Christopher Lane Op-Ed in the LA TIMES

Wrangling Over Psychiatry's Bible
Christopher Lane
LA Times, November 16, 2008

Over the summer, a wrangle between eminent psychiatrists that had been brewing for months erupted in print. Startled readers of Psychiatric News saw the spectacle unfold in the journal’s normally less-dramatic pages. The bone of contention: whether the next revision of America’s psychiatric bible, the “Diagnostic and Statistical Manual of Mental Disorders,” should be done openly and transparently so mental health professionals and the public could follow along, or whether the debates should be held in secret.

One of the psychiatrists (former editor Robert Spitzer) wanted transparency; several others, including the president of the American Psychiatric Assn. and the man charged with overseeing the revisions (Darrel Regier), held out for secrecy. Hanging in the balance is whether, four years from now, a set of questionable behaviors with names such as “Apathy Disorder,” “Parental Alienation Syndrome,” “Premenstrual Dysphoric Disorder,” “Compulsive Buying Disorder,” “Internet Addiction” and “Relational Disorder” will be considered full-fledged psychiatric illnesses.

This may sound like an arcane, insignificant spat about nomenclature. But the manual is in fact terribly important, and the debates taking place have far-reaching consequences. Published by the American Psychiatric Assn. (and better known as the DSM), the manual is meant to cover every mental health disorder that affects children and adults.

Not only do mental health professionals use it routinely when treating patients, but the DSM is also a bible of sorts for insurance companies deciding what disorders to cover, as well as for clinicians, courts, prisons, pharmaceutical companies and agencies that regulate drugs. Because large numbers of countries, including the United States, treat the DSM as gospel, it’s no exaggeration to say that minor changes and additions have powerful ripple effects on mental health diagnoses around the world.

Christopher Lane, a professor of English at Northwestern University, is the author of “Shyness: How Normal Behavior Became a Sickness.”

To read the full commentary, click here.

Client Warren Goldstein on Huffington Post

Bucking the Conventional Wisdom: Why I Am Voting for Barack Obama, and Why I Bet on the New York Giants
Huffington Post, February 4, 2008

Forty-eight years ago, on the playground of Crown Elementary School, in Coronado, California, I knew that Richard Nixon should be the next President of the United States, and campaigned vigorously for him among my classmates. He'd been Vice-President for eight years, for goodness' sake, and John F. Kennedy hadn't run anything. I was nine years old, but I'd absorbed the conventional wisdom surrounding me in that Republican town, and, as it turned out, the state as well. Nixon took California in 1960. When I learned that my parents had voted for Kennedy, and as Democrats from Democratic families had never considered doing anything else, I felt betrayed.

The conventional wisdom is powerful stuff, based in experience, and it always assumes that the future will look much like yesterday and today. It's a useful guide to all kinds of things, from whom your parents are going to vote for, what your spouse would like for a birthday present, and what it takes to be a credible candidate for President. (Lots of experience, a substantial track record, and anointing by the party insiders.)

But every now and then the political calculus changes, and the conventional wisdom suddenly becomes as relevant as yesterday's stock closing prices. That's what happened during the civil rights movement beginning in Montgomery Alabama in 1955. Instead of the "slow, steady progress" on civil rights urged by proponents of the conventional wisdom, the movement led by Martin Luther King, Jr. upended normal political life. Ordinary working African-Americans boycotted the Montgomery buses for 13 months, ultimately forcing a Supreme Court decision outlawing the city's segregated bus seating. While Hillary Clinton was right in pointing out the importance of Lyndon Johnson to passage of the Civil Rights and Voting Rights Acts of 1964 and 1965, it's also true that any Democratic president, including John F. Kennedy, had he lived, could have signed them. The deeper truth is that no such bills would ever have gotten close to the President's desk without the movement sparked and led by Martin Luther King.

For 35 years, as she's fond of pointing out, Hillary Clinton has worked to improve the lot of American families. I believe her, and think she might even make a pretty good president--but only that. What's wrong with her campaign, in my view, and what hangs like an albatross around the neck of a potential Clinton presidency, is that it is almost entirely immersed in and nourished by conventional political wisdom: "experience matters most;" "she's paid her dues--she deserves it;" "Hispanics won't support a black candidate;" "incremental change is the most we can hope for;" "a female candidate has to look even more hawkish than male candidates on war and peace;" "moderation in all things."

Here's a true story. My wife, the Rev. Donna Schaper, Senior Minister of Judson Memorial Church in New York City, went to Washington DC to lobby for immigration reform last year. When she got a chance to ask Senator Clinton why even the Senate bill was so punitive and meager rather than truly comprehensive immigration reform, the Senator replied, with great condescending energy, emphasizing each word. "Politics is the art of the possible."--the all-purpose cliché defense for legislative failure--as though Donna, who has worked in the public arena as long as Hillary has, needed any reminding.

For the rest of the article, click here.

Marlene Zuk, author of RIDDLED WITH LIFE Opinion piece in LA Times

So a fruit fly goes to a bar ...
Pop a pill and be straight or gay? It's a lot more exciting, and complicated, than that.
By Marlene Zuk
LA Times, December 19, 2007


The news last week that scientists induced homosexual courtship in male fruit flies by changing levels of a neuro chemical was greeted with predictable headlines: "Scientists make fruit flies gay, then straight again." On science blogs, discussion raged about whether this meant that a drug altering sexual orientation would, or should, be developed by the demon Big Pharma. Others trotted out arguments about whether homosexuality was learned or genetic, and about its existence elsewhere in the animal kingdom, and then meandered into why places with large contingents of gays -- such as San Francisco and Boulder, Colo. -- are usually nice places to live.

As someone who studies animal behavior for a living, I've been at least as interested as anyone else in the emerging discoveries that many animals exhibit homosexual behavior. And, as it happens, I've become something of a go-to person on gay penguins (a subject for another day). But people seem to be missing the real reason the discovery is important, which has little or nothing to do with sexual orientation.


For the rest of the piece, click here.

Christopher Lane's OpED on Shyness in 9/21 NYT

Shy on Drugs
By CHRISTOPHER LANE
New York Times, OpEd September 21, 2007

FEW children relish the start of a new school year. Most yearn for summer to continue and greet the onset of classes with groans or even dread. But among those who take the longest to adapt and thrive, psychiatrists say, are children trapped in a pathological condition. They are so acutely shy that they are said to suffer “social anxiety disorder” — an affliction of children and adolescents that, the clinicians argue, is spreading.

It may seem baffling, even bizarre, that ordinary shyness could assume the dimension of a mental disease. But if a youngster is reserved, the odds are high that a psychiatrist will diagnose social anxiety disorder and recommend treatment.

For the rest of the article, please click here.

Michael Kodas in Today's New York Times

From The New York Times, June 26, 2007

The Height of Avarice
by Michael Kodas

WHEN China announced its plans to pave a highway to the Mount Everest base camp in Tibet as part of its 2008 Olympic preparations, adventurers around the world winced at the latest encroachment into the Himalayan wilderness. Mountaineers who have already been to Everest, however, were more likely to greet the announcement of the “blacktop highway fenced with undulating guardrails” with little more than a shrug.

Despite an elevation of more than 17,000 feet, it’s been a long time since the Chinese base camp has resembled a wilderness.

For more, please click here.