The blog entry by Thomas Insel, NIMH director, has created much comment (eg. New Scientist article and blog post by Phil Thomas). I've mentioned before how grandiose Insel can become in his claims for mental disorders as biological disorders involving brain circuits (eg. see previous post). His RDoC project will not create a new nosology despite his wishful thinking. As he says, we lack the data to "design a system based on biomarkers or cognitive performance". We need to accept the uncertainty of psychiatric practice and medicine in general, rather than promote 'precision medicine' as the solution to mental disorders as he proposes.
Nonetheless, we should welcome NIMH re-orientating its research away from DSM categories. It may actually be progress if this means funding research on patients without relying on diagnostic criteria.
Saturday, May 11, 2013
THE RADICAL CAUCUS HAS MANY IMPORTANT ACTIVITIES THIS YEAR, AND OUR COLLEAGUES FROM THE CRITICAL PSYCHIATRY NETWORK WILL BE JOINING US. PLEASE COME TO DISCUSS PLANS FOR COLLABORATIVE GLOBAL ACTIVITIES. (NOTE: IF YOU PLAN TO COME TO DINNER PLEASE LET ME KNOW, ALTHOUGH LAST MINUTE GUESTS ARE STILL WELCOME.) ALSO NOTE NEW LOCATION FOR DINNER.
Carl I. Cohen , M.D.
RADICAL CAUCUS EVENTS AT THE 2013 AMERICAN PSYCHIATRIC ASSOCIATION ANNUAL MEETING IN SAN FRANCISCO
9AM to 12 Noon: Moscone Center, Street Level, Gateway Ballroom 102
Basil Canteen located on Folsom street at 11th1489 Folsum St (at 11th St); 415-552-3963.
Also visit our new Web site at http://www.radicalcaucus.com.
Please post comments and suggestions.
Carl I. Cohen , M.D.
SUNY Distinguished Service Professor & Director
Division of Geriatric Psychiatry
SUNY Downstate Medical Center
450 Clarkson Avenue
Brooklyn, N.Y. 11203
ph: 718-287-4806fax: 718-287-03377
Friday, May 03, 2013
I've mentioned before the apparent fun people have at NEI congresses (see previous post). The latest video from neipsychopharm gives an idea about what you missed from the recent congress. I suppose we can hope that what happened at the congress may help patient care but it's difficult to see how it would.
BJPsych editorial that the rules regulating research and the dominant neurobiological paradigm may have stifled creativity. The new charity MQ: Transforming Mental may need to take this perspective more on board. (Why's it called MQ?)