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DSM 5 conclusion review
Strength of the dsm 5
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The Challenges with The Diagnostic and Statistical Manual The Diagnostic and Statistical Manual, also known as the DSM, is a reference book that is commonly used by Psychiatrists to determine the diagnosis of their patients. The Diagnostic and Statistical Manual was created in 1952 and has been revised multiple times (Doucette, 10). Although this manual has been around for more then half a century, the Diagnostic and Statistical Manual should no longer be used by Psychiatrists to diagnose or treat patients as it is very generic. When the Diagnostic and Statistical Manual was created, there were two volumes that attempted to categorize every mental illness in an organized way (Malik and Beutler, Preface). The two volumes of the Diagnostic …show more content…
“Moreover, a significant concern arising from the DSM-5 is that the threshold for meeting criteria for many psychiatric disorders (eg, conduct disorder, major depression, substance use disorders) have been relaxed, such that many more people in the community will qualify for these diagnoses” (George). More people are qualifying for different mental disorders. Compared to the DSM-IV, the DSM-V qualifications for diseases are lowered. This over diagnosis is resulting in unnecessary medication for patients (George). While every patient should be treated, patients who would not have been qualified for major depression in the DSM-IV, should not be qualified for major depression in the DSM-V. It is understood that symptoms might be added to different diseases, as the psychiatric field is constantly growing. However, the qualifications for different mental disorders should not be lowered, even though the symptoms …show more content…
In the Diagnostic and Statistical Manual, there is only a standard way to treat patients, regardless of if they are kids, adolescents or adults (Doucette). That is a major problem. The way children behave is completely different then how adolescents behave. Therefore, the way they receive a treatment for their mental diseases should be different as well. “The use of a single standard can be problematic in diagnosing children, adolescents, and adults. Whereas both children in the above illustration are given the same diagnosis, they are likely to need different treatment interventions given their respective developmental status” (Doucette). The manual is very standard so it does
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,
This fifth revision of the Diagnostic and Statistical Manual of Mental Disorders or DSM will be the standard classification of mental disorders (Nauert, 2011). Mental health professionals and other health professionals will use this standard in their diagnoses and researches. The American Psychiatric Association released a draft of proposed changes after a decade of review and revision by the Association. Allen Frances, chairman and editor of DSM IV, and Robert Spitzer, editor of DSM III, expressed objections to the task force conducting the revisions and the proposed revisions. Present chairman is David Kupfer and vice chairman is Darrel Regier (Nauert; Collier, 2010).
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 ... ...
Kaplan, H. I., Sadock, B. J., & Grebb, J. A. (1994). Synopsis of psychiatry: behavioral sciences,
Before beginning my argument I would like to clarify the current criteria for diagnosing mental illness. First, the patient must show “clinically significant detriment” (Gray 578). This could be shown by way of “distress (painful feelings) or impairment of functioning (interference with the ability to work, play, or get along with people” (578). Second, the distress must have “an internal source… in the person’s biology, mental structures (ways of perceiving, thinking, or feeling) or learned habits) – and not i...
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
Doward, J. (2013), Medicine's big new battleground: does mental illness really exist? The Observer 12 May.
5) Diagnostic and Statistical Manual of Mental Disorders, an online version of the resource book.
The Diagnostic and Statistical Manual of Mental Disorders (DSM) has been used for decades as a guidebook for the diagnosis of mental disorders in clinical settings. As disorders and diagnoses evolve, new versions of the manual are published. This tends to happen every 10 years or so with the first manual (DSM-I) having been published in 1952. For the purpose of this discussion, we will look at the DSM-IV, which was published originally in 1994, and the latest version, DSM-5, that was published in May of 2013. Each version of the DSM contains “three major components: the diagnostic classification, the diagnostic criteria sets, and the descriptive text” (American Psychiatric Association, 2012). Within the diagnostic classification you will find a list of disorders and codes which professionals in the health care field use when a diagnosis is made. The diagnostic criteria will list symptoms of disorders and inform practitioners how long a patient should display those symptoms in order to meet the criteria for diagnosis of a disorder. Lastly, the descriptive text will describe disorders in detail, including topics such as “Prevalence” and “Differential Diagnosis” (APA, 2012). The recent update of the DSM from version IV-TR to 5 has been controversial for many reasons. Some of these reasons include the overall structure of the DSM to the removal of certain disorders from the manual.
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the comprehensive guide to diagnosing psychological disorders. This manual is published by the American Psychiatric Association (APA) and is currently in its fifth revision. Moreover, the manual is utilized by a multitude of mental health care professionals around the world in the process of identifying individuals with disorders and provides a comprehensive list of the various disorders that have been identified. The DSM serves as the essential resource for diagnosis of mental disorders based off of the various signs and symptoms displayed by individuals while also providing a basic reference point for the treatment of the different disorders. The manual attempts to remain scientific in its approach to identifying the underlying symptoms of each disorder while meeting the needs of the different psychological perspectives and the various mental health fields. The DSM has recently gone through a major revision from the DSM-IV-TR to the DSM-5 and contains many significant changes in both the diagnosis of mental disorders and their classifications.
I agree with the therapist that cares little for the DSM lV. The DSM lV keeps individuals stuck in their own world. It gives those excuses and reasoning on why they act the way they act in society. Giving a person a diagnose from the DSM lV cause confusion and isolation between the client and the therapist. Looking though a book to diagnose a problem instead of understanding the situation can cause friction in the
In the past, mental illness was taboo to discuss and there was fear surrounding the topic. However, remarkable strides have been made in figuring out the causes of the disease and weighing the most effective treatments specialized for each specific disease. According to the American Psychotic Association, “A mental illness is a medical condition that disrupts a person's thinking, feeling, mood, ability to relate to others and daily functioning. Just as diabetes is a disorder of the pancreas, mental illnesses are medical conditions that often result in a diminished capacity for coping with the ordinary demands of life.”
Mental and behavioural disorders (expressed in disability adjusted life years, or DALY'S) represented 11% of the total disease burden in 1990, and this is likely to rise to 15% by 2020. Five of the 10 leading causes of disability worldwide in 1990 were mental or behavioural disorders. Depression was the fourth largest contributor to the disease burden in 1990 and is expected to rank second after ischaemic heart disease by 2020. It is estimated that one in four people will develop one or more mental or behavioural disorders in their life-time and that one in four families has one member suffering from a mental or behavioural disorder (Murray et al., 1996; WHO,
People sometimes have symptoms of mental disorders, but they usually do not meet the criteria or are not clinically significant, severe enough to necessitate treatment. Before a person can be diagnosed with a mental disorder, his or her problematic thoughts, feelings, and actions must meet the criteria for the mental disorder and must prevent adequate social, occupation, or other forms of functioning.