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The Loss of Sadness: How Psychiatry Transformed Normal Sorrow Into Depressive Disorder
Powell Books ^ | 14 February 2008 | Sally Satel

Posted on 02/15/2008 7:31:05 AM PST by shrinkermd

There are many articles and books debunking psychiatric diagnoses. The following review is a fair effort in assessing the problems. I am including only the first few paragraphs that deal with the elimination of the homosexual diagnosis. The majority of the review focuses on depression

"...In the early 1970s, annual meetings of the American Psychiatric Association (APA) were home to angry showdowns between the gay rights lobby and organized psychiatry. Activists picketed convention sites, shouted down speakers, and waged ad hominem attacks on psychiatrists who sincerely believed that homosexuality was a sickness. The goal of their flamboyant campaign against the APA -- an impressive display of "guerrilla theater," as one psychiatrist put it -- was to force the association to take homosexuality out of its official handbook, the Diagnostic and Statistical Manual of Mental Disorders, second edition, popularly known as the DSM-II.

In December 1973, they won. A decisive majority of the APA board of trustees voted to remove homosexuality from the professional nomenclature. "Doctors Rule Homosexuals Not Abnormal," read the headline in the next day's Washington Post. It was a major victory both for gay people and for the enlightened wing of the psychiatric establishment. But rather than calm the critics of psychiatry, the APA's acknowledgment that homosexuality was not a mental illness only inflamed them. They took this as further evidence that the profession was a sham, and asked in outrage how psychiatry could claim to be a legitimate, scientific branch of medicine if its members determined the very existence of an illness by vote.

(Excerpt) Read more at powells.com ...


TOPICS: Culture/Society; Unclassified
KEYWORDS: depression; dsmiv; psychiatry
The review was sufficiently persuasive that I ordered the book.

I do not know if the book mentions that one of the Board of Trustees wrote papers documenting the dynamics of homosexuality; however, when his son announced he was a homosexual, the trustee changed his mind. One of the theories at the time of male homosexuality was that there was an overly close relationship with the mother and antagonistic or distant relationship with the father.

Also to be noted on this subject, that the members actually never voted on this issue. If they had, the diagnosis (IMHO) would have remained in DSM II. The reason being that what is ordinarily thought as abnormal sexual behavior must have both statistical rarity and the lack of real, implied or symbolic procreational interest.

1 posted on 02/15/2008 7:31:08 AM PST by shrinkermd
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To: shrinkermd

As you know, a vote is the same way they decided ADD/ADHD and ODD were mental illnesses.


2 posted on 02/15/2008 7:34:16 AM PST by cinives (On some planets what I do is considered normal.)
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To: shrinkermd

Psychiatry/psychology has successfully taken personal responsibility out of behavior. No matter what you do it is not your fault and it can be medicated.

I do not know the stats but I’d bet that over 90% if not more psychiatrists and psychologists are Dims or very liberal Republicans.


3 posted on 02/15/2008 7:34:43 AM PST by Resolute Conservative
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To: Resolute Conservative

A former friend (Age 50 at the time) was told by his physciatrist that he didn’t mourn his father’s death properly. The friend never went back and yes, he was fine. Someone told him to visit the physciatrist just for the heck of it.


4 posted on 02/15/2008 7:40:26 AM PST by Sacajaweau ("The Cracker" will be renamed "The Crapper")
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To: shrinkermd
Perhaps I'm being unfair, but the title and a quick look at the review really give me pause.

Depression is not the same thing as sadness. If you tell me that depression is diagnosed too readily, I won't disagree. If you tell that medicine like prozac is given out too readily, I won't disagree.

But being sad because your wife died is one thing. Being unable to get out of bed or to talk to people -- and not having any idea why you feel that way? That's not sadness. I'm concerned that the author of this book is saying that sorrow was renamed "depression" and treated like a medical condition. I would have to disagree. There is sorrow. And there is depression. A distinction can be made.

5 posted on 02/15/2008 7:41:13 AM PST by ClearCase_guy
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To: shrinkermd
I saw a PBS special on the history of Lobotomy the other night (The American Experience?). Frightening how in the 40s and 50s this radical procedure was deemed the "cure all" for mental illness.

Became such a routine operation that it was sometimes done in assembly line fashion, with one physician performing as many as 75 a day. (Going in through the eye sockets made it much easier.) In some cases it was done to young boys and other children who "misbehaved" at home.

6 posted on 02/15/2008 7:44:34 AM PST by scan59 (Let consumers dictate market policies. Government just gets in the way.)
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To: shrinkermd
The title is a poor example. The profession has also distinguished situational mood reactions from clinical depression. Homosexual exclusion and bipolar inclusion are better examples, as can be ADHD (sometimes valid). I have to come back and read the article later.
7 posted on 02/15/2008 7:46:14 AM PST by steve86 (Acerbic by nature, not nurtureā„¢)
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To: ClearCase_guy

If you have time go back and review the review. The author does mention the difference between “mourning,” a psychological event, and “melancholia,” a biological event.


8 posted on 02/15/2008 7:47:18 AM PST by shrinkermd
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To: scan59
I saw a PBS special on the history of Lobotomy the other night

Forgot to mention that it was sometimes done to "cure" alcoholism. That way I can be the first to throw in the old joke "I'd rather have a bottle in front of me than a frontal lobotomy."

9 posted on 02/15/2008 7:47:51 AM PST by scan59 (Let consumers dictate market policies. Government just gets in the way.)
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To: scan59

I think you are only person besides me that watched that! LOL


10 posted on 02/15/2008 7:51:50 AM PST by the lastbestlady (I now believe that we have two lives; the life we learn with and the life we live with after that.)
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To: scan59
In some cases it was done to young boys and other children who "misbehaved" at home.

