Alternatives to DSM & ICD

Reclaiming Diagnosis

The stated mission of DxSummit is “to generate a transdisciplinary, international, egalitarian conversation about the possibility, feasibility, and potential implications of new means for conceptualizing mental distress” (). For me, the goal is to reclaim the term “diagnosis” for psychotherapists and counselors in order to think about it in new and more generative ways....
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Alternatives to DSM & ICD

The One-On-One Program: A Remarkable Alternative to the Psychiatric Drugging of Our Youth

Today, when parents express a concern about their youth’s behavior, mood or attention span to a physician, typically within a matter of minutes this expressed concern is translated into a mental illness conceptualization using the DSM.  The parents are then sent on their way, prescription in hand. For those of us who believe that...
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Proposing Alternatives

A Tale of Two Epistemologies: Part 2

Thinking, Living and Practicing in Two Worldviews Relational Epistemology informs Justice oriented Clinical Practice As may be evident from the reflections in part 1, we think, live, and practice in two worldviews or epistemologies, the “scientific” “objective Realism” paradigm and the relational perspectival paradigm. We are more familiar with the former, underlying our not...
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Defining Disorder

A Commentary for the Holistic Politico-Psychological Model

For the solution-focused discussion of a child’s mental health needs and their well being within the context of a multi-professional planning or child in need meeting What we require as professionals is a naturalistic narrative about a client’s needs and opportunities for change rather than  a dysfunctional discussion of dubiously diagnosed disorders. -Dave Traxson,...
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Alternatives to DSM & ICD

An Adjunct Reference or Replacement for DSM

This newly released reference work is defined as a 3-digit coding system in the vein of the DSM-5 and ICD-10 series intended as an adjunct reference source or replacement. THE THEORETICAL BACKGROUND FOR THE DCE – I (An Expanded Narrative Excerpt from the Introductory Chapter One of DCE – I) A modest number of...
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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

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

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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