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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Current Status of Dx

The Red Herring of Reliability

The issue of reliability regularly features in the DSM debate. Advocates of the DSM system report favorable reliability statistics in one or other of the various revisions (, Brown, Di Nardo, Lehman, & Campbell, 2001), while critics paint a different picture (, Timimi, 2011). Kirk and Kutchins (, 1992, 1997) have written extensively on...
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Current Status of Dx

When Language Goes on Holiday

Philosophical problems arise when language goes on holiday. –Ludwig Wittgenstein, Philosophical Investigations, section 38 In his provocative essay, Prof. Peter Kinderman comments as follows: Many of us have highlighted the poor reliability, validity, utility, epistemology and humanity of psychiatric diagnoses. Psychiatric diagnoses fail to map onto any entity discernible in the real world, fail...
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