MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'dsm,'. Tue, 04 May 2010 18:18:24 +0100 http://www.medworm.com/index.php?rid=3522813&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2010%2F04%2Fred-wine-and-ambien-youre-talking-shit.html (Source: soulful sepulcher) soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=3522813 Sat, 01 May 2010 03:37:00 +0100 3522813 http://www.medworm.com/index.php?rid=3508243&cid=t_329182_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F04%2F27%2Floneliness-is-not-a-dsm-5-disorder-but-it-still-hurts%2F The recent controversy over the still-developing DSM-5 — that compendium of mental disorders the media love to call, inappropriately, “The Bible of Psychiatry” –has gotten me thinking about loneliness. Now, thankfully, nobody has seriously proposed including loneliness in the DSM-5. Indeed, loneliness is usually thought of as simply an unpleasant part of life — one of the “slings and arrows” that pierce almost all of us from time to time. Loneliness, in some ways, remains enmeshed in a web of literary and cultural clichés, born of such works as Nathaniel West’s darkly comic novel, Miss Lonelyhearts, and the Beatles’ whimsical anthem, “Sgt. Pepper’s Lonely Hearts Club Band.” But loneliness turns out to be a serious matter. And as psychiatry debat... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3508243 Tue, 27 Apr 2010 19:31:32 +0100 3508243 http://www.medworm.com/index.php?rid=3508434&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2010%2F04%2Fpatients-demand-full-disclosure-public.html (Source: soulful sepulcher) soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=3508434 Mon, 26 Apr 2010 23:11:00 +0100 3508434 http://www.medworm.com/index.php?rid=3404140&cid=t_329182_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FY7R5qT0ZpKI%2F Two essays published in separate periodicals this week raise troubling questions about the extent to which psychiatrists may be unduly influenced by the pharmaceutical industry, and how this relationship may effect public trust in psychiatry. The upshot? The concern about corruption, or at least the appearance of corruption is palpable. Sigmund Freud (see photo) would not be pleased. Interestingly, one of the authors if Tom Insel, the director of the National Institute of Mental Health (click on read more below). For instance, Lisa Cosgrove and Harold Bursztajn write in Psychiatric Times that they looked at the two philanthropic arms of the American Psychiatric Association - the American Psychiatric Foundation and the American Psychiatric Institute for Research and Education - and found th... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3404140 Thu, 25 Mar 2010 16:23:54 +0100 3404140 http://www.medworm.com/index.php?rid=3382881&cid=t_329182_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F03%2F19%2Fon-being-a-student-therapist-making-a-diagnosis%2F We’re back from spring break, and the push to the end of the semester is on. Depending on who you ask, we either have seven weeks left (the university calendar), or approximately 35 more drives to campus (my personal calculation). Now that I’ve gotten over the hump of juggling six clients who needed to be seen four times each in five weeks’ time, seeing eight clients who need to be seen at least four times each in seven weeks’ time sounds like a piece of cake! During my supervision session prior to break, I expressed frustration to my supervisor about a client who had asked to continue counseling beyond her class requirement. I questioned this client’s commitment to counseling and whether her problems were significant enough to warrant additional sessions, especially sinc... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3382881 Fri, 19 Mar 2010 12:48:43 +0100 3382881 http://www.medworm.com/index.php?rid=3370491&cid=t_329182_109_f&fid=35451&url=http%3A%2F%2Fwww.jung-at-heart.com%2Fjung_at_heart%2Fdiagnosis.html I have written here about my reservations about the diagnostic system we use in mental health. I have problems with the lack of theory to support it, with the proliferation of categories, with the way it is used by third party payers to control who can and cannot receive treatment. And I have doubts about the applicability of the medical model for most of the people most of us who practice outpatient psychotherapy see. Problems in living just do not equate to illness for most of our patient population. So I have been thinking about a post made by Stephen Diamond last week on what is a mental disorder. He and I are in radical agreement on the difficulty in finding the line between normal and abnormal. But we find less common ground here: "...as Freud famously observed, we are all at le... Jung At Heart blogs http://www.medworm.com/rss/comments.php?id=3370491 Tue, 16 Mar 2010 15:11:18 +0100 3370491 http://www.medworm.com/index.php?rid=3346709&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2010%2F03%2Fastrazeneca-antipsychotic-turned.html (Source: soulful sepulcher) soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=3346709 Tue, 09 Mar 2010 15:32:00 +0100 3346709 http://www.medworm.com/index.php?rid=3318642&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2010%2F02%2Fwebmd-depression-screening-test-eli.html (Source: soulful sepulcher) soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=3318642 Sun, 28 Feb 2010 15:57:00 +0100 3318642 http://www.medworm.com/index.php?rid=3316241&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2010%2F02%2Fwebmd-depression-screening-test-eli.html (Source: soulful sepulcher) soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=3316241 Sun, 28 Feb 2010 15:57:00 +0100 3316241 http://www.medworm.com/index.php?rid=3302559&cid=t_329182_133_f&fid=35082&url=http%3A%2F%2Fblog.gbrettmiller.com%2Fwhats-in-a-label-take-2%2F In my last posting, I wrote the following about the consolidation of Asperger’s Disorder and PDD-NOS into a single classification for Autism Spectrum Disorder: My experience leads me to believe that many people don’t understand the concept of a spectrum unless they can clearly see the boundaries between the different layers of the spectrum. This generated some interesting conversations that have helped me as I figure out what I think. Of course, the problem I had with combining these separate diagnoses into a single one – that people would tend to see all autistics as “the same” – also exists with the more “specific” diagnoses. It’s just that now you’ve got several variations on the theme: all Asperger’s is the same, all PDD-NOS... 29 Marbles blogs http://www.medworm.com/rss/comments.php?id=3302559 Wed, 24 Feb 2010 12:59:30 +0100 3302559 http://www.medworm.com/index.php?rid=3302451&cid=t_329182_122_f&fid=37835&url=http%3A%2F%2Fwww.iqscorner.com%2F2010%2F02%2Faaidd-position-paper-on-dsm-v-proposed.html Yesterday AAIDD presented its formal reaction to the DSM-V ASD and Developmental Disorders Subgroup, ID Subcommittee regarding the proposed DSM-V definition for intellectual disability (ID). The AAIDD 11th Edition Implementation Committee position paper (and recommendations) can be found by clicking here.Technorati Tags: psychology, forensic psychology, forensic psychiatry, neuropsychology, intelligence, IQ, IQ tests, IQ scores, adaptive behavior, intellectual disability, mental retardation, MR, ID, criminal psychology, criminal defense, ABA, American Bar Association, Atkins cases, death penalty, capital punishment, AAIDD, DSM-IV (Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner)) Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) blogs http://www.medworm.com/rss/comments.php?id=3302451 Tue, 23 Feb 2010 18:05:00 +0100 3302451 http://www.medworm.com/index.php?rid=3290951&cid=t_329182_133_f&fid=35082&url=http%3A%2F%2Fblog.gbrettmiller.com%2Fwhats-in-a-label-autism-aspergers-and-the-dsm-v%2F Several years ago, I wrote a two part article on my thoughts about whether autism should remain in the DSM. Here’s what I came up with: For now, we need to keep autism in the DSM, because it serves as the way for autism parents to help their children get the services they need to succeed in the world. The current draft of the DSM V, available for review and comment, still includes autism – now referred to as Autism Spectrum Disorder (instead of  Autistic Disorder). However, the DSM V proposal recommends that Asperger’s Disorder and Pervasive Development Disorder Not Otherwise Specified (PDD-NOS) “be subsumed into an existing disorder: Autistic Disorder (Autism Spectrum Disorder)“. As you might imagine, there has been a lot of discussion about this. I’m ... 