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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Proposing Alternatives

The Classification and Statistical Manual of Mental Health Concerns: An Alternative to the DSM that is Practical and Consistent with the Principles of Science

I have been enjoying reading the various posts at the International Diagnostic Summit ().  There, readers can examine well-articulated descriptions of the numerous faults of the DSM.  At the same time, there is an understanding that criticism is far more useful when, in addition to pointing out the faults of something, it is combined...
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Pressing Issues

Why Psychiatric Diagnosis Must Avoid Scientism (Part 3)

  In part II of my series on diagnosis, I argued that–if there are no clear boundaries separating “normal” from “abnormal”–then the claim, “Psychiatry is medicalizing normality” cannot be sustained: the argument is essentially devoured by its own premise. That is: if “normality” has no precise boundary in the realm of disease—including psychiatric disease—then...
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Critiques of Diagnosis

Can Evolutionary Theory Help Us Define Mental Disorder?

Note: Jerome Wakefield gave a presentation on his harmful dysfunction approach to defining mental disorders at SUNY New Paltz in March 2011. Jonathan Raskin served as discussant, and his response, reproduced here, remains highly relevant in light of ongoing debates about how the upcoming DSM-5 should define mental disorder. Video of both Dr. Wakefield’s and Dr. Raskin’s presentations...
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