidaabrahamson on 6/20/12
“I Will Survive!”: But Can You Teach That To The Armed Forces? And, really–can you? That’s the question on everybody’s mind? For we began discussion with the devastating suicide statistics in the military, which contrasted so starkly with those of black women. And then we analyzed what made these women so resilient, frequently despite markedly [...]

via pubmed: psychiatry by pubmed on 6/20/12
86 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results:
These pubmed results were generated on 2012/06/20
PubMed, a service of the National Library of Medicine, includes over 15 million citations for biomedical articles back to the 1950's. These citations are from MEDLINE and additional life science journals. PubMed includes links to many sites providing full text articles and other related resources.

via psychiatric diagnosis - Google Blog Search by stevebMD on 6/19/12
It's a real condition—and medications can help tremendously—but the diagnostic criteria are quite vague. As with much in psychiatry, anyone “saying the right thing” can relatively easily get one of these drugs, whether they ...

via Medical Health Central » Psychiatry as a Neuroscience by on 6/20/12
Besides being the most enduring hypothesis to explain the molecular and neuropathological findings of AD, the amyloid cascade hypothesis can be used to predict likely disease-modifying targets. The most obvious target is the next generation of amyloid itself. If this can be avoided or mitigated, then it is very likely that the disease process would be interrupted. Inhibition of g-secretase activity could be problematic, as g-secretase inhibitors would also be expected to inhibit the maturation of the notch and therefore could have adverse consequences on haematopoiesis in other processes. BACE inhibitors have been identified and are very intensively studied as potential modifiers of the disease. The increased activity of PKC via an alternative strategy asecretase is accurate, although the caveat remains that has not yet been proven that this will result in a reduction of amyloid itself same. Nevertheless, the great advantage of this strategy is that compounds that increase PKC activity are tried and tested and as cholinergic enhancement compounds? Holinesterase inhibitors, for example) are already in use in the target population. Furthermore, these compounds have also been shown to reduce tau phosphorylation, and “ hit'' the disease process at two sites simultaneously. An alternative approach to the fight against amyloid is to prevent fibrillogenesis of amyloid peptide aggregates or conceal beginning before plaque formation. Compounds that seek to achieve this is to generation. Agents to prevent amyloid formation in AD will be useful, but not frontotemporaldementias the whereasanti-tauaggregationstrategieswould beactiveinbothtypesofdisorder.Tauaggregationitselfisasitefor potential therapeutic intervention, is that phosphorylation of tau. Lithium is a relatively toxic inhibitor of GSK-3, but other less toxic inhibitors of GSK-3 could be of any practical use in AD. Because GSK-3 is inhibited by lithium, these compounds are of considerable interest as potential agents in affective disorders as well.
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APAPsychiatric: For the first time in 73 years a psychiatrist becomes president of the AMA. Congratulation to Jeremy Lazarus, MD.

APAPsychiatric: For the first time in 73 years a psychiatrist becomes president of the AMA. Congratulation to Jeremy Lazarus, MD.

from Twitter / APAPsychiatric
 
 

jeremy lazarus md ama 


  1. Jeremy A. Lazarus, MD - American Medical Association

    2. www.ama-assn.org/ama/pub/about-ama/our.../jeremy-lazarus.page


    Jeremy A. Lazarus, MD Jeremy A. Lazarus, MD, a board-certified psychiatrist in ... was re-elected speaker of the American Medical Association (AMA) House of ...

  2. AMA Inaugurates Denver Psychiatrist Jeremy Lazarus as President

    3. www.ama-assn.org/ama/.../2012-06-19-jeremy-lazarus-inaugurated-p...

    14 hours ago รข€“ Jeremy A. Lazarus, M.D., a Denver psychiatrist in private practice, was inaugurated today as the 167th president of the American Medical ...

     

  3. Jeremy A. Lazarus, MD - AMA President Inaugural Address

    4. www.ama-assn.org/ama/.../2012-06-19-lazarus-inaugural-address.pa...

    14 hours ago รข€“ Jeremy A. Lazarus, MD - AMA Presidential Inaugural Address at the AMA Annual Meeting of the House of Delegates, June 19, 2012.

