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	<title>Comments on: For psychiatry &quot;bible,&quot; Asperger&#039;s is out, binge eating is&#160;in</title>
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	<description>Brain candy for Happy Mutants</description>
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		<title>By: wysinwyg</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1597084</link>
		<dc:creator>wysinwyg</dc:creator>
		<pubDate>Mon, 03 Dec 2012 16:07:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1597084</guid>
		<description>&lt;blockquote&gt;Let the scientists and theorists deal with their job and stop trying to make it political.  &lt;/blockquote&gt;Psychologists take it upon themselves to define &quot;normal&quot; for a given society and then demand that people &quot;stop making [psychology] political?  There is &lt;em&gt;no way&lt;/em&gt; to avoid making psychology political.  It scares the shit out of me when psychologists fail to see this.  If you&#039;re going to play at being High Priest of Mental Health I think you need to engage in some serious reflection on your role in society and what it really means.

Also, not so sure about the &quot;(mostly)&quot; in &quot;(mostly) scientific&quot;.  Compromise and say &quot;half&quot;?</description>
		<content:encoded><![CDATA[<blockquote><p>Let the scientists and theorists deal with their job and stop trying to make it political.  </p></blockquote>
<p>Psychologists take it upon themselves to define &#8220;normal&#8221; for a given society and then demand that people &#8220;stop making [psychology] political?  There is <em>no way</em> to avoid making psychology political.  It scares the shit out of me when psychologists fail to see this.  If you&#8217;re going to play at being High Priest of Mental Health I think you need to engage in some serious reflection on your role in society and what it really means.</p>
<p>Also, not so sure about the &#8220;(mostly)&#8221; in &#8220;(mostly) scientific&#8221;.  Compromise and say &#8220;half&#8221;?</p>
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	<item>
		<title>By: wysinwyg</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1597079</link>
		<dc:creator>wysinwyg</dc:creator>
		<pubDate>Mon, 03 Dec 2012 15:57:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1597079</guid>
		<description> Another vote for &quot;tripping&quot;.  If there&#039;s any &quot;negative framing&quot; in the OP, it would seem to me to be more based on the arbitrariness with which psych/ologists/iatrists decide diagnoses are valid or invalid.</description>
		<content:encoded><![CDATA[<p> Another vote for &#8220;tripping&#8221;.  If there&#8217;s any &#8220;negative framing&#8221; in the OP, it would seem to me to be more based on the arbitrariness with which psych/ologists/iatrists decide diagnoses are valid or invalid.</p>
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		<title>By: wysinwyg</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1597075</link>
		<dc:creator>wysinwyg</dc:creator>
		<pubDate>Mon, 03 Dec 2012 15:53:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1597075</guid>
		<description>Well, from what I understand it&#039;s been replaced with a catch all for &quot;autism spectrum disorders&quot; so it&#039;s still fuzzy -- perhaps even fuzzier -- but hopefully less arbitrary.</description>
		<content:encoded><![CDATA[<p>Well, from what I understand it&#8217;s been replaced with a catch all for &#8220;autism spectrum disorders&#8221; so it&#8217;s still fuzzy &#8212; perhaps even fuzzier &#8212; but hopefully less arbitrary.</p>
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		<title>By: Ipo</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1597035</link>
		<dc:creator>Ipo</dc:creator>
		<pubDate>Mon, 03 Dec 2012 14:17:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1597035</guid>
		<description> I use Google for answers to questions.  </description>
		<content:encoded><![CDATA[<p> I use Google for answers to questions.  </p>
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		<title>By: humanresource</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1597004</link>
		<dc:creator>humanresource</dc:creator>
		<pubDate>Mon, 03 Dec 2012 13:19:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1597004</guid>
		<description>Actually, my managerial psychology lecturer said exactly that - that we are all on the spectrum somewhere, and workplaces need a good mix.</description>
		<content:encoded><![CDATA[<p>Actually, my managerial psychology lecturer said exactly that &#8211; that we are all on the spectrum somewhere, and workplaces need a good mix.</p>
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		<title>By: awjt</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596997</link>
		<dc:creator>awjt</dc:creator>
		<pubDate>Mon, 03 Dec 2012 12:57:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596997</guid>
		<description>They should watch more Dexter, then, and learn how to blend.</description>
		<content:encoded><![CDATA[<p>They should watch more Dexter, then, and learn how to blend.</p>
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		<title>By: blueelm</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596989</link>
		<dc:creator>blueelm</dc:creator>
		<pubDate>Mon, 03 Dec 2012 11:41:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596989</guid>
		<description>I don&#039;t take it that way. Relegated just means demoted. It is neutral in and of itself. I don&#039;t think she&#039;s implying it denies anyone anything. To be honest I doubt, from other posts she has written, that she puts *that* much stock in the DSM.It is fluid and subjective, and if there seems to be any snark it is in the use of the word &quot;bible&quot; there.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t take it that way. Relegated just means demoted. It is neutral in and of itself. I don&#8217;t think she&#8217;s implying it denies anyone anything. To be honest I doubt, from other posts she has written, that she puts *that* much stock in the DSM.It is fluid and subjective, and if there seems to be any snark it is in the use of the word &#8220;bible&#8221; there.</p>
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		<title>By: Jeroen Metselaar</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596947</link>
		<dc:creator>Jeroen Metselaar</dc:creator>
		<pubDate>Mon, 03 Dec 2012 07:27:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596947</guid>
		<description>They changed the label, that is all.