Including an inconvenient daughter of a certain patriarch of a prominent Massachusetts family.

11 posted on 02/15/2008 7:54:27 AM PST by DuncanWaring (The Lord uses the good ones; the bad ones use the Lord.)
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To: shrinkermd
You're right. It's in there. Perhaps this is a valuable book. I will say, however, that this stuff:

All reparative enterprises, from medicine to car mechanics, prefer to have their nosologies organized according to etiology

tells me that it won't be a best-seller. ;)

12 posted on 02/15/2008 7:57:21 AM PST by ClearCase_guy
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To: ClearCase_guy

You’re absolutely right and I have seen this in my own family. Psychiatric drugs have done more to help real problems than all the talking therapists have ever done.


13 posted on 02/15/2008 8:13:41 AM PST by altura
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To: shrinkermd
The idea that depression is just some sort of super-sadness is pure nonsense.

As a diagnosed depressive, let me be the first to make it clear that sorrow, a normal human emotion, has nothing to do with the way depression works. Depression isn't about feelings; it's about numbness, if anything. It's about ego disintegration, hallucinations, anxiety, amnesia, loss of ability to perform everyday tasks, and paranoia, overlain by a soul-crushing and inescapable shroud of black despair that grows like cancer until it dominates every moment of one's existence, both sleeping and awake. There is no "snapping out of it". There is no "quit feeling sorry for yourself". There is only the Despair, growing stronger day after day until it blots out the world, the rest of humanity and ultimately one's self. Only the light of Jesus Christ can penetrate that darkness at its blackest — and, tragically, many depressives lose sight of even that, choosing to end their "meaningless" lives lest they become a burden to their loved ones. I know that our merciful Lord judges such people compassionately.

The facts: Depression is a real disease. According to the National Institutes of Mental Health (NIMH), "Research indicates that depressive illnesses are disorders of the brain. Brain-imaging technologies, such as magnetic resonance imaging (MRI), have shown that the brains of people who have depression look different than those of people without depression. The parts of the brain responsible for regulating mood, thinking, sleep, appetite and behavior appear to function abnormally. In addition, important neurotransmitters–chemicals that brain cells use to communicate–appear to be out of balance. But these images do not reveal why the depression has occurred.

"Some types of depression tend to run in families, suggesting a genetic link. However, depression can occur in people without family histories of depression as well. Genetics research indicates that risk for depression results from the influence of multiple genes acting together with environmental or other factors." [Source]

The good news: Since most depressive disorders have a neurochemical component, most can be successfully managed with a program of prescription medicines and psychiatric therapy.

I'm not asking depression skeptics for compassion on my behalf. Yes, I suffer, but most depressives suffer far worse the me. God gave me this cross to bear, and He will give me the strength to bear it. I'm simply asking that they show some compassion on those who must fight the daily battle against the Despair by accepting the fact that depressive disorders are real, physically-based medical conditions. What is to be gained by tormenting people?

14 posted on 02/15/2008 8:17:08 AM PST by B-Chan (Catholic. Monarchist. Texan. Any questions?)
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To: Resolute Conservative
Psychiatry/psychology has successfully taken personal responsibility out of behavior. No matter what you do it is not your fault and it can be medicated.

Bingo.
You got that right.

15 posted on 02/15/2008 8:21:56 AM PST by Fiddlstix (Warning! This Is A Subliminal Tagline! Read it at your own risk!(Presented by TagLines R US))
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To: shrinkermd

Depression and sadness are two distinct conditions. Only the Tom Cruise psychiatrists can’t tell them apart. Anyone who wants their chronic depression treated should be able to do so.


16 posted on 02/15/2008 8:24:06 AM PST by mysterio
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To: B-Chan
As a diagnosed depressive, let me be the first to make it clear that sorrow, a normal human emotion, has nothing to do with the way depression works. Depression isn't about feelings; it's about numbness, if anything. It's about ego disintegration, hallucinations, anxiety, amnesia, loss of ability to perform everyday tasks, and paranoia, overlain by a soul-crushing and inescapable shroud of black despair that grows like cancer until it dominates every moment of one's existence, both sleeping and awake.

Wow. I've never heard such a vivid description. Well, that clears it up for me, seriously. I used to think I had bouts of depression, but now I'm thinking that whatever I have, it's either angst, or sorrow, or something, but whatever it is, it's not depression.

17 posted on 02/15/2008 9:27:30 AM PST by A_perfect_lady
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To: A_perfect_lady

Only a medical professional is qualified to judge that. Your family doctor is a good source of information.


18 posted on 02/15/2008 9:30:35 AM PST by B-Chan (Catholic. Monarchist. Texan. Any questions?)
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To: shrinkermd

I have read this thread to this point. One mistake is the question of cause.

Usually, in psychiatry there is no single cause but rather multiple causes that interact. Further, any given cause exists in a chain.

What physicians do is to try to intervene where they can regardless of the cause. For example, if you have examine a child with repeated inner ear infections and anemia as well, you can use antibiotics and iron. You could also intervene socially and give the parents nutritional education or a better job so that they could have more meat in their diet, etc.

Therefore, when you intervene with a medication and help the patient, it does not matter what the cause is if the treatment is effective. Pain medications are a good example.


19 posted on 02/15/2008 9:41:19 AM PST by shrinkermd
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To: mysterio
Four years ago, when my first wife died of cancer at 40, none of my aunts could understand why I was not taking one or another antidepressants. My answer to them was, the best person I have ever known, and the mother of my two children has just died, why shouldn't I be sad. I was sad, not depressed and I got better, after a few months thing really started to look up.
I am not sure how it would have turned out if I was medicated to automaton status.
20 posted on 02/15/2008 9:53:13 AM PST by MrNeutron1962
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