http://online.wsj.com/article/SB10001424127887323844804578529030063800200.html?mod=opinion_newsreel
Psychiatry’s diagnostic bible has broadened the definition of mental illness to absurdity.
The American Psychiatric Association released a revision of its diagnostic bible in May, the first major rewrite in two decades. “The Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders,” or DSM-5, is the official guidebook for diagnosing every conceivable psychiatric ailment. This new edition loosens the rules in a disturbing way.
In previous editions, you the patient had to meet certain specified criteria in order to be diagnosed for any particular condition. For example, if I were going to diagnose you as having schizophrenia, then you had to have specific symptoms, such as delusions or hallucinations. If you didn’t have those symptoms, then I couldn’t make the diagnosis of schizophrenia.
Not anymore. Last month, DSM-5 introduced a new diagnosis, “Unspecified Schizophrenia Spectrum Disorder.” The only required criterion is that you have some distress from unspecified symptoms, but you “do not meet the full criteria for any of the disorders in the schizophrenia spectrum and other psychotic disorders diagnostic class.” You don’t have to have delusions. You don’t have to have hallucinations. In fact if you do have delusions and hallucinations, then you probably don’t qualify for unspecified schizophrenia. (You will find the new diagnosis in one short paragraph at the bottom of page 122 of DSM-5.)
Likewise for every other diagnostic category, including, for example, attention-deficit hyperactivity disorder. Let’s suppose that you occasionally don’t pay attention to your wife. You don’t meet the old-fashioned criteria for ADHD, which included impairment in multiple settings, like on the job or while driving. You are inattentive only when your wife is talking. You pay attention to everybody else. Hey, no problem. You now qualify for “Unspecified Attention-Deficit/Hyperactivity Disorder.”