Ebook , by Gary Greenberg
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, by Gary Greenberg
Ebook , by Gary Greenberg
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Product details
File Size: 1382 KB
Print Length: 417 pages
Publisher: Plume; 1 edition (May 2, 2013)
Publication Date: May 2, 2013
Sold by: Amazon Digital Services LLC
Language: English
ASIN: B00AMOO99M
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Amazon Best Sellers Rank:
#303,655 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
Gary Greenberg gets it right and dishes it out on a sumptuous platter of history with a whole lotta gentle direct humor woven through his very exposing/disclosing book. In a down to earth readable style (not psychedelic, psychiatric, psycho, academic bureaucratic mumble jumble jargon) he's drawn the curtain back and exposed the Wizard of Id? Or maybe the Wizard of Ego? The Wizard of War? The DSM-5; a book written by committee; members who sit around a table every so many years and make up stuff, a book that has no scientific basis.We had to study the Diagnostic and Statistical Manual (DSM) when I was in graduate school (and who didn't like looking up what was wrong with their family members and self-diagnosing themselves?). It's merely a checklist of symptoms, not causation, not a mental health diagnosis, not a scientific diagnosis, not a medical diagnosis. "Check, check, check, check." "OK now this is who you are." Then a few years down the line: "Check, check, oh?" "OK now you're not that anymore".And it's very political. "Combat fatigue" was taken out at the height of the Vietnam War. It was veterans who studied then lobbied to get "post traumatic stress" in not only for themselves but also for children who were horribly abused. That is a label that at least speaks to causation. Then homosexuals lobbied to get "homosexuality" out, now "transgendered" want to be kept in.Greenberg lays out the history of the DSM, it's pioneering characters including its subsequent characters who now say "oops", but to his credit the author exposes the story and the behind the scenes of the story, treats the history in a respectful but direct way using humor; making them into people, not gurus who have the holy seeing as to who you are based on a checklist.I didn't know until reading Greenberg's book that out of the history of slavery came one of the first sort of DSM labels. That slaves running away was a mental disorder. If that doesn't say it all about so-called mental illness. If you don't accept the horrible conditions of your life you are mentally ill! "Now take these drugs!" In the new DSM book, in the DSM-5 if you grieve longer than two weeks for a loved one's death you are officially mentally ill.Greenberg lays out the money issue as to why now? Why now revamp the DSM? Why now? Because the American Psychiatric Association (APA) is in need of money. With all the criticism they were getting for drug money flowing into their coffers as well as the drug companies doing trainings for the APA, for drugging the hell out of our kids, the APA greatly reduced the drug money connection. The DSM is their best selling book. They need the money but as the reviews on the DSM-5 show anyone can get the "diagnosis" and "code numbers" on line, free from which to do their insurance billing. DSM-5 not needed.Greenberg's description of the "committee work" I found hilarious and sad for it is exactly the same process I witnessed of the government re-writing the health, safety and well-being of children in day care regulations. It went on forever and the main folks advocating for no safety rules were some of the day care providers with the poor histories of providing care to children. Then like the DSM committee work it all went on line for public comment. The committee work Greenberg watched in action and the committee I watched in action were the similar dynamic although because a couple of us die hard advocates were on the committee the government did at least on paper a better job of keeping safety regulations. And yes, like Greenberg witnessed with his committee, the day care regulation committee also tried to keep their meetings secret and attempted to take away the first amendment rights of us advocates who spoke to the media.Where did this phenomenon start coalescing from in history? Once again it looks like from the Germans and a guy named Emil Kraepelin in the mid 1800s (which is where and when the whole public education system started) and by the end of the 1800s started the classification system, his "neat categories of mental illness".But it was really war that jumped the gun into providing a warm petri dish in which psychiatrists were grown and thrust out into the world to try to stop soldiers returning from war from having emotional reactions about their experiences, well maybe not stop the emotional reactions but to deny they had anything to do with war. 1952 the year the DSM first got published was the year that Dr. Ewan Cameron was the president of the APA. Working out of Canada for the C.I.A. he headed up the MKULTRA program up there Where they experimented on children (see "The Franklin Cover Up"). 1952 was the year the USA got schizophrenia. Out of war sprang our modern mental health (cover up) systems.Lloyd de Mause and Alice Miller probably had the most direct diagnosis for our modern era in that "all war is about child abuse" but I don't think the author reviewed that aspect of our modern mental illness. Maybe his next book?A great read, a fun read, many laughing out loud moments. Laughing takes power and control away from those insisting that their way makes sense, only makes sense, it's the only way if you will only obey them. Please read and enjoy this book.
For anyone (therapists and laypersons alike) who has ever read parts of the DSM (any version) and come away suspecting that they themselves could readily receive a large number of the diagnoses described, depending upon the day, Gary Greenberg has addressed these concerns eloquently. As a therapist working in the field for more than 17 years, I have felt my anger rise steadily at the reductionist hubris presented as fact by proponents of the medical model of human distress. Greenberg's expose links the history of psychiatry, with its relentless pursuit of theoretical and financial legitimacy through medicalization, to the reductionism inherent in this paradigm. Although the topic of Big Pharma's contributions to the medicalization of psychiatry is mentioned in the book, it is not Greensberg's focus and should be expanded upon, given the market-driven nature of nearly all aspects of our current culture. At times, the seemingly endless debates among those involved in the DSM5 project was heavy reading, and I was tempted to skim several chapters in the book. But for the most part, it reads like a spy novel - complete with secrets, conspiracy theories, and betrayals- leaving the reader wondering just whose side people are on, or indeed, what exactly those sides represent, particularly for people seeking help for what is termed, "mental illness." Overall, Greenberg is successful in his efforts to invite the reader to share his critical look at psychiatry and its attempts to reduce human suffering to quantifiable and reimbursable categories. He reminds us that, so far, the human mind remains a mystery,and more than the sum of its biological parts.
“Mental illness is not real, but let’s pretend it is†: DSM5You might think the title or my review is an exaggeration or misstatement of the raison d’etre for any DSM but in fact one of the tenets of this volume, the DSM 5, as well as Book of Woe, is that in fact mental illnesses are artificial and artificially constructed categories that have no reality. Psychiatrists are counseled, within the manual’s pages, against the “reification†of mental disease, that is, turning what is a concept into a real thing, even as the entire DSM purports to describe “reality†in terms like “schizophrenia†and “bipolar disorder†as well as other “oppositional defiant disorder†and other questionable maladies of modern living.Book of Woe is a history of the development of DSM 5 but it is also a fundamentally a critique of Psychiatry, even as the author, a psychologist, confesses he benefits financially from using the very manual he (mostly) disparages.Well-written and even entertaining, this book is a must read and an eye opener for anyone who has ever trusted their psychiatrist to know what she or he is doing when making a diagnosis.
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