Saving Normal - by Allen Frances (Paperback)

About the Book

In this book the author, a psychiatrist, makes a critique of the widespread medicalization of normality. He argues that the new edition of the Diagnostic and Statistical Manual of Mental Disorders threatens to destroy what is considered normal and that grief, sorrow, stress, disappointment, and other feelings are part of life, not a psychiatric disease. Anyone living a full, rich life experiences ups and downs, stresses, disappointments, sorrows, and setbacks. These challenges are a normal part of being human, and they should not be treated as psychiatric disease. However, today millions of people who are really no more than "worried well" are being diagnosed as having a mental disorder and are receiving unnecessary treatment. Here the author warns that mislabeling everyday problems as mental illness has shocking implications for individuals and society: stigmatizing a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, misallocation of medical resources, and draining of the budgets of families and the nation. We also shift responsibility for our mental well-being away from our own naturally resilient and self-healing brains, which have kept us sane for hundreds of thousands of years, and into the hands of "Big Pharma," who are reaping multi-billion-dollar profits. He cautions that the new edition of the "bible of psychiatry," the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5), will turn our current diagnostic inflation into hyperinflation by converting millions of "normal" people into "mental patients." Alarmingly, in DSM-5, normal grief will become "Major Depressive Disorder"; the forgetting seen in old age is "Mild Neurocognitive Disorder"; temper tantrums are "Disruptive Mood Dysregulation Disorder"; worrying about a medical illness is "Somatic Symptom Disorder"; gluttony is "Binge Eating Disorder"; and most of us will qualify for adult "Attention Deficit Disorder." What's more, all of these newly invented conditions will worsen the cruel paradox of the mental health industry: those who desperately need psychiatric help are left shamefully neglected, while the "worried well" are given the bulk of the treatment, often at their own detriment. Charting the history of psychiatric fads throughout history, the author argues that whenever we arbitrarily label another aspect of the human condition a "disease," we further chip away at our human adaptability and diversity, dulling the full palette of what is normal and losing something fundamental of ourselves in the process.-- From book jacket.

Book Synopsis

International Bestseller - "An extraordinarily important book." --Marcia Angell, Harvard Medical School

A deeply fascinating and urgently important critique of the widespread medicalization of ordinary life, by "one of the world's most prominent psychiatrists" (The Atlantic)

Anyone living a full, rich life experiences ups and downs, stresses, disappointments, sorrows, and setbacks. Today, however, millions of people who are really no more than "worried well" are being diagnosed as having a mental disorder and receiving unnecessary treatment. In Saving Normal, Allen Frances, one of the world's most influential psychiatrists, explains why stigmatizing a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, the misallocation of medical resources, and the draining of the budgets of families and the nation. We also shift responsibility for our mental well-being away from our own naturally resilient brains and into the hands of "Big Pharma," who are reaping multi-billion-dollar profits. Frances cautions that the newest edition of the "bible of psychiatry," the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5), is turning our current diagnostic inflation into hyperinflation by converting millions of "normal" people into "mental patients." Saving Normal is a call to all of us to reclaim the full measure of our humanity and a vital book for anyone interested in the future of psychology and psychiatry.

In this essential psychology book, Dr. Frances reveals:

• The Problem with Psychiatric Diagnosis: How the "bible of psychiatry," the DSM, has created a massive diagnostic inflation that turns millions of normal people into mental patients.
• The Influence of Big Pharma: An insider's look at how the pharmaceutical industry reaps multi-billion-dollar profits by promoting unnecessary treatment and harmful medications.
• The Medicalization of Normality: Why common human experiences like grief, worry, and even the forgetting that comes with aging are being mislabeled as mental illness.
• A Revolt Against DSM-5: The urgent call to action from the psychiatrist who chaired the DSM-IV task force to fight back against out-of-control psychiatric diagnosis.

From the Back Cover

International Bestseller

A deeply fascinating and urgently important critique of the widespread medicalization of normality

Anyone living a full, rich life experiences ups and downs, stresses, disappointments, sorrows, and setbacks. Today, however, millions of people who are really no more than "worried well" are being diagnosed as having a mental disorder and receiving unnecessary treatment. In Saving Normal, Allen Frances, one of the world's most influential psychiatrists, explains why stigmatizing a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, the misallocation of medical resources, and the draining of the budgets of families and the nation. We also shift responsibility for our mental well-being away from our own naturally resilient brains and into the hands of "Big Pharma," who are reaping multi-billion-dollar profits. Frances cautions that the newest edition of the "bible of psychiatry," the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5), is turning our current diagnostic inflation into hyperinflation by converting millions of "normal" people into "mental patients." Saving Normal is a call to all of us to reclaim the full measure of our humanity.

Review Quotes

"Allen Frances's book is fascinating. ... Entertaining." - Metapsychology

"Frances is largely credited with spearheading the anti-DSM-5 efforts." - CNN.com

"Saving Normal is a clear, convincing, and essential discussion of the twin epidemics facing modern psychiatry: under-treatment of the truly ill and overtreatment of the basically well. It holds immense potential to improve patients' lives." - JOSH BAZELL, M.D., New York Times bestselling author of Beat the Reaper: A Novel

"Saving Normal is a riveting and important book, written with great flair and precise passion. This is a book every psychiatrist, every general practitioner, every student swallowing meds--in fact everyone--needs to read." - Dr. LISA APPIGNANESI, Chair of the Freud Museum, London, and author of Mad, Bad and Sad

"Few are as well-equipped as Frances to map the dynamic field of psychiatry, and his rendering of its shifting contours is timely, crucial, and insightful--as are his solutions for navigating it." - Publishers Weekly

"With Solomon-like wisdom, Frances justly doles out blame and offers reasonable remedies. His decree: don't medicalize human difference; celebrate it." - Booklist (starred review)

"An extraordinarily candid and important book. Allen Frances has written a fascinating account of the apparent explosion in psychiatric disorders in the United States. - MARCIA ANGELL, M. D., Senior Lecturer in Social Medicine at Harvard Medical School, and former Editor-in-Chief, New England Journal of Medicine

"A valuable assessment. ... A no-holds-barred critique." - Kirkus Reviews

"An indispensable guide for professional and lay readers" - Library Journal

"Takes aim at the heart of the [DSM-5]." - USA Today

"Frances delves deeply into the history of mental illness, makes his arguements crisply, and has good personal stories to tell. He's articulate and learned. ... He's in favor of not medicating, and thus muffling, all the offbeat pain and beauty out of existance. ... [A] piece of intellectual skywriting." - Dwight Garner, New York Times

"Authoritative. ... Valuable. ... This is a detailed, nicely constructed account by a highly qualified and well-connected psychiatrist with intimate knowledge of the process. The book is clearly written and surprisingly easy reading." - The Royal Australian and New Zealand College of Psychiatrists