The Mind Wanders

<div dir="ltr" style="text-align: left;" trbidi="on">Hola Y’all! Yeah okay, so I’m supposed to be blogging and instead I’m rolling through #RejectedYankeeCandles on Twitter faster than Taylor Swift goes through boyfriends. Seriously, at the pace she’s going she HAS to get down to me eventually, right? In fact, I’m guessing it happens in 2013. Late in the year, but it happens. It will be a glorious two weeks. Okay, 10 days.<br /><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEic05vwG7ATTZfRMyMvVq3z0lPgax6AVMSG4QnPp_aK0v-GIqF2DekQEVWl3wYlxoXvbB-G8q6KqXa1hAWZGlE9yV7h0mWfbzfoUD-mpvOxGOU9hTQ5EEvTFIDRKJU2p_egYe_9RhvoO8k/s1600/Taylor+Swift+Legs+Hot+Sexy.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEic05vwG7ATTZfRMyMvVq3z0lPgax6AVMSG4QnPp_aK0v-GIqF2DekQEVWl3wYlxoXvbB-G8q6KqXa1hAWZGlE9yV7h0mWfbzfoUD-mpvOxGOU9hTQ5EEvTFIDRKJU2p_egYe_9RhvoO8k/s320/Taylor+Swift+Legs+Hot+Sexy.jpg" width="171" /></a></div>Man it sure has turned cold here in God’s Country. I couldn’t get warm tonight so decided to put on a pair of socks. They helped but one of them had a hole in them so they weren’t as effective as they could have been. Anyway, we were originally told we would get up to 10 inches of snow. Instead we got less than two inches and it was gone by noon. What a huge disappointment. Just like me. <br /><br />So how was everyone’s Christmas? That’s great. I had a pretty good Christmas but I’m glad it’s over. I like Christmas but by the time I watch “A Christmas Story” then open presents, then make Christmas dinner and basically eat until I hate myself, I’m ready for it to all be over. I would have taken down the tree today but I was too lazy. <br /><br />Between college football bowl games, the NFL over the weekend and all those NBA games on Xmas Day, I watched a butt-load of sports the last few days. This caused me to post this over on the <a href="http://news-these-days.tumblr.com/" target="_blank">Tumblr</a> Blog (with apologies to <a href="http://www.youtube.com/watch?v=nNtRO3IrGg4" target="_blank">George Carlin</a>) … <br /><br /><i>“I’m a scrappy, five-tool impact player who can take over a game and score from anywhere. I’m a tough, hard-nosed, old-school winner who can flat out play. I’m the consummate team player who can come off the bench and provide a spark by bringing a lot of energy to the game and get stronger as the game goes on. I’ve silenced my critics by being a great chemistry guy in the locker room and a go-to guy in the clutch who knows what it takes to win and if I’m even I’m leavin’.”</i><br /><br />You know, I might just give up watching sports in 2013. I’ll have to wait until after the BCS Championship game of course. And, there’s the Super Bowl, don’t wanna miss that. I’ll still watch the NBA too but that’s probably it. Maybe I’ll watch Arkansas in the NCAA men’s basketball tournament if they make it. And the Four if Duke isn’t playing in it. Of course, I’ll want to watch the Master’s golf tournament and the US Open and British Open, but that’s all the golf I’ll watch. So yeah, that’s pretty much giving up sports. Well, until college football season rolls around again next fall. <br /><br />Oops! Well, the old Midnight Easter Standard Time deadline just passed. I think this is the first deadline I’ve missed since we started this blog. Not that anyone will notice because I’ll just manually set the time so everything will look normal. And Matt-Man is old so he’s already asleep and won’t see this until tomorrow. So that’s cool. <br /><br />Well, it’s time to find a hot picture of Taylor Swift and get this all uploaded so I can go to bed and not sleep. That way I will be tired and cranky when I go to Walmart tomorrow. That’s the best attitude to have when going there. <br /><br />Jayman<br /><a href="mailto:Jayman3768@gmail.com">Jayman3768@gmail.com</a><br /><a href="http://www.twitter.com/jayman_iws" target="_blank">@Jayman_IWS </a><br /><br />In other news we had yet another fun and charming episode of <a href="http://www.blogtalkradio.com/im-with-stupid" target="_blank">I’m With Stupid</a> yesterday. We gave a Christmas recap, talked about Boxing Day, Kwanzaa and how much Cincinnati sucks (Hint: It sucks A LOT.) and all kinds of other stuff. So, check it out right here … <br /><br /><object classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.adobe.com/pub/shockwave/cabs/flash/swflash.cab#version=9,0,0,0" height="105" id="143577" name="143577" width="210"><param name="movie" value="http://www.blogtalkradio.com/btrplayer.swf?file=http://www.blogtalkradio.com%2Fplaylist.aspx%3Fshow_id%3D4183351&autostart=false&bufferlength=5&volume=80&corner=rounded&callback=http://www.blogtalkradio.com/flashplayercallback.aspx" /><param name="quality" value="high" /><param name="wmode" value="transparent" /><param name="menu" value="false" /><param name="allowScriptAccess" value="always" /><embed src="http://www.blogtalkradio.com/btrplayer.swf" flashvars="file=http://www.blogtalkradio.com%2Fplaylist.aspx%3Fshow_id%3D4183351&autostart=false&shuffle=false&callback=http://www.blogtalkradio.com/FlashPlayerCallback.aspx&width=210&height=105&volume=80&corner=rounded" width="210" height="105" type="application/x-shockwave-flash" pluginspage="http://www.macromedia.com/go/getflashplayer" quality="high" wmode="transparent" menu="false" name="143577" id="143577" allowScriptAccess="always"></embed></object><br /><div style="font-size: 10px; text-align: center; width: 220px;">Listen to <a href="http://www.blogtalkradio.com/">internet radio</a> with <a href="http://www.blogtalkradio.com/im-with-stupid">Im With Stupid</a> on Blog Talk Radio<br /><br /><br /></div></div>

