Allen Frances Famous Quotes
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The power to label is the power to destroy.
Retrospective epidemiological studies report that 20% of the general population qualifies for a current psychiatric diagnosis and 50% for a lifetime one.4 Prospective epidemiological studies double these rates and suggest that mental disorder is becoming virtually ubiquitous.5, 6 During the past
Stigma takes many forms, comes from all directions, is sometimes blatantly overt, but can also be remarkably subtle. It is the cruel comment, the unkind smirk, the extrusion from the group, the lost job opportunity, the rejected marriage proposal, the ineligibility for life insurance, the inability to adopt a child or pilot a plane.
But it is also the reduced expectation, the helping hand when none is needed or wanted, the solicitous sympathy that one cannot really be expected to measure up.
And the secondary psychological and practical harms of having a mental disorder come only partly from how others see you. A great deal of the trouble comes from the change in how you see yourself: the sense of being damaged goods, feeling not normal or worthy, not a full fledged member of the group.
It is bad enough that stigma is so often associated with having a mental disorder, but the stigma that comes from being mislabeled with a fake diagnosis is a dead loss with absolutely no redeeming features.
There's a societal push for conformity in all rways," he said. "There's less tolerance of difference. And so maybe for some people having a label is better. It can confer a sense of hope and direction.
DSM definitions do not include personal and contextual factors such as whether the depressive symptoms are an understandable response to loss, a terrible life situation, psychological conflict or personality factors.
There are no objective tests in psychiatry-no X-ray, laboratory, or exam finding that says definitively that someone does or does not have a mental disorder.
Psychiatric diagnosis still relies exclusively on fallible subjective judgments rather than objective biological tests.
