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Strengths and limitations of the psychiatric classification system
Strengths and weaknesses of dsm classification of mental health
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Classification of Abnormal Behavior In an effort to better understand and to treat abnormal behavior, certain methods are utilized to classify abnormal behavior. Classification of abnormal behavior can allow for professionals to garner a better understanding of mental disorders and the symptoms associated with them. The process of classification must meet specific standards, and from there, a professional is able to refer to tools to help them accurately label one's mental disorder. There are various methods that aid mental health professionals in their process of classification; such methods include observations, interviews, mental status examinations, psychological tests and inventories, projective personality tests, self-report inventories, …show more content…
A few types of reliability include: test-retest reliability, internal consistency reliability, and interrater reliability. Test-retest reliability is the measure of whether a procedure yields the same results when originally tested and when retested at a later time. A test would not be considered reliable if the results were not stable after multiple retests. Furthermore, internal consistency reliability describes the requirement that the different sections of a test yield consistent results. For instance, if a test is administered to assess depression, each section of the test must be relevant to depression. Moreover, interrater reliability refers to the consistency of scores of the same tests when administered by different mental health professionals (Sue et al, 2016, p. …show more content…
The DSM is a list of all of the various mental disorders and what characteristics are used to classify them, based on behavior as well as physical and emotional criteria. Furthermore, in an effort to remain relevant and accurate, the DSM is updated periodically; the most recent version, DSM-5 was published in 2013. DSM-5 has over two hundred disorders listed, which is drastically different from the two categories, idiocy and insanity, that were present in 1840 (Sue et al, 2016, pg. 90). While the DSM-5 has scored fairly well in terms of reliability and validity, it is not without criticism (Sue et al, 2016, pg. 91). One criticism is that the lack of communication in the revision process does not allow for others to offer feedback to improve the tool. Furthermore, the DSM-5 did not follow the typical process of introducing new disorders by adding it to a section called "conditions for further study". Rather, it skipped that process and just added new disorders without further examination. Another critique is that the decrease of required symptoms can lead to misdiagnoses (Torres,
...s that the DSM can also falsely determine ones specific mental health, showing the struggle between diagnosing someone with genuine disorders and excessively diagnosing individuals.
The DSM has been found to be somewhat bias. There are some pros and cons to the DSM as well. Some have found that it leads to uniform and improved diagnosis, improves informed professional communication through uniformity, and provides the basis for a comprehensive educational tool. While others believe it can lead to diagnostic labels, by providing limited information on the relationship between environmental considerations and aspects of the mental health condition. Lastly, it does not describe intervention strategies (Wakefield,
According the fourth edition diagnostic manual of mental disorders (American Psychiatric Association, 2000), the category psychotic disorders (Psychosis) include Schizophrenia, paranoid (Delusional), disorganized, catatonic, undifferentiated, residual type. Other clinical types include Schizoaffective Disorder, Bipolar Affective Disorder/Manic depression, mania, Psychotic depression, delusional (paranoid) disorders. These are mental disorders in which the thoughts, affective response or ability to recognize reality, and ability to communicate and relate to others are sufficiently impaired to interfere grossly with the capacity to deal with reality; the classical and general characteristics of psychosis are impaired reality testing, hallucinations, delusions, and illusions. Mostly, these are used as defining features of psychosis even if there are other psychotic symptoms that characterise these disorders (L. Bortolotti, 2009).
The DSM-5 lists approximately 400 mental disorders, each one explains the criteria for diagnosing the disorder and key clinical features, and sometimes describes features that are often times not related to the disorder. The classification is further explained by the background information such as: research findings, age, culture, gender trends, and each disorder’s prevalence, risk, course, complications, predisposing factors, and family patterns (Comer, 2013, pp.100).... ... middle of paper ... ...
Frances, A., & Ross, R. (1996). DSM-IV case studies a clinical guide to differential diagnosis. Washington, DC: American Psychiatric Press, Inc.
Allen Frances spends his time concluding his thoughts about the DSM and diagnostic inflation in the third part of “Saving Normal”. Frances appears to be passionate about reducing over-diagnosing and unnecessary medication. Frances did a good job providing us with ways that can change the future of diagnosis. Having a complete culture change will be difficult, but we can begin by educating ourselves.
Identification of any psychosocial or contextual factors to be considered, as outlined in the DSM-5
There are multiple criteria that come into play when determining a psychological disorder. One reason is because, it is hard to know for sure if an action is abnormal or not. Something could be abnormal in our country, but a custom in another. According to Psychology in Action, “[r]ather than being fixed categories, both “abnormal” and “normal” behaviors exist along a continuum, and no single criterion is adequate for [i]dentifying all forms of abnormal behavior” (Huffman). There are four criteria used to determine whether a behavior is abnormal.
1. Your uncle consumes a quart of whiskey per day; he has trouble remembering the names of those around him.
Classification refers to the procedure in which ideas or objects are recognized, distinguished and understood. Currently, two leading systems are used for grouping of mental disorder namely International Classification of Disease (ICD) by World Health Organization (WHO) and the Diagnostic and Statistical Manual of Mental disorders (DSM) by the American Psychiatric Association (APA). Other classifications include Chinese classification of mental disorder, psycho-dynamic diagnostic manual, Latin American guide for psychiatric diagnosis etc. A survey of 205 psychiatrists, from 66 different countries across all continents, found that ICD-10 was more customarily used and more valued in clinical practice, while the DSM-IV was more valued for research [1].
When I think of abnormal behavior, the first thing that comes to mind is one of my aunt’s. She committed suicide when I very young, so early 1970’s. As I got older, inevitably stories of her would arise during holiday get togethers. She was married with three children and in her early thirties, residing in Florida, when she walked out and away from her husband and small children. For over a year, no one knew what happened to her, she made no effort to contact anyone. Eventually, the Salvation Army somewhere in Michigan called my grandmother and they sent her home on a bus. She never returned to her husband or children. The doctors diagnosed her as a paranoid schizophrenic. My mother told me that when she was on her medication she was fine, but once she felt “fine”, she would stop her medication. When the medication left her system, she became anxious and afraid. She once chased my grandmother, who was in her late sixties down the driveway with an ax, because she thought her mother was trying to kill her. After several inpatient stays in mental hospitals, she came back home again and she was doing good. She left my grandmother’s one night while everyone was sleeping, made it approximately fifteen miles away to a lake.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
Diagnostic and statistical manual of mental disorders: DSM-5. (5th ed.). (2013). Washington, D.C.: American Psychiatric Association.
Abnormal behavior is a type of behavior can be described as unstable or unusual mental behavior by people in society. The diagnosis of mental problems uses classifying patterns of abnormal behavior that represents signs or symptoms. Back in the ancient times, Hippocrates classification on some types of mental problems are still being used today by psychologists. One example would the description of melancholia in which is also similar to depression. Classification is important when giving treatment to mentally ill patients. Without any classifying patterns of abnormal behavior researchers and doctors will not be able to explain their finding to one another. This may blocked the progress towards on finding a solutions to this mental illness.
Barlow, D., Durand, V., & Stewart, S. (2009). Abnormal psychology an integrative apporach. (2nd ed.). United States of America: Wadsworth