29 Marbles blogs http://www.medworm.com/rss/comments.php?id=3290951 Fri, 19 Feb 2010 23:25:37 +0100 3290951 http://www.medworm.com/index.php?rid=3280036&cid=t_329182_111_f&fid=34834&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FMentalNurse%2F%7E3%2FEK2QSrSoD9g%2F We’ve been a bit behind the curve in making any comment on the recently-released draft of the DSM-5. Some very good critiques and analyses have already been posted on the blogowebs, notably by Neuroskeptic and Mindhacks. See also Abysmal Musings and Confessions of a Serial Insomniac for their thoughts on what this will mean for their respective diagnoses of bipolar disorder and borderline personality disorder. Neuroskeptic acerbically comments that, “If, as everyone says, the Diagnostic and Statistical Manual is the Bible of Psychiatry, I’m not sure why it gets heavily edited once every ten years or so.” Kind of like the Gospels being rewritten regularly to give a clearer idea of what they think Jesus meant to say. Though some people seem to think that’s not s... Mental Nurse blogs http://www.medworm.com/rss/comments.php?id=3280036 Wed, 17 Feb 2010 11:07:34 +0100 3280036 http://www.medworm.com/index.php?rid=3273053&cid=t_329182_133_f&fid=37107&url=http%3A%2F%2Fwww.aspieweb.net%2Faspergers-remove-diagnosis-hate%2F I  previously wrote about removing the Aspergers diagnosis from the DSM and to my dismay there are people with Aspergers out there who are against removing it for very hateful reasons. One person with Aspergers recently wrote on a support group: I just don’t like the idea of being put in the same category as children [...] (Source: AspieWeb.net) AspieWeb.net blogs http://www.medworm.com/rss/comments.php?id=3273053 Mon, 15 Feb 2010 12:48:26 +0100 3273053 http://www.medworm.com/index.php?rid=3267054&cid=t_329182_122_f&fid=37835&url=http%3A%2F%2Fwww.iqscorner.com%2F2010%2F02%2Fcritque-of-proposed-dsm5-intellectual.html Without question, the DSM-5 Proposed Draft Revision document has been generating considerable chatter among psychologists.  With regard to Atkins cases, the proposed definition of intellectual disability (ID) is no exception....emails and listservs have been busy debating and critiquing the ID proposed criteria.  Dr. Dale Watson has set out a well-written set of concerns and issues in the guest blog post below---which is reproduced "as is" from Dr. Watson.  Kudos to Dale for providing ICDP with his perspective.Dr. Dale Watson's critique of the proposed DSM-V ID criteria follows:The DSM-5 Proposed Draft Revisions to the Criterion sets for Mental Disorders have recently become available.  The proposed criteria for the diagnosis of Intellectual Disability retain the three-... Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) blogs http://www.medworm.com/rss/comments.php?id=3267054 Fri, 12 Feb 2010 16:24:00 +0100 3267054 http://www.medworm.com/index.php?rid=3267121&cid=t_329182_133_f&fid=37107&url=http%3A%2F%2Fwww.aspieweb.net%2Fremove-aspergers-dsm-disagnois-high-functioning-autism%2F Removing the Aspergers Diagnosis from the DSM is a controversial and hot topic in the Autism advocacy community.  Many people are angered by merging Aspergers with Hugh Functioning Autism. I was talking to a father of a high functioning autistic and he disagrees with the merging of the two diagnoses, his main reason being the verbal [...] (Source: AspieWeb.net) AspieWeb.net blogs http://www.medworm.com/rss/comments.php?id=3267121 Thu, 11 Feb 2010 20:47:29 +0100 3267121 http://www.medworm.com/index.php?rid=3267007&cid=t_329182_109_f&fid=38951&url=http%3A%2F%2Fcarlatpsychiatry.blogspot.com%2F2010%2F02%2Fdsm-5s-rough-draft-carlat-take.html In a prior post, I observed that the process of hammering out the DSM-5 had degenerated into a bar room brawl. Major figures in the development of past DSM versions, such as Allen Frances (the DSM-4 chairman) and Robert Spitzer (DSM-3 chairman), had both severely criticized the DSM-V process for lack of transparency and for a headlong rush to get the thing done too quickly in order to start making the APA some money.Looking at the just-released proposed DSM-5 criteria, I'm pleased to say that the APA leadership has apparently been listening. They've pushed the planned publication out two full years to 2013, giving everybody time to review the proposal and to do some field testing. They have made the process far more transparent by posting task force reports on the DSM-5 web site. And they ... The Carlat Psychiatry Blog blogs http://www.medworm.com/rss/comments.php?id=3267007 Thu, 11 Feb 2010 18:54:00 +0100 3267007 http://www.medworm.com/index.php?rid=3267192&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2010%2F02%2Ftemper-dysregulation-disorder-with.html (Source: soulful sepulcher) soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=3267192 Thu, 11 Feb 2010 18:37:00 +0100 3267192 http://www.medworm.com/index.php?rid=3259112&cid=t_329182_122_f&fid=37835&url=http%3A%2F%2Fwww.iqscorner.com%2F2010%2F02%2Fdsm-5-proposed-draft-revisions.html The Proposed Draft Revisions to DSM-5 are now available on line.  MR/ID is described as the following:Intellectual DisabilityA. Current intellectual deficits of two or more standard deviations below the population mean, which generally translates into performance in the lowest 3% of a person's age and cultural group, or an IQ of 70 or below. This should be measured with an individualized, standardized, culturally appropriate, psychometrically sound measure.B. And concurrent deficits in at least two domains of adaptive functioning of at least two or more standard deviations, which generally translates into performance in the lowest 3 % of a person's age and cultural group, or standard scores of 70 or below. This should be measured with individualized, standardized, culturally appropriate, ... Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) blogs http://www.medworm.com/rss/comments.php?id=3259112 Wed, 10 Feb 2010 16:42:00 +0100 3259112 http://www.medworm.com/index.php?rid=3262870&cid=t_329182_140_f&fid=34843&url=http%3A%2F%2Fwww.furiousseasons.com%2Farchives%2F2010%2F02%2Fsome_initial_thoughts_on_the_draft_dsm5.html As many of you know, a draft of the proposed DSM-5 is just out and it's bound to stir plenty of comment and controversy. First, I've got to congratulate the DSM-5 crafters for making the draft public and for seeking public comment. That's right: the APA wants to hear from members of the public, not just medical professionals. So let them know what you think. Meanwhile, let me offer some preliminary comments: 1. Internet addiction isn't included, which is fine by me and likely will save the APA much sniggering and criticism. 2. Bipolar disorder type 3 or subthreshold bipolar disorder is not included either and that is definitely a victory for critics like me who've long held that the softening of mood disorders--such as with bipolar disorder type 2--has led to millions of Americans being... Furious Seasons blogs http://www.medworm.com/rss/comments.php?id=3262870 Wed, 10 Feb 2010 00:00:00 +0100 3262870 http://www.medworm.com/index.php?rid=3208446&cid=t_329182_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F01%2F26%2Fptsd-brain-scan-hype%2F Last week, we noted along with many news outlets that a biomarker had been apparently discovered for PTSD. The researchers claimed they had a new tool to help make a differential diagnosis of posttraumatic stress disorder (PTSD). The tool is a brain scanning technology that, like EEG, measures the brain’s electrical activity. But instead of directly measuring such activity, it measures magnetic fluctuations in the electrical activity. The technique is called MEG. There are certain technical benefits to this method as compared to a traditional EEG, so some researchers are exploring its greater use. Mind Hacks has a very good analysis of why the researchers’ claims were overreaching and a bit ridiculous: Crucially, the scan didn’t pick out cases of PTSD among people with ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3208446 Tue, 26 Jan 2010 14:00:08 +0100 3208446 http://www.medworm.com/index.php?rid=3182241&cid=t_329182_109_f&fid=38155&url=http%3A%2F%2Fshrinkboards.com%2F%3Fp%3D97 Psychiatry Oral Boards will soon be a thing of the past.  This development will no doubt cause considerable consternation for those who make a living by providing week-long practice sessions, but will be welcome news to psychiatry residents who suffer from performance anxiety!  I have mixed feelings about the news myself.   I confess to the feelings that anyone has when there is a sense that the journey has become a bit lighter for those following in one’s footsteps.  I remember similar feelings years ago when resident work hours were reduced to the limit of ‘only’ 80 hours per week!  After all, misery loves company. But I found that I was wrong about those feelings about resident work hours.  