It makes sense too, autism is a wide and diverse spectrum where m.  Asperger  was a randomly selected sub group.</description>
		<content:encoded><![CDATA[<p>They changed the label, that is all.</p>
<p>It makes sense too, autism is a wide and diverse spectrum where m.  Asperger  was a randomly selected sub group.</p>
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		<title>By: zachstronaut</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596938</link>
		<dc:creator>zachstronaut</dc:creator>
		<pubDate>Mon, 03 Dec 2012 06:24:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596938</guid>
		<description>Still just trying to understand if folks believe this is bad for people with Aspergers, and why.</description>
		<content:encoded><![CDATA[<p>Still just trying to understand if folks believe this is bad for people with Aspergers, and why.</p>
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		<title>By: teapot</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596926</link>
		<dc:creator>teapot</dc:creator>
		<pubDate>Mon, 03 Dec 2012 05:54:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596926</guid>
		<description>South Park has forever ruined my reading of the word Asperger&#039;s (Ass Burgers - s15e8).</description>
		<content:encoded><![CDATA[<p>South Park has forever ruined my reading of the word Asperger&#8217;s (Ass Burgers &#8211; s15e8).</p>
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		<title>By: Antinous / Moderator</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596919</link>
		<dc:creator>Antinous / Moderator</dc:creator>
		<pubDate>Mon, 03 Dec 2012 05:24:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596919</guid>
		<description>That&#039;s somewhat problematic if you have responses that are clearly non-neurotypical.  I don&#039;t deny the bigotry, but on the whole, it would seem better to have a potential employer know what&#039;s up with you rather than leave the interview with him or her saying, &quot;WTF is up with that guy?&quot;</description>
		<content:encoded><![CDATA[<p>That&#8217;s somewhat problematic if you have responses that are clearly non-neurotypical.  I don&#8217;t deny the bigotry, but on the whole, it would seem better to have a potential employer know what&#8217;s up with you rather than leave the interview with him or her saying, &#8220;WTF is up with that guy?&#8221;</p>
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		<title>By: Antinous / Moderator</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596914</link>
		<dc:creator>Antinous / Moderator</dc:creator>
		<pubDate>Mon, 03 Dec 2012 05:14:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596914</guid>
		<description>&lt;blockquote&gt;I&#039;m interested.&lt;/blockquote&gt;Ironically, you seem outraged.</description>
		<content:encoded><![CDATA[<blockquote><p>I&#8217;m interested.</p></blockquote>
<p>Ironically, you seem outraged.</p>
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		<title>By: BunnyShank</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596903</link>
		<dc:creator>BunnyShank</dc:creator>
		<pubDate>Mon, 03 Dec 2012 04:20:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596903</guid>
		<description>Very good, thanks.
I would amend the author&#039;s caution against the DSM-5 having a significant effect on service delivery in the educational setting. The service delivery is primarily directed by the Individualized Education Plan (IEP) in public schools, it is mandated to be based on function within the school setting, and when used appropriately it is supposed to be a team effort, with the parents as an equal member of the plan. Although clinical diagnosis may certainly be a part of the picture in looking at a child&#039;s needs, it is not the only view of the child that is considered and it doesn&#039;t necessarily take a precedence over any other view an IEP team member has. Its supposed to, when used appropriately say, &quot;Ok, but how do the child&#039;s skills function now, what can be done, and what skills to we want him to have, regardless of label.&quot; But I&#039;ve been lucky to have worked in exemplary school districts, who took the &quot;individualized&quot; portion of the plan seriously, as a civil right.</description>
		<content:encoded><![CDATA[<p>Very good, thanks.<br />
I would amend the author&#8217;s caution against the DSM-5 having a significant effect on service delivery in the educational setting. The service delivery is primarily directed by the Individualized Education Plan (IEP) in public schools, it is mandated to be based on function within the school setting, and when used appropriately it is supposed to be a team effort, with the parents as an equal member of the plan. Although clinical diagnosis may certainly be a part of the picture in looking at a child&#8217;s needs, it is not the only view of the child that is considered and it doesn&#8217;t necessarily take a precedence over any other view an IEP team member has. Its supposed to, when used appropriately say, &#8220;Ok, but how do the child&#8217;s skills function now, what can be done, and what skills to we want him to have, regardless of label.&#8221; But I&#8217;ve been lucky to have worked in exemplary school districts, who took the &#8220;individualized&#8221; portion of the plan seriously, as a civil right.</p>
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		<title>By: Zampino Il Gato</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596899</link>
		<dc:creator>Zampino Il Gato</dc:creator>
		<pubDate>Mon, 03 Dec 2012 04:12:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596899</guid>
		<description>How did I throw anyone under the bus?  I specifically said that not all were this way, but it is a prevailing belief.