     

  4. Strengthening medicine for the long run - amednews.com

    5. www.ama-assn.org/amednews/2012/05/28/prsa0528.htm


    May 28, 2012 รข€“ Incoming AMA President Jeremy A. Lazarus, MD, says he hopes to use his skills to help physicians find common ground on complex issues.

  5. News for jeremy lazarus md ama

    1. AMA Inaugurates Denver Psychiatrist Jeremy Lazarus as President
    Virtual-Strategy Magazineรข€ลฝ - 14 hours ago
    AMA Inaugurates Denver Psychiatrist Jeremy Lazarus as President ... June 19, 2012 (GLOBE NEWSWIRE) -- Jeremy A. Lazarus, M.D., ...
  6. [PDF]

    7. JEREMY A. LAZARUS, MD, PRESIDENT-ELECT OF AMERICAN ...

    www.nycpm.edu/newsEvents/commencement2012.pdf

    File Format: PDF/Adobe Acrobat - Quick View
    Jeremy A. Lazarus, MD, President-Elect of the American Medical Association, delivered the keynote address to the graduating class of the New York College of ...

  7. Jeremy Lazarus, MD, President Elect, American Medical Association ...
    www.youtube.com/watch?v=8itWVa1JyMAApr 23, 2012 - 5 min - Uploaded by whcccongress
    Dr. Lazarus discusses what will be a busy year as he assumes leadership of the AMA.

  8. Medical News: Conversations with... Jeremy A. Lazarus, MD - in ...
    www.medpagetoday.com/Columns/.../27182Jun 29, 2011 - 7 min
    JEREMY A. LAZARUS, MD: Thank you. LUNDBERG: How long have you been speaker of the House of ...
  9. More videos for jeremy lazarus md ama ร‚»

  10. Jeremy Lazarus, MD | Academics | University of Colorado Denver

    11. www.ucdenver.edu รข€ยบ Home รข€ยบ Center Community Advisory Board


    Jeremy Lazarus, MD, is in private practice in Denver, Colorado and Clinical ... of the House of Delegates (HOD) of the American Medical Association(AMA), ...

  11. Dr. Jeremy A. Lazarus, Incoming AMA President ร‚« The Practical - Blog

    12. jajsamos.wordpress.com/.../dr-jeremy-a-lazarus-incoming-ama-presid...


    2 days ago รข€“ Dr. Jeremy A. Lazarus, MD, incoming American Medical Association (AMA) President, spoke at the May American Psychiatric Association ...

  12. Jeremy A. Lazarus, M.D., Elected Speaker, AMA House of Delegates

www.prnewswire.com/.../jeremy-a-lazarus-md-elected-speaker-ama-h...


CHICAGO, June 23 /PRNewswire-USNewswire/ - The American Medical Association (AMA) announced during its Annual Meeting today the election of Denver ...

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Saturday, June 16, 2012

Top 10 Indicators Of DSM-5 Openness - by Allen Frances, M.D.

DSM5 in Distress
The DSM's impact on mental health practice and research.
by Allen Frances, M.D.

Top 10 Indicators Of DSM-5 Openness

Challenging APA newspeak.
Published on June 15, 2012 by Allen J. Frances, M.D. in DSM5 in Distress
In '1984', George Orwell introduced the term 'Newspeak'- the abuse of language by totalitarian bureaucracies to create an upside down, looking glass world of misinformation. He was probably inspired by 'Pravda,' the Soviet Union's propaganda paper that literally means 'truth' in Russian but was famous for publishing everything but.
This brings us to the American Psychiatric Association. Its medical director recently justified the astounding $25 million APA has already spent on DSM 5 (5 times the cost of DSM IV) with a curious claim- DSM 5 was so exorbitantly expensive because it was so unprecedentedly open. This classic Newspeak kills two truth birds with one stone — DSM 5 didn't waste a huge amount of money and DSM 5 didn't fail because it was a closed shop. The futile hope is that black will become white if only you say it enough times.
In fact, it is very cheap to run an open process — and very expensive to run a PR disinformation campaign. It cost me nothing but an hour's time to write this blog. How much, I wonder, will it cost APA to pay off GYMR (its high powered public relations producer of newspeak pravda) to defend its indefensible claims that DSM 5 is an open process and that it can meet its unrealistic timetable with a reliable manual?