I teach medical students now, and I realize that current grads have it a... Pass Psych Boards blogs http://www.medworm.com/rss/comments.php?id=3182241 Mon, 18 Jan 2010 04:57:43 +0100 3182241 http://www.medworm.com/index.php?rid=3133785&cid=t_329182_140_f&fid=34843&url=http%3A%2F%2Fwww.furiousseasons.com%2Farchives%2F2009%2F12%2Fucla_psychiatrist_criticizes_dsm5.html I'd really rather not be writing about the forthcoming DSM-5 (come on everyone, let's drop the Roman numeral already. Cicero and Seneca ain't writing the dang thing), but Shirah Vollmer, a psychiatry and family medicine professor at UCLA, has written critically of the DSM on her Psychology Today blog. In other words, yet another academic within psychiatry is criticizing her colleagues who are putting together DSM-5. Who knows? Maybe they'll listen. Vollmer's primary point: "The biases of psychiatric diagnoses are powerful. The more people who are included in a mental disorder, the more research money there will be to fund the science, and the more drug companies have incentive to produce treatments. On the other hand, the more people who are included in a diagnosis, the more suspicious t... Furious Seasons blogs http://www.medworm.com/rss/comments.php?id=3133785 Thu, 31 Dec 2009 00:00:00 +0100 3133785 http://www.medworm.com/index.php?rid=3079562&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2009%2F12%2Fdsm-5-publication-date-moved-to-may.html (Source: soulful sepulcher) soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=3079562 Fri, 11 Dec 2009 02:36:00 +0100 3079562 http://www.medworm.com/index.php?rid=2981232&cid=t_329182_122_f&fid=34755&url=http%3A%2F%2Fneuropsychological.blogspot.com%2F2009%2F11%2Fautism-aspergers-and-dsm-by-simon-baron.html The Short Life of a DiagnosisBy SIMON BARON-COHEN, Op-Ed ContributorThe New Yotk TimesPublished: November 10, 2009"Asperger syndrome and autism should be thoroughly tested before being lumped together in the Diagnostic and Statistical Manual of Mental Disorders."Read the Op-Ed piece (Source: BrainBlog) BrainBlog blogs http://www.medworm.com/rss/comments.php?id=2981232 Tue, 10 Nov 2009 13:39:00 +0100 2981232 http://www.medworm.com/index.php?rid=2908681&cid=t_329182_109_f&fid=38953&url=http%3A%2F%2Frileyjennifer.blogspot.com%2F2009%2F10%2Flolcats.html It was a tough call, deciding between grad school and designing lolcats, but I think I made the right decision. (Source: Psych Scamp) Psych Scamp blogs http://www.medworm.com/rss/comments.php?id=2908681 Mon, 19 Oct 2009 23:21:00 +0100 2908681 http://www.medworm.com/index.php?rid=2899020&cid=t_329182_109_f&fid=38953&url=http%3A%2F%2Frileyjennifer.blogspot.com%2F2009%2F10%2Fnot-otherwise-specified-how-sick-are.html There is an article in the American Journal of Psychiatry titled ‘Increased Mortality in Bulimia Nervosa and Other Eating Disorders’ which compared mortality statistics between diagnoses of anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified.There are limitations to this study and the author’s do a good job of recognising them, so I’m not going to critique the work. I do agree with them though that information such as duration of illness and comorbidity would be interesting to look at.The highlight of this paper was that morbidity for EDNOS (eating disorder not otherwise specified) was comparable to other eating disorders.This is where duration of illness information would come in handy. For patients without a severe eating disorder, obtaining treatment c... Psych Scamp blogs http://www.medworm.com/rss/comments.php?id=2899020 Fri, 16 Oct 2009 02:22:00 +0100 2899020 http://www.medworm.com/index.php?rid=2730341&cid=t_329182_140_f&fid=34843&url=http%3A%2F%2Fwww.furiousseasons.com%2Farchives%2F2009%2F08%2Fshould_seasonal_affective_disorder_be_a_separate_disorder.html That question is posed in this month's American Journal of Psychiatry because, as things stand now, SAD is lumped in with other affective disorders as a seasonal modifier to familiar diagnostic criteria for major depression, etc. I don't have an strong opinions on the matter--for once, I doubt this is something Big Pharma could turn to its own ends since SAD already exists in the DSM-4. Anyway, here's the AJP editorial: "Many convergent lines of research justify its classification as an independent disorder. The clinical picture is distinct: patients with seasonal affective disorder, predominantly women, become regularly depressed in autumn and winter and experience remission in spring and summer. They experience characteristic atypical vegetative symptoms during their depressive episode... Furious Seasons blogs http://www.medworm.com/rss/comments.php?id=2730341 Mon, 24 Aug 2009 23:00:00 +0100 2730341 http://www.medworm.com/index.php?rid=2725247&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2009%2F08%2Fshocking-news-dsm-v-task-force-member.html (Source: soulful sepulcher) soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=2725247 Fri, 21 Aug 2009 15:19:00 +0100 2725247 http://www.medworm.com/index.php?rid=2705174&cid=t_329182_109_f&fid=35451&url=http%3A%2F%2Fwww.jung-at-heart.com%2Fjung_at_heart%2Fbut_is_it_a_disorder.html Stephen Diamond, in his Psychology Today bloghas been writing for some time about anger and his support for inclusion in the upcoming DSM V a new diagnostic category for embitterment: Posttraumatic Embitterment Disorder (PTED) was first proposed by German psychiatrist Dr. Michael Linden in 2003, based on his clinical work with troubled immigrants from East Germany following the fall of the Berlin Wall. That profound cultural change proved to be quite traumatic for those whose lives were directly affected by it, and the repercussions of this life-changing event--seen almost universally by the rest of the world as a positive development--was felt for years. We in this country are going through some significant social changes of our own. As Linden (2003) observes, some of the debilitating emo... Jung At Heart blogs http://www.medworm.com/rss/comments.php?id=2705174 Sun, 16 Aug 2009 12:18:41 +0100 2705174 http://www.medworm.com/index.php?rid=2691749&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2009%2F08%2Fwheres-dsm-v-gang-stendhal-syndrome.html (Source: soulful sepulcher) soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=2691749 Wed, 12 Aug 2009 05:25:00 +0100 2691749 http://www.medworm.com/index.php?rid=2681952&cid=t_329182_109_f&fid=35451&url=http%3A%2F%2Fwww.jung-at-heart.com%2Fjung_at_heart%2Finadequate_lashes_and_other.html Regular readers, you know I write often about the mess issues clustering around diagnosis and the DSM. And in the past couple of weeks, I have run across several articles and ads that have continued my questioning about the diagnostic enterprise. For a number of weeks now, if you watch much television, you likely have seen Brooke Shields talking about Latisse, which purports to make eyelashes longer and thicker. Only instead of being a new kind of mascara, it is actually a prescription medication applied to the eyelid. Now that is a first in my experience -- an ad for a prescription only cosmetic. And in the ad, we hear the term "inadequate lashes", implying a disorder. Which of course sets up the consumer believing her lashes to be too thin or shorter than she would like to n... Jung At Heart blogs http://www.medworm.com/rss/comments.php?id=2681952 Fri, 07 Aug 2009 12:11:49 +0100 2681952 http://www.medworm.com/index.php?rid=2786009&cid=t_329182_109_f&fid=38951&url=http%3A%2F%2Fcarlatpsychiatry.blogspot.com%2F2009%2F08%2Fnew-bbc-program-rewriting-psychiatrists.html Several months ago, a BBC producer contacted me to ask if I'd like to be interviewed for a planned radio program examining the DSM and related topics, such as the relationship between the drug industry and the American Psychiatric Association. Being the shameless self-promoter that I am, I assented, and that program is now available on the BBC website.Aside from listening to me ramble on about things that you've read about in this blog, you'll hear some very thought-provoking interviews of Michael First, the editor of DSM-IV, Lisa Cosgrove, the U Mass professor who published this influential article about the industry ties of members of DSM committees, Peter Tyrer, a professor at Imperial College in London who talks about the validity problems in DSM disorders, David Kupfer, chair of the D... The Carlat Psychiatry Blog blogs http://www.medworm.com/rss/comments.php?id=2786009 Thu, 06 Aug 2009 12:57:00 +0100 2786009 http://www.medworm.com/index.php?rid=2674385&cid=t_329182_122_f&fid=34755&url=http%3A%2F%2Fneuropsychological.blogspot.com%2F2009%2F08%2Fbbc-radio-4-looks-at-dsm-decision.html BBC Radio 4Rewriting the Psychiatrists' BibleMatthew Hill04 August 2009Listen to the report (40 mins.) about the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association (APA) as decisions are being reached about its forthcoming revision. Visit the show's webpageOnline availability ends on the 11th of August. (Source: BrainBlog) BrainBlog blogs http://www.medworm.com/rss/comments.php?id=2674385 Thu, 06 Aug 2009 12:33:00 +0100 2674385 http://www.medworm.com/index.php?rid=2671067&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2009%2F08%2Fwyeth-this-just-pisses-me-off-stop.html (Source: soulful sepulcher) soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=2671067 Wed, 05 Aug 2009 05:00:00 +0100 2671067 http://www.medworm.com/index.php?rid=2786011&cid=t_329182_109_f&fid=38951&url=http%3A%2F%2Fcarlatpsychiatry.blogspot.com%2F2009%2F08%2Fdsm-v-transparency-case-study.html Discussion: Is the Risk Syndrome for Psychosis Risky Business?", this describes in detail the proposal for a new disorder called "Risk Syndrome for Psychosis." You can access the proposed criteria for the disorder, including the text discussing characteristics, associated features, differential diagnosis, etc.... So far, there are 23 comments posted, constituting