Bias in Psychiatric Diagnosis

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The public has a right to know that when they go to a therapist, they are almost certain to be given a psychiatric diagnosis, no matter how mild or normal their problems might be. It is unlikely that they will be told that a diagnosis will be written forever in their chart and that alarming consequences can result solely from having any psychiatric diagnosis. It would be disturbing enough if diagnosis was a thoroughly scientific process, but it is not, and its unscientific nature creates a vacuum into which biases of all kinds can rush. Bias in Psychiatric Diagnosis is the first book ever published about how gender, race, social class, age, physical disability, and sexual orientation affect the classification of human beings into categories of psychiatric diagnosis. It is surprising that this kind of book is not yet on the market, because it is such a hot topic, and the negative consequences of psychiatric diagnosis range from loss of custody of a child to denial of health insurance and employment to removal of one's right to make decisions about one's legal affairs. It is an unusually compelling book because of its real-life relevance for millions of people. Virtually everyone these days has been a therapy patient or has a loved one who has been. In addition, psychiatric diagnosis and biases in diagnosis are increasingly crucial portions of, or the main subject of, legal proceedings. This book should sit next to every doctor's PDR, especially given the skyrocketing use of psychoactive drugs in toddlers, children, and adolescents, as well as in adults, and especially because receiving a psychiatric label vastly increases the chances of being prescribed one or more of these drugs. A Jason Aronson Book

304 pages, Paperback

First published October 8,2004

About the author

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Paula J. Caplan, Ph.D., is a clinical and research psychologist, author of books and plays, playwright, actor, and director. She was born and raised in Springfield, Missouri, received her A.B. with honors from Radcliffe College of Harvard University, and received her M.A. and Ph.D. in psychology from Duke University. She is currently an Affiliate at Harvard University's DuBois Institute, working on their Voices of Diversity project, and a past Fellow at the Women and Public Policy Program of the Kennedy School of Government at Harvard. She has given more than 400 invited addresses and invited workshops and has done more than 1,000 media interviews as part of her work in public education and activism.
She is former Full Professor of Applied Psychology and Head of the Centre for Women's Studies in Education at the Ontario Institute for Studies in Education, and former Lecturer in Women's Studies and Assistant Professor of Psychiatry at the University of Toronto. Her twelfth and latest book is When Johnny and Jane Come Marching Home: How All of Us Can Help Veterans.

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