From Library Journal
Walker, director of Southern California's Neuropsychiatric Institute, here argues that clinicians should not rely exclusively on standard psychiatric labels. He contends that labels such as depression, hyperactivity, etc., often hide medically treatable disorders. He notes a trend in psychiatry to lump individuals under broad categorical labels, e.g., mental retardation, which often obscures the specific problems. Drawing upon 30 years of clinical experience, he cites cases illustrating the fallibility of psychiatric labeling. Walker writes that the current diagnostic system survives because of its support from the American Psychiatric Association, drug companies, and managed care providers. This thought-provoking book is an effective complement to Peter Kramer's Listening to Prozac (LJ 5/1/93). Recommended for public and academic libraries.?Dennis Glenn Twiggs, Winston-Salem, N.C.
Copyright 1996 Reed Business Information, Inc.
--This text refers to an out of print or unavailable edition of this title.
From Booklist
Many psychiatrists use the
Diagnostic and Statistical Manual (DSM) produced by the American Psychiatric Association as not only their bible but also their daily practice manual. Walker, a psychiatrist himself, points out that the DSM has encouraged practitioners to label patients quickly rather than pursue the more time-consuming, deductive work of differential diagnosis. Labeling leads to fitting patients willy-nilly into groups rather than treating them as the individuals they are by carefully taking medical histories and performing physical examinations. Walker presents many appalling examples of patients who were routinely assigned DSM labels that then became masks for such often dangerous physical diseases as bowel blockage, lupus, brain tumors, and Tourette's and Klinefelter's syndromes. One case that leaps out is that of a Holocaust survivor who, diagnosed with severe depression, in reality had recrudescent typhus. Furthering his indictment, Walker stresses that many of the masked diseases are treatable if caught early and that many of the drugs psychiatrists prescribe are dangerous or addictive.
William Beatty
--This text refers to an out of print or unavailable edition of this title.
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