Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.

Ex Input:
Paragraph: Use of such pills, which include Sanofi SA’s Ambien and other similar drugs, was significantly higher for those in their 50s as well as age 80 and older, according to the findings from the Centers for Disease Control and Prevention. Overall about 8.6 million people, or 4 percent of U.S. adults reported recently using sleep medication, CDC’s National Center for Health Statistics said in a report. But data showed higher use among middle-aged adults ages 50 to 59 and the elderly. Six percent of those ages 50 to 59 said they had taken a prescription sleep pill in the last 30 days, and 7 percent of those age 80 and older reported such use. In between, the numbers dip slightly below 6 percent for those in their 60s and 70s. In comparison, just 2 percent of those aged 20-39 said they had recently taken a sleep aid. CDC researcher Yinong Chong said people in their 50s could have trouble sleeping because of work and family stress. “It gives the picture of a sandwiched group who has family, not only children but also probably elderly parents but still you’re likely to be in the workforce, so you get squeezed at both ends in terms of family responsibility and job responsibility,” she said. Sleep may improve when people retire before potential chronic health problems kick in and begin interfering with sleep, Chong said, adding more study is needed. The data also showed that 5 percent of women surveyed said they had recently taken a sleep aid compared to about 3 percent of male respondents, according to CDC’s report. Chong said it was not clear why women were more likely to use the drugs. While previous data have tracked prescriptions dispensed for sleep aids, the CDC said its study is the first based on a survey of actual use of such drugs. Researchers for the Atlanta-based health agency’s National Center for Health Statistics questioned a sampling of adults age 20 and older about whether they had used prescription sleep aids within the last 30 days and asked participants to show interviewers the prescription medication. “You get how many people are actually using them,” Chong said in an interview, noting that prescription data could include multiple prescriptions for one patient or prescriptions that are never filled or even used. “This is actual use.”  Prescription sleep aids have become somewhat controversial because their effect can linger even after some patients wake up. The U.S. Food and Drug Administration has begun taking a closer look at sleep drugs, ordering lower-doses for Ambien and similar pills amid concerns that their active ingredient remained in patients’ blood the following morning at levels high enough to make driving and other activities dangerous. And just last month, the FDA rejected an experimental sleep drug from Merck & Co Inc, saying the proposed doses were not safe but that a lower-dose version might be acceptable. Not surprisingly, respondents to CDC’s study who said they slept five hours or less each night or those diagnosed with a sleep disorder were more likely to report using prescription aids. Additionally, more whites and people with higher levels of education also reported greater use, the agency said. Socioeconomic factors are likely behind those numbers, Chong said, since patients must be able to afford a doctor’s care and the medication. According to prescription data from IMS Health, Ambien and other versions of the drug zolpidem was ranked 15th among the most dispensed medications in the United States. Claim: Use of sleeping pills highest among older Americans: CDC.

Ex Output:
Older U.S. adults, particularly women, are more likely to use prescription sleep medications to try to get the minimum seven hours of sleep experts generally recommend, U.S. data released on Thursday showed.


