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Allen Frances, MD

Allen Frances, MD

Mental disorders have become a global commodity. According to the author, "a diagnostic fad heavily promoted first in the US has now quickly spread around the world."

Here's a fascinating study of consumer attitudes towards doctors among patients receiving antidepressants. The conclusions help us understand what goes wrong in the doctor-patient relationship and suggest steps needed to fix it.

Some doubt that even $650 million will go very far in speeding up the solution to the vast jigsaw puzzle known as neuroscience. According to this author, we have learned a great deal in basic science, but nothing at all that translates to better clinical care.

Death penalty cases are extravagantly expensive and drain funding from programs that might actually reduce crime.

We doctors need to recognize our limitations and do the best we can within them. Confronting the reality of uncertainty almost always beats the creation of a false certainty.

The 3% to 5% of kids who are particularly gifted are also at special risk for being tagged with an inappropriate diagnosis of mental disorder. Caution is necessary when diagnosing.

Psychiatry has no way to predict mass murder and no way to prevent it. There is no indication that psychiatry can change the statistics of violence or the proclivity of the violent.


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