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Here is a top 10 list of great moments in the history of APA 'openness'.
1) APA forces work group members to sign confidentiality agreements to protect DSM 5 'intellectual property'.
2) DSM 5 does a confidential and super-secret 'scientific' review of itself- real science is never secret.
3) APA rebuffs calls from 51 mental health associations for an open and independent scientific review.
4) APA's legal office tries to stifle criticism and censor the internet using inappropriate and bullying threats of trademark litigation.
5) APA plans to steeply jack up licensing costs for use of DSM criteria sets in order to recoup its unaccountably huge investment on its 'intellectual property'.
6) DSM 5 only reluctantly engages on the issues and instead stonewalls criticism with offensive and defensive tactics.
7) The original DSM 5 plan for field trials included no prior public viewing of criteria sets and no period for public comment. These are added only under heavy outside pressure.
8) DSM 5 publishes no aggregations of key areas of concern identified during public reviews; doesn't respond publicly to them. and there is no indication that public input has had any impact whatever on DSM 5.
9) The APA 'charitable' foundation (meant to provide open public education) is named by a watchdog group as the 7th worst charity in all of the US.
10) APA promises to post a complete set of DSM 5 reliability data in time to allow comments during the final period of public review- but fails to do so.
And this is just a taster. At least a dozen reporters have spontaneously mentioned to me that never in their careers have they encountered anything so byzantine as the APA press office. And dozens of APA members have emailed their frustration at not being able to get a straight (or any) answer from a staff whose salaries are paid by their membership dues.
It requires lots of time, money, and brain power to create 'pravda.' Perhaps this explains why everything connected with DSM 5 is always so late and so expensive and why a high flying hired gun like GYMR is needed to run its interference. The real truth is fast, cheap, and very simple to explain.
Additional research is available at Suzy Chapman's website. She monitors DSM-5 development at http://dxrevisionwatch.wordpress.com.
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Wednesday, June 13, 2012

Vaccine To Curb Cocaine Addiction | Recognising Computer *Addiction* In Adolescents - 2:07 PM 6/13/2012 - Mike Nova's starred items

Google Reader - Mike Nova's starred items

Vaccine To Curb Cocaine Addiction - Mike Nova's starred items - 2:07 PM 6/13/2012

via prisons - Google News on 6/13/12


Prisons Breed TB
AllAfrica.com
By Kerry Cullinan, 13 June 2012 South Africa's overcrowded, poorly ventilated prisons are "melting pots" for tuberculosis infection, according to Professor Robin Wood from the Desmond Tutu HIV Centre. Speaking shortly before the start of the national ...

via prisons - Google News on 6/13/12

Wall Street Journal (blog)

ACLU: Releasing Old Prisoners Is Low Risk, Financially Prudent
Wall Street Journal (blog)
By Steve Eder Another organization is weighing in on the debate over whether aging prisoners should be released to cut costs. According to a report Wednesday by the American Civil Liberties Union, $16 billion is spent each year to incarcerate hundreds ...

via prisons - Google News on 6/13/12

al.com (blog)

Alabama prison chief faces budget cuts, challenges over Tutwiler abuse reports
al.com (blog)
(The Huntsville Times/ Michael Mercier) MONTGOMERY, Alabama -- The Alabama prison system has more than 25000 inmates in its custody. That growing population already puts its 29 facilities about 193 percent over capacity. Through converting gymnasium ...

