The Clinical Features of Paranoia in the 20th Century and Their Representation in Diagnostic Criteria From DSM-III Through DSM-5

This review traces, through psychiatric textbooks, the history of the Kraepelinian concept of paranoia in the 20th century and then relates the common reported symptoms and signs to the diagnostic criteria for paranoia/delusional disorder in DSM-III through DSM-5. Clinical descriptions of paranoia appearing in 10 textbooks, published 1899 to 1970, revealed 11 prominent symptoms and signs reported by 5 or more authors. Three symptoms (systematized delusions, minimal hallucinations, and prominent ideas of reference) and 2 signs (chronic course and minimal affective deterioration) were reported by 8 or 9 of the authors. Four textbook authors rejected the Kraepelinian concept of paranoia. A weak relationship was seen between the frequency with which the clinical features were reported and the likelihood of their inclusion in modern DSM manuals. Indeed, the diagnostic criteria for paranoia/delusional disorder shifted substantially from DSM-III to DSM-5. The modern operationalized criteria for paranoia/delusional disorder do not well reflect the symptoms and signs frequently reported by historical experts. In contrast to results of similar reviews for depression, schizophrenia and mania, the clinical construct of paranoia/delusional disorder has been somewhat unstable in Western Psychiatry since the turn of the 20th century as reflected in both textbooks and the DSM editions

Labor Solidarity In the New World Order: The UMWA Program in Colombia

[Excerpt] Globalization of capital is not a new problem, but it is a persistent and growing one. Capital\u27s ability to search the world over for the cheapest labor enables corporations to maintain oppressive working conditions and leads to downward pressures on living and working standards throughout the world. U.S. coal miners and their union, the United Mine Workers of America (UMWA), realized many years ago that waging struggles in this country was not enough to successfully deal with the reality of job and capital flight to repressive, low-wage countries. Just using the old methods won\u27t work anymore. We must also join forces across industry lines and national boundaries if we want to be successful. And we must come up with new and creative means to confront corporate power. But it often takes years of developing relationships and working together to develop the close bonds and trust that are necessary for effective solidarity. The UMWA has been forging these bonds with the Colombian mine workers\u27 union, Sindicato de los Trabajadores del Intercor (SlNTERCOR), since 1988. Forging alliances is only half the work of effective international solidarity. Unions also need comprehensive strategies that attack corporations from every possible angle. Only by employing an arsenal of different approaches can we ever hope to confront a multinational corporation as huge and powerful as Exxon