That said, I do believe that there are certain impairments that are more biological in nature than others.  However, the vast majorities of depression and other ailments that MDs see are.  For some reason, they try to treat the things like this that they have no right to do so, and are willing to pass the real biological cases to specialists.  Minimizing the profession.

I wish there were more people studying the harder sciences of seeing how the biology fits the mental models.  It is exactly what I did.  To be a psychologist, one doesn&#039;t need anatomy or neurobio or even much more than the basic chemistries.  I have a lot of complaint about my chosen field, but the comment was about MDs treating illnesses with meds and being lazy...


</description>
		<content:encoded><![CDATA[<p>How did I throw anyone under the bus?  I specifically said that not all were this way, but it is a prevailing belief.</p>
<p>That said, I do believe that there are certain impairments that are more biological in nature than others.  However, the vast majorities of depression and other ailments that MDs see are.  For some reason, they try to treat the things like this that they have no right to do so, and are willing to pass the real biological cases to specialists.  Minimizing the profession.</p>
<p>I wish there were more people studying the harder sciences of seeing how the biology fits the mental models.  It is exactly what I did.  To be a psychologist, one doesn&#8217;t need anatomy or neurobio or even much more than the basic chemistries.  I have a lot of complaint about my chosen field, but the comment was about MDs treating illnesses with meds and being lazy&#8230;</p>
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		<title>By: awjt</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596892</link>
		<dc:creator>awjt</dc:creator>
		<pubDate>Mon, 03 Dec 2012 03:18:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596892</guid>
		<description>It&#039;s true.  Autistic people are on a strange scale, ranging from totally non-functioning to super-human.  I mean, it doesn&#039;t get any better than that.  It&#039;s the new normal.</description>
		<content:encoded><![CDATA[<p>It&#8217;s true.  Autistic people are on a strange scale, ranging from totally non-functioning to super-human.  I mean, it doesn&#8217;t get any better than that.  It&#8217;s the new normal.</p>
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		<title>By: awjt</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596891</link>
		<dc:creator>awjt</dc:creator>
		<pubDate>Mon, 03 Dec 2012 03:16:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596891</guid>
		<description>Say neither.  It&#039;s none of their damn business, and most are bigoted about it anyways.
</description>
		<content:encoded><![CDATA[<p>Say neither.  It&#8217;s none of their damn business, and most are bigoted about it anyways.</p>
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		<title>By: awjt</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596890</link>
		<dc:creator>awjt</dc:creator>
		<pubDate>Mon, 03 Dec 2012 03:15:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596890</guid>
		<description>Other people have a different take on this whole situation.  Some people LIKE the idea of studying the brain, so they go into the psychological and brain sciences, rather than neurology and brain sciences.  That&#039;s because they want to track how behaviors and physiology work together.  So, I wouldn&#039;t be so quick to throw all of your colleagues under the bus.</description>
		<content:encoded><![CDATA[<p>Other people have a different take on this whole situation.  Some people LIKE the idea of studying the brain, so they go into the psychological and brain sciences, rather than neurology and brain sciences.  That&#8217;s because they want to track how behaviors and physiology work together.  So, I wouldn&#8217;t be so quick to throw all of your colleagues under the bus.</p>
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		<title>By: awjt</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596889</link>
		<dc:creator>awjt</dc:creator>
		<pubDate>Mon, 03 Dec 2012 03:12:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596889</guid>
		<description>I like to use the Bible for differential spiritual diagnosis.  &quot;Let&#039;s see what Matthew has to say about this.  Deuteronomy gave a suck ass answer to that question.&quot;</description>
		<content:encoded><![CDATA[<p>I like to use the Bible for differential spiritual diagnosis.  &#8221;Let&#8217;s see what Matthew has to say about this.  Deuteronomy gave a suck ass answer to that question.&#8221;</p>
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		<title>By: Zampino Il Gato</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596884</link>
		<dc:creator>Zampino Il Gato</dc:creator>
		<pubDate>Mon, 03 Dec 2012 02:50:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596884</guid>
		<description>Having worked in the field on and off for more than a decade (I much prefer my university lab than client work most of the time as I have a tendency of taking others problems home), a lot of it has to do with the fact that most MDs consider psychological affectations to be medical in nature as opposed to mental.  I.e., the chemistry changes the behavior vs. behavior changes the biology.  In most cases, the biology changes as a result of the need for homeostasis and not the other way around.  However, coming from a family of physicians and surgeons...and having to get accepted to medical school before being &#039;permitted&#039; to finalize the PhD in psychology...I can certainly tell you there is a strong bias against what psychologists do and why they do it.

