Diagnostic Sameness Manual of Mental Disorders

A psychiatrist writes a letter to the Psychiatric Times about the ongoing preparation of the latest edition of the DSM-V, the humongous – and always getting more humongous – reference book on which insurance company payment for mental illness treatment is based:

[T]here are a bunch of pre-conditions for DSM revision, which include among others, that the new version must not be a radical departure, and must be consistent and compatible with the existing DSM, thus guaranteeing continuity and preventing disruptions in the diagnosis and treatment of existing patients, assuring continuity in education and training for residents in psychiatry and existing practitioners, and in managed care  and insurance coverage, and Treatment Guidelines and in psychiatric record-keeping, as well as research, unless we start labeling our diagnoses with vintage-like DSM numbers, like we label wines.

It is clear from the above pre-condition of continuity that there will be no significant departure from the established DSM path, and we can scratch the answer to our query, ie, “One psychiatrist” no matter how much he or she really wants to change the DSM [will be able to do so].

However, although they may consider introducing criteria to add dimensionality to designate severity, or the course of an illness, or degrees of impairment of symptoms, etc, for field-testing in accordance with the already existing studies on DSM defects, there will be no move in the direction of incorporating a brain-based, neurophysiologic paradigm, although there is a growing consensus which indicates that is the way to the future of psychiatric diagnosis.  We are still impeded by our attachment to the scientific studies of the past.  We appear to be rowing into the science of the future backwards, while anchored to the science of the past.

Background here.

Just Say No

From the Atlanta Journal-Constitution:

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‘It was the tidiest exorcism on record — completed in minutes and absent the pungent mess typically associated with demonic possession.

While most everyone at Berry College, located just north of Rome, doubts junior Nathan Mallory’s claim that he cast the devil out of a former student, the alleged exorcism has reignited a festering debate about religion’s role at the liberal arts institution. [How do you reignite something that’s festering?]

“There is a concern that something like this could go on here,” said junior Kyler Post, managing editor of the Campus Carrier, Berry’s student newspaper. “People are afraid we’re going to be looked at as some sort of radical, right-wing school.”

At the heart of this debate is the school’s unabashedly Christian WinShape program, bankrolled by Chick-fil-A founder Truett Cathy. Mallory is among the 100-plus Berry students to receive a WinShape scholarship.

“The WinShape students live together, worship together, study together,” said Berry religion professor Harvey Hill. They pledge to abstain from alcohol and drugs and must attend weekly chapel meetings at facilities located about three miles from the main campus.

That’s where the alleged exorcism occurred, on Sept. 24, in Mallory’s Pilgrim Hall dorm room. School officials have not released the name of the young woman Mallory claims was demonically possessed.

“While we were worshipping, she began to repeat ‘no, no, no’ just like the other demon-possessed cases I’ve seen in the past,” Mallory wrote in an e-mail to WinShape students. “That’s when [the demon] showed itself.”

“Her face changed right in front of me and the most evil, hideous grin came on her face and her eyes seemed to turn red and I prayed that the Holy Spirit would just take over from there and he did,” wrote Mallory. The student did not return calls seeking comment.

Berry officials have been quick to distance the college from the exorcism, removing Mallory from his job as a resident assistant.

… Boasting eight deer for every student, the private liberal arts college, founded in 1902 as a Protestant institution, sits on a bucolic 26,000 acres. Roughly 1,800 students attend Berry.’

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26,000 acres for 1,800 students! A 1:8 student/deer ratio! An exorcism if you say NO three times! Whadda place.

I’ve said it before, and I’ll say it again: Plagiarists are in it for the long haul.

For years on this blog I’ve followed journalists and professors who plagiarize. I’ve learned that almost all of them do it for a living. They’ve done it before; they’ll do it again. They are lifers. Taking the work of others is what they do.

So UD wasn’t surprised by this follow-up article to the case of Patricia Linn, who has written pieces for an Australian law society journal.

After a reporter uncovered an initial plagiarized piece of hers (and after the predictable refusal of the law society to face up to what The Australian had uncovered), the society itself checked her other pieces.

The [organization] has consistently refused to give any explanation to The Australian but it seems that somebody inside the society has gone back and checked Ms Linn’s articles…

A curious item appears in the October edition, which is now being mailed to Queensland’s solicitors. Buried on page 12, it is headed “Errata: People and Performance Articles” and it deserves a full public release.

