The NYT Sunday magazine crowned Dr. Joan Luby as the queen of preschool depression this weekend, but failed to mention that Luby has taken cash from Johnson & Johnson (JNJ), Shire (SHPGY) and AstraZeneca (AZN) to study using atypical antipsychotics in young children. The article is significant because of the outsize role that the Times magazine plays in creating and naming new social trends.
Despite the public relations campaign aimed at “de-stigmatizing mental illness,” scores of permanent, stereotyping labels are assigned to what are basically annoying habits: clicking a pen repeatedly (anxiety), talking fast (hysteria), repeating a favorite song over and over (obsessive-compulsive disorder), wiggling in a chair (hyperactive). Even crazes like text-messaging are not immune from diagnosis. Attitudes that may be in bad taste or out-of-fashion, but certainly not “dangerous” or “wrong,” are also viewed with suspicion and sometimes criminalized.
Diagnosing psychiatric illness has always been controversial, mental health experts say. Now some are worried that a new draft of the diagnostic ‘bible’ for mental health medicine could result in almost everyone being diagnosed with a mental condition. The diagnostic ‘bible’ in question is the Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association.
A further step in the Americanisation of mental healthcare threatens to turn large numbers of “normal” people into psychiatric patients, British experts warned. Sweeping changes to a diagnostic “bible” that influences practitioners around the world could make it far easier to be labelled with a psychological problem, it is claimed.
The Bible (or really any religious text) can be made to say and mean anything the author wishes. The “Bible” of psychiatry, that fabled and hoary text, the DSM-IV-TR (Diagnostic Statistical Manual of Mental Disorders written by the American Psychiatric Association), is no different. Conceived as an instrument to identify and help heal disorders of the mind, it has morphed as to both form and function.