The Mind Wanders

Hola Y’all! Yeah okay, so I’m supposed to be blogging and instead I’m rolling through #RejectedYankeeCandles on Twitter faster than Taylor Swift goes through boyfriends. Seriously, at the pace she’s going she HAS to get down to me eventually, right? …

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Banana Cafe

<p>On Christmas Day we joined our friends for a beautiful meal in <a href="http://bananacafekw.com">Banana Cafe</a></p><p>The ambiance and setting was fabulous - we sat out on roof terrace.  The company was super and the food was gorgeous along with some nice wine.  I started with lobster ravioli which were amazing.  I then had the ribeye for main.  I didn't go for dessert as there was no key lime pie on a stick! ;-)</p><p>All in all a really brilliant evening and loved meeting up with our friends - Hello P&A if you are reading! </p><p>Highlight of the night was meeting Lady Gaga!!!!</p>

Banana Cafe

On Christmas Day we joined our friends for a beautiful meal in Banana CafeThe ambiance and setting was fabulous - we sat out on roof terrace.  The company was super and the food was gorgeous along with some nice wine.  I started with lobster ravioli …

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It's time to change your job-search strategy if ...

<br /><div style="background-color: white; clear: left; float: left; font-family: Arial, Helvetica, sans-serif; font-size: 12px; margin-bottom: 1em; margin-right: 1em; text-align: left;"><img alt="" class="media-image" src="http://artstg.icbdr.com/sites/all/files/styles/large/public/change%20job%20search%20strategy_0.jpg" style="color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px;" typeof="foaf:Image" /></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;">There are a variety of reasons why your job search may not be yielding results, such as a still uncertain economy or where you live, but it may also be because of you. You may have updated your résumé and applied for hundreds of jobs, but could you be the reason your job search is stalling?</div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;">Consider this your intervention. It's time to change your job search strategy if:</div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><br /></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><strong>You're treating every job listing the same</strong></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><b><br /></b>Not all companies are looking for the same application. "The biggest mistake is thinking this is a numbers game. It isn't. It is a care game," says Marcia LaReau, president of career-services company <a href="http://www.forwardmotioncareers.com/index.php" style="background-color: transparent; color: #07519a; font-family: Arial; text-decoration: none;">Forward Motion LLC</a>. "Understand the company, their needs, the position, the industry and their hiring processes. Every <a href="http://www.theworkbuzz.com/news/job-surveys/most-memorable-resume-mistakes/" style="background-color: transparent; color: #07519a; font-family: Arial; text-decoration: none;">application should be clearly customized</a>. Not doing this is a quick trip to the black hole. The time it takes to turn out a fine, well-crafted application is two to eight hours." If you believe you're the right person for this job, take the time and make the effort to prove it.</div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><br /></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><strong>You're making up your own rules</strong></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><b><br /></b>Job applications come with specific requirements so that hiring managers have the information they need to choose the right person. However, job seekers can fall victim to job-application fatigue and start picking and choosing what they include or submit, which works against them.</div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><br /></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;">"Job seekers often simply don't follow instructions," says Anna Mathieu, marketing communications manager of <a href="http://www.redfishtech.com/" style="background-color: transparent; color: #07519a; font-family: Arial; text-decoration: none;">Redfish Technology</a>. "If an advertised position lists a contact, contact that person, and not anyone -- or everyone -- else whose email address you have. Most hiring professionals do not have excess time; they are busy trying to get the job done. If you can't follow protocol or take the time to read and follow the instructions, you may have just self-selected yourself straight out of the process."</div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><br /></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><strong>You're getting ignored</strong></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><b><br /></b>Timelines vary for career coaches and hiring managers, but you shouldn't be ignored forever <a href="http://www.theworkbuzz.com/get-the-job/resume/resumes-everything-you-should-shouldnt-be-doing/" style="background-color: transparent; color: #07519a; font-family: Arial; text-decoration: none;">if you're submitting quality résumés.</a> "Our standard is that if a job seeker doesn't get at least one response for every 10 résumés, there is something wrong," LaReau says. "They need to look at what they are submitting and carefully track and document their changes to see what will work in their industry. Truly, one in seven résumés should receive a call if the person qualifies for the job and understands the hiring processes that their paperwork will travel."