It reads: “Parts of the content of the People and Performance article Talking to yourself — self-help or self harm? (Proctor, June, 2009) are attributable to Shelley Holmes, founder and CEO of the Centre for Breakthrough Leadership.

“Some parts of the content in the People and Performance article, Believing is doing — you can empower yourself (Proctor, July, 2009) are attributable to Shelley Holmes, Elizabeth Scott MS of About.com and Associate Professor Susan Santo of the University of South Dakota.

“Some parts of the content in the People and Performance article, Candidate Interviews — How to use behavioural questions (Proctor, August, 2009) are attributable to the Australian Institute of Management — Queensland and the Northern Territory.

“The Queensland Law Society apologises for these omissions.”

As the reporter points out, errors and omissions doesn’t quite say it.

But my point here is that no one should be surprised that Linn’s a lifer.

Violence in a classroom at UCLA.

An undergraduate chemistry student slashed the throat of his lab partner during class. It sounds as though she will survive, though her injuries are very serious. She lost a lot of blood.

LAPD detectives were seeking a motive in the stabbing of a UCLA student by a classmate, and people across the Westwood campus remain stunned at the sudden violence.

… Students in the chemistry lab watched helplessly Thursday afternoon as their classmate suddenly slashed the neck of the female student, causing serious injuries.

The attack occurred just past noon on the sixth floor of Young Hall, prompting swift police mobilization and leaving students shaken by the violence as word spread across campus.

Police have booked [Damon] Thompson on suspicion of attempted murder.

Thompson was arrested inside Young Hall minutes after the incident. The name of the victim has not been released. She was rushed to Ronald Reagan UCLA Medical Center, which is on campus, in critical condition. She underwent surgery and her condition was improving.

Los Angeles Police Department detectives said they don’t know the motive for the attack. A law enforcement source said there might have been a verbal altercation before the slashing, but details were unclear. Both students were seniors, and some campus sources said they may have been lab partners.

… UCLA student Saad Ahmed said the violence left even unflappable med and pre-med students in shock.

“There was blood all over the place, so much blood where you thought, ‘Is she going to make it?’ ” Ahmed said. “People were panicking, they were in disbelief, saying, ‘How could this happen at UCLA?’ “

The echoes with the recent Yale incident are disturbing.

Everything about this piece in the Yale Daily News …

… is charming. Starting with the headline —

PROPHYLACTICS IN PROXIMITY

— and moving on through the essay. Really nicely done. Tight and bright.

At this point, I’d have a bit of a problem keeping my ego in check.

Obama wins Nobel Peace Prize.

UD Writes a Newspaper Poem

Devoted readers know I like to write these. Here are a few. I take a newspaper article and make a poem out of it.

Here’s the article
from which I’ve made my latest newspaper poem.

Here’s the poem:

A Lunar Crash Won’t Hurt the Moon

A lunar crash won’t hurt the moon.
Think of an eyelash, drifting to the floor of a 747.
This is a million times gentler than that.

The sun will light the impact plume
As it lifts six miles to heaven,
Deepening Cabeus Crater’s vat

Of shadowed ice, and making a boon
For lunar bases. A little leaven,
Moon dirt, a shepherd craft…

And the rock resumes
Its even, meteoritic,
Temper.

“Football is very expensive. It would be better if they took football money and gave it to academics.”

Susan Moeller, a finance professor at Eastern Michigan University, spoke at a recent trustees’ meeting and told them that the school’s a mess academically and gives most of its money to a losing football team.

“We’re down to 57 percent regular faculty, and the other 43 percent are lecturers and part time. Searches are being held back, and I’m unhappy that they spend so much money on athletics and not academics. It’s important that we have full time faculty.”

… “Over the last few years, the budget for academics was cut by four million dollars,” she said. “They need new programming. They redid the football stadium before they redid the academic buildings. … The football coach makes more than the president.”

EMU’s president responds: “We had no increases in athletics budget this year aside from necessary pay raises.”

Necessary pay raises. Wonder what they are. I mean, universities all over the country are doing furloughs, salary reductions… What are the necessary raises at EMU?

UD’s guessing those are the raises that raise the football coach’s salary yet HIGHER than the president’s — or else…

You know…

Or else the coach will do what all peeved university football coaches do when the university peeves them: Sue, sue, sue, sue, sue.

