Categories

Keith E Rice's Integrated SocioPsychology Blog & Pages

Aligning, integrating and applying the behavioural sciences

DSM’

Diagnosis of Depression

Updated: 30 April 2019 In ordinary, everyday discourse, nearly any mood with some element of sadness may be called ‘depressed’. However, for depression to be termed Clinical Depression, it must reach criteria which are generally accepted by clinicians; it is more than just a temporary state of sadness. Generally, when symptoms last 2 weeks or more and are so severe that they interfere with daily living (failure to function adequately), someone can be said to be suffering from Clinical Depression. Clinical Depression affects about 16% of the population at one time or another in their lives.  According to the World Health Organisation (2018): “Depression is the leading cause of disability worldwide, and is a major contributor to the overall global burden of disease.”The mean age of onset from a number of studies is in the late 20s. There is a gender difference in incidence as roughly twice as many women as men report or receive treatment for Clinical Depression, though the gap is shrinking and this difference disappears after menopause. Up to 25% of females will be diagnosed at some point in their life and up to 12% of men. At any one point in time it is estimated 9% of… Read More

The ‘Gay Cure’: was Spitzer right to recant?

Robert L Spitzer is one of the giants of modern Psychiatry, a scientific philosopher as much as a hands-on medical man. He’s been a fearless opponent of too-easily-accepted givens, notably challenging some of David Rosenhan’s conclusions in his 1973 study, On Being Sane in Insane Places. However, Spitzer really made his mark by leading the campaign to have homosexuality removed from the Diagnostic & Statistical Manual (DSM) as a psychiatric disorder – which it was in 1973. So the news last week that Spitzer had ‘recanted’ a study he had carried out in 2000-2001 and had published in 2003 caught my eye – especially as I had referenced that same study in a lengthy letter I had published in Therapy Today, the journal of the British Association of Counselling & Psychotherapy, in 2009. My letter, titled ‘An Imposed Etic’, was published as ‘An Imposed Ethic’ – presumably the editor thought ‘etic’ was a spelling mistake and didn’t get the sense I was trying to convey through the use of the term ‘imposed etic’. My point was that particular, localised values and norms were being applied as though they were universals, without empirical justification. I had been somewhat concerned by John Daniels’ article,… Read More