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via crime as a form of class warfare - Google News on 6/13/12

Russia Profile

No War, No Peace
Russia Profile
For the fifth year running, Russia has been trailing many other nations “where people live in peace and harmony,” said the report, citing the low-key warfare in the North Caucasus and the Kremlin's efforts to face down the ongoing middle-class protests ...

and more »

via addiction - Google News on 6/11/12


An Addict's Guilt: When It Helps And When It Hurts In Recovery
PsychCentral.com (blog)
By David Sack, MD The concept of an addict's guilt may seem foreign and contradictory to a loved one. During active addiction, people lie, lose their jobs and bankrupt themselves or their families seemingly without a second thought (though they often ...

and more »

via addiction - Google Blog Search by admin on 6/11/12
“This means they feel an urge to use their computer on a particular occasion, or always at the same time,” said Mr. Woelfling, adding there was no clear-cut line between addiction and non-addiction. A further sign of addiction ...

via addiction - Google News on 6/11/12

Mashable

6 Ways to Kick Your Facebook Addiction
Mashable
If your answer is yes, then it's time to put a stop to your addiction. Facebook is great for a lot of things. It can help you stay connected and share details of your life with family and friends. You can use it to promote your business (or yourself, ...

via addiction - Google News on 6/11/12


Vaccine To Curb Cocaine Addiction
Ivanhoe
(Ivanhoe Newswire) -- According to the National Institute on Drug Abuse, there were approximately 1.4 million people known to be addicted to cocaine across the United States in 2008. A new vaccine is currently being researched to help cocaine addicted ...
Cocaine vaccine gets a boost with molecular imagingMedical Xpress

all 4 news articles »

via addiction - Google News on 6/11/12


Industry must stop 'food addiction' attacks
Nation's Restaurant News
The new theory suggests that a restaurant is little better than a meth dealer, hooking customers on addictive foods — “bet you can't eat just one” — cooked up by an evil genius in a laboratory. Is your company adding sugar to cereals?


Mike Nova's starred items

via addiction - Google News on 6/12/12


Vaccine to curb cocaine addiction
CBS42
According to the National Institute on Drug Abuse, there were approximately 1.4 million people known to be addicted to cocaine across the United States in 2008. A new vaccine is currently being researched to help cocaine addicted patients quit and to ...

and more »

via Psychology Today Blogs by Barry W. McCarthy, Ph.D. on 6/13/12
Magazines and blogs often promise that you can revitalize passion and regain irresistible sexual attraction in your relationship. In reality, these claims set you and your partner up for sexual failure. The romantic love/passionate sex/idealized couple phase of a relationship typically lasts between 6 months and 2 years.
read more

via Psychology Today Blogs by Elana Premack Sandler, L.C.S.W., M.P.H on 6/13/12
I’m still moved by Vice President Joe Biden’s speech from just before Memorial Day weekend, during which he shared with all of us just how close he had come to taking his own life.
In commentary a few days later, Washington Post opinion writer Michael Gerson praised Biden’s display of empathy, the ability to identify others’ emotions.
read more

via psychiatry - Google Blog Search by Chechar on 6/12/12
Or: The ten books that made an impact in my life before I became racially conscious 3.- Laing and Anti-Psychiatry (read in 1983) Sometimes it is not an entire book what causes a deep impression in one's values and ...

via Sciences Indexed Since 1998 on 6/13/12
Research on the attitudes of health care providers towards people with mental illness has repeatedly shown that they may be stigmatizing. Many scales used to measure attitudes towards people with mental illness that exist today are not adequate because they do not have items that relate specifica...

via Sciences Indexed Since 1998 on 6/13/12
Long-term forms of depression represent a significant mental health problem for which there is a lack of effective evidence-based treatment. This study aims to produce findings about the effectiveness of psychoanalytic psychotherapy in patients with treatment-resistant/treatment-refractory depres...

via psychiatry research - Google Blog Search by D Bunker on 6/12/12
Funding: MAT was supported by a PhRMA Foundation Sabbatical Fellowship grant, National Institutes of Health Grant Number P20 RR016454 from the INBRE Program of the National Center for Research Resources, and ...

via psychiatry - Google News on 6/13/12


Oppositional Defiant Disorder Linked to Symptoms of Schizophrenia Spectrum ...
Clinical Psychiatry News Digital Network
... in Stony Brook, NY, and Dr. Deborah AG Drabick of Temple University, Philadelphia, looked at 1160 children between the ages of 6 and 18 years who were consecutive referrals to a university hospital child psychiatry outpatient service.

via Psychiatric News Alert by noreply@blogger.com (Psychiatric News Alert) on 6/13/12

A new study of 665 young people in the third, sixth, and ninth grades finds patterns of nonsuicidal self-injury that vary by age and gender. Nonsuicidal self-injury (NSSI) is the term for intentional, non-fatal, self-inflicted damage caused by cutting, hitting, burning, or excessive rubbing. Reported rates range between 7 percent and 24 percent of adolescents; however, little was known about rates among younger children.

