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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Critiques of Diagnosis

Speaking in Code

The recent publication of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) has brought several new disorders into public consciousness while eliminating some old ones. As just two examples, Disruptive Mood Dysregulation disorder is in, but Asperger’s is out. The often-overlooked irony is that when it comes to diagnostic codes—the numeric or alphanumeric...
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Contrarian Concepts

DSM-5’s Somatic Symptom Disorder: From Medical Enigma to Psychiatric Sphinx

From there, after six days and seven nights, you arrive at Zobeide, the white city, well exposed to the moon, with streets wound about themselves as in a skein. They tell this tale of its foundation: men of various nations had an identical dream. They saw a woman running at night through an unknown...
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Contrarian Concepts

Deconstructing Psychiatry’s Ever-Expanding Bible

Recent studies have called into question the fifth and latest version of psychiatry’s Diagnostic and Statistical Manual’s creation of new diagnostic entities and categories that are scientifically unsubstantiated and that over-pathologize vulnerable populations such as young children and the elderly. In an earlier blog post, I criticized the DSM-5 for pathologizing grief by classifying...
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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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