</div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;">"If your résumé isn't getting you a foot in the door, take a look at it," Mathieu says. "Does your résumé seize attention? Does it quantify your results? Does it differentiate you? Does it do all this in 15 seconds? A résumé needs to accomplish a lot quickly. If you aren't getting calls, rewrite your résumé to brand yourself and demonstrate how your employment would solve the company's challenges and meet their goals."</div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><br /></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><strong>You're applying for jobs you can't do</strong></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><b><br /></b>Maybe it sounds like a dream job, maybe it sounds close enough to what you do now, or maybe it's in the same industry. That doesn't mean you should apply for it.</div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><br /></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;">"One of the most common mistakes job seekers make is applying for positions that look appealing, regardless of whether they meet enough of the employer's requirements," says Kelly Donovan, principal of professional résumé-writing company <a href="http://kellydonovan.com/" style="background-color: transparent; color: #07519a; font-family: Arial; text-decoration: none;">Kelly Donovan & Associates</a>. "It's easy to say, 'I think I could do that job; I've done some of those things before.' But the hiring manager wants someone who meets specific criteria, and the human-resource professional screening your résumé will be checking whether you meet the required qualifications listed in the job posting. Ideally, you should meet all of the required qualifications for a position, but at the very least you should make sure you meet at least three-fourths of the required qualifications -- and make sure your résumé clearly shows how you meet those requirements."</div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><br /></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><strong>You only have one game plan</strong></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><b><br /></b>The modern job search requires a mixture of different approaches, so be sure to use them all. "Many job seekers put all their eggs in one basket, relying too heavily on a single job-search tactic, when they would be better off incorporating a variety of approaches, including networking, applying for advertised openings, cold-calling, using social media and reaching out to recruiters," Donovan says.</div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;">Job searching can be tiresome and painstakingly detailed, but the more effort you put into your job search, the more rewarding your job offer will be. </div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><br /></div><div style="background-color: white; color: #444444; font-family: tahoma; font-size: 13px; line-height: 13.433333396911621px; text-align: left;"><em>Susan Ricker is a writer and blogger for </em><a href="http://www.careerbuilder.com/" style="background-color: transparent; color: #07519a; font-family: Arial; text-decoration: none;"><em>CareerBuilder.com</em></a><em> and its job blog, </em><a href="http://www.theworkbuzz.com/" style="background-color: transparent; color: #07519a; font-family: Arial; text-decoration: none;" target="_blank"><em>The Work Buzz</em></a><em>. She researches and writes about job search strategy, career management, hiring trends and workplace issues.</em></div><br class="Apple-interchange-newline" />

It's time to change your job-search strategy if ...

There are a variety of reasons why your job search may not be yielding results, such as a still uncertain economy or where you live, but it may also be because of you. You may have updated your résumé and applied for hundreds of jobs, but could you b…

Read more »

High School Library Media Specialist - West Hartford Public Schools

<strong>High School Library Media Specialist - </strong><strong></strong><strong><span style="color: #48286d;">West Hartford Public Schools</span></strong> seeks a dynamic Library Media Specialist to join the staff of a high service library media program. Interim position. Experience working with high school students; strong background in online resources and Web 2.0 tools; knowledge in the area of young adult literature and 21st century skills. Duties and responsibilities include but are not limited to: instructing students in information and technology literacy, providing leadership in the integration of technology with instruction, collaborating with classroom teachers in planning, implementing and assessing instruction, evaluating and selecting resources for the library media center. Should hold or be eligible for CT Library Media Specialist Certificate. Competitive salary and benefits. Interested applicants should submit an online application.Visit our web site at: <a _fcksavedurl="http://www.whps.org" href="http://www.whps.org/" target="_blank">www.whps.org</a>. JobID: 734. For more information call the Library Media and Educational Technology Office at 860-561-6634. Apply immediately. Open until filled. Affirmative Action/Equal Opportunity Employer.