And from my experience, most physicians feel the same.

Beyond that, in the MD world, psychiatry is considered a fall back field like GP or pediatrics.  It is an area you go into if you are not qualified to do more.  Honestly, I think the only reason I got an acceptance letter was because when the admissions committee saw my background in psychology because my scores were not that good.  

But the big reason for MDs being lazy is that they approach mental disorders as physical ones.  Not all...but it is the prevailing belief.

That said, the whole argument about the general public being outraged against changing diagnoses still surprises me.  Honestly, the clinical diagnosis does very little for anyone except the clinician...people are either in worry about being labeled or wanting a label so they can continue unchecked.  For some reason, no one seems to be upset about the Schizo line being condensed and formally put on a spectrum.  I guess schizoaffective isn&#039;t a politically correct classification that anyone cares about.  I find the general public commenting on changes in a (mostly) scientific field to be as relevant as rich conservative men telling poor liberal women what they can and can&#039;t do with their bodies.  Let the scientists and theorists deal with their job and stop trying to make it political.  </description>
		<content:encoded><![CDATA[<p>Having worked in the field on and off for more than a decade (I much prefer my university lab than client work most of the time as I have a tendency of taking others problems home), a lot of it has to do with the fact that most MDs consider psychological affectations to be medical in nature as opposed to mental.  I.e., the chemistry changes the behavior vs. behavior changes the biology.  In most cases, the biology changes as a result of the need for homeostasis and not the other way around.  However, coming from a family of physicians and surgeons&#8230;and having to get accepted to medical school before being &#8216;permitted&#8217; to finalize the PhD in psychology&#8230;I can certainly tell you there is a strong bias against what psychologists do and why they do it.</p>
<p>And from my experience, most physicians feel the same.</p>
<p>Beyond that, in the MD world, psychiatry is considered a fall back field like GP or pediatrics.  It is an area you go into if you are not qualified to do more.  Honestly, I think the only reason I got an acceptance letter was because when the admissions committee saw my background in psychology because my scores were not that good.  </p>
<p>But the big reason for MDs being lazy is that they approach mental disorders as physical ones.  Not all&#8230;but it is the prevailing belief.</p>
<p>That said, the whole argument about the general public being outraged against changing diagnoses still surprises me.  Honestly, the clinical diagnosis does very little for anyone except the clinician&#8230;people are either in worry about being labeled or wanting a label so they can continue unchecked.  For some reason, no one seems to be upset about the Schizo line being condensed and formally put on a spectrum.  I guess schizoaffective isn&#8217;t a politically correct classification that anyone cares about.  I find the general public commenting on changes in a (mostly) scientific field to be as relevant as rich conservative men telling poor liberal women what they can and can&#8217;t do with their bodies.  Let the scientists and theorists deal with their job and stop trying to make it political.  </p>
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		<title>By: zachstronaut</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596880</link>
		<dc:creator>zachstronaut</dc:creator>
		<pubDate>Mon, 03 Dec 2012 02:44:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596880</guid>
		<description>Well I think somebody who only reads the headline could mistakenly take away from this that the psychiatric profession is dismissing people with Aspergers. And I don&#039;t think of &quot;relegated&quot; as particularly neutral. But ok, you see it differently. 
I remain curious as to if and why the author may view this change to the DSM as negative, which was why I wrote my comment.  I&#039;m interested.</description>
		<content:encoded><![CDATA[<p>Well I think somebody who only reads the headline could mistakenly take away from this that the psychiatric profession is dismissing people with Aspergers. And I don&#8217;t think of &#8220;relegated&#8221; as particularly neutral. But ok, you see it differently. <br />
I remain curious as to if and why the author may view this change to the DSM as negative, which was why I wrote my comment.  I&#8217;m interested.</p>
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		<title>By: First Last</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596877</link>
