Overdiagnosis In Psychiatry

Item Information
Item#: 9780199350643
Edition 01
Author Paris, Joel
Cover Paperback
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As one of the few books to thoroughly examine the critical problem of over-diagnosis in psychiatry today, Dr. Joel Paris - author of The Intelligent Clinician's Guide to the DSM-5RG - shows how over-diagnosis leads to over-treatment in Overdiagnosis in Psychiatry: How Modern Psychiatry Lost Its
Way While Creating a Diagnosis for Almost All of Life's Misfortune.

Leaving no stone unturned, Dr. Paris considers the complications of the DSM-5 system with particular reference to major depression, bipolar disorder, PTSD and attention-deficit hyperactivity disorder. While each of these conditions have given rise to diagnostic fads and epidemics, the classification
of mental disorders remains provisional without any biomarkers for mental disorders. Because of this, Dr. Paris makes the case for the importance of conservative diagnoses, recognizing that normal variants are not necessarily disorders.

Table of Contents
Part I: Background
1. Diagnosis in psychiatry
2. DSM and its discontents
3. Over-diagnosis and overtreatment
4. Science, philosophy and diagnosis
Part II: Categories Most Likely to Be Over-diagnosed
5. How \"major\" is major depression?
6. The boundaries of bipolarity
7. PTSD and trauma
8. ADHD and attention
9. Personality and personality disorder
10. Other disorders in which over-diagnosis is a risk
Part III: Diagnosis and Normality
11. How do we know what is normal?
12. Where do we go from here?

Review Quotes
"Dr. Paris is a psychiatrist who knows his onions and so can make you weep. He weeps at the failure to recognize strengths in people rather than weaknesses, and after reading his book we should all gain from one of its key sentences 'it would probably be better to define mental health, not as
happiness, but as resilience in the face of adversity'."

--Peter Tyrer, Professor of Community Psychiatry, Centre for Mental Health, Imperial College, London

\"Most discussions of diagnosis focus on problems with missed diagnoses or misdiagnosis. Dr. Paris does the field a great favor by focusing on the problem of overdiagnosis, and showing how it is as great a problem as underdiagnosis.\"

--Mark Zimmerman, Professor of Psychiatry and Human Behavior, Brown Medical School, Providence, RI

\"Too much medicine can be bad for your health- over-diagnosis and over-treatment are now serious public health problems. Dr Paris has provided an important pebble in the David vs Goliath battle to contain the medical-industrial complex.\"

--Allen Frances, Professor Emeritus and former Chair Duke University and author of Saving Normal

\"Dr. Joel Paris has written a wonderfully provocative book that will irritate some readers and delight others. With opinions based on his many years working in the trenches, Dr. Paris points out the problems of overdiagnosis, misdiagnose, and diagnostic epidemics that have been fueled in part
by overenthusiasm for the DSM. Written in an accessible style, this book is bound to become a classic in the field.\"

--Donald W. Black, MD, Professor, Department of Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA

"Dr. Joel Paris's book is the one book you must read to understand why psychiatry, in the midst of the most optimistic period in its history, is stumbling badly due to its disregard of the most basic medical distinction of all, the distinction between normality and pathology."

--Jerome C. Wakefield, PhD, DSW, Professor of Social Work, and Professor of Psychiatry (Professor of the Conceptual Foundations of Psychiatry), New York University, New York, NY