a rigorous debate about the pros and cons of the proposal.At this point, the diagnosis may or may not make it into DSM-V. It really depends on whether there is strong enough research indicating that treatment of early forms of psychosis can head off the later development of schizophrenia. My understanding is that the research is unconvincing, but I'm willing to defer to these specialists, who clearly know a lot more about psychosi... The Carlat Psychiatry Blog blogs http://www.medworm.com/rss/comments.php?id=2786011 Tue, 04 Aug 2009 16:34:00 +0100 2786011 http://www.medworm.com/index.php?rid=2786022&cid=t_329182_109_f&fid=38951&url=http%3A%2F%2Fcarlatpsychiatry.blogspot.com%2F2009%2F07%2Fold-friends-battle-it-out-over-dsm-v.html Yesterday, Psychiatric Times published this response to the Allen Frances critique of DSM-V. It is written by William Carpenter, who is Professor of Psychiatry at the University of Maryland, and the chairman of the DSM-V work group on psychosis.Carpenter begins his response by saying that Allen Frances is an "old friend," although from the tenor of this article, "old" may be the operative word. I know Dr. Carpenter myself, having interviewed him for the March 2007 issue of The Carlat Psychiatry Report, and having chatted with him here and there at APA meetings. He's a southern gentleman, and I found him very forthcoming and honest about a range of issues, including his refreshing skepticism of the value of some of the newer atypical antipsychotics. He has done some consultation with drug c... The Carlat Psychiatry Blog blogs http://www.medworm.com/rss/comments.php?id=2786022 Wed, 08 Jul 2009 14:47:00 +0100 2786022 http://www.medworm.com/index.php?rid=2580450&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2009%2F07%2Fdsm-v-writing-process-bar-room-brawl.html (Source: soulful sepulcher) soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=2580450 Wed, 08 Jul 2009 03:07:00 +0100 2580450 http://www.medworm.com/index.php?rid=2580469&cid=t_329182_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2009%2F07%2Fpharma-marketers-are-salivating-in.html Pharma marketers once "salivated" when they saw US obesity statistics such as these reported by CDC: "During the past 20 years there has been a dramatic increase in obesity in the United States. In 2007, only one state (Colorado) had a prevalence of obesity less than 20%. Thirty states had a prevalence equal to or greater than 25%; three of these states (Alabama, Mississippi and Tennessee) had a prevalence of obesity equal to or greater than 30%."Although the drug industry has not been able to develop financially-successful products to tackle obesity directly, there are other conditions triggered by obesity -- eg, diabetes -- that pharma is having some success developing new drugs to treat.The next big boon for pharmaceutical marketers will be in the mental health field. But in this case, ... Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=2580469 Tue, 07 Jul 2009 11:52:00 +0100 2580469 http://www.medworm.com/index.php?rid=2452690&cid=t_329182_109_f&fid=35451&url=http%3A%2F%2Fwww.jung-at-heart.com%2Fjung_at_heart%2Fis_bitterness_a_mental_illn.html There have been stories here and there about the upcoming DSM V for several months now. The most recent, in the LA Times, takes a somewhat optimistic view -- "Over the next 18 months, psychiatrists will hammer out a draft of the fifth edition of the American Psychiatric Assn.'s Diagnostic and Statistical Manual of Mental Disorders, more commonly called DSM-V. Nowhere have the discussions been more heated, the ramifications most vividly foretold, than here at the organization's annual meeting.  Some psychiatrists warn that the tome runs the risk of medicalizing the normal range of human behaviors; others vehemently argue that it must be broad enough to guide treatment of those who need it.  But all agree that the so-called bible of psychiatry is expected to be considerably more nuanc... Jung At Heart blogs http://www.medworm.com/rss/comments.php?id=2452690 Thu, 04 Jun 2009 15:41:18 +0100 2452690 http://www.medworm.com/index.php?rid=2424475&cid=t_329182_140_f&fid=34843&url=http%3A%2F%2Fwww.furiousseasons.com%2Farchives%2F2009%2F05%2Fwill_dsmv_change_bipolar_disorder_to_psychotic_disorder.html That headline is no joke. News is out of this week convention of the American Psychiatric Association in San Francisco that one of the writers of the forthcoming DSM-V says that the group working on bipolar disorder revisions, which he leads, said his group has considered moving bipolar disorder from its longtime classification as a mood disorder to the category of a psychotic disorder. William Carpenter, a psychiatrist at the University of Maryland, made this statement. Carpenter, according to the school's website, is a specialist in schizophrenia. MedPageToday.com reported: "But he acknowledged that such a move would face strong opposition and was unlikely. 'It would happen over a number of dead bodies,' [Carpenter] quipped. On the other hand, he said, 'we hope to get rid of schizoaff... Furious Seasons blogs http://www.medworm.com/rss/comments.php?id=2424475 Wed, 20 May 2009 04:00:00 +0100 2424475 http://www.medworm.com/index.php?rid=2348542&cid=t_329182_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F04%2F17%2Fmoms-internet-addiction%2F In a fluff piece Parenting magazine recently published (and which was picked up by CNN below), moms are apparently “at risk” for a non-existent mental health concern. How one can be at risk for something that doesn’t exist and that no doctor can diagnose is beyond me. But Rachel Mosteller apparently glosses over that point in suggesting that using the Internet while trying to keep your sanity as a stay-at-home mom can amount to “Internet addiction.” Look, you have to start getting alarmed: These moms are contributing to a growing global addiction. There’s a movement among psychiatrists to recognize Internet addiction as an official mental disorder (just like alcohol dependency). And a recent Stanford University national survey found that 14 percent of I... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2348542 Fri, 17 Apr 2009 10:00:07 +0100 2348542 http://www.medworm.com/index.php?rid=2287230&cid=t_329182_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F03%2F23%2Ffda-approves-symbyax-for-treatment-resistant-depression%2F Today, the U.S. Food and Drug Administration (FDA) approved Symbyax for the acute treatment of treatment-resistant depression (TRD). It is the first drug approved for this indication. Symbyax is a combination pill that combines olanzapine (Zyprexa) and fluoxetine HCl (a long-acting form of Prozac) in a single capsule. Symbyax is manufactured by Eli Lilly and Company. According to the company’s press release: The new Symbyax TRD indication is for acute treatment of adult patients with major depressive disorder who have not responded to two separate trials of different antidepressants of adequate dose and duration in their current episode. Zyprexa, in combination with fluoxetine, is now approved for the acute treatment of TRD in adults. Symbyax was the first drug approved by the FD... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2287230 Mon, 23 Mar 2009 21:02:51 +0100 2287230 http://www.medworm.com/index.php?rid=2110735&cid=t_329182_140_f&fid=35438&url=http%3A%2F%2Fwrithesafely.wordpress.com%2F2009%2F01%2F17%2Fpsychiatric-survivors-labels-and-me%2F If any organism fails to fulfill its potentialities, it becomes sick. William James Ω The deleterious effect of evil, pernicious, stigmatizing labels are at the core of psychiatric survivor discourse™, so of course it makes me wonder why I don’t care about mine so much, like — what am I missing here, am I insufficiently outraged about a civil rights injustice?! Borderline, Bi-polar, Schizophrenia, these official stamps of psychiatry will lead to life of ruin, they say, while saying not so much about the label that actually got them committed. Puzzling, but later for all that. The thread on BPD at the only blog that matters has me head in a spin. I identify with borderlines, my life’s been filled with them, I have it in me, it’s a hellish disorder. I’ve only seen do... Writhe Safely blogs http://www.medworm.com/rss/comments.php?id=2110735 Sat, 17 Jan 2009 09:02:41 +0100 2110735 http://www.medworm.com/index.php?rid=2097954&cid=t_329182_109_f&fid=35088&url=http%3A%2F%2Fqw88nb88.wordpress.com%2F2009%2F01%2F13%2Fyou-just-dont-get-it%2F A few summers ago, right in the middle of my graduate programme, I was hit with Mono and Lyme. Taking a shower was exhausting. I kept falling asleep in statistics classes, and in the lab where I tried to work. Putting thoughts together in any of my research analysis or writing, or even learning new [...] (Source: Andrea's Buzzing About:) Andrea's Buzzing About: blogs http://www.medworm.com/rss/comments.php?id=2097954 Tue, 13 Jan 2009 04:12:11 +0100 2097954 http://www.medworm.com/index.php?rid=2081542&cid=t_329182_133_f&fid=37107&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Faspieweb%2F%7E3%2FINlPfCW-gAQ%2F There are many people out there who seem to believe that Aspergers and Autism are not the same thing.  