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Politics, Profit, and Psychiatric Diagnosis

A Case Study of Tobacco Use Disorder

Bibliographic Data

ID11034752
AuthorsLaura Hirshbein (0000-0002-5771-0295, University of Michigan, corresponding author), Laura D Hirshbein (Laura D. Hirshbein is with the Department of Psychiatry, University of Michigan, Ann Arbor.)
Year2014
Volume104
Issue11
Pages2076-2084
Publication date2014-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.302125
PMID25211741
PMCIDPMC4202992
OpenAlexW2035866395
LanguageEN
Citations received2
References cited6

The idea of tobacco or nicotine dependence as a specific psychiatric diagnosis appeared in 1980 and has evolved through successive editions of the American Psychiatric Association’s Diagnostic and Statistical Manual. Not surprisingly, the tobacco industry attempted to challenge this diagnosis through behind-the-scenes influence. But another entity put corporate muscle into supporting the diagnosis—the pharmaceutical industry. Psychiatry’s ongoing professional challenges have left it vulnerable to multiple professional, social, and commercial forces. The example of tobacco use disorder illustrates that mental health concepts used to develop public health goals and policy need to be critically assessed. I review the conflicting commercial, professional, and political aims that helped to construct psychiatric diagnoses relating to smoking. This history suggests that a diagnosis regarding tobacco has as much to do with social and cultural circumstances as it does with science

Association (psychology) · Mental health · Nicotine · Political science · Politics · Psychiatric diagnosis · Psychiatry · Psychotherapist · Public health · Schizophrenia (object-oriented programming) · Tobacco industry · Global Public Health Policies and Epidemiology · Law · Medicine · Nursing · Pharmaceutical industry and healthcare · Psychology · Smoking Behavior and Cessation

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    Allan M Brandt•American Journal of Public Health•2012

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Unique citing works2
Citations per year0,2
Citation span2016 - 2016 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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