There’s a clipped, stark, surreal prose…

… derived from Kleist and Kafka, that fits snugly, in our time, to the dull needy nastiness of life under authoritarian regimes.

I’ve been reading, this morning, Herta Müller’s novel The Land of Green Plums (1993; English translation, 1996), and it’s just that sort of thing — a deadpan chronicle of psychic and physical degradation under the Ceausescus.   Excerpts:

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As she speaks, something gets stuck on her tongue. The child thinks, it can only be the truth sticking to her tongue like a cherrystone that refuses to go down. As long as her voice keeps rising to her ears, she will wait for the truth. But once her voice grows silent, thinks the child, everything will have turned out to be a lie, since the truth has gone tumbling down her throat.

***********************************

Father keeps the graveyards deep in his throat, between his collar and his chin, near his Adam’s apple. That way the graveyards can never pass his lips. His mouth drinks schnapps made from the darkest plums, and his songs for the Fuhrer are heavy and drunken.

***********************************

There were fleas in the closets because there were fleas in the beds, in the suitcases with the patent stockings, in the long corridor. And in the eating area as well, and in the shower room, and in the cafeteria, there were fleas. In the trams, in the shops, in the movie theater.

Everyone has to scratch as they pray, Lola writes in her notebook. She went to church every Sunday morning. The priest has to scratch himself as well. Our Father, Who art in Heaven, writes Lola, here the whole city is alive with fleas.

***********************************

The bodega, too, was a lie, with its tablecloths and plants, its bottles and the red-wine uniforms of its waiters. Here no one was a guest, they were all just refugees from a meaningless afternoon.

***********************************

You could feel the dictator and his guards hovering over all the secret escape plans, you could feel them lurking and doling out fear.

***********************************

A mother takes the train into the city every week. The child is allowed to accompany her twice a year. Once at the beginning of summer, and once at the beginning of winter. The child feels ugly in town because she’s bundled up in so much thick clothing. The mother takes the child to the station at four in the morning. It’s cold, even in early summer it’s still cold at four in the morning. The mother wants to be in the city by eight, because that’s when the stores open.

***********************************

That last paragraph conveys the prose style I’m talking about.  Anonymous — the mother, the child. Dully, robotically redundant:  A mother.  The child.  The child.  The mother. The content details the humiliating, unnatural conditions of life under the regime, but everything really gets conveyed by the affectless, dead-on-the-page prose, as if to say This world is so beyond belief, so incredible in its injustice and its distortions of human life, that it has killed the souls of the people who live in it.  Dead prose for dead souls.

“She is from the German minority in Romania and from that experience, she writes extraordinary accounts of being an ethnic minority in a totalitarian regime. But this is not overtly political writing; it’s very poetic and elliptical. She’s an extraordinary writer.”

Herta Müller’s British publisher reacts to her having won the Nobel Prize for literature. 

Details here, and I’ll see what I can find of hers in English today — maybe something I can blog about.

***************************

Two Updates:

First, from an email I just got from Vladimir Tismaneanu, a colleague of Mr UD’s who knows Muller:

 

Harsh critic of Communist dictatorships in EE.  As she put it, she lived for over 30 years in a dictatorship. This topic haunts her writing: fear, anxieties, courage, survival, dignity.

One of her best known novels, Der Konig veneigt sich und totet (The King Bows and Kills).

It’s a most appropriate decision twenty years after the fall of the Wall of Shame (the Berlin Wall), a tribute to all those who refused to bow…

And second, excerpts from an interview with her on Radio Romania.

Clickers: Smashing.

From the Rutgers student newspaper:

“[Textbooks] come bundled with various technologies, including clicker technologies,” [a university technology specialist] said. “We still have not overcome the problem caused by different publishers using a variety of systems.”

Nick Arvaneni, a sophomore engineering student, said there is one type of clicker that is especially problematic.

“We had to buy a [personal response system] clicker. Right after that, the teacher said that we aren’t going to use them anymore. … You can’t resell the clicker and they’re more expensive than the others,” he said. “Once my teacher realized how complicated it was, she decided not to use the clicker — and now I’m stuck with it.”

Andrew Abdou, a University alumnus and information technology representative for the University of Medicine and Dentistry of New Jersey, thinks the clickers are more trouble than they are worth.

“The assortment of clickers you’ll collect is remarkable,” he said. “Clickers in general are just an advanced way of taking attendance. They don’t keep you any more engaged or provide a more interactive class experience.”