High School Library Media Specialist - West Hartford Public Schools

High School Library Media Specialist - West Hartford Public Schools seeks a dynamic Library Media Specialist to join the staff of a high service library media program. Interim position. Experience working with high school students; strong backgroun…

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Teen Librarian - New Canaan Library

<b>Teen Librarian - </b><b><span style="color: #48286d;">New Canaan Library</span></b> is seeking an innovative, creative, and inspiring part-time Teen Librarian to join its team. This position will be responsible for coordinating programs, managing the collection, as well updating the website and social networking pages related to teen services. In addition, the successful candidate will act as a liaison to the schools and youth organizations throughout the town. Knowledge of Drupal and III preferred. Some evening and weekends required. Please check <a _fcksavedurl="http://newcanaanlibrary.org.s108997.gridserver.com/articles/teen-librarian-part-time" href="http://newcanaanlibrary.org.s108997.gridserver.com/articles/teen-librarian-part-time" target="_blank">here</a> for complete job description. New Canaan Library complies with CLA minimum standards; MLIS degree is preferred.

Teen Librarian - New Canaan Library

Teen Librarian - New Canaan Library is seeking an innovative, creative, and inspiring part-time Teen Librarian to join its team. This position will be responsible for coordinating programs, managing the collection, as well updating the website and…

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Most Popular Posts of 2012

Here are the dozen most popular posts on this blog in 2012, based on traffic counts. The next two posts this year (the last of the year) will list my favorite projects and books featured on my daily and weekly pages this year.<br /><br /><span style="font-size: x-large;">1</span> <a href="http://archidose.blogspot.com/2012/06/66-most-popular-2012.html">66 Most Popular, 2012</a>, June 5<br /><img alt="*.jpg" src="http://www.archidose.org/Blog/66-2012.jpg" title="..." /><br /><br /><span style="font-size: x-large;">2</span> <a href="http://archidose.blogspot.com/2012/07/yayoi-kusama-at-louis-vuitton.html">Yayoi Kusama at Louis Vuitton</a>, July 24<br /><a href="http://www.flickr.com/photos/archidose/7641021526/" title="Yayoi Kusama at Louis Vuitton by archidose, on Flickr"><img alt="Yayoi Kusama at Louis Vuitton" height="904" src="http://farm8.staticflickr.com/7119/7641021526_bff36c29e5_b.jpg" width="640" /></a><br /><br /><span style="font-size: x-large;">3</span> <a href="http://archidose.blogspot.com/2012/10/425-park-avenue.html">425 Park Avenue</a>, October 18<br /><a href="http://www.flickr.com/photos/archidose/8100063101/" title="425 Park Avenue Models by archidose, on Flickr"><img alt="425 Park Avenue Models" height="480" src="http://farm9.staticflickr.com/8327/8100063101_f83d463419_z.jpg" width="640" /></a><br /><br /><span style="font-size: x-large;">4</span> <a href="http://archidose.blogspot.com/2012/04/lynette-jacksons-iphone-art.html">Lynette Jackson's iPhone Art</a>, April 25<br /><a href="http://www.flickr.com/photos/p67/6645479825/" title="No. 285 Mixed-Red by Page67_Lynette Jackson, on Flickr"><img alt="No. 285 Mixed-Red" height="640" src="http://farm8.staticflickr.com/7164/6645479825_8633c8f0cb_z.jpg" width="640" /></a><br /><br /><span style="font-size: x-large;">5</span> <a href="http://archidose.blogspot.com/2012/01/charles-renfro-jcrew-wearing-architect.html">Charles Renfro, J.Crew-Wearing Architect</a>, January 18 <br /><img alt="*.jpg" src="http://www.archidose.org/Blog/jcrew2.jpg" title="..." /><br /><br /><span style="font-size: x-large;">6</span> <a href="http://archidose.blogspot.com/2012/02/todays-archidose-559.html">Today's archidose #559</a>, February 14<br /><a href="http://www.flickr.com/photos/fadb/6851071763/" title="Residência em São Paulo by FADB, on Flickr"><img alt="Residência em São Paulo" height="425" src="http://farm8.staticflickr.com/7009/6851071763_90cb88e808_z.jpg" width="640" /></a><br /><br /><span style="font-size: x-large;">7</span> <a href="http://archidose.blogspot.com/2012/03/koolhaas-in-conversation.html">Koolhaas in Conversation</a>, March 12<br /><a href="http://www.flickr.com/photos/archidose/6821614202/" title="Rem Koolhaas @ NYPL by archidose, on Flickr"><img alt="Rem Koolhaas @ NYPL" height="320" src="http://farm8.staticflickr.com/7047/6821614202_fd4c1bcc29_z.jpg" width="640" /></a><br /><br /><span style="font-size: x-large;">8</span> <a href="http://archidose.blogspot.com/2012/10/todays-archidose-628.html">Today's archidose #628</a>, October 19<br /><a href="http://www.flickr.com/photos/archidose/8103977213/" title="FDR Four Freedoms Park by archidose, on Flickr"><img alt="FDR Four Freedoms Park" height="480" src="http://farm9.staticflickr.com/8193/8103977213_c429370803_z.jpg" width="640" /></a><br /><br /><span style="font-size: x-large;">9</span> <a href="http://archidose.blogspot.com/2012/01/book-review-100-ideas-that-changed.html">Book Review: 100 Ideas that Changed Architecture</a>, January 29 <br /><img alt="*.jpg" src="http://www.archidose.org/Blog/book-100ideas.jpg" title="..." /><br /><br /><span style="font-size: x-large;">10</span> <a href="http://archidose.blogspot.com/2012/09/todays-archidose-615.html">Today's archidose #615</a>, September 3<br /><a href="http://www.flickr.com/photos/archidose/7926544626/" title="Place for Meditation by archidose, on Flickr"><img alt="Place for Meditation" height="800" src="http://farm9.staticflickr.com/8182/7926544626_4ce9ae16b9_c.jpg" width="600" /></a><br /><br /><span style="font-size: x-large;">11</span> <a href="http://archidose.blogspot.com/2012/11/2012-holiday-gift-books.html">2012 Holiday Gift Books</a>, November 23 <br /><br /><span style="font-size: x-large;">12</span> <a href="http://archidose.blogspot.com/2012/05/oma-mai.html">OMA + MAI</a>, May 13<br /><img alt="*.jpg" src="http://www.archidose.org/Blog/OMA-MAI-4.jpg" title="..." />

