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mk6283
USA
272 Posts |
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tennis tom
USA
4749 Posts |
 Posted - 03/21/2013 : 11:05:37
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| Thanks for the article MK, it has many TMS implications in it. After a quick skim, and I may well be misreading it, it seems to say TMS symptoms are a newly defined "mental disorder" rather than part of the "human condition"--where can I get a pill to fix it? |
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chickenbone
Panama
398 Posts |
Posted - 03/21/2013 : 11:43:19
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This is a very interesting article and it may bring the whole discipline of Psychiatry kicking and screaming into the 21th century. Obviously, the author is determined to prevent this from happening. He likes having a clear cut distinction between mental and physical problems. Which we know is simply not the case. Of course, this makes his skills quite out of date in this area and he is fighting it probably because he does not want to reinvent himself. Psychiatry, absent drugs, has been pretty much a dead and buried profession.
I am happy to see that this organization recognizes the existence of TMS, MBS, but I really wish they would learn what it is.
The author makes a lot of arguments against admitting TMS into the profession as a real diagnosis. One is that a lot more of the general population would have to be categorized as mentally ill, which I have always thought was the case. He also argues that, if the criteria for psychosomatic illness no longer needs to include multiple symptoms for which no medical explanation can be found, many medical problems will be missed by other doctors. Again he is making an arbitrary and sharp distinction between what is physical and what is mental. There is no reason to think this would happen because doctors would just make a note in a patients file of TMS, but would not assume the person could not possible be really sick. Anyone, including those with TMS can get sick. This might also prevent a lot of NOCEBO's handed out in the form of scary and invasive medical tests and procedures and save a lot of money to boot. One of the main ideas of MBS is the need to treat the whole person, because mind and body are really not that separate in terms of symptom creation. If the mind/body is distressed, symptoms can be expressed either way. Why doesn't the Psychiatric profession want to acknowledge TMS and understand what it is? I strongly suspect that the author doesn't want his practice to become complicated and messy and heaven forbid, he might just have to step out of his bubble of comfort and actually learn something new. |
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pspa123
672 Posts |
Posted - 03/21/2013 : 11:51:36
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| DSM elevates far too many normal behaviors/conditions to the status of disorders. |
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Peregrinus
250 Posts |
Posted - 03/21/2013 : 15:24:08
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quote:
Originally posted by chickenbone
Psychiatry, absent drugs, has been pretty much a dead and buried profession.
Amen!
The article says that a diagnosis of "somatic symptom disorder" requires "disproportionate thoughts about the seriousness of symptom(s); persistently high level of anxiety about symptom(s); or excessive time and energy spent on health concerns". The terms "disproportionate", "high level of anxiety", and "excessive" are relative and therefore makes it possible for anyone to recieve a {false) diagnosis of SSD (mental illness).
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Sneak Peek: TMS in DSM V