Clickers don’t stop students from skipping out on class.

“A lot of the time, students give their clickers to a friend to click for them,” Abdou said. “One time, a professor caught a girl doing that and he smashed the clickers against the wall.”…

A Fond Farewell to UC Irvine…

… by a graduating senior.

Everyone [has] told me to stop thinking [negative thoughts] and to enjoy what should be the best time of my life. I never understood what is meant by that, ‘the best time of my life.’ I couldn’t understand how sitting in a lecture hall day after day listening to professors read off PowerPoint slides to rooms full of half-asleep students was ‘the best time of my life.’

The Consolations of Clickers

From a student at the University of Arizona:

[I]n some ways clickers are great: they add a new level of interactivity to big, soul-sucking lecture classes, forcing students to stay more involved. What sucks about the clicker, on the other hand, is that it’s basically an indication of the permanence of the large lecture teaching method. It’s hard to find any faculty member on this campus who’ll say that teaching a 500-person class is a great way for students to learn. One big issue is that big classes force the subjects being taught to regress; that is, to be simplified and standardized in such a way that there’s always a “right” answer amidst several wrong answers. Obviously, very few disciplines are that cut-and-dried, and so the true depth of the material is lost as it becomes more and more processed for mass consumption.

What most professors will say, however, is that it’s the value of undergraduate education that’s changing. It has become more a necessity than a privilege, a ubiquitous prerequisite for marginal success in life (and a decently paying job). So the crux here is that classes are just going to get bigger and bigger — we should be thankful that nobody at this University, as of yet, has to endure being the class of 2020.

Season’s Greetings from PowerPoint

A Boston University student ponders PowerPoint vs. the old ways.

What we potentially lose in our tech-laden classrooms is the explanation of slide-simplified concepts, the engagement of figuring out your professor’s handwriting and scribbling down whatever he/she just wrote, and even the need, and more importantly will, to go to class and learn. Hark! The herald angels chalked.

The essay’s an intriguing riff on boredom… UD has already encountered in her reading about universities speculation that professors and students are drawn to classroom technology because many of them have come to enjoy being bored…

Or is it, UD wonders, that the classroom session has morphed into the classroom sesshin — a Zen sitting with soft lights, muttering monks, and the white noise of heating systems? The dharma was downloaded last Wednesday, so you don’t have to listen… The hour and ten minutes devotes itself to the most radical revision of university education in our time: Empty your head.

They’ve got Mr UD as Carlos…

… rather than Karol, but otherwise it’s an okay article.

Excerpts:

In Poland, it was “Byczek Fernando.”

The Polish translation of “The Story of Ferdinand,” a children’s book that chronicles the peaceful life of a Spanish bull who preferred the smell of flowers to the heat of a bullfight is also one of the few children’s books Carlos Soltan can remember from growing up.

So when Soltan and his wife, Margaret, moved into the former home of its author, Munro Leaf, in 1995, the couple began making the abode into “Ferdinand House,” a residence and shrine to the peaceful bull.

“It seemed appropriate to somehow maintain the continuity, preserve the spirit of Munro Leaf,” Soltan said.

Margaret Soltan, an English professor and writer, had grown up across the street from the house, but didn’t know Munro. She knew his wife, Margaret as a potter, adventurer and all-around “strong lady,” but upon moving into the airy cottage with giant windows, felt a writer’s belonging.

“It was such an irony to move into Margaret Leaf’s old house, and I thought it was such a marvelous irony that this was a writer’s house,” Margaret Soltan said. “I think it was when I slowly realized how beloved the book was. It just gradually occurred to me how really marvelous that book is.”

To pay tribute, the Soltans installed a small gold plaque by the door, proclaiming it “Ferdinand House.” In a town where folks know houses not by their current residents, but by their former ones, the Soltans had christened theirs for a larger-than-life fiction.

They installed two topiary bulls in the front yard, discovered after a long search at a Shenandoah roadside stand. The bulls, filled with sphagnum moss, sit not under Ferdinand’s favored Spanish cork tree, but just as serenely under the leafy canopy of Garrett Park. A Picasso sketch of bulls hung in the hall was bought in remembrance of Leaf. For years, the Soltans kept a copy of the tale by the door.