Ex Input:
Paragraph: "In a discussion on MSNBC's  Hardball  program about whether the government ought to consider prosecuting people involved in enhanced interrogation techniques used on some terror suspects, former U.S. Rep. Duncan Hunter, a Republican from California, argued that the issue really comes down to waterboarding. ""And,"" he said, ""waterboarding is not torture."" In fact, said Hunter, a Vietnam veteran and former candidate for president, ""We waterboard, incidentally, hundreds of our own military personnel. They waterboard themselves in training to toughen themselves up."" He added, ""The Geneva Convention .. .was analyzed by the lawyers in place, and they came to the conclusion, especially about waterboarding, because that's the primary thing, that, since we do it to our own soldiers, by the hundreds, incidentally, and it doesn't hurt them, and they — and it makes them tougher, and it doesn't hurt anybody — Khalid Sheikh Mohammed gained weight after he was waterboarded — we decided that, since we do that to our own soldiers in training... we‘re not going to consider that torture. "" Hunter later challenged host Chris Matthews saying, ""But the point is, if we do it, are we torturing American soldiers? You have to answer yes if you consider waterboarding to be torture."" Matthews said the difference is that U.S. service people know they are in training. They know they aren't going to be killed. ""That captured person who is one of our enemies has no idea what we‘re doing when we submit him to water torture."" Said Hunter: ""If we use it with our own soldiers in training, as we do waterboarding, then it should be allowed with people who have killed thousands of Americans."" We decided to examine Hunter's claim about waterboarding our service personnel as part of their training and found that he is right. U.S. special operations troops have, in the past, sometimes used a form of waterboarding as part of survival exercises, called Survival, Evasion, Resistance and Escape training. The idea is to prepare them in the event they are ever captured and interrogated with such means. According to reports in the  New York Times  and  Vanity Fair,  the CIA adopted some of the interrogation techniques used on terror suspects from that SERE training, including the use of waterboarding. According to the  Vanity Fair  story, three-week SERE training for the U.S. soldiers included waterboarding, forced nudity, extreme temperatures, sexual and religious ridicule, agonizing stress positions, and starvation-level rations. The story quotes Michael Rolince, former section chief of the FBI's International Terrorism Operations: ""You're not going to die, but you think you are."" But while the techniques may have been derived from SERE training, a different, more intense brand of waterboarding was used on terror suspects, according to recently released CIA documents. According to a May 7, 2004, CIA Inspector General special report on interrogation techniques used on terror suspects, which has some parts redacted, ""OIG’s (Office of the Inspector General's) review of the videotapes revealed that the waterboard technique employed at (redacted) was different from the technique as described in the DoJ (Department of Justice) opinion and used in the SERE training. The difference was in the manner in which the detainee’s breathing was obstructed. At the SERE School and in the DoJ opinion, the subject’s airflow is disrupted by the firm application of a damp cloth over the air passages; the interrogator applies a small amount of water to the cloth in a controlled manner. By contest, the Agency interrogator (redacted) continuously applied large volumes of water to a cloth that covered the detainee’s mouth and nose. One of the psychologists/interrogators acknowledged that the Agency’s use of the technique differed from that used in SERE training and explained that the Agency’s technique is different because it is 'for real' and is more poignant and convincing."" The report also says the CIA's Office of Medical Services has characterized the SERE waterboarding as ""so different from the subsequent Agency usage as to make it almost irrelevant."" The office said its frequency and intensity raised questions about whether it was effective or medically safe. So we think Hunter misleads a bit by equating waterboarding in training of military personnel with the technique used on terror suspects. According to the CIA inspector general's report, the technique used on the suspects was more powerful and convincing. And in the case of one terror suspect, it was used 183 times, often in rapid succession. So to argue the technique isn't torture because it is used on American servicemen as part of training ignores that it was not used in the same way. Still, Hunter is correct that the U.S. military has waterboarded servicemen as part of survival training. And so we rule his statement ." Claim: We waterboard, incidentally, hundreds of our own military personnel. They waterboard themselves in training to toughen themselves up.

Ex Output:
Duncan Hunter says we have waterboarded our own military as part of training exercises


