Bias: Thinking about College Student Psychotherapy versus Drug Treatment and Disability

This article traces a major trend linked to our nation's epidemic of mental and emotional disability. In 1980, the American Psychiatric Association's Diagnostic and Statistical Manual (DSM-III) essentially limited diagnostic evaluation and treatment to listing and targeting symptoms. Now, Americans are increasingly labeled as mentally disabled, and more college and university students are coming to campus with psychiatric diagnoses and medications. In contrast to the prevailing professional and public belief in this reductionist, symptom-targeting system of diagnosis and treatment, a rapidly growing body of independent research suggests that although the system greatly profits its providers, it causes more harm than help for patients and society. College psychotherapists should counter the common false beliefs about “mental illness” that lead to disabling treatment, and advance a strengthening psychosocial orientation, including psychotherapy.

[1]  L. Whitaker,et al.  Pharmacological Treatment of College Students with Psychological Problems , 2014 .

[2]  Janet B W Williams,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[3]  R. P. Gallagher Thirty Years of the National Survey of Counseling Center Directors: A Personal Account , 2012 .

[4]  F. Basset,et al.  Anatomy of an Epidemic – Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America , 2012 .

[5]  Felix Salmon,et al.  23. The Illusions of Psychiatry. The New York Review of Books , 2012 .

[6]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[7]  H. E. Pigott,et al.  STAR*D: A Tale and Trail of Bias , 2011, Ethical Human Psychology and Psychiatry.

[8]  R. Kessler,et al.  Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative. , 2011, Archives of general psychiatry.

[9]  H. Brody,et al.  The Inverse Benefit Law: How Drug Marketing Undermines Patient Safety and Public Health , 2011, American journal of public health.

[10]  N. McWilliams The Psychodynamic Diagnostic Manual: An Effort to Compensate for the Limitations of Descriptive Psychiatric Diagnosis , 2011, Journal of personality assessment.

[11]  James B. Gottstein Ethical and Moral Obligations Arising From Revelations of Pharmaceutical Company Dissembling , 2010, Ethical Human Psychology and Psychiatry.

[12]  Irving Kirsch,et al.  The Emperor's New Drugs: Exploding the Antidepressant Myth , 2009 .

[13]  G. Jackson Drug-Induced Dementia: a perfect crime , 2009 .

[14]  C. Werch,et al.  Relationship Between Vigorous Exercise Frequency and Substance Use Among First-Year Drinking College Students , 2008, Journal of American college health : J of ACH.

[15]  J. Wakefield,et al.  The Loss of Sadness: How Psychiatry Transformed Normal Sorrow into Depressive Disorder , 2007 .

[16]  J. Hiller Psychotherapy works , 2006 .

[17]  T. Cymet,et al.  The Truth about Drug Companies: How They Deceive Us and What to Do about It , 2006 .

[18]  R. Kadison College Psychiatry 2006: Challenges and Opportunities , 2006, Journal of American college health : J of ACH.

[19]  B. Karon Recurrent Psychotic Depression Is Treatable by Psychoanalytic Therapy Without Medication , 2005, Ethical Human Sciences and Services.

[20]  J. M. Thackaberry Crisis on Campus , 2002 .

[21]  E. Hougaard [Psychotherapy of "severe" depression]. , 2001, Ugeskrift for læger.

[22]  J. Leichliter,et al.  Alcohol use and related consequences among students with varying levels of involvement in college athletics. , 1998, Journal of American college health : J of ACH.

[23]  L. Whitaker Prescription Psychotropic Drugs and Psychotherapy , 1993 .

[24]  John E. Reinhold Dsw The Origins and Early Development of Mental Health Services in American Colleges and Universities , 1992 .

[25]  M. Hazelrigg,et al.  Mental Health on the Community College Campus , 1986 .

[26]  R. L. Arnstein Developmental Issues for College Students , 1984 .

[27]  F. Henn,et al.  Tricyclics--the most common agent used in potentially lethal overdoses. , 1983, The Journal of nervous and mental disease.

[28]  C. Kiesler Public and professional myths about mental hospitalization. An empirical reassessment of policy-related beliefs. , 1982, The American psychologist.

[29]  R. Yin,et al.  Mental Health on the Campus: A Field Study. , 1975 .

[30]  E. Bernays Biography of an idea : memoirs of public relations counsel , 1966 .

[31]  R. Whitaker Chapter 5. , 1868, The Sermons and Liturgy of Saint James.

[32]  H. S. Turner,et al.  The History and Practice of College Health , 2015 .

[33]  J. Kassirer On the take : how America's complicity with big business can endanger your health , 2005 .

[34]  Z. Taintor Mad in America: Bad Science, Bad Medicine, and the Enduring Mistreatment of the Mentally Ill , 2003 .

[35]  J. Leichliter,et al.  Greeks and athletes: who drinks more? , 1999, Journal of American College Health.

[36]  S. Fender The New York Review of Books , 1986 .

[37]  S. Asch Studies of independence and conformity: I. A minority of one against a unanimous majority. , 1956 .