http://www.nytimes.com/2007/09/04/health/04psych.html?ref=health

I apologize for not sending out my class assignment where I have students
scrutinize case studies for examples of potential errors in diagnoses. 
I'm not a clinician and, though this is a fairly casual and interesting
activity, I became concerned that I might be criticized by clinicians and
so have backed off my original decision to share it. Just found myself
becoming too self-conscious about the activity, which is probably a good
thing as I'm tuning it up.

However, this article in the NYT's is an excellent example of how
diagnosing has to have error factors as this type of incredible increase
in bi-polar illness within the last few decades simply isn't credible, is
it?  I began to note a significant increase in the number of my students
coming to me saying that they had been diagnosed with this illness when
the label was changed from manic-depressive to bi-polar.  The folks
writing the DSM had the best of intentions but I suspect that by changing
the label, the diagnosis now "sounded" less serious.  An unintentional
by-product could be that therapists have become more willing and more
comfortable to give this diagnosis to their clients.  This is simply an
opinion from a non-clinician but have found a number of my clinician
friends agree with this possibility.

Whatever, when discussing the DSM, I feel it's articles like the one
pasted above is a classic in demonstrating how the diagnostic process is
not a hard and sound process but one to be used with great care and viewed
with a healthy dose of skepticism.

Joan
Joan Warmbold Boggs
[EMAIL PROTECTED]




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