Search results

There is also a difference between isn't real, is a social construct, and is a failed construct. There are real problems. Most psych diagnoses were made up by small teams of psychs deciding their diagnostic criteria work ... DSM is a social construct. Name the objective diagnostic tests! Its...

I have not discussed governance. Theory of governance includes the idea of balance of powers, which require that agencies/powers be transparent to their counterparts. So we have the concept of different houses in government, with the judiciary and media as compensating forces...

I do have a prediction that psychiatry might go the way of the dodo, it might easily be split into psychology (the psychosocial coping stuff) and neurology (biopharmacy). Not all psychiatry is pseudoscience though, just a lot of it. It might be as much as 90% though. Some of the biopsychiatry...

Psychiatry has been trying to show this for about 150 years. So far they have lots of rhetoric, and no sound evidence. There is no question that psychological trauma can induce changes in the brain, but the trauma is a trigger, the problem is the brain changes. There is also no doubt some people...

This is my current interpretation of what is happening, but its far from complete and there will be lots of things I have not taken into account. There is a congruence of factors, mostly originating in the 70s. The first is a political ideology, that meshes with an economic ideology, and...

I wanted to discuss the politicisation of medicine to show how broad the issue with psychiatry is. In many parts of the world doctors are becoming, or are already, agents of the government or large corporations. They operate to those rules. We see that in the UK with the medical issues...

Yes, this argument they are anti-psychiatry is too broad, its a strawman argument by overgeneralisation. There are some who are against all psychiatry, but in general they are mostly just against bad psychiatry ... which is far too common.

Historically its because psychiatry, and especially psychosomatic psychiatry, was severely dwindling. The BPS thing gives them a framework to claim legitimacy. By good psychiatry I mean scientific, rational, based on evidence, and compassionate. There is a guesstimate I have read, and it might...

I have read reports that psychiatry as a specialty was getting fewer and fewer young doctors signing up, it was regarded so poorly. The BPS story is what changed that. Sadly its just a story. As a society we NEED good psychiatry, just as we need to get rid of bad psychiatry.

A patient registry makes sense. A biobank is less useful until we get an established and funded research program.

Less about what they want rather than how it is, but yes.

Can I pick two reasons from column A and two from column B?

Most doctors, about 90%, don't know enough statistics to accurately interpret studies, and that is without getting into issues about study methodology. Gigerenzer (spelling?) showed this repeatedly. One of the most blatant examples of doctors just parroting methodology considerations they don't...

o_O PACE is clearly scientifically inadequate. How could that have been more clear? ;)

I have recently been discussing the issue with operationalization of PEM in studies, and the need for biomarkers. Asking questions is fine for clinical purposes, but not fine for research purposes. We don't just need ME biomarkers, we need PEM biomarkers, even if they are not diagnostic of ME...

Rational criticism of science is a part of science. To treat that as anti-science, without instead making rational arguments, is the actual anti-science.

Revealing the truth ... the damage was already there but people were less aware of it.

That is what I see too.

Cochrane and other guidelines have methods to do this. However they are most notable in the breach, not the adherence to these guidelines. Furthermore they are checklist guidelines, so that if a problem falls outside the checklist it wont be identified. Typically in an evidence based review an...

I look forward to reading more about this at the appropriate time.