the allowing the explosion of psychiatric diagnoses in dsm-iv and expanding the dsm-v. he fought a losing battle trying to prevent the dsm-v from growing even bigger. where do you stand on that? >> i think that all through the 200 years i have looked at the problem of what someone has called diagnostic can be seen. it happened in the asylum era, a lot of people got scooped up and probably could have been cope with in other ways, cope with, in other ways -- coped with in other ways. the dsm is the diagnostic and statistical manual. you have to have it to get insurance reimbursement and be diagnosed as mentally ill. alan francis was the editor in chief of the fourth edition, he said he created an nightmare in respect to autism which exploded in numbers. that was a controversial thing to say. for parents with an difficult child -- with a difficult child, access to that diagnosis was actually something that they so ught because our educational advantage and things they have were not have gotten. when it was leaked that the tax force was considering changing the boundaries t

the new generation of ssri, allen frances was like helped write one of the earlier versions of the dsm he said that when the new antidepressants ssri replace the previous, everyone was like, these are amazing. there's no side effects. and he felt like, what does that say about our culture that like this really extreme side effect is just like no one really cares to talk about it? yeah, i mean seriously that could be a whole other book as well another really interesting thing that i had never heard before. i read your book was. i mean, the thing that i'd always heard was that when biochemical for mental illness became preeminent over psychological ones, that one of the things that people said about that was that it would reduce stigma that it wasn't, you know, both stigma of like, it's not you being lazy, feckless or something. and also your family. like it's not the refrigerator any more who's causing your illness. it's it's just the chemicals in your brain that i'd heard. but what i never heard before. you said that, that the effect of this explanation has been different for different

there is the etf or the stock index which that's based, there's such a divergent path, but the big one dsm fantastic. it has all the elements of a bearish to bullish reversal. >> what do you think >> smh has run back to that level previously before this big move higher. you can check with carter and get his insights there i would echo the other two analysts in terms of tsm and the fact we have seen some of this higher beta stuff catch lately i 100% agree with the cyclical of the space and using it as a hedge. i would likely slide this as in terms of the maturity of it. >> michael asked a question since that's the popular semi stock of the segment. how do you view the impact of the rally in china and how that rally reverses is that correlated >> there's definitely correlation. all the chinese stock and that's a slightly different situation than taiwan semis. these things were so beaten up basically on bad china news, they had nowhere to go but up. they were so cheap relative to their peers in almost any geographic region. in many cases they're going to be competing for many of the same sort

he could never understand when the new generation of ssris, ellen dances had earlier versions of the dsm and he said when the new antidepressants were would replace the previous generation everyone was like this is amazing, there's no side effects . what does that say about our culture that this really extreme side effect is something no one cares about. >> that could be a wholeother book . . another really interesting thing that i had never heard before i read your book, was i mean, the thing i'd always heard that when biochemical explanations for mental illness becamepreeminence over psychological ones , that one of the things that people said about sthat was that it would reduce stigma. the stigma of you, it's not you being lazy or feckless and also towards your family. it's not like the refrigerator mother anymore who's causing illness, it's just the chemical in your brain. what i hadn't heard before if you said the effect of this explanation has been different for different kinds of patients . so whereas with rich white patients like your character laura it is experienced as a reduc

i will be thinking the next couplebo months which has become a huge industry the one exception of dsm-iii to be a theoretical. that was ptsd. that had a very clear ideology it was not a brain disease but the product of a traumatic experience. that first emerged among vietnam veterans and they allied themselves with two harvard psychiatrist who were sympathetic to them. and they browbeat spitzer and eventually they succeeded to appoint. but they wanted to call it post- vietnam syndrome. but spitzer was not having any of that so as posttraumatic stress disorder. and overtime and what makes sense to me intellectually with women who were victimized by rape or sexual assault a very profound change in their identities like the aftermath of texas but pretty soon my college student is upset by what they are asked to read and we need trigger warnings and then if not we will suffer from ptsd. that diagnostic creep is very dangerous and there always will be people willing to pay under because if we supply that publicly there will be even more. what do you say david quick. >> ditto. [laughter] thank

. >> does the dsm recognize pathological liars? >> no, it doesn't.ot recognized as a disorder. it can be seen within some brain disorders, and that comes from excessive drinking. aside from that kind of pathology, it can also be seen within certain personality types, psychopathy, people who are sociopaths can also have one aspect of that pathological lying. in those cases, again there is the intent to deceive, to harm someone, whereas this, the lies are so extensive and so convoluted and pretty much about nothing real or nothing important that the intent isn't always to deceive people or harm someone. >> quick final answer if you can do it in 30 seconds. is it treatable, pathological lying? >> it is, but with a lot of psychotherapy. people have to understand. they need empathy training to see how their lies affect other people and they also need help even recognizing when they are telling a lie. so you have got to switch it to what did you lie about to what didn't you lie about today. and one other thing that i want to say that's really important, i

dsm, the diagnostic bible, nothing pathological, doesn't exist. that does not exist. in there about pathological lying but it's a symptom of borderline personality, narcissistic disorder. a symptom of something else and debating whether or not it should be its own problem. >> i haven't read your book bet read a lot about it and your story. fascinating. a really intelligent person and you got duped and a lot of voters got duped. failure on journalists, the media for not seeing this, on everyone, but why do you think so many voters were able to be duped by him, on every level? >> because people seep what they want to see and the biases are exactly where you want them to do. if you like donald trump, say, ah what he did, fine. no prop with the documents. you like biden, no problem with what he did. see what we want to see and believe what we want to believe. what? 142,000 people voted for santos. what i don't understand is how he was able to -- get elected -- get in office. why nobody said after the articles came out about him, why nobody said, no, you're out. >> constit

and effort at the dsm related to appeals filed at the board of appeals i'm not sure if this came out as clearly in the presentation and finally to relate in the different way the other night i saw an early screening of living. . which has opened and playing at the plaza, which is an older person in early 1950s. london. who actually heads when appear to be the permit section. very muches people asking permits and bureaucrats at the time using file fold and arguing about whether the permit is appropriate in public works or the park's department or the schools department, well is a lot of paddling the in terms of permit requests. >> 30 seconds j. interesting and i would encourage everyone to check out this film. folks who work at bs m and dpw. those are my thoughts on this issue. thanks for listening. >> thank you, caller. that concludes public comment on this over view of with item 5. further discussion on this item? we now move on to item 6. secretary fuller call that item. >> item 6, the public works director hiring update. and chair post will provide this update and it is an informa

and effort at the dsm related to appeals filed at the board of appeals i'm not sure if this came out as clearly in the presentation and finally to relate in the different way the other night i saw an early screening of living. . which has opened and playing at the plaza, which is an older person in early 1950s. london. who actually heads when appear to be the permit section. very muches people asking permits and bureaucrats at the time using file fold and arguing about whether the permit is appropriate in public works or the park's department or the schools department, well is a lot of paddling the in terms of permit requests. >> 30 seconds j. interesting and i would encourage everyone to check out this film. folks who work at bs m and dpw. those are my thoughts on this issue. thanks for listening. >> thank you, caller. that concludes public comment on this over view of with item 5. further discussion on this item? we now move on to item 6. secretary fuller call that item. >> item 6, the public works director hiring update. and chair post will provide this update and it is an informa