Pressing Issues

A biopsychosocial model based on negative feedback and control

Although the biopsychosocial model has been a popular topic of discussion for over four decades it has not had the traction in fields of research that might be expected of such an intuitively appealing idea. One reason for this might be the absence of an identified mechanism or a functional architecture that is authentically...
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Defining Disorder

Finding Normal

There’s an old joke that goes something like this: How many psychologists does it take to change a light bulb? Answer – One. But only if the light bulb wants to change! It’s a cute joke but in the context of discussions about mental health disorders, a better answer might be: One. But only...
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Alternatives to DSM & ICD

Mental Health and Control: Consideration of a Genuine Paradigm Change

There is widespread agreement in the mental health field that change is required. There is much less agreement, however, on what it is that needs to change. Some have gone so far as to call for a paradigm shift, although it’s not entirely clear what paradigm we are currently in much less which paradigm...
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Current Status of Dx

The Red Herring of Reliability

The issue of reliability regularly features in the DSM debate. Advocates of the DSM system report favorable reliability statistics in one or other of the various revisions (, Brown, Di Nardo, Lehman, & Campbell, 2001), while critics paint a different picture (, Timimi, 2011). Kirk and Kutchins (, 1992, 1997) have written extensively on...
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