So its time to explore this issue.First lets look at it in diagnostic terms - are Aspergers and Autism the same thing.  But to put it in scope lets look at a few other conditions first.  [...] This is an excerpt from an article on AspieWeb.net, A blog writen by an Autistic Blogger. (Source: AspieWeb.net) AspieWeb.net blogs http://www.medworm.com/rss/comments.php?id=2081542 Tue, 06 Jan 2009 04:30:44 +0100 2081542 http://www.medworm.com/index.php?rid=2078720&cid=t_329182_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F01%2F04%2Fonce-you-click-can-you-quit-culture11%2F Ah, what’s the new year without another look at “Internet addiction disorder,” especially since it’s being considered for inclusion into the DSM-V? Yours truly is quoted in this one, so at least it brings some balance to the topic. And I do note the tendency for researchers and policy makers working on the DSM-V to want to seem to err on the side of including more disorders according to what little information we have on the upcoming book (the DSM-V is being assembled in secret, so it’s pretty hard to tell what the heck they are doing over there). What I do know is that the concept of “Internet addiction disorder” remains so muddled and contradictory, it would be a tragedy if this “diagnosis” was legitimized by the DSM-V, while other t... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2078720 Sun, 04 Jan 2009 22:05:12 +0100 2078720 http://www.medworm.com/index.php?rid=2074106&cid=t_329182_150_f&fid=34889&url=http%3A%2F%2Fpharmamkting.blogspot.com%2F2008%2F12%2Fapa-suffers-from-esd-excessive-secrecy.html (Source: Pharma Marketing Blog) Pharma Marketing Blog blogs http://www.medworm.com/rss/comments.php?id=2074106 Mon, 29 Dec 2008 15:05:00 +0100 2074106 http://www.medworm.com/index.php?rid=2061167&cid=t_329182_140_f&fid=35438&url=http%3A%2F%2Fwrithesafely.wordpress.com%2F2008%2F12%2F23%2Fthe-giving-offering-and-forcing-of-selves%2F Not another post about nuance! Yes and it all started when I heard benevolent superstar Jon Swift is offering exposure to his blogroll writers with another year-end round up of Best Posts Chosen by the Bloggers Themselves. Last year was a great success, providing hours of enjoyable reading and oodles of new visitors to the entrants’ blogs. This is not a contest, but an invitation for writers of all kinds who want a little more attention. I’m posting about it in the enduring hope of seeing psychiatric bloggers do more crossing-over into the wider progressive blogosphere. Of course you have to be on his blogroll, but since his blogroll is famous for being open to anyone I can’t imagine why anyone wouldn’t be on it. I had little trouble choosing my own favorite post fr... Writhe Safely blogs http://www.medworm.com/rss/comments.php?id=2061167 Tue, 23 Dec 2008 09:48:28 +0100 2061167 http://www.medworm.com/index.php?rid=2056588&cid=t_329182_122_f&fid=36582&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSharpBrains%2F%7E3%2F490842490%2F With three years still left until publication, the fights over the new version of the psychiatric diagnostic manual, the DSM-V, are hotting up and The New York Times has a concise article that covers most of the main point of contention. - “What you have in the end,” Mr. Shorter said, “is this process of sorting the deck of symptoms into syndromes, and the outcome all depends on how the cards fall.” - Psychiatrists involved in preparing the new manual contend that it is too early to say for sure which cards will be added and which dropped. Although I doubt the DSM committee are using that exact metaphor, it certainly illustrates the point that the process requires a certain degree of value-judgement. It's interesting, however, that the public debate is currently focused on whether ... SharpBrains blogs http://www.medworm.com/rss/comments.php?id=2056588 Sun, 21 Dec 2008 00:33:18 +0100 2056588 http://www.medworm.com/index.php?rid=2052842&cid=t_329182_133_f&fid=35096&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAutismVox%2F%7E3%2FJnbYZ4hzXt4%2F So the December 17th New York Times refers to the DSM, the Diagnostic and Statistical Manual of Mental Disorders, now in its fifth revision. Will Asperger Syndrome and “high-functioning autism” be merged? Will sensory processing disorder enter the DSM? The revision, it’s noted, “will have consequences for insurance reimbursement, research and individuals’ psychological identity for years to come,” and, too, for our cultural understanding of what “autism” is. Perhaps it’d be more accurate to call the DSm (whatever revision), the book of being human, all too human. Tags: asd, asperger syndrome, autism, book, Diagnosis, dsm-iv, dsm-v, human, new york times, pdd-nos, Psychiatry, PsychologyShare This (Source: Autism Vox) Autism Vox blogs http://www.medworm.com/rss/comments.php?id=2052842 Fri, 19 Dec 2008 17:15:25 +0100 2052842 http://www.medworm.com/index.php?rid=1975223&cid=t_329182_133_f&fid=35096&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAutismVox%2F%7E3%2FdS5nKtPQNo8%2F So what is autism? Chances are, if you’re reading this, you know, and are quite prepared to explain at the drop of the hat “what autism is.” But what if you’re asked: Why is there this separate term, “PDD-NOS”? What is child disintegrative disorder and what does that have to do with autism, plain and simple? (as if there is such a “plain and simple autism”) If a child has Fragile X, that means they don’t have autism……right….no….which? Does “high-functioning autism” mean “Asperger’s Syndrome” only? What’s the connection between autism and ADHD? Can you have both? Can where you are and what culture a child is raised in influence diagnosis? Is autism necessarily a life-long diagno... Autism Vox blogs http://www.medworm.com/rss/comments.php?id=1975223 Thu, 20 Nov 2008 06:21:24 +0100 1975223 http://www.medworm.com/index.php?rid=1968775&cid=t_329182_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F11%2F17%2Fdsm-v-transparency-or-secrecy%2F In a world expecting greater and greater transparency in how important medical and mental health research is conducted, should such transparency extend to the intricate workings of determining what constitutes a valid mental disorder diagnosis? That’s the question posed by two sides wrangling over how transparent the new DSM-V process should be. Robert Spitzer, a former editor, wants more transparency, while the current editor, Darrel Regier, suggests the process of should be kept private. The DSM is short for the Diagnostic and Statistical Manual of Mental Disorders, the “bible” of mental health that defines what a mental disorder is. Technically, if a disorder doesn’t appear in the book, it’s not considered a legitimate disorder nor can a therapist bill a... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1968775 Mon, 17 Nov 2008 17:40:31 +0100 1968775 http://www.medworm.com/index.php?rid=1963957&cid=t_329182_140_f&fid=34843&url=http%3A%2F%2Fwww.furiousseasons.com%2Farchives%2F2008%2F11%2Fdsmv_criticized_in_la_times_oped_for_lack_of_transparency.html Christopher Lane, a professor of English at Northwestern University and author of last year's "Shyness: How Normal Behavior Became a Sickness," had an excellent op-ed in yesterday's Los Angeles Times, flagging for the public just how contentious matters have become around the development of DSM-V. "The bone of contention: whether the next revision of America's psychiatric bible, the "Diagnostic and Statistical Manual of Mental Disorders," should be done openly and transparently so mental health professionals and the public could follow along, or whether the debates should be held in secret." DSM-IV, which came out in 1994, was rife with researchers flush with pharma funding devising new psychiatric disorders, none more prominent than bipolar disorder type 2, introduced in that edition of... Furious Seasons blogs http://www.medworm.com/rss/comments.php?id=1963957 Mon, 17 Nov 2008 05:00:00 +0100 1963957 http://www.medworm.com/index.php?rid=1914620&cid=t_329182_109_f&fid=34800&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FClinicalPsychologyAndPsychiatryACloserLook%2F%7E3%2F433546442%2Fpsychiatric-diagnoses-fact-or-fiction.html Below is a guest post from Tim Desmond. I do not necessarily agree with all of the the contents of the post below, but I thought the topic was thought-provoking and controversial, so I have agreed to publish it. Feel free to add comments as you see fit; I will likely add my two cents in the next couple days...I would like to contribute to the discussion on this blog by summarizing the work of Richard Bentall, psychologist and award-winning author, on psychiatric diagnosis and the DSM-IV. While we may be able to agree that long-term use of neuroleptics should not be the treatment of choice for schizophrenia, or that bipolar disorder is being over-diagnosed in children, I would invite us to question whether 'schizophrenia' or 'bipolar disorder' are valid diagnoses at all. Over the course of ... Clinical Psychology and Psychiatry: A Closer Look blogs http://www.medworm.com/rss/comments.php?id=1914620 