Pediatric Bipolar Disorder in an Era of “Mindless Psychiatry”

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dc.contributor.authorParry, Peter I.
dc.contributor.authorLevin, Edmund C.
dc.date.accessioned2023-07-26T20:20:37Z
dc.date.available2023-07-26T20:20:37Z
dc.date.issued2012-01-02
dc.description19 pagesen_US
dc.description.abstractPediatric bipolar disorder (PBD) reflects shifts in conceptualizing bipolar disorder among children and adolescents since the mid-1990s. Since then, PBD diagnoses, predominantly in the United States, have increased dramatically, and the diagnosis has attracted significant controversy. During the same period, psychiatric theory and practice has become increasingly biological. The aim of this paper is to examine the rise of PBD in terms of wider systemic influences. Method: In the context of literature referring to paradigm shifts in psychiatry, we reviewed the psychiatric literature, media cases, and information made available by investigative committees and journalists. Results: Social historians and prominent psychiatrists describe a paradigm shift in psychiatry over recent decades: from an era of “brainless psychiatry,” when an emphasis on psychodynamic and family factors predominated to the exclusion of biological factors, to a current era of “mindless psychiatry” that emphasizes neurobiological explanations for emotional and behavioral problems with limited regard for contextual meaning. Associated with this has been a tendency within psychiatry and society to neglect trauma and attachment insecurity as etiological factors; the “atheoretical” (but by default biomedical) premise of the Diagnostic and Statistical Manual of Mental Disorders (3rd and 4th eds.); the influence of the pharmaceutical industry in research, continuing medical education, and direct-to-consumer advertising; and inequality in the U.S. health system that favors “diagnostic upcoding.” Harm from overmedicating children is now a cause of public concern. Conclusion: It can be argued that PBD as a widespread diagnosis, particularly in the United States, reflects multiple factors associated with a paradigm shift within psychiatry rather than recognition of a previously overlooked common disorder.en_US
dc.identifier.citationPeter I. Parry MBBS & Edmund C. Levin MD (2012) Pediatric Bipolar Disorder in an Era of “Mindless Psychiatry”, Journal of Trauma & Dissociation, 13:1, 51-68, DOI: 10.1080/15299732.2011.597826en_US
dc.identifier.doihttps://doi.org/10.1080/15299732.2011.597826
dc.identifier.urihttps://www.tandfonline.com/doi/full/10.1080/15299732.2011.597826
dc.identifier.urihttps://hdl.handle.net/1794/28605
dc.language.isoenen_US
dc.publisherTaylor & Francis Groupen_US
dc.rightsCreative Commons BY-NC-ND 4.0-USen_US
dc.subjectaffective disordersen_US
dc.subjectattachmenten_US
dc.subjectbehavioral disordersen_US
dc.subjectbehavioral medicineen_US
dc.subjectemotion regulationen_US
dc.subjectchildhood traumaen_US
dc.subjectprofessional attitudesen_US
dc.subjectdiagnostic validityen_US
dc.subjectpediatric illnessen_US
dc.subjectDSM validityen_US
dc.titlePediatric Bipolar Disorder in an Era of “Mindless Psychiatry”en_US
dc.typeArticleen_US

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Journal of Trauma & Dissociation : Vol. 13, No. 1 (2012)