Most Popular Posts of 2012

Here are the dozen most popular posts on this blog in 2012, based on traffic counts. The next two posts this year (the last of the year) will list my favorite projects and books featured on my daily and weekly pages this year.1 66 Most Popular, 2012,…

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How Many Billions a Year Will the DSM-5 Cost? - Bloomberg

<base href="data:"><div style="font-family: Helvetica; font-size: 14px; color: black; text-align: left; "><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">In preparing the DSM-5, the <a href="http://www.dsm5.org/Pages/Default.aspx" title="Open Web Site" rel="external" density="sparse" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-size: 15px; vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 204); text-decoration: none; background-position: initial initial; background-repeat: no-repeat no-repeat; ">revised manual</a> that is to be the next bible of psychiatric diagnosis, the <a href="http://psych.org/" title="Open Web Site" rel="external" density="full" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-size: 15px; vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 204); text-decoration: none; background-position: initial initial; background-repeat: no-repeat no-repeat; ">American Psychiatric Association</a> has been extravagantly indifferent to all matters of cost.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">There are profound economic consequences to where boundaries are set between what is normal and what is considered a mental disorder. Diagnosis of mental illness brings on a cascade of costs, including doctor visits, tests, medications (and treatment for their complications), forensic and prison costs, disability obligations, the siphoning of educational resources and absenteeism.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">We are already experiencing an inflation in psychiatric diagnosis and an explosion in the use of expensive, and often unnecessary and harmful, psychotropic drugs.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">Now, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders will add new categories of mental illness with very high prevalence rates in the general population. A new diagnosis here, a new diagnosis there, and pretty soon you have millions of new patients and billions of dollars in expenditure.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">Seemingly small DSM-5 changes will make a big difference. Normal grief will become "<a href="http://www.dsm5.org/Lists/ProposedRevision/DispForm.aspx?ID=44" title="Open Web Site" rel="external" density="sparse" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-size: 15px; vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 204); text-decoration: none; background-position: initial initial; background-repeat: no-repeat no-repeat; ">major depressive disorder</a>," so that pills and medical rituals will be applied to a person's natural emotional reaction to the loss of a loved one.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">Excessive eating a dozen times in three months will become not mere gluttony but "binge eating disorder." Forgetfulness in old age will be "minor neurocognitive disorder," a label encompassing an enormous new patient population (only some of whom are at real risk of dementia) and incurring huge costs of unnecessary brain imaging when there is no effective treatment.</div><h2 style="margin: 0px; padding: 10px 0px; border: 0px; outline: 0px; font-size: 18px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: bold; line-height: 1.3em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: no-repeat no-repeat; ">New 'Patients'</h2><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">At the other end of the age continuum, temper tantrums will be diagnosed as "disruptive mood dysregulation disorder." And these are but a few of the <a href="https://my.psychologytoday.com/blog/dsm5-in-distress/201212/dsm-5-is-guide-not-bible-ignore-its-ten-worst-changes" title="Open Web Site" rel="external" density="sparse" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-size: 15px; vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 204); text-decoration: none; background-position: initial initial; background-repeat: no-repeat no-repeat; ">many changes</a> in the DSM-5 that will create millions of new "patients," many of whom would do better without expensive, potentially harmful treatments.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">The new manual will also encourage doctors to <a href="http://www.psychologytoday.com/blog/dsm5-in-distress/201212/mislabeling-medical-illness-mental-disorder" title="Open Web Site" rel="external" density="full" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-size: 15px; vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 204); text-decoration: none; background-position: initial initial; background-repeat: no-repeat no-repeat; ">misdiagnose physical disorders</a> as mental ones by creating a broad new category for patients who are anxious about their medical symptoms.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">No one has calculated the total direct and indirect monetary costs of the DSM-5 to the <a href="http://topics.bloomberg.com/u.s.-economy/" density="full" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-size: 15px; vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 204); text-decoration: none; background-position: initial initial; background-repeat: no-repeat no-repeat; ">U.S. economy</a>, but the drain threatens to be enormous. And the extra money will probably be spent in the wrong places.