Mon, 27 Oct 2008 12:35:00 +0100 1914620 http://www.medworm.com/index.php?rid=1829117&cid=t_329182_111_f&fid=34834&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FMentalNurse%2F%7E3%2F403436862%2F There are two main classifications of MH issues. ICD-10 and DSM-IV. ICD is a taxonomy of all health related conditions and diagnostic criteria and is varied from country to country (which kinda makes the ‘International’ nomenclature redundant). DSM is MH specific and has developed into a multi-axial tool to aide in a brief summary of clinical presentation. It is praised and criticised in equal measures. This post is about exploring the DSM and how the axes are currently used with a proposal for a new way of using the DSM in determining need for health care interventions. I may be out of sync with other places internationally that have already taken this pathway - or similar - but I’ve not seen anything thus far to lead me to think so. Let me know. Multi-axial system The D... Mental Nurse blogs http://www.medworm.com/rss/comments.php?id=1829117 Fri, 26 Sep 2008 04:31:03 +0100 1829117 http://www.medworm.com/index.php?rid=1729477&cid=t_329182_109_f&fid=35088&url=http%3A%2F%2Fqw88nb88.wordpress.com%2F2008%2F08%2F24%2Fdepiling%2F That is, de-pile-ing*. * Not to be confused with depilling, which is trimming off those annoying “pills” that form on knitted garments. Presumably those wee balls of fuzz form due to the blasted orneryness of the universe, especially with regards to the cosmos’ dreaded knack for providing supplemental stress to anyone with OCD tendencies. Depiling means to [...] (Source: Andrea's Buzzing About:) Andrea's Buzzing About: blogs http://www.medworm.com/rss/comments.php?id=1729477 Sun, 24 Aug 2008 00:51:39 +0100 1729477 http://www.medworm.com/index.php?rid=1726571&cid=t_329182_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F372016400%2F They’re already in Georgia, but how about the Top 10 global market? At least that’s the conclusion of a new study, which projects sales of medicines in Vladimir Putin’s playground to grow more than 30 percent, in dollar terms, this year, PharmaTimes reports. According to research published by DSM Group, the overall market volume should reach around $18.4 billion, up $14.3 billion last year. The market research firms says the key driver behind the growth is an increase in living standards. Growth rates in the Russian commercial drug segment surged 30 percent to $4.55 billion, boosted by higher prices, PharmaTimes notes. However, the state-owned drug segment grew faster at 43 percent in the first half to $2.5 billion. DSM says that the reason for this growth was predominan... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1726571 Fri, 22 Aug 2008 23:37:16 +0100 1726571 http://www.medworm.com/index.php?rid=1711751&cid=t_329182_109_f&fid=34859&url=http%3A%2F%2Fwww.dare-to-dream.us%2Farchives%2F2008%2F08%2Fis_sadness_the_same_as_depression.php This article examines the assumption that major depression is a specific illness, that it is rapidly increasing, and that a medical response is justified. I argue that major depression is not a natural entity and does not identify a homogenous group of patients. The apparent increase in major depression results from: confusing those who are ill with those who share their symptoms; the surveying of symptoms out of context; the benefits that accrue from such a diagnosis to drug companies, researchers, and clinicians; and changing social constructions around sadness and distress. Standardized medical treatment of all these individuals is neither possible nor desirable. The major depression category should be replaced by a clinical staging strategy that acknowledges the continuous distribution... Ψ Dare To Dream... blogs http://www.medworm.com/rss/comments.php?id=1711751 Sun, 17 Aug 2008 19:04:24 +0100 1711751 http://www.medworm.com/index.php?rid=1531695&cid=t_329182_150_f&fid=35779&url=http%3A%2F%2Fwww.pharmamanufacturing.com%2Fonpharma%2F%3Fp%3D2191 Karen King, President of DSM Biologics, discussed the implications of the company’s recent joint venture with Crucell, which has increased upstream productivity.  The technology, PER.C, has reportedly boosted fermentation yields in human cells to over 27 grams/L compared with 15 g/L a few months ago. Higher yields will enable smaller, more flexible and less expensive  production.(For [...] (Source: On Pharma) On Pharma blogs http://www.medworm.com/rss/comments.php?id=1531695 Fri, 20 Jun 2008 19:55:58 +0100 1531695 http://www.medworm.com/index.php?rid=1488708&cid=t_329182_150_f&fid=35779&url=http%3A%2F%2Fwww.pharmamanufacturing.com%2Fonpharma%2F%3Fp%3D1881 Just filing a few more notes on the Yale Green Processing conference from last week.  Afternoon sessions during the first day focused on the “hot” topic of continuous processing and use of process intensification to improve reaction chemistry. The question above came up; supporters for the concept of using multiple microreactors in series or parallel [...] (Source: On Pharma) On Pharma blogs http://www.medworm.com/rss/comments.php?id=1488708 Tue, 03 Jun 2008 01:54:27 +0100 1488708 http://www.medworm.com/index.php?rid=1451880&cid=t_329182_133_f&fid=35129&url=http%3A%2F%2Fwhitterer-autism.blogspot.com%2F2008%2F05%2Fhow-can-i-tell-if-i-am-autistic.html Some bloggers have sitemeters. Some bloggers check their sitemeters to see who is searching what subject, if they are brave. Occasionally I am brave and check. What follows are three pieces upon subjects that three people researched via google. This is the fifth topic:-‘How can I tell if I am autistic?’A worrisome question on so many fronts. My facetious nature prompts me, ‘if you have to ask……’ but clearly this matter preys on many minds. To read more click "here."If you like what you read, send it to someone in 'need.' (Source: Whitterer on Autism) Whitterer on Autism blogs http://www.medworm.com/rss/comments.php?id=1451880 Sun, 18 May 2008 16:26:00 +0100 1451880 http://www.medworm.com/index.php?rid=1432424&cid=t_329182_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F05%2F09%2Fdsm-vs-conflicts-of-interest%2F Earlier this week, the Boston Globe’s health blog dived into the issue of conflicts of interest for the latest mental disorder diagnostic manual being formulated. The diagnostic manual is known as the Diagnostic and Statistical Manual of Mental Disorders (DSM) and a fifth version of it is currently in development. How a disorder makes it into the DSM — which is used by mental health professionals and insurance companies to legitimize and pay for a mental health concern — has been the subject of numerous research papers and essays. It is a messy process, like sausage-making, and involves a combination of expert testimony (often given by the same experts who lead a subcommittee on the specific disorder), research on the disorder, and, of course, a healthy dollop of politi... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1432424 Fri, 09 May 2008 15:27:43 +0100 1432424 http://www.medworm.com/index.php?rid=1423152&cid=t_329182_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F05%2F06%2Fslipshod-diagnoses-and-one-mans-journey%2F One of the biggest problems facing the mental health system today is slipshod diagnoses — diagnoses made too quickly, without obtaining enough information, and checking for reasonable alternative diagnoses. Professionals sometimes complain that they are overworked and need to make a diagnosis quickly in order to be reimbursed for the interview. I say that’s rubbish and puts people’s lives in jeopardy, in pursuit of quick treatment, quick payment, and quickly moving onto the next patient. Don’t get me wrong — most mental health professionals take their time, explore rule-out diagnoses, and always seek to ensure the person in front of them really fits the diagnostic picture for a given disorder. But as we reported today, bipolar disorder may be overdiagnosed in... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1423152 Tue, 06 May 2008 15:07:07 +0100 1423152 http://www.medworm.com/index.php?rid=1420664&cid=t_329182_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F283936523%2F More than half the 28 new members of writers of the next edition of the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM) have ties to the drug industry, according to the Center for Science in the Public Interest’s Integrity in Science Watch. The conflicts of interests were posted online by the APA last week (look here). They ranged from small to extensive. Leading the pack was William Carpenter Jr., director of Maryland Psychiatric Research Center at the University of Maryland, who over the past last five years worked as a consultant for 13 drugmakers, including Pfizer, Lilly, Wyeth, Merck, Astra Zeneca, and Bristol-Myers Squibb, according to CSPI. APA president Carolyn B. Robinowitz claimed in a statement that “we have ... