tag:blogger.com,1999:blog-7772182113499451603.post4467530039859356492..comments2024-03-27T10:50:53.692-05:00Comments on Real Psychiatry: APA's Feelgood Move of the Year?George Dawson, MD, DFAPAhttp://www.blogger.com/profile/03474899831557543486noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-7772182113499451603.post-89944086431685921742015-05-15T10:21:53.720-05:002015-05-15T10:21:53.720-05:00I agree it won't have much impact on typical p...I agree it won't have much impact on typical practices, but I approach the APA like a Skinnerian. I have been intensely critical of that organization, so much so that I list NOT being a member of the APA on my CV as a badge of honor. When they do something right, I think they need to be lauded for it to encourage them to make more moves in the direction that helps the psychiatrist in practice. I also feel a personal need to be balanced and not reflexively negative since some of their pearl-clutching defenders have accused me of that. If they ever get serious about MOC and mangled care, and knock off the collabo-care nonsense, I might even join after shunning them for thirty years. Not holding my breath. The silver lining is that dues money saved and compounding returns adds up over a few decades.<br /><br />This is at its heart a lack of empathy problem...the academics who run the organization are simply immune from the pressures of the private practitioner and can't or won't understand the problems of someone who isn't tenured or salaried. Some are frankly hostile to private practice. I can't imagine more tone deaf and naive than that Lieberman collabo-care video. I don't see this changing given how leadership is organized.James O'Brien, M.D.https://www.blogger.com/profile/14994350319492582321noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-22472192664201920022015-05-13T11:06:06.202-05:002015-05-13T11:06:06.202-05:00Thanks for the blurb on the book. I have not read...Thanks for the blurb on the book. I have not read it and don't know if I will.<br /><br />The press release is interesting because it suggests it will be useful for patients to use in battling against managed care. As you can tell from reading this blog my position would be that an activist APA fighting managed care would be more useful. The APA could do a lot more by setting standards of care and declaring utilization review and prior authorization as questionable endeavors.<br /><br />On the diagnosis side, the issues of overprescribing and overdiagnosing need to be addressed head on. In a diagnostic manual that comes down to the difference between reading some criteria and believing that you "have them" versus having significant life problems associated with a syndrome and seeing a physician who has made the diagnosis hundreds of times.<br /><br />That is what I would like to see, but nobody at the APA consults with me.George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-13142793381162862342015-05-13T10:57:20.332-05:002015-05-13T10:57:20.332-05:00Your thoughts on the plain language DSM from the A...Your thoughts on the plain language DSM from the APA?<br /><br />http://www.disabilityscoop.com/2015/05/05/psychiatrists-plain-dsm/20265/<br /><br />Useful and necessary or redundant and a quest for more revenue? <br /><br />Or none of the above.<br /><br />Thanks.<br />RBnoreply@blogger.com