Ex Input:
Paragraph: But to the psychiatrist who shepherded the tortuous creation of the “Diagnostic and Statistical Manual of Mental Disorders,” perhaps the single most important number is the “5” in its title: This is the DSM-5, not the DSM-V.  That may seem like a cosmetic change, but the American Psychiatric Association, which will release the book on Saturday at its annual meeting, decided to use Arabic instead of Roman numerals because “we want it to be a living document,” said Dr David Kupfer of the University of Pittsburgh, the chairman of the task force that produced the DSM-5. Rather than waiting another generation to revise the manual - the DSM-IV was published in 1994 - psychiatrists will regularly update it with, for example, findings from genetics and neuroscience, labeling the revisions DSM-5.1 and DSM-5.2 and so on. “We used ‘5’ because V.0 and V.1 just don’t look good,” said Kupfer. The fact that the world’s most powerful psychiatrists (their decisions determine what counts as a mental disorder, and thus what insurers cover and which children receive special services in school) are already building in ways to change the manual is commendable, even its critics say. But it is also emblematic of the DSM-5’s failures, they argue, which include turning normal human behavior and feelings into mental illnesses, and expanding the criteria for disorders until an astonishing one in four U.S. adults has a diagnosable mental illness every year - and even more do over a lifetime. The latest revision began in 1999 with high hopes for putting mental illness on a scientific footing, using neuroscience in particular to tell the difference between, say, normal sadness and major depression. That reflected persistent criticism that “drawing a line between sickness and disease is a special problem in psychiatry,” said psychotherapist Gary Greenberg, who participated in the “field trials” that tested the DSM-5’s proposed diagnostic criteria before they made the final cut. “We don’t have blood tests or other objective criteria to distinguish mental sickness from health. So you have a set of criteria that are very common, which means the potential for many people being diagnosed as mentally ill when they’re not.”  The 1,500 experts who contributed to the DSM-5 would have liked nothing better than to base diagnoses on genetics or neuroscience, rather than on subjective judgment and lists of mostly self-reported symptoms such as fear of acting “in a way that will be negatively evaluated” (social anxiety disorder) or approaching and interacting “with unfamiliar adults” (disinhibited social engagement disorder in children). “It would be great if we had been able to have a paradigmatic shift” by basing the diagnosis of mental illness on biology, as the APA hoped to when it began the DSM-5 process, said Dr Jeffrey Lieberman, chairman of psychiatry at Columbia University and president-elect of the APA. But the science did not arrive in time. “The DSM can only reflect the research we have,” said Lieberman.” With rare exceptions such as narcolepsy, which can be diagnosed by testing cerebrospinal fluid, there are no objective biological measures for mental illness. This lack of scientific rigor led the nation’s leading mental health official to attack the DSM-5 for a “lack of validity,” as Dr Thomas Insel, director of the National Institute of Mental Health, said in a blog post late last month. The manual bases diagnoses on symptoms, he noted, but “symptoms alone rarely indicate the best choice of treatment.” Allergies and flu share some symptoms, for instance, but no doctor would try to treat flu with an antihistamine. “Patients with mental disorders deserve better,” said Insel, who announced that “NIMH will be re-orienting its research away from DSM categories.”  Pittsburgh’s Kupfer shrugged off this attack. “NIMH expressed that a couple of years ago,” he said. “It would be a mistake to reify the DSM for research purposes.”  “Reification” has become a buzzword among the DSM’s critics. In this context, it means “taking a concept and turning it into a reality,” said Greenberg, whose new book, “The Book of Woe: The DSM and the Unmaking of Psychiatry” argues that the manual and the process behind it are hopelessly and dangerously flawed. “The categories are not reliable in a biological sense.”  That can cause harm to people who are labeled “mentally ill” when all they have is a variation of normal human behavior, said Greenberg. “The sphere of normality has to have room for some distress, which is part of being human.”  On a practical level, “once you have a diagnosis in your medical record you can have trouble getting insurance or a security clearance, and it changes how you think of yourself,” said Greenberg. BLACK-BOX WARNING  Changes that make it easier to qualify as mentally ill - fewer symptoms, lasting for a shorter time - have drawn the most impassioned criticism of the DSM-5. Dr Allen Frances, the psychiatrist who led the development of the last DSM and who has emerged as the new one’s fiercest and most eminent critic, warns of a “hyperinflation” of diagnoses and calls for “a black-box warning” in the dozen or so most controversial changes, much like the black-box warning that regulators require on the labels of potentially dangerous drugs. The black box, he said in a 2012 essay, would indicate the risks of calling people who engage in binge eating, for instance, or who grieve a dead child mentally ill, and would serve as “an admission that the change is a hypothesis,” not a scientific fact. The new DSM does not include more disorders than its predecessor, said Lieberman, “and it shouldn’t increase the number of people who warrant a diagnosis of mental illness.”  The changes it does make, however, could have far-reaching consequences. It classifies compulsive gambling as an addiction, the first behavior to be so categorized. That could make it easier for pathological gamblers to get help, said Jeff Beck of the New Jersey Council on Compulsive Gambling and a recovering gambling addict. The new manual also breaks out compulsive hoarding from obsessive-compulsive disorder and makes it a stand-alone disorder. That should tell clinicians that treatments that work in OCD are not the best way to treat hoarders, said psychologist Randy Frost of Smith College, who has developed a unique therapy for hoarding. One of the more controversial changes was to eliminate the previous DSM’s “bereavement exclusion” for depression. Now, if a father grieves for a murdered child for more than a couple of weeks, he is mentally ill. A footnote in the DSM-5 explains that “the inability to anticipate happiness or pleasure” in such a situation is a diagnostic criterion for the mental disorder of depression. To some, this smacks of pathologizing a normal, understandable human reaction. “This completely leaves the person out of the equation and turns people into patients,” said psychotherapist Eric Maisel, a critic of the DSM. “The DSM claims that an unwanted, distressing feeling is a sign of a disorder rather than being just a feeling, and it isn’t at all interested in whether your circumstances could have caused those feelings.”  It is important to consider circumstances, he said, because if someone experiences deep anxiety as a result of losing her job, becoming ill or facing foreclosure, “the remedy shouldn’t be a pill,” the usual outcome of a diagnosis of “generalized anxiety disorder.”  The DSM-5 will likely reduce diagnoses of autism spectrum disorders (ASD). It eliminated Asperger’s syndrome and tightened the ASD criteria. While no one wants to see children incorrectly labeled, said Katie Weisman of the patient advocacy group Safe Minds, “children who were borderline cases under the previous DSM now won’t get a diagnosis, which means they won’t be eligible” for early, intensive behavior therapy - or won’t have it paid for by insurance. A mother of triplets on the autism spectrum, Weisman says “I’m not sure my boys would be where they are today” - in regular school classrooms, not special education - “without these services.”  Whether the critics’ fears come true will become clear only once psychiatrists, psychologists and even primary-care providers - who write the majority of prescriptions for drugs to treat mental illness - begin using the new DSM. “We’re trying to establish accurate and reliable guidelines, and you can’t completely control how they’re applied,” said Columbia’s Lieberman. “The problem is not with the instrument but with the way it’s used.” Claim: "Psychiatrists unveil their long-awaited diagnostic ""bible""."

Ex Output:

The long-awaited, controversial new edition of the bible of psychiatry can be characterized by many numbers: its 947 pages, its $199 price tag, its more than 300 maladies (from “dependent personality disorder” and “voyeuristic disorder” to “delayed ejaculation,” “kleptomania” and “intermittent explosive disorder”), each limning the potential woes of being human.