		<dc:creator>First Last</dc:creator>
		<pubDate>Mon, 03 Dec 2012 02:41:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596877</guid>
		<description>The reason for that is that until quite recently the difference between autism and an autism-spectrum diagnosis was very much just a &quot;has learning disability&quot; checkbox in the symptoms.
Autism now just requires a language impairment/delay rather than outright developmental retardation, but public consciousness will be fixated on Rain Man-level autism as &#039;real autism&#039; for quite some time as those are its most visible sufferers.</description>
		<content:encoded><![CDATA[<p>The reason for that is that until quite recently the difference between autism and an autism-spectrum diagnosis was very much just a &#8220;has learning disability&#8221; checkbox in the symptoms.<br />
Autism now just requires a language impairment/delay rather than outright developmental retardation, but public consciousness will be fixated on Rain Man-level autism as &#8216;real autism&#8217; for quite some time as those are its most visible sufferers.</p>
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		<title>By: Girard</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596875</link>
		<dc:creator>Girard</dc:creator>
		<pubDate>Mon, 03 Dec 2012 02:39:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596875</guid>
		<description>Yes, and she has chosen the most succinct, straightforward words to describe the changes to the document. There is no negativity, and certainly no outrage present in the post. </description>
		<content:encoded><![CDATA[<p>Yes, and she has chosen the most succinct, straightforward words to describe the changes to the document. There is no negativity, and certainly no outrage present in the post. </p>
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		<title>By: SedanChair</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596867</link>
		<dc:creator>SedanChair</dc:creator>
		<pubDate>Mon, 03 Dec 2012 02:24:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596867</guid>
		<description>Dude the language is totally neutral, you&#039;re tripping</description>
		<content:encoded><![CDATA[<p>Dude the language is totally neutral, you&#8217;re tripping</p>
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		<title>By: zachstronaut</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596856</link>
		<dc:creator>zachstronaut</dc:creator>
		<pubDate>Mon, 03 Dec 2012 02:14:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596856</guid>
		<description>Ryan, it matters what words a writer chooses.</description>
		<content:encoded><![CDATA[<p>Ryan, it matters what words a writer chooses.</p>
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		<title>By: Ryan_T_H</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596827</link>
		<dc:creator>Ryan_T_H</dc:creator>
		<pubDate>Mon, 03 Dec 2012 01:00:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596827</guid>
		<description> It has been relegate to a subset of a larger category. Any strong emotional content attached to that is entirely on the reader.</description>
		<content:encoded><![CDATA[<p> It has been relegate to a subset of a larger category. Any strong emotional content attached to that is entirely on the reader.</p>
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		<title>By: fuzzyfuzzyfungus</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596819</link>
		<dc:creator>fuzzyfuzzyfungus</dc:creator>
		<pubDate>Mon, 03 Dec 2012 00:21:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596819</guid>
		<description>Based on the price delta (unless you have the &lt;em&gt;fancy&lt;/em&gt; insurance) between getting your general MD to write the prescription that he is just as legally qualified as any other doctor to write and getting some nontrivial shrink time, I suspect that more than laziness may be behind a lot of the low quality diagnostic work in psychology and psychiatry...

</description>
		<content:encoded><![CDATA[<p>Based on the price delta (unless you have the <em>fancy</em> insurance) between getting your general MD to write the prescription that he is just as legally qualified as any other doctor to write and getting some nontrivial shrink time, I suspect that more than laziness may be behind a lot of the low quality diagnostic work in psychology and psychiatry&#8230;</p>
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		<title>By: Jim Saul</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596792</link>
		<dc:creator>Jim Saul</dc:creator>
		<pubDate>Sun, 02 Dec 2012 23:14:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596792</guid>
		<description>It&#039;s a classification index for medical insurance billing and qualification for services and assistance. It helps in tracking stats and trends as well.

