Schizophrenia Is a Misdiagnosis Implications for the DSM-5 and the I
Schizophrenia is a Misdiagnosis: Implications for the DSM-5 and the ICD-11 C. Raymond Lake Schizophrenia: the lay public knows a general picture formed from popular culture, familiar legend, and, often, family history. The professional community knows a c
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C. Raymond Lake
Schizophrenia Is a Misdiagnosis Implications for the DSM-5 and the ICD-11
C. Raymond Lake, M.D., Ph.D. Professor Emeritus Department Psychiatry and Behavioral Sciences University of Kansas, School of Medicine Kansas City, KS 66160-7341, USA [email protected]
ISBN 978-1-4614-1869-6 e-ISBN 978-1-4614-1870-2 DOI 10.1007/978-1-4614-1870-2 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2011941582 © Springer Science+Business Media, LLC 2012 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Preface
The mental health professions, the media and the public have accepted the diagnosis of schizophrenia as bona fide for over a century. Some have estimated that there are as many as two million patients with the diagnosis of schizophrenia. This book was written for diagnosing psychiatrists, mental health professionals and physicians, as well as patients diagnosed with schizophrenia and their families. It aims to provide information that will change their diagnosis and ensure their optimal treatment. I began my research career in biological psychiatry at the NIMH, Bethesda, MD and published empirical papers on patients diagnosed with schizophrenia (Lake et al. 1980). At that time, there was little doubt in academic circles, nor did I doubt, that these patients who exhibited a certain constellation of psychotic symptoms should receive the diagnosis of schizophrenia. Subsequently, however, with increased clinical experience and familiarity with the comparative literature, I began to question the validity of the diagnosis of schizophrenia. Symptoms of mood disturbances were observed in psychotic patients diagnosed with schizophrenia, and I noted that some patients with “schizophrenia” improved with mood-stabilizing medications. This led me to the idea that many patients, initially diagnosed with schizophrenia, actually suffered from a psychotic mood disorder. A review o
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