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">Our scarce mental-health resources are already distributed in an irrational manner. We badly shortchange those with clear psychiatric disorders while overtreating essentially normal people. Many psychiatric patients wind up filling our overcrowded prisons at an <a href="http://www.theatlantic.com/national/archive/2011/11/chart-one-year-of-prison-costs-more-than-one-year-at-princeton/247629/" title="Open Web Site" rel="external" density="full" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-size: 15px; vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 204); text-decoration: none; background-position: initial initial; background-repeat: no-repeat no-repeat; ">annual cost per capita</a> greater than a year at <a href="http://topics.bloomberg.com/princeton-university/" density="sparse" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-size: 15px; vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 204); text-decoration: none; background-position: initial initial; background-repeat: no-repeat no-repeat; ">Princeton University</a>.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">By further reducing the "normal" pool, the DSM-5 will divert even more resources away from those most in need of help.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">How will DSM-5 raise costs?</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">First there are the direct and indirect costs of treating the newly diagnosed patients. These will be further amplified by the extension of health insurance under the Affordable Care Act to some 34 million more Americans, and its requirement that insurance include comprehensive care for mental disorders.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">This is a desirable policy change; a greater investment is certainly needed to shore up our badly shortchanged mental- health system. But the costs should be predictable and the money spent where it is likely to do the most good.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">Then there are indirect medical costs of treating complications from excessive medication use. Antipsychotics frequently cause enormous weight gain that can lead to diabetes and heart disease. Overdoses with <a href="http://www.cdc.gov/homeandrecreationalsafety/rxbrief/" title="Open Web Site" rel="external" density="sparse" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-size: 15px; vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 204); text-decoration: none; background-position: initial initial; background-repeat: no-repeat no-repeat; ">prescription drugs</a> now cause more visits to emergency rooms and expensive hospitalizations than overdoses with street drugs.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">Disability payments, workers compensation and veterans benefits spent on psychiatric care will also rise. And the newly diagnosed will, of course, incur increased sick days, resulting in a loss of productivity.</div><h2 style="margin: 0px; padding: 10px 0px; border: 0px; outline: 0px; font-size: 18px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: bold; line-height: 1.3em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-position: initial initial; background-repeat: no-repeat no-repeat; ">Inadequate Reviews</h2><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">The new DSM-5 diagnoses can be as dangerous as new drugs, but have not received the same kind of thorough risk-benefit review the U.S. Food and Drug Administration provides before approving a new medicine. And they have received no cost-benefit review.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">Having been extremely profligate in its own expenditures -- the DSM-5 has already cost $25 million, five times as much as the DSM-IV in 1994 -- the association has taken no account of the potential costs to the public from its clinically risky diagnostic changes.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">It is now desperately dependent on DSM's perennial best- seller status to balance its books and is prematurely racing the new manual to press -- treating it as a publishing cash cow, not the public trust it should be.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">We need a broader national dialogue on mental health, its costs, and how best to spend precious resources. The DSM-5 is a giant step in the wrong direction -- away from good clinical common sense and fiscal responsibility.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; ">Clinicians and patients have a big stake in pushing back, and so do government and industry. The only sector that stands to benefit from the DSM-5 is the pharmaceutical business. The rest of us will pay the price.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 10px; padding-right: 0px; padding-bottom: 10px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-size: 15px; vertical-align: baseline; background-color: rgb(255, 255, 255); font-family: Arial; font-weight: normal; line-height: 1.6em; color: rgb(0, 0, 0); font-style: normal; font-variant: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-auto; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; position: static; z-index: auto; ">(Allen Frances, a psychiatrist and professor emeritus at <a href="http://topics.bloomberg.com/duke-university-school-of-medicine/" density="sparse" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-size: 15px; vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 204); text-decoration: none; background-position: initial initial; background-repeat: no-repeat no-repeat; ">Duke University School of Medicine</a>, was the chairman of the <a href="http://topics.bloomberg.com/task-force/" density="full" style="margin: 0px; padding: 0px; border: 0px; outline: 0px; font-size: 15px; vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 204); text-decoration: none; background-position: initial initial; background-repeat: no-repeat no-repeat; ">task force</a> that produced the DSM-IV. The opinions expressed are his own.)</div></div><a href="http://www.bloomberg.com/news/2012-12-20/how-many-billions-a-year-will-the-dsm-5-cost-.html">http://www.bloomberg.com/news/2012-12-20/how-many-billions-a-year-will-the-dsm-5-cost-.html</a><div style="font-family: Helvetica; font-size: 14px; color: black; text-align: left; "><br class="webkit-block-placeholder"></div>

