Diagnosis & Therapy

Mending the Broken Frame: Self-Narration in a Constructionist Framework

The communal construction of mental illness makes recovery a daunting challenge since society largely perceives the psychiatrically ill as ‘deficient’. Not only does one have to deal with the illness itself, one additionally has to deal with the perpetual stigma associated with the labeling, increasing the personal consequences of these illnesses. In my own journey through mental illness, I have repeatedly...
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Diagnosis & Therapy

Open Data, Patient Perception and Experience With Evidence

Fred Lee shares on uncommon connections and shared decision-making in medicine. Standardization and service are not enough. We all want to be more than a number. Experience in medicine shared decision-making matters. Can we make healthcare more like Disney World by focusing on experience and perception rather than entertainment or satisfaction scores. Let’s make...
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Diagnosis & Therapy

Interview with Dr. Sharna Olfman

Chloe Detrick interviews Dr. Sharna Olfman about her research on the subject of Attention Deficit Hyperactivity Disorder (ADHD) and gets her take on the diagnostic changes associated with the disorder in the DSM-5. Dr. Olfman is a Professor of Psychology at Point Park University in Pittsburgh, Pennsylvania and a licensed psychologist in private practice....
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Diagnosis & Therapy

Interview with Dr. Sanford Newmark

Chloe Detrick interviews Dr. Sanford Newmark, MD, about his research on the subject of attention deficit hyperactivity disorder (ADHD) and his thoughts on the diagnostic changes in the DSM-5. Dr. Newmark is a clinical professor in the Department of Pediatrics at the University of California San Francisco. He is also the founder and head of the Center...
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Diagnosis in Practice

The Mental Health Field Has A Branding Problem

For over two centuries, the mental health field, and psychiatry in particular, has actively cultivated a “brand,” distinguishing itself as a remedy for societal ills, largely by adapting its philosophy and methods to the dominant social agenda. In 1793, when Dr. Philippe Pinel initiated reforms in the Salpêtriere and Bicêtre Hospitals in Paris where...
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Diagnosis & Therapy

Side-Effects of Medical Encounters: the Pride/Shame System

Although seldom considered, medical encounters may have emotional effects on a client and/or the client’s social network. This essay expands upon a brief earlier statement by the physician Aaron Lazare (1987) who noted several ways that medical encounters may produce shame. The main point in this note is that ALL social encounters, not just...
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Diagnosis & Therapy

How to Measure Human Distress?

Why do doctors use the DSM? To anticipate and contain by categorizing and “labelling” madness. The latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was made public recently at the American Psychiatric Association conference in San Francisco. It is a text addressed to psychiatrists in need of terminology for measuring...
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Diagnosis & Therapy

The Classification Versus Diagnosis Debate

There has been an interesting discussion going on at the International Diagnostic Summit (). Dr Tim Carey, in his thoughtful post, “DSM – Unfit for Purpose,” informs us that The Diagnostic and Statistical Manual of Mental Disorders (DSM) …purports to be, first and foremost, a diagnostic manual. Diagnosis, as it is defined in Wikipedia,...
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Diagnosis & Therapy

A New Curriculum for Training Psychotherapists

If and when we move away from our current model of “diagnosing and treating mental disorders” and rethink what we are really offering clients to relieve their distress, it makes sense to begin to think about what a new curriculum for future mental health providers might look like. What might a core curriculum for...
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