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1420664 Mon, 05 May 2008 13:33:33 +0100 1420664 http://www.medworm.com/index.php?rid=1399231&cid=t_329182_140_f&fid=35438&url=http%3A%2F%2Fwrithesafely.wordpress.com%2F2008%2F04%2F25%2Ffaith-healers%2F Over the last 4 years I’ve heard the term Evidence-Based Medicine™ invoked 20 times a day at the Capitol and named it gobbledygook from day one. Evidence-Based Medicine™ refers to interventions based on established criteria in the medical literature, involving steaming piles of horseshit from the academic domain that just happen to call [...] (Source: Writhe Safely) Writhe Safely blogs http://www.medworm.com/rss/comments.php?id=1399231 Fri, 25 Apr 2008 12:43:00 +0100 1399231 http://www.medworm.com/index.php?rid=1364952&cid=t_329182_109_f&fid=35088&url=http%3A%2F%2Fqw88nb88.wordpress.com%2F2008%2F04%2F11%2Fmore-trap-bias%2F Whenever I read statistics about the “increasing rates of autism”, I heave a big sigh. Those statements invariable contain a whole number of assumptions, many of them flat-out wrong, or at least unexamined. In the epidemiological data, there are diagnostic issues and census issues and statistical issues and of course, the inevitable agenda issues [...] (Source: Andrea's Buzzing About:) Andrea's Buzzing About: blogs http://www.medworm.com/rss/comments.php?id=1364952 Fri, 11 Apr 2008 05:46:44 +0100 1364952 http://www.medworm.com/index.php?rid=1344210&cid=t_329182_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F04%2F01%2Fare-we-really-that-ill%2F I meant to blog about this a few days ago, but time got away from me and here it is April already! Christopher Lane over at The (N.Y.) Sun has written an in-depth editorial asking if we Americans are as sick as some of the mental health professional experts would have us believe. It’s a legitimate question, as the number of diagnosable disorders has expanded over the years (but technically hasn’t changed since the release of the original DSM-IV in 1994, 14 years ago). In the editorial, Lane examines why 112 new disorders were added to the DSM-III, which was originally published in 1980 (28 years ago, not that anyone is counting). His cursory look at the complex and unscientific process that went into the DSM-III is interesting, but ultimately unsatisfying: Incredibly, the... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1344210 Tue, 01 Apr 2008 22:12:37 +0100 1344210 http://www.medworm.com/index.php?rid=1268601&cid=t_329182_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F243299518%2F Hired someone new and exciting? Promoted a rising star? Finally solved that hard-to-fill spot? Share the news with us and we’ll share with it others. That’s right. Send us your announcements and we’ll find a home for them. Don’t be shy. Everyone wants to know who is coming and going, especially with all the layoffs being announced each month. Despite the downsizing, there is movement. Here are some of the latest changes. Recognize anyone? Akrimax Pharmaceuticals hired Alan Rubino as its new president; Wyeth promoted John Kelly to vp and controller to replace Paul Jones, who is retiring; Pharmacopeia promoted Rene Belder to senior vp, clinical and regulatory affairs; Pharmacopeia promoted S. David Kimball to senior vp, discovery; Mylan named Eric Leeds as senior vp and head of globa... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1268601 Fri, 29 Feb 2008 12:48:32 +0100 1268601 http://www.medworm.com/index.php?rid=1261703&cid=t_329182_151_f&fid=35805&url=http%3A%2F%2Ftwelvestepfacilitation.com%2Frates-of-relapse-to-alcohol-abuse%2F CONCLUSIONS: Abstinence represents the most stable form of remission for most recovering alcoholics. Study findings highlight the need for better approaches to maintaining recovery among young adults in remission from alcohol dependence, who are at particularly high risk of relapse. Research; Dawson DA, Goldstein RB, Grant BF. Alcohol Clin Exp Res. 2007 Dec;31(12):2036-45. Rates and correlates of relapse among individuals in remission from DSM-IV alcohol dependence: a 3-year follow-up.             Motivational Enhancement Therapy Manual: A Clinical Research Guide for Therapists Treating Individuals With Alcohol Abuse and Dependenceby William R. Miller Read more about this title… Brief-TSF manual US$9.95 Buy Now with Paypal, Visa or ... Twelve Step Facilitation.com blogs http://www.medworm.com/rss/comments.php?id=1261703 Wed, 27 Feb 2008 13:07:44 +0100 1261703 http://www.medworm.com/index.php?rid=1169526&cid=t_329182_109_f&fid=35451&url=http%3A%2F%2Fwww.jung-at-heart.com%2Fjung_at_heart%2Fthe_problems_of_diagnosis_a.html I keep coming back to this issue, even though I don't really have a horse in this race, as I do not accept third party payment and am thus rarely called upon to assign a DSM IV diagnosis. But it is one of the major problems in the field and it has great impact on how people view their problems and how best to tackle them. So I keep gnawing away at it. Today, Furious Season's Phillip Dawdy has another good piece on this problem from the bi-polar angle. I urge you to read it. And to read as well this article on Paul Minot's blog, Candid Psychiatrist -- I should try to contact him as he in in Maine and not that far from me. Dawdy quotes Minot from elsewhere: "Bipolar disorder isn't actually a disease. It's a collection of signs and symptoms lumped together in a diagnostic classificatio... Jung At Heart blogs http://www.medworm.com/rss/comments.php?id=1169526 Tue, 22 Jan 2008 15:55:12 +0100 1169526 http://www.medworm.com/index.php?rid=1126436&cid=t_329182_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F209955350%2F Most of the 27 members of an American Psychiatric Association task force that is updating the psychiatrist’s bible - the Diagnostic and Statistical Manual of Mental Disorders, or DSM, have financial ties to pharma, and several failed to disclose significant aspects of their relationships when the panel was announced last July, according to a recent story in US News and World Report. The APA sought to pursue the “most transparent” policy possible, after the last edition of the DSM contained newly named disorders that were seized on by drugmakers and a 2006 study showed that more than half of the researchers who worked on that manual had at least one financial tie to pharma, the mag writes. But the summaries of the disclosure statements that were recently released to the pu... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1126436 Wed, 02 Jan 2008 15:46:34 +0100 1126436 http://www.medworm.com/index.php?rid=1104400&cid=t_329182_140_f&fid=35438&url=http%3A%2F%2Fwrithesafely.wordpress.com%2F2007%2F12%2F19%2Fnimh-message-to-consumers%2F So the public’s been invited to get off its sorry ass and send personal recommendations to the moon in the sky regarding the national strategic mental health plan, which will “serve as a guide to the Institute for advancing mental health science over the next 3-5 years.” The friendly solicitation of public comment [...] (Source: Writhe Safely) Writhe Safely blogs http://www.medworm.com/rss/comments.php?id=1104400 Wed, 19 Dec 2007 09:53:20 +0100 1104400 http://www.medworm.com/index.php?rid=1091413&cid=t_329182_140_f&fid=35438&url=http%3A%2F%2Fwrithesafely.wordpress.com%2F2007%2F12%2F13%2Fone-of-these-psychiatrists-is-not-like-the-other%2F These two posts caught my eye today, different starting points but seem related somehow: Philip at Furious Seasons responds to a reader who asks if bipolar is a dangerous gift, and the breadth and scope of his response deserves a standing ovation. Not only does he describe the Icarus Project clearly and with enviable economy, he [...] (Source: Writhe Safely) Writhe Safely blogs http://www.medworm.com/rss/comments.php?id=1091413 Thu, 13 Dec 2007 06:57:25 +0100 1091413 http://www.medworm.com/index.php?rid=1045153&cid=t_329182_140_f&fid=35438&url=http%3A%2F%2Fwrithesafely.wordpress.com%2F2007%2F11%2F22%2Ftry-to-praise-the-mutilated-world%2F Try to praise the mutilated world. Remember June’s long days, and wild strawberries, drops of wine, the dew. The nettles that methodically overgrow the abandoned homesteads of exiles. You must praise the mutilated world. You watched the stylish yachts and ships; one of them had a long trip ahead of it, while salty oblivion awaited others. You’ve seen the refugees heading nowhere, you’ve heard the [...] (Source: Writhe Safely) Writhe Safely blogs http://www.medworm.com/rss/comments.php?id=1045153 Thu, 22 Nov 2007 11:11:57 +0100 1045153 http://www.medworm.com/index.php?rid=1019411&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2007%2F11%2F1999-2007-ocd-adhd-childhood-bipolar_11.html I found this site below mine in a Google search. Interesting stuff about CME, faculty and disclosure of conflict of interests."Educational Objectives:After completing of this activity, participants should be better able to:• Summarize the prevalence and the social and economic burden and consequences of adolescent into adulthood ADHD• Discuss the use of screening instruments to aid in detecting ADHD in adolescent into adulthood patients• List the available treatments for adolescent into adulthood ADHD and their associated risks and benefits• Discuss the clinical applicability of recent studies on ADHD in adolescent into adulthood populationsEducational MethodThis activity consists of a