I’ve come across an article by Lisa Cosgrove et al entitled Conflicts of interest and the quality of recommendations in clinical guidelines. It was published in the Journal of Evaluation in Clinical Practice in December of last year. As everyone knows, the APA publishes the DSM, but they also publish “Clinical Practice Guidelines” for various “diagnoses,”… Continue Reading
The Consumers Strike Back
There’s a new post on SOAP – How to Escape from a Psychiatric Hospital. It’s light-hearted in tone, but relevant and significant in its implications. It discusses three ways to escape: make a run for it; play the game; and the tribunal. In its undertones, the article levels a number of valid and accurate criticisms… Continue Reading
DSM-5 Inter-Rater Reliability is Low
BACKGROUND There’s an article by Jack Carney, DSW, on this topic on Mad in America. Jack refers to the DSM-5 field trials published earlier this year in the American Journal of Psychiatry. Inter-rater reliability is measured by a statistic called a kappa score. A score of 1 means perfect inter-rater agreement; a score of 0… Continue Reading
Shock “Treatment” Is Not Safe and Provides Little If Any Benefit
DELICATE THINGS REQUIRE DELICATE HANDLING When I was a teenager, one of my hobbies was making small transistor radios. It sounds complicated, but is well within the reach of an average 15-year-old. You get some magazine articles, learn how to read a circuit, and learn how to use a soldering iron. A transistor is a… Continue Reading
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