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Re: internet and the manufacture of madness...

Posted by alexandra_k on September 13, 2006, at 8:44:21

In reply to Re: internet and the manufacture of madness... » alexandra_k, posted by Dinah on September 13, 2006, at 6:31:39

> Wow. I'm wondering if that could be rewritten in more neutral terms. If I saw that on my receipt, I would never be able to drag myself back to that clinician and show my face.

Thats nothing, you should see some of their other ones!

;-)

> I think it might make me withdraw from people altogether, feel stigmatized by my illness, and feel dysphoric.

Its OTHER dx's that are supposed to make you do that... But wait... Maybe that particular dx confirms itself ;-)

> They're blaming the internet for that?

No. Sorry... I should have made that clearer. The first guys were saying they found 'good evidence' for a new kind of disorder. One that is (to be fair) induced by the taking away of dx label. The stress and identity confusion that people go through when they get a dx of a severe disorder taken away. So clinicians pronounce you cured (or alternatively dx'd i guess) and because your dx had become part of your identity (because of persistent posting to a site in support of people with that dx, lets say) you... increase problematic behaviours (as one example) in order to get the dx back again... That was their thought.

I just found this in hunting through the ICD. Thought it was interesting. Kinda semi sorta related, but not what they were talking about at all. This one seems to have more to do with the stigma around getting a dx in the first place.

> I wonder how much of it is iatrogenic.

You mean therapist / clinician / diagnostician induced? Well... They were the ones who handed out the dx so in a sense they are the proximal cause...

> I guess that's one of the secondary diagnoses they don't put on your receipt for insurance purposes. And I suppose my reaction would be why...

Is it ICD code or DSM code that goes down for insurance purposes? I could be wrong... But I thought that DSM code was used in the US. That that was... A huge motivation for the DSM. The ICD provides general medical codes (it is used primarily to figure prevalence rates for diseases and such especially that figure on discharge forms and death certificates - i think).

But I guess it is kinda semi sorta related to fictitious disorder (which is a DSM disorder)... And of course there is always the good old NOS. Don't know how much medication / therapy / social intervention your average health insurance policy gives you for the treatment of that one anyways ;-)

 

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