How Many Billions a Year Will the DSM-5 Cost? - Bloomberg

In preparing the DSM-5, the revised manual that is to be the next bible of psychiatric diagnosis, the American Psychiatric Association has been extravagantly indifferent to all matters of cost.There are profound economic consequences to where boundar…

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Living With Cancer: Dancing With N.E.D. - NYTimes.com

<base href="data:"><div style="font-family: Helvetica; font-size: 14px; color: black; text-align: left; "><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">The vocalist begins her song with people shocked by a diagnosis they cannot accept, women not yet ready to admit they have cancer.</div><blockquote style="color: rgb(0, 0, 0); font-family: Georgia, serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><em>Starts with denial, there must be some mistake;<br>Check the name, check the lab, double-check the date.</em></div></blockquote><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">While electric guitars and percussion join in, the lyrics of the song, <a href="http://www.myspace.com/music/player?sid=55863004&ac=now" style="color: rgb(0, 0, 102); text-decoration: none; ">"Third-Person Reality,"</a> go on to describe turbulent anger, tension and fear that can only be eased by acceptance.</div><blockquote style="color: rgb(0, 0, 0); font-family: Georgia, serif; font-size: 13px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); "><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; "><em><br>Measure success one day at a time<br>Together we'll get to a better place<br>If you place your hand in mine.</em></div></blockquote><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">The symbol of women with cervical, endometrial, ovarian, peritoneal, tubal, vaginal, and vulvar cancers- <a href="http://www.trocrf.org/" style="color: rgb(0, 0, 102); text-decoration: none; ">a teal ribbon</a>-often goes unrecognized, but these patients do have their own rock band. Through the driving rhythms of folk-rock, the band members of N.E.D. accompany a refrain made especially meaningful by the fact that they are all surgeons who treat patients with gynecological cancers. The group started as a cover band to entertain doctors at a 2008 meeting of the Society of Gynecological Oncologists. Since then they have taken on a mission "to break through the silence of women's gynecological cancer." In the process, they have produced two albums to raise awareness and money for research.</div><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">The band's name strikes a special chord with anyone who has had cancer. The acronym, N.E.D., stands for that rapturous moment when patients are told that there is "no evidence of disease."</div><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">The band's debut year, 2008, happens to be the year I was diagnosed with ovarian cancer, and I find myself learning from <a href="http://www.nedtheband.com/" style="color: rgb(0, 0, 102); text-decoration: none; ">N.E.D.'s Web site</a> about the umbrella term -- "gynecologic cancers" -- within which my disease resides. The American Cancer Society estimates that about 83,000 women are diagnosed each year with cancers "below the belt," and approximately 28,000 die from them. Yet with the notable exception of the brilliant comedienne Gilda Radner, who had ovarian cancer, no celebrity has emerged to represent the plight of these patients.</div><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">That fact may illustrate how stigmatized these diseases remain. Do women with gynecological cancers still find it difficult to overcome modesty about difficult-to-discuss body parts, even in this current age when such body parts seem weirdly chatty? Notwithstanding Eve Ensler's historic <a href="http://www.nytimes.com/1998/02/14/theater/from-cringing-to-comfort-a-word-has-its-day.html?ref=eveensler" style="color: rgb(0, 0, 102); text-decoration: none; ">"Vagina Monologues"</a> and Naomi Wolf's narcissistic <a href="http://www.nytimes.com/2012/09/16/books/review/vagina-a-new-biography-by-naomi-wolf.html?pagewanted=all" style="color: rgb(0, 0, 102); text-decoration: none; ">"Vagina,"</a> I suspect that quite a few women do not want to publicize their relationship with their genitals -- especially when sexual and reproductive organs are imperiled by disease. Who can blame them and more power to them, I think.