downloadable slide presentation with audio.Disclosure of Conflicts of Interest:[this is where a c... soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=1019411 Mon, 12 Nov 2007 03:41:00 +0100 1019411 http://www.medworm.com/index.php?rid=983965&cid=t_329182_140_f&fid=35438&url=http%3A%2F%2Fwrithesafely.wordpress.com%2F2007%2F10%2F27%2Fobstructing-praxis-by-tampering-with-the-dsm%2F I spent the night editing this pdf document by the almost overwhelmingly ambitious Bonnie Burstow, a name we may recognize from the threads on Simone D. Link: Toward a Radical Understanding of Trauma and Trauma Work. I deleted 2,000 words, mainly references and shit I violently disagree with (identity politics), but since no one [...] (Source: Writhe Safely) Writhe Safely blogs http://www.medworm.com/rss/comments.php?id=983965 Sat, 27 Oct 2007 17:09:25 +0100 983965 http://www.medworm.com/index.php?rid=982643&cid=t_329182_140_f&fid=35438&url=http%3A%2F%2Fwrithesafely.wordpress.com%2F2007%2F10%2F26%2Feffed-up-on-how-many-levels%2F Sure, ok. Count ‘em off, I got to eleventyzabillion before the calculator exploded: Valdosta State University (VSU) has expelled student T. Hayden Barnes for publicly protesting the school’s decision to construct two new parking decks on campus. After VSU President Ronald M. Zaccari labeled Barnes a “clear and present danger” and mandated that Barnes submit certifications of his mental health and on-going therapy as conditions of his readmission to VSU, Barnes contacted the Foundation for Individual Rights in Education (FIRE) for help. “A kind of madness seems to be gripping our colleges, one in which merely claiming a student poses a ‘threat’—no matter how absurd or attenuated the allegation may be—is enough to punish even the most clearly protected speech,” FIRE... Writhe Safely blogs http://www.medworm.com/rss/comments.php?id=982643 Fri, 26 Oct 2007 14:46:43 +0100 982643 http://www.medworm.com/index.php?rid=896036&cid=t_329182_109_f&fid=34800&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FClinicalPsychologyAndPsychiatryACloserLook%2F%7E3%2F160598553%2Fshyness-pathological-or-normal.html SmikeKlineBeecham/GlaxoSmithKline, the psychiatric elites who devised the Diagnostic and Statistical Manual of Mental Disorders, and social phobia. An interesting combination. I read a fascinating op-ed in the New York Times by Christopher Lane , an English professor at Northwestern University that discussed the growth of social phobia, especially among kids. Here are some highlights..."How much credence should we give the diagnosis? Shyness is so common among American children that 42 percent exhibit it. And, according to one major study, the trait increases with age. By the time they reach college, up to 51 percent of men and 43 percent of women describe themselves as shy or introverted. Among graduate students, half of men and 48 percent of women do. Psychiatrists say that at least one ... Clinical Psychology and Psychiatry: A Closer Look blogs http://www.medworm.com/rss/comments.php?id=896036 Mon, 24 Sep 2007 14:01:00 +0100 896036 http://www.medworm.com/index.php?rid=875294&cid=t_329182_140_f&fid=35439&url=http%3A%2F%2Fbipolarsoupkitchen-stephany.blogspot.com%2F2007%2F09%2Fpolymorphic-you-in-dsm.html Why do we have a DSM? to define our self? find our place in this world? have a reason? a purpose? do you have one?YOU have a reason to be here, especially in the Pharmaceutical industry book, you know the DSM--and the new version coming out soon will include you, yes, you.In any way, shape or form-- you will be there. Maybe that's why we love ourselves so much. What's the word for that again? er, I mean what's your code?YOU in the DSM:Patent3. A method for treating a patient suffering from or susceptible to a psychosis selected from the group consisting of Delirium; Psychotic Disorder Due to a Medical Condition, With Delusions; Psychotic Disorder Due to a Medical Condition, With Hallucinations; Vascular Dementia, With Delirium; Vascular Dementia, With Delusions; and Severe Recurrent Major ... soulful sepulcher blogs http://www.medworm.com/rss/comments.php?id=875294 Mon, 17 Sep 2007 00:46:00 +0100 875294 http://www.medworm.com/index.php?rid=835528&cid=t_329182_140_f&fid=35438&url=http%3A%2F%2Fwrithesafely.wordpress.com%2F2007%2F08%2F31%2Fchoosey-moms-choose-pepper-spray%2F At the Capitol Wednesday lawmakers held a meeting with the officials of the Texas Youth Commission, to hear how they’re coming with the sweeping reforms outlined in last session. I’m in such a pissy funk it’s taking 2 days and hard liquor to absorb the testimony. The only M.D. who spoke said what they need to do is take behavioral control of the population, and that he would diagnose “100 percent of the inmates with Oppositional Defiant Disorder.” He then praised the cutting edge research of Harvard’s bi-polar child mafia, citing Biederman by name, as mark of credibility. There was no criticism or suggestion of internal controversy, and there won’t be, ever. A specialized medical practice is by definition out of reach from general discourse, the s... Writhe Safely blogs http://www.medworm.com/rss/comments.php?id=835528 Sat, 01 Sep 2007 00:03:09 +0100 835528 http://www.medworm.com/index.php?rid=785926&cid=t_329182_133_f&fid=35096&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAutismVox%2F%7E3%2F141775083%2F “Look Me in the Eye: My Life with Asperger’s” (John Elder Robison), John Elder Robison’s memoir of growing up with Asperger’s (before knowing that he had Asperger’s), appears in bookstores September 25. In the meantime, the July 31st Library Journal interviews the author; here are some of his Robison’s views on Asperger’s as a “positive character trait for someone in business,” his favorite car to fix (Robison owns a successful repair business in western Massachusetts), and what is normal. Asperger’s as a “positive character trait for someone in business” People with Asperger’s can do really well in many highly technical occupations. Car repair (my field) is a good example. Software engineering is another. Som... Autism Vox blogs http://www.medworm.com/rss/comments.php?id=785926 Tue, 07 Aug 2007 23:04:58 +0100 785926 http://www.medworm.com/index.php?rid=690053&cid=t_329182_109_f&fid=35088&url=http%3A%2F%2Fqw88nb88.wordpress.com%2F2007%2F06%2F22%2Fepidemics-of-bad-science-vs-epidemics-and-bad-science%2F Here’s a hot topic constantly resurfacing in the news, especially with the Omnibus currently proceeding at the US Court of Federal Claims, to wit: Is autism caused by vaccines? I won’t pretend that I’m going to capture everything in this controversy; there are too many players in the drama. (Autism Diva is [...] (Source: Andrea's Buzzing About:) Andrea's Buzzing About: blogs http://www.medworm.com/rss/comments.php?id=690053 Fri, 22 Jun 2007 16:36:53 +0100 690053 http://www.medworm.com/index.php?rid=658718&cid=t_329182_122_f&fid=34755&url=http%3A%2F%2Fneuropsychological.blogspot.com%2F2007%2F06%2Fneuropsychology-abstract-of-day-adhd.html CONCLUSIONS: Our findings suggest that geographic location plays a limited role in the reasons for the large variability of ADHD/HD prevalence estimates worldwide. Instead, this variability seems to be explained primarily by the methodological characteristics of studies.PMID: 17541055 [PubMed - in process] (Source: BrainBlog) BrainBlog blogs http://www.medworm.com/rss/comments.php?id=658718 Mon, 04 Jun 2007 22:07:00 +0100 658718 http://www.medworm.com/index.php?rid=620215&cid=t_329182_109_f&fid=35088&url=http%3A%2F%2Fqw88nb88.wordpress.com%2F2007%2F05%2F13%2Fwhat-i-learned-from-the-bugs-alienation-and-othering%2F “Great truths are sometimes so enveloping and exist in such plain view as to be invisible.” ~Edward O. Wilson I went to study Entomology, and four years later found that I had discovered far more about my own species than I had about insects and other arthropods. What I learned about humans was enlightening, [...] (Source: Andrea's Buzzing About:) Andrea's Buzzing About: blogs http://www.medworm.com/rss/comments.php?id=620215 Sun, 13 May 2007 15:31:36 +0100 620215 http://www.medworm.com/index.php?rid=487014&cid=t_329182_133_f&fid=35082&url=http%3A%2F%2F29marbles.blogspot.com%2F2006%2F06%2Fautism-and-dsm-part-2.html I concluded my last post with this question:If I think that autism should be in the DSM, am I not admitting that there is something ‘wrong’ with my child?The answer is, as so many people have helped me figure out, a resounding NO. Though autism is, as several folks have pointed out, a neurological condition as opposed to a mental illness, inclusion of autism in the DSM has provided a means of making the public aware of autism. It has also served as the basis for parents to get needed services and accomodation from local school districts and communities.("Wait a minute," I hear some saying. "If there is nothing wrong with your autistic child, why does he need 'services and accomodation.'" The short answer is that it is 'society' that needs to be 'cured.' Cured of its misconceptions and ... 29 Marbles blogs http://www.medworm.com/rss/comments.php?id=487014 Wed, 14 Jun 2006 01:00:00 +0100 487014