Alternatives to DSM & ICD

Using Psychological Formulation in Teams

In my first post I outlined the principles and practice of psychological formulation, which is one possible alternative to psychiatric diagnosis. I suggested that any genuine alternative needs to be based on the principle of restoring rather than obscuring (as diagnosis does) the meaning in madness. Formulation will already be a familiar idea to...
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Defining Disorder

Time for a New Tale: 411.07, Privileged Dystopian Syndrome

It is time for a new tale I’m proposing a novel diagnosis for the DSM-6. Yes, , Privileged Dystopian Syndrome. I hope the APA will move swiftly and assemble a committee to review this new proposal. In fact, throughout recent history, there are vast examples of how this sociomedical disease has wreaked havoc on individuals...
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Alternatives to DSM & ICD

Alternatives to Psychiatric Diagnosis: Psychological Formulation

I am pleased to have the opportunity to follow up some of the themes that have already appeared on this site, and to offer an outline of one possible alternative to psychiatric diagnosis: psychological formulation. First, I will supply some context from the UK. Background to the UK Division of Clinical Psychology’s call for...
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Alternatives to DSM & ICD

The Relational Diagnostic Assessment: A Peek At An Alternative

Working primarily with inner-city adolescents and their families since the mid-1970s, my colleagues and I at Change Inc. have developed a “common factors” approach to diagnosis and treatment that draws on the foundational theories reflective of relational, contextual and systemic mental health approaches. Our work emphasizes increasing the therapist’s awareness of the therapeutic relationship and encouraging...
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Alternatives to DSM & ICD

Towards a Universal Needs-Based System of Assessment

I’ve just recently become a member of the Global Summit on Diagnostic Alternatives, and I’ve really been enjoying the articles that I’ve read so far, appreciating that many of the authors here clearly share many of the same concerns and aspirations that I do. I found myself particularly appreciating the systems proposed by Peter...
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Defining Disorder

A stringently-scientific Communicational-Model for MI

In light of an overall communicational model for mental illness, the principles of the Scientific Method are necessarily employed: namely, (1) propose a hypothesis, (2) make predictions from that hypothesis, and (3) test the accuracy of the predictions within an experimental setting. According to Step (1), the major hypothesis has initially been established; namely,...
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Alternatives to DSM & ICD

The Communicational Factors Underlying the Mental Disorders

Very little has been said about the communicational factors underlying the mental disorders, which remains one of mankind’s most enduring mysteries. The widespread distribution of these disorders across the general population proves to be of crucial concern to the social safety net. Mental illness is primarily regarded as a physical disorder or a chemical imbalance,...
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Alternatives to DSM & ICD

What About Meaning?

DxSummit has seen several posts presenting exciting new ideas for classifying and diagnosing human problems. Peter Kinderman, for instance, has proposed a “problem list and formulation” approach in which clinicians list however many presenting problems a client brings to session. Jeffrey Rubin has put forward ideas for a “Classification and Statistical Manual of Mental...
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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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Alternatives to DSM & ICD

On Not Responding to DSM Apologists

One of the interesting features of our species is that smart folks who do not want to tell the truth, perhaps because they have a financial interest in not telling the truth, can argue smartly against whatever a truth-teller is saying and embroil the truth-teller in a time-consuming, pointless game where the truth-teller feels...
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