Now the new study finds that even third graders engage in NSSI, with boys and girls doing so at about the same rate (7 percent to 8 percent). By sixth grade, boys (6 percent) are far more likely than girls (2 percent) to harm themselves. However, by ninth grade, those proportions are sharply reversed, with 19 percent of girls and just 5 percent of boys engaging in NSSI, wrote Andrea Barrocas, M.A., of the University of Denver, and colleagues in the July Pediatrics. The researchers urged both pediatricians and hospital emergency room personnel to fully evaluate cases of NSSI to help prevent negative physical and mental health outcomes.

To read a comprehensive review of how psychotherapy can successfully treat psychiatric disorders in children and adolescents, see the new book from American Psychiatric Publishing, Cognitive-BehaviorTherapy for Children and Adolescents.
(Image: Miroslav Dziadkowiec/Shutterstock.com)

For previous news alerts, click here.

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Tuesday, June 12, 2012

Follow The Money | Psychology Today

Follow The Money | Psychology Today

DSM5 in Distress
The DSM's impact on mental health practice and research.
by Allen Frances, M.D.

Follow The Money

APA puts publishing profits above public trust
Published on June 11, 2012 by Allen J. Frances, M.D. in DSM5 in Distress
According to its own original schedule, DSM-5 was to have conducted its quality control in a Stage 2 of field testing. Stage 2 would be for rewriting criteria sets that did poorly in Stage 1 and retesting them to ensure they could now achieve reliability.
Stage 1 was a disaster — poorly designed and badly implemented. Constantly missing deadlines, it came in 18-30 months late (depending on how you count its start date). And many diagnoses had crazily low reliability, far below acceptable historical standards-suggesting either that the criteria sets were poorly written or the testing poorly done, or more likely both. The results were pretty much uninterpretable — except for confirming all the other indications that DSM-5 was badly off track and needed lots more work.
APA was faced with 2 choices: 1) go ahead with Stage 2 to clean up the mess; or 2) cancel Stage 2 and publish a poorly edited, unreliable, and untested DSM-5. APA cancelled Stage 2 and is rushing toward a forced, premature birth of DSM-5.
Since there is no pressing need to publish the DSM-5 quickly, let's follow the money. The APA budget depends heavily on the huge publishing profits generated by its DSM monopoly. APA needs the money badly. It is rapidly losing paying members; other sources of funding are also on a downward trend; and its budget projections require a big May 2013 injection of DSM-5 cash.

