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The DSM-5 diagnostic system strengths and weakness
The DSM-5 diagnostic system strengths and weakness
The DSM-5 diagnostic system strengths and weakness
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Use of the DSM The Diagnostics and Statistical Manual of Mental Disorders and other assessment tools assist in the identification and development of treatment options. Application of the DSM-5 requires knowledge of possible advantages and limitations. Is it also helpful to understand when it is appropriate to apply the information provided in the DSM-5. The DSM was essentially developed to provide a ‘common language for mental health professionals (Butcher, Hooley, & Mineka, 2014). This fifth edition continues an evolutionary process aimed at maintaining guidelines for diagnoses that advise and analyze clinical practice (APA, 2013). Two Strengths One strength of the DSM-5 is that it is widely used throughout mental health profession in the United States (Butcher, et al, 2014). Knowledge and skill in the use of the DSM-5, increases the ability of counselors to communicate with colleagues and clients. The criticism and controversy surrounding the revisions in the DSM could be considered …show more content…
The stigma attached to certain disorders or mental illness in general, could negatively affect both inner and outer perceptions. It can affect the sense of self by creating hopelessness –“ I’m crazy, I can’t cope.” Labeling can alter outer perception by limiting or minimizing the effort the therapist believes is necessary—“She was previously diagnosed as bi-polar, I’ll recommend medication” (Butcher, et al, 2014). The DSM diagnosis has minimal benefit, without the information derived from a diagnostic interview (Butcher, et al, 2014). Similar to an assessment interview, the diagnostic interview relies on a series of questions, or prompts that gradually establish a “diagnostic hypothesis.” This allows the clinician to seek verification with questions more closely aligned with the main characteristics of specific DSM diagnoses (Butcher, et al,
..., Rossiter, K.R. and Verdun-Jones, S.N., 2011, ‘“Forensic” labelling: An empirical assessment of its effects on self-stigma for people with severe mental illness’, Psychiatry Research, vol. 188, no. 1, pp.115-122.
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,
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.
Identification of any psychosocial or contextual factors to be considered, as outlined in the DSM-5
The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization, 1992. Print.
The Modified Labelling Theory, created by Link et al., (1989) hypothesized that individuals who were labeled as mentally ill, would manage the stigma they faced through three coping mechanisms; education, withdrawal and secrecy (as cited in Ray & Brooks Dollar, 2014). The Modified Labelling Theory is a credible theory that has been used to approach not only the repercussions of stigma in mental illness, but also to explain behaviours of those who smoke, live with HIV/AIDS, or have a child with a disability (Ray & Brooks Dollar,
There are wide ranges of social issues affecting mood, thinking, and behavior. What is considered normal in the United States of America, may perhaps not be normal to another. Being diagnose mentally ill requires train professionals to evaluate a person state of mind. Being normal in the United States of America is conforming to a standard, and standards can change within societal standards. Up to now the DSM-V shows the exact symptoms of mental disorders and thoroughly explains the type of illness. Yet abnormal behavior treatment is not the same, professionals who’ve master therapy skills should be aware that their knowledge has affect to client’s treatment. When clients interact amongst counselors, clients can explain their life experiences,
middle of paper ... ... Retrieved June 16, 2002, from http://nimh.nih.gov/publicat/numbers.cfm. National Mental Health Association. 2000 May 15.
Stereotypes and stigmas promote a dangerous, single-minded perspective. These incomplete or half-truths are often far more duplicitous than lies, as they are more difficult to detect. When these perspectives remain unchecked, they can result in far-reaching, adverse consequences. It is the individual’s duty to refuse to perpetuate this single story perspective. Due to misinformation presented by the media, the stigma surrounding mental illness has created a discriminatory single story perspective; however, through honest and open dialogue, particularly with those suffering from these diseases, these stereotypes can be abolished.
In today’s society, the stigma around mental health has caused many people to fear seeking medical treatment for problems they are dealing with. With an abundance of hateful outlooks and stereotypical labels such as: crazy, psycho, and dangerous, it is clear that people with a mental illness have a genuine reason to avoid pursuing medical treatments. Along with mental health stigma, psychiatric facilities that patients with a mental health issue attend in order to receive treatment obtain an excessive amount of unfavorable stereotypes.
Kendell, R. and Jablensky, A. (2003), Distinguishing between the validity and utility of psychiatric diagnoses, American Journal of Psychiatry, Vol. 160, No. 1, pp. 4-12.
I think this is very abnormal. This can be considered as mental disorder according to DSM-5 because the idea will cause disturbance in behavior and a daily routine. This also reflects statistical deviancy, meaning away from normal. There will be no one who wash their hands 500 times before leaving their house.
Kessler, R. C., Bergland, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593-602.
, diagnostic labels can lead to stigma for people have mental health problems (Read and Sanders, 2010). Tracy may feel discriminated against with the label of depression and feel alienated by other people, which may exacerbate her current symptoms. In addition, a famous study conducted in 1975 by David Rosenhan (as cited in Rosenberg and Lambert, 2014) cast doubts on the reliability and validity of diagnoses. Read and sanders (2010) argue that one’s reported symptoms cannot be defined conclusively as any one distinct mental health issue. They also claim that a diagnosis cannot predict how the affected person will respond to the treatment given the unconvincing reliability and validity of the diagnosis.