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There is considerable controversy with respect to so-called internet addiction and whether it ought to be reified as a diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. The relationship between "addiction" and various compulsive or impulsive behaviors is also a source of confusion. Some psychiatrists have argued that(More)
Clinical medicine in general and psychiatry in particular have their roots in the Hippocratic tradition. It is this tradition that defines the "deep structure" of the medical profession. Although the field of clinical psychology has a similar "surface structure" to that of psychiatry and general medicine, it has evolved from a wholly different set of deep(More)
The validity of psychiatric diagnosis rests in part on a demonstration that identifiable biomarkers exist for major psychiatric illnesses. Recent evidence supports the existence of several biomarkers or endophenotypes for both schizophrenia and bipolar disorder. As we learn more about how these biomarkers relate to the symptoms, course, and treatment(More)
Critics of psychiatry often argue that psychiatric diagnosis lacks "objectivity," particularly when compared with diagnosis in other medical specialties. However, when one examines interrater reliability-an important component of objectivity-the kappa values for several major psychiatric disorders are generally on a par with those in other medical(More)
While the benefits of lithium in bipolar disorder are evident, its limitations as monotherapy are well recognized, particularly in bipolar depression. This has propelled trials of combined lithium-anticonvulsant therapy in many bipolar patients. The present review of the English-language literature examines both controlled and open studies of such(More)