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A Comparison of DSM-IV and DSM-5 Panel Members' Financial Associations with Industry: A Pernicious Problem Persists

  • Lisa Cosgrove mail,

    Affiliations: Edmond J. Safra Center for Ethics, Harvard University, Cambridge, Massachusetts, United States of America, Department of Counseling Psychology, University of Massachusetts, Boston, Massachusetts, United States of America

  • Sheldon Krimsky

    Affiliation: Department of Urban and Environmental Policy and Planning, and Department of Public Health and Community Medicine, Tufts University, Medford, Massachusetts, United States of America

  • Published: March 13, 2012
  • DOI: 10.1371/journal.pmed.1001190

Reader Comments (4)

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Financial Associations not limited to Big Pharma

Posted by kelly1 on 28 Mar 2012 at 16:15 GMT

The authors make a number of important points in this essay, however it would have been made stronger had they included financial associations not limited to Big Pharma.

The insurance industry also has a considerable financial investment in the DSM-5 because the codes are generally used for billing and insurance through correlating ICD coding. Who is included and who is not may have a significant financial impact on insurers.

Disability insurers for example may have a two year policy limitation for mental illness vs lifetime benefits for organic disease. Diagnosing a mental disorder saves money. Disability litigators also use "expert" witness testimony as well in denial of benefits.

These publicly available financial disclosures can be found on the official APA website under APA DSM-5 Work Group Member Disclosure Reports.

Langbein, John H., "Trust Law as Regulatory Law: The Unum/Provident Scandal and Judicial Review of Benefit Denials under ERISA" (2007). Faculty Scholarship Series. Paper 484

No competing interests declared.