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And APA also has to adjust to the bloated cost of doing DSM-5 — an incredible $25 million dollars. For comparison, DSM IV cost about $5 million, more than half of which came from outside funding. APA feels compelled to recoup on this huge, mostly wasted, investment by getting DSM-5 to the bookstores ASAP. The assumption is that the market is captive and that DSM-5 will be a best seller despite its quality problems.
APA treats DSM-5 like a valuable publishing property, not as a public trust that importantly impacts on people's lives and public policy. It is excellent at protecting its 'intellectual property' with confidentiality agreements and at protecting its trademark and copyright with bullying threats of lawsuits. But APA has been sadly incompetent and wildly profligate in the day to day work of actually producing a safe and scientifically sound DSM-5. The rush now is all about money.
APA Medical Director Jay Scully strongly disagrees with me. He states his case in a piece titled 'DSM-5 Inaccuracies: Setting the Record Straight' Here are Dr Scully's comments (provided in full):
"In his Huffington Post blog dated May 30, 2012 titled 'DSM-5 Costs $25 Million, Putting APA in a Financial Hole,' Allen Frances, M.D., demonstrates either an embarrassing lack of knowledge and understanding of financial reporting or an intentional misrepresentation of facts in his continuing effort to attack the forthcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is published by the American Psychiatric Association. Contrary to Dr. Frances's contention, APA is not in a "financial hole" at all. In fact, the very treasurer's report he purports to cite from in page two expressly states that there was a "preliminary year end surplus of $2.4M for the APA (the (c) (6) nonprofit entity) on a stand-alone basis and a deficit of $2.7M for the APF." The APF, or American Psychiatric Foundation, is an independent charitable subsidiary of APA whose mission is to advance the understanding, prevention, and treatment of mental disorders through public education, research, and training.
APF has no relationship with DSM-5. The APF deficit was a planned deficit encountered to support its philanthropic work, which benefits psychiatry, patients, and the public. The APA (the (c) (6) entity with the $2.4 million surplus) is responsible for the development of DSM-5. APA reports to its board of trustees on a consolidated basis, offsetting APF's deficit with APA's gains."
"Dr. Frances's statement that the consolidated deficit "was caused by reduced publishing profits, poor attendance at its annual meeting, rapidly declining membership, and wasteful spending on DSM-5" is either ignorant or intentionally false. And Dr. Frances apparently missed slide six of the report about reserves, which demonstrate an extremely healthy cash reserve that increases year after year. The strength of APA's reserves and the fiscally conservative approach of consolidating balances of the APA and the APF for a balanced consolidated budget demonstrate the competence of APA leadership."
"Dr. Frances also complains that the revision of DSM-5 has been more expensive than that of DSM-IV. That should not come as a surprise to anyone, particularly Dr. Frances. DSM-5, unlike DSM-IV, invited comments from the world, and the work groups and task force considered every one of the more than 25,000 comments received and conducted further research where indicated. DSM-5 has employed an open process where all comments are considered, revisions are made where appropriate and the ideas are sent out again for comment with the process repeating itself. The transparency associated with the process is expensive, but it is beneficial, and will help to ensure that DSM-5 is a meaningful tool for diagnosis of mental illness when it is published, on time, in 2013."
By saying "when it is published, on time, in 2013," Dr. Scully offers a fait accompli. He has set the DSM-5 publication date without any attention to the lousy Field Trial results, the petition from fifty-one mental health professional associations, the opposition from the Lancet and New England Journal of Medicine, the terrible beating DSM-5 is taking in the press, and the outraged consumer groups. Nothing in his response offers any reason for DSM-5 adhering to his arbitrary timeline. There is nothing to indicate that he understands that DSM-5 is the public trust and not an APA cash cow. Dr Scully is asking us to believe ten very unbelievable things:
1) Its three legal entities aren't just different parts of one APA pocket;
2) the American Psychiatric Foundation just cares about charity- somewhat hard to believe since APF was recently picked as America's 7th worst charity by a watchdog group. This is a pretty spectacular accomplishment given the number of charities in our country. See http://allreaders.net/top10worstcharities.html
3) APA isn't concerned about the budget deficit caused by reduced publishing profits and poor attendance at its annual meeting;
4) APA isn't worried about its rapid loss of membership and isn't trying to find more publishing dollars to fill the budget gap;
5) APA reserves haven't fallen below the one year's operating budget generally expected for a non-profit;
6) DSM-5 has cost $25 million (five times more than DSM IV) because it has had such a wonderfully open process;
7) DSM-5 can produce a usable product by next May;
8) APA isn't completely dependent on the publishing profits from its DSM monopoly to avoid suffering deficits that would be between $5-10 million a year.
9) DSM-5's Stage 2 Quality Control was not cancelled purely for financial reasons. What would be another excuse?
10) DSM-5 is not being rushed to press next May to fill what would otherwise be a gaping hole in the APA budget.
You decide how much, if any, of Dr Scully's arguments make sense. My view — if you want to understand why an unreliable and unsafe DSM-5 is being rushed prematurely to market — "Follow The Money."
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