</div><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">After all, the title of the song "Third-Person Reality" suggests that people with cancer often feel so traumatized that they lose the ability to experience or express their sense of themselves. Alas, they may have morphed from first-person individuals into third-person patients, waiting interminably for this test or undergoing that procedure or paying for another script for yet another drug -- even if, as in my lucky case, a caring oncologist offers a helping hand.</div><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">There are and have been prominent women whose recognition could call attention to gynecological cancers. Think of the award-winning actress <a href="http://www.youtube.com/watch?v=TYHEgTUzVoE" style="color: rgb(0, 0, 102); text-decoration: none; ">Carol Channing</a> or Miss America of 1945, <a href="http://www.myspace.com/video/chemo-vixen/ovca-psa-by-bess-myerson/6144204" style="color: rgb(0, 0, 102); text-decoration: none; ">Bess Myerson</a>. Other exceptional people were swirled into the swing and sway of N.E.D. for only a round or two. The British biophysicist Rosalind Franklin lived long enough to illuminate the molecular structure of DNA, but her death made her ineligible for the Nobel Prize accorded Watson and Crick (who barely acknowledged her contribution). President Obama's mother, Ann Dunham, raised two remarkable children while completing a Ph.D. in anthropology and helping to establish micro-industries in Indonesia before she was misdiagnosed with one gynecological disease and died of another. That Dr. Franklin was 37 years old and Ms. Dunham 52 reminds us that such cancers do not single out aged women.</div><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">A few weeks ago I received a heart-breaking e-mail from a mother whose daughter, Taylor Steele, died of ovarian cancer at 17. The Web site of the nonprofit foundation <a href="http://strong-as-steele.org/" style="color: rgb(0, 0, 102); text-decoration: none; ">Strong as Steele</a> informs me that Taylor Steele loved to dance, but she did not get much time with N.E.D. after she was diagnosed at 12.</div><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">And then there are people like me who are diagnosed later in life but can't fill out an N.E.D. dance card because, unfortunately, we still have E.D. (evidence of disease). That said, I am here to add that it is possible, if only intermittently, to hum along with E.D., which has its own sometimes somber but sometimes revitalizing rhythms.</div><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); ">The physician-musicians of N.E.D named their second CD <em>"Six Degrees"</em> for their six medical degrees, but also for the six degrees of separation between patients with gynecological diseases and everyone else. The title reminds me that every six minutes an American girl or woman discovers that she has a gynecological cancer. Let us hope that future research will develop new detection tools and improved treatments, giving each one a longer time to twist and shout with N.E.D.</div><div style="color: rgb(51, 51, 51); font-size: medium; margin-top: 0px; margin-right: 0px; margin-bottom: 0.7em; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; line-height: 1.375em; font-family: Georgia, serif; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; orphans: 2; text-align: -webkit-left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); position: static; z-index: auto; "><em>Susan Gubar is a distinguished emerita professor of English at Indiana University and the author of "<a href="http://books.wwnorton.com/books/978-0-393-07325-6/" style="color: rgb(0, 0, 102); text-decoration: none; ">Memoir of a Debulked Woman</a>," which explores her experience with ovarian cancer.</em></div></div><a href="http://well.blogs.nytimes.com/2012/12/20/living-with-cancer-dancing-with-n-e-d/?pagewanted=print">http://well.blogs.nytimes.com/2012/12/20/living-with-cancer-dancing-with-n-e-d/?pagewanted=print</a><div style="font-family: Helvetica; font-size: 14px; color: black; text-align: left; "><br class="webkit-block-placeholder"></div>

Living With Cancer: Dancing With N.E.D. - NYTimes.com

The vocalist begins her song with people shocked by a diagnosis they cannot accept, women not yet ready to admit they have cancer.Starts with denial, there must be some mistake;Check the name, check the lab, double-check the date.While electric guita…

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