It is quite useful for that, but I assume a good practitioner notes DSM codes as elements of diagnosis and rough reference points, not like a culture coming up positive for a specific bacteria.

Note that I specified a &quot;good&quot; practitioner. There are lots and lots of lazy doctors of all specialties, mental health no exception.</description>
		<content:encoded><![CDATA[<p>It&#8217;s a classification index for medical insurance billing and qualification for services and assistance. It helps in tracking stats and trends as well.</p>
<p>It is quite useful for that, but I assume a good practitioner notes DSM codes as elements of diagnosis and rough reference points, not like a culture coming up positive for a specific bacteria.</p>
<p>Note that I specified a &#8220;good&#8221; practitioner. There are lots and lots of lazy doctors of all specialties, mental health no exception.</p>
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		<title>By: bardfinn</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596791</link>
		<dc:creator>bardfinn</dc:creator>
		<pubDate>Sun, 02 Dec 2012 23:13:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596791</guid>
		<description>My own experience with employers is that &quot;…autistic…&quot; and &quot;…autism spectrum…&quot; elicits an assumption of below-average intelligence and/or hissy fits ala Rain Man — while &quot;…Asperger&#039;s…&quot; elicits a look of bewilderment and an ignorance of the term.

It was a strange day, the day I realised that many people view learning new things as a kind of burden, rather than an exciting opportunity.</description>
		<content:encoded><![CDATA[<p>My own experience with employers is that &#8220;…autistic…&#8221; and &#8220;…autism spectrum…&#8221; elicits an assumption of below-average intelligence and/or hissy fits ala Rain Man — while &#8220;…Asperger&#8217;s…&#8221; elicits a look of bewilderment and an ignorance of the term.</p>
<p>It was a strange day, the day I realised that many people view learning new things as a kind of burden, rather than an exciting opportunity.</p>
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		<title>By: Ian Wood</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596775</link>
		<dc:creator>Ian Wood</dc:creator>
		<pubDate>Sun, 02 Dec 2012 22:36:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596775</guid>
		<description>&lt;a href=&quot;http://www.psychologytoday.com/blog/dsm5-in-distress/201212/dsm-5-is-guide-not-bible-ignore-its-ten-worst-changes&quot; rel=&quot;nofollow&quot;&gt;&quot;DSM 5 Is Guide Not Bible—Ignore Its Ten Worst Changes,&quot;&lt;/a&gt; by Allen Frances. Worth reading if you care about this sort of thing at all, and certainly preferable to anything you might read in USA Today on the subject.</description>
		<content:encoded><![CDATA[<p><a href="http://www.psychologytoday.com/blog/dsm5-in-distress/201212/dsm-5-is-guide-not-bible-ignore-its-ten-worst-changes" rel="nofollow">&#8220;DSM 5 Is Guide Not Bible—Ignore Its Ten Worst Changes,&#8221;</a> by Allen Frances. Worth reading if you care about this sort of thing at all, and certainly preferable to anything you might read in USA Today on the subject.</p>
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		<title>By: zachstronaut</title>
		<link>http://boingboing.net/2012/12/02/for-psychiatry-bible-aspe.html#comment-1596765</link>
		<dc:creator>zachstronaut</dc:creator>
		<pubDate>Sun, 02 Dec 2012 21:59:00 +0000</pubDate>
		<guid isPermaLink="false">http://boingboing.net/?p=197734#comment-1596765</guid>
		<description>No, between the &quot;Asperger&#039;s is out&quot; headline and the  &quot;relegated to a subset&quot; statement there&#039;s certainly a negative framing of this story.  And I&#039;m curious if Xeni framed this negatively because she believes people with Aspergers are being denied agency or for some other reason.

But thanks for your criticism.</description>
		<content:encoded><![CDATA[<p>No, between the &#8220;Asperger&#8217;s is out&#8221; headline and the  &#8221;relegated to a subset&#8221; statement there&#8217;s certainly a negative framing of this story.  And I&#8217;m curious if Xeni framed this negatively because she believes people with Aspergers are being denied agency or for some other reason.</p>
<p>But thanks for your criticism.</p>
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