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The classification of depression: are we still confused?
The classification of depression: are we still confused?

... criterion the rater had to ask ‘does the respondent exhibit this amount of (symptom) X?’ In terms of criteria for depression, this translates as ‘has the individual experienced at least 2 weeks of unremitting low mood?’ This imposes a severity threshold on a continuous variable: in this case, mood. ...
Department of Psychiatry and Behavioral Sciences at University of Miami
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... and 8, the patients discontinued their medication with no adverse consequences which could not have occurred if the original diagnosis was correct. Case 9 could not be treated immediately as she came seeking help for her son. It is not possible to say that diagnostic errors are more likely in patien ...
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Henderson_NAMI_2013 - NAMI Massachusetts
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Click here for handout
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Critical Psychiatry Network

The Critical Psychiatry Network is an organisation created by a group of British psychiatrists who met in Bradford, England in January 1999 in response to proposals by the British government to amend the 1983 Mental Health Act (MHA). They expressed concern about the implications of the proposed changes for human rights and the civil liberties of people with mental health illness. Most people associated with the group are practicing consultant psychiatrists in the United Kingdom's National Health Service (NHS) among them Dr Joanna Moncrieff. A number of non-consultant grade and trainee psychiatrists are also involved in the network.Participants in the Critical Psychiatry Network (CPN) share concerns about psychiatric practice where and when it is heavily dependent upon diagnostic classification and the use of psychopharmacology. These concerns reflect their recognition of poor construct validity amongst psychiatric diagnoses and scepticism about the efficacy of anti-depressants, mood stabilisers and anti-psychotic agents. According to them, these concerns have ramifications in the area of the use of psychiatric diagnosis to justify civil detention and the role of scientific knowledge in psychiatry, and an interest in promoting the study of interpersonal phenomena such as relationship, meaning and narrative in pursuit of better understanding and improved treatment.CPN has similarities and contrasts with earlier criticisms of conventional psychiatric practice, for example those associated with David Cooper, Ronald Laing and Thomas Szasz. Features of CPN are pragmatism and full acknowledgment of the suffering commonly associated with mental health difficulties. As a result it functions primarily as a forum within which practitioners can share experiences of practice, and provide support and encouragement in developing improvements in mainstream NHS practice where most participants are employed.CPN maintains close links with service user or survivor led organisations such as the Hearing Voices Network, Intervoice and the Soteria Network, and with like-minded psychiatrists in other countries. It maintains its own website. The network is open to any sympathetic psychiatrist, and members meet in person, in the UK, twice a year. It is primarily intended for psychiatrists and psychiatric trainees and full participation is not available to other groups.
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