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A new edition of what's called the "Bible of Psychiatry" has doctors and scholars exchanging scathing attacks, with potential consequences for patients, insurance companies and courts of law. We hear what the so-called "DSM-5" could mean for a profession that's based more on informed opinion than science. Also, the I-5 bridge collapse north of Seattle, and a Florida girl who's just turned 18 has refused a plea bargain on charges involving her same-sex relationship with a 14-year-old.

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Making News I-5 Bridge Collapse North of Seattle 7 MIN, 30 SEC

After years of warnings about the decline of America's infrastructure, the Skagit River Bridge on Interstate 5 in Washington State collapsed last night when a truck with an oversized load struck a steel beam. Dan Sligh, who was driving one of two cars that were dumped into the Skagit River, said "When the dust hit, I saw the bridge start to fall at that point and the forward momentum just carried us right over." Kim Murphy is Seattle Bureau Chief for the Los Angeles Times.

Kim Murphy, Los Angeles Times (@kimmurphy)

Main Topic Will the DSM-5 Redefine Who's Normal and Who's Not? 33 MIN, 50 SEC

The Diagnostic and Statistical Manual of Mental Disorders, the DSM, is an important book for psychiatrists and their patients. Published by the American Psychiatric Association in 1994, the fourth edition has had enormous influence: helping doctors determine which patients are well and which are mentally ill.  In cases of illness, the DSM recommends appropriate treatments, including medicines. Wednesday's publication of the DSM-5 has divided the psychiatric profession. But high profile critics claim it's a recipe for over-diagnosis and excessive medication to the benefit of a professional clique and drug manufacturers. With an absence of scientific understanding of how the brain really works, are there better alternatives? We hear a variety of opinions.

Michael First, Columbia University (@ColumbiaPsych)
Allen Frances, Duke University (@AllenFrancesMD)
Gary Greenberg, psychotherapist and journalist (@bookofwoe)
Marla Deibler, Center for Emotional Health of Greater Philadelphia (@DoctorDeibler)

The Book of Woe

Gary Greenberg

Reporter's Notebook Lesbian Teenager Faces Statutory Rape Charge 9 MIN, 23 SEC

A Florida girl who just turned 18 has refused to accept a plea bargain on charges of lewd and lascivious battery, stemming from her admitted and ongoing sexual relationship with another girl who's 14. Kaitlyn Hunt has become a cause célèbre for gay rights since she was arrested. Her mother, describing the relationship that began before her daughter turned 18, Last night, Kaitlyn's mother, who has five daughters, said of the relationship that began before her daughter turned 18, "I didn't consider it wrong or criminal at all.  So I'm definitely learning a lot of things right now."

Emily Bazelon, New York Times Magazine / Yale Law School (@EmilyBazelon)
Nadine Smith, Equality Florida

Sticks and Stones

Emily Bazelon


Warren Olney

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