The book, written in 1936 — before the Leafs moved to Garrett Park — was received as a critique of the Spanish Civil War and universally adopted as a pacifist allegory. Leaf wrote more than 30 books, but “Ferdinand” has been read by generations of children and influenced pop culture. The band Fall Out Boy named an album “From Under the Cork Tree” after Ferdinand’s sitting spot, and singer-song writer Elliot Smith had a tattoo of the character.

“It was simple, the illustrations were very simple, the writing was very simple,” Margaret Soltan said. “Underneath the simplicity is kind of this fable, it’s not pushy or manipulative.”

The fable is still being told locally and not only in Garrett Park. Imagination Stage, a children’s theater in Bethesda, commissioned Washington, D.C. playwright Karen Zacharias to adapt the book into a musical in 2001. The result, “Ferdinand the Bull,” is being performed at the theater through Nov. 1.

Laurie Levy-Page, director of marketing at Imagination Stage, said she knew he was from Maryland but “had no idea Munro Leaf had lived nearby.”

… Margaret Soltan has frequently contemplated the character in blog posts about living in the house, from the children that stop to see the bull statue to her belief that the house somehow retains the essence of Leaf and his bull.

“My Ferdinands sit in the shade of a dogwood. Squirrels nibble their sphagnum moss; dogs bark at them. Children stop and point,” blogged Soltan last fall, noting that somewhere the couple even has stationery datelined Ferdinand House. “Is there such a thing as the spirit of a house? If there is, this one’s got a calm, expansive one, I guess.”

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UD REVIEWED

Dr. Bernard Carroll, known as the "conscience of psychiatry," contributed to various blogs, including Margaret Soltan's University Diaries, for which he sometimes wrote limericks under the name Adam.
New York Times

George Washington University English professor Margaret Soltan writes a blog called University Diaries, in which she decries the Twilight Zone-ish state our holy land’s institutes of higher ed find themselves in these days.
The Electron Pencil

It’s [UD's] intellectual honesty that makes her blog required reading.
Professor Mondo

There's always something delightful and thought intriguing to be found at Margaret Soltan's no-holds-barred, firebrand tinged blog about university life.
AcademicPub

You can get your RDA of academic liars, cheats, and greedy frauds at University Diaries. All disciplines, plus athletics.
truffula, commenting at Historiann

Margaret Soltan at University Diaries blogs superbly and tirelessly about [university sports] corruption.
Dagblog

University Diaries. Hosted by Margaret Soltan, professor of English at George Washington University. Boy is she pissed — mostly about athletics and funding, the usual scandals — but also about distance learning and diploma mills. She likes poems too. And she sings.
Dissent: The Blog

[UD belittles] Mrs. Palin's degree in communications from the University of Idaho...
The Wall Street Journal

Professor Margaret Soltan, blogging at University Diaries... provide[s] an important voice that challenges the status quo.
Lee Skallerup Bessette, Inside Higher Education

[University Diaries offers] the kind of attention to detail in the use of language that makes reading worthwhile.
Sean Dorrance Kelly, Harvard University

Margaret Soltan's ire is a national treasure.
Roland Greene, Stanford University

The irrepressibly to-the-point Margaret Soltan...
Carlat Psychiatry Blog

Margaret Soltan, whose blog lords it over the rest of ours like a benevolent tyrant...
Perplexed with Narrow Passages

Margaret Soltan is no fan of college sports and her diatribes on the subject can be condescending and annoying. But she makes a good point here...
Outside the Beltway

From Margaret Soltan's excellent coverage of the Bernard Madoff scandal comes this tip...
Money Law

University Diaries offers a long-running, focused, and extremely effective critique of the university as we know it.
Anthony Grafton, American Historical Association

The inimitable Margaret Soltan is, as usual, worth reading. ...
Medical Humanities Blog

I awake this morning to find that the excellent Margaret Soltan has linked here and thereby singlehandedly given [this blog] its heaviest traffic...
Ducks and Drakes

As Margaret Soltan, one of the best academic bloggers, points out, pressure is mounting ...
The Bitch Girls

Many of us bloggers worry that we don’t post enough to keep people’s interest: Margaret Soltan posts every day, and I more or less thought she was the gold standard.
Tenured Radical

University Diaries by Margaret Soltan is one of the best windows onto US university life that I know.
Mary Beard, A Don's Life

[University Diaries offers] a broad sense of what's going on in education today, framed by a passionate and knowledgeable reporter.
More magazine, Canada

If deity were an elected office, I would quit my job to get her on the ballot.
Notes of a Neophyte

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