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Life Without A Mental Disorder: Is It Possible?

There’s a noteworthy column in Psychiatric Times, “Normality Is an Endangered Species: Psychiatric Fads and Overdiagnosis,” by Allen Frances, M.D. He was chair of the task force that worked on the Diagnostic & Statistical Manual — DSM-IV — one edition of the “bible of psychiatry.” He is professor emeritus of psychiatry at Duke University School of Medicine. There’s a lot of common ground between what Dr. Frances writes and what Dr. Daniel Carlat (the subject of an earlier blog posting) writes about. Dr. Frances is concerned about the directions that might be taken in the authoring of DSM-V, now underway.

Excerpts:

“Fads in psychiatric diagnosis come and go and have been with us as long as there has been psychiatry. The fads meet a deeply felt need to explain, or at least to label, what would otherwise be unexplainable human suffering and deviance. In recent years the pace has picked up and false “epidemics” have come in bunches involving an ever-increasing proportion of the population. We are now in the midst of at least 3 such epidemics–of autism, attention deficit, and childhood bipolar disorder. And unless it comes to its senses, DSM5 threatens to provoke several more (hypersexuality, binge eating, mixed anxiety depression, minor neurocognitive, and others). Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

One Critic’s Take On The “Multigrain” Scam

Screen shot 2010-07-12 at 2.39.53 PM.pngFreelance journalist and author Suzanne Schlosberg wrote because she was so upset over a New York Times story, “The Chip That Stacks Adds a Multigrain Twist,” that she wanted us to review it. I thought anyone who feels so strongly about something should review it herself. So she did. Here is Suzanne’s guest post:

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I was flabbergasted when I read this New York Times piece on Procter & Gamble’s new entry into the potato-chip market: multigrain Pringles. The story accepts at face value P&G’s misleading marketing pitch — that “multigrain” is equivalent to “healthy.” When I sent a link to my nutritionist friend Cynthia Sass., M.S., R.D., she replied: “Did you notice it says ‘advertising’ in the top left corner? It must be a paid ad that resembles an article.”

Actually, it’s not. It’s a business story that ran in the “Media & Advertising” section. Though the story didn’t appear on the health pages, it should have made clear that “multigrain” simply means that more than one grain is included in the product — not that the product is necessarily nutritious. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Too Much Journalistic Enthusiasm Again For The Artificial Heart

Here we go again. And believe me, as one who’s covered the artificial heart experiments of the 1980s, I feel like I’ve been through this countless times before — but so have health news readers.

Another entrepeneurial team announces hopes for its artificial heart device and some news coverage trumpets the company’s announcement:

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NYT Artificial Heart Story

 

 

 

 

 

 

 

 

 

 

 

 

But this was in The New York Times! Now, granted — it’s in a “Global Business” section. But we don’t see why that removes the need for more scrutiny, for independent perspective, and for a better discussion of evidence. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

7 Under-The-Radar Healthcare Changes

Kaiser Health News proves its value once again with an under-the-radar story covering some items you won’t see in many other news sources. An excerpt:

“…several lesser-known provisions also take effect in coming months that could have a lasting impact on the nation’s health care system.

These provisions include eliminating patients’ co-payments for certain preventive services such as mammograms, giving the government more power to review health insurers’ premium increases and allowing states to expand Medicaid coverage to low-income adults without children.

While these changes might not have gotten at lot of attention, they could help build support for the law in the run-up to the contentious mid-term elections.”

Their list:

• Prevention For Less
• Knowing Which Treatments Work Best
• Helping Cover Early Retirees’ Health Costs
• Keeping Tabs on Health Insurance Premiums
• Expanded Medicaid Coverage
• Care Coordination for ‘Dual Eligibles’
• FDA Approval For ‘Follow-On Biologics’

Read the full story at the link above for details.

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Industry-Sponsored Medical Education: Should Big Pharma Buy Doctors Lunch?

Big Pharma Free Lunch WagonAppetite for Instruction: Why Big Pharma should buy your doctor lunch sometimes” is the headline of an article on Slate.com that has upset many readers. I’m not terribly upset about it because it just seems too naive and misinformed to get upset about. The final line of the piece tells you all you need to know about the tone of the column:

“Ousting commercial support is creating a huge chasm in medical education, leaving doctors not only hungry but also starved for knowledge.”

A number of online comments were posted in reaction to the piece. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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