Current Status of Dx

A Psychological Vision of Life Beyond the Disease Model

It’s easy to become jaded about academic conferences. You fly at enormous expense across many time-zones to enjoy the dubious delights of corporate tourism – natural Edens questionably enhanced by international capitalism with a thin veneer of local colour. To justify the tawdry tourism, we see poorly-attended seminars presenting work that hasn’t (yet) managed...
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Current Status of Dx

Replies, Replies, to Dr. Pies

It would be a shame if Dr. Pies stops contributing to this debate. I think we’re addressing important things here, and debate between well-meaning people with different opinions is often very illuminating. That said, we shouldn’t get into ‘tit-for-tat’. But I think we should continue to talk. I completely agree with Dr. Pies’ suggestion...
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Current Status of Dx

Language is Important – A Reply to Ronald Pies

Dr. Ronald Pies is, characteristically, correct in pointing out that language is important. Elegant language should be used to explain and contextualize the evidence of empirical research, not to obfuscate and not to serve as an alternative to scientific analysis. So I am sorry that Dr. Pies was confused, rather than inspired, by my essay....
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Current Status of Dx

Problems, Explanations, and Solutions

Politicians and the powerful often want you to think that “there is no alternative”. And one of the curious things about psychiatric diagnosis is that people seem to have great difficulty in contemplating an alternative way of doing things … despite the fact that alternatives are ubiquitous and straightforward. As I set out to...
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Current Status of Dx

So…What Happens Next?

The idea that we’re on the cusp of a major paradigmatic shift in our thinking about psychiatric disorders is gaining ground. The proposed revision of the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM) of Mental Disorders franchise – DSM-5 – has prompted world-wide debate and discussion. The debates have identified serious inadequacies in the...
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