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Strengths and limitations of the dsm-5
Strengths and limitations of dsm
Strengths and limitations of the dsm-5
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While the opposition to utilizing diagnostic labels is interesting, it is important to acknowledge that the field of psychology has no interest in manipulating the social paradigm. Rather, psychologists and psychiatrists are solely concerned with helping mentally ill individuals as best as possible. In order to do so, diagnostic labeling is a quintessential method of maximizing current knowledge on disorders in order to increase the effectiveness of treatments while simultaneously enabling accurate communication among professionals. To do this, the APA uses the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). This manual sets out rules that are to be followed and criteria that needs to be appropriately met prior to diagnosing any psychological disorders. Moreover, the DSM-IV also forces doctors to consider the origin of any mental disturbances because other illnesses often affect mental soundness. Take for example, patients who are being evaluated for depression are often assessed for hypothyroidism as the condition often creates symptoms that are synonymous with depression (pg. 592). By using the DSM-IV to accurately label patients, physicians can minimize incorrect diagnoses and avoid potentially harmful treatments. Moreover, identifying patients who have mental illnesses allows for the statistical measurement of prevalence and assists with addressing sufferers on a large scale. While there have been existence proofs that labels can be misused, such as in the case of homosexuality, it is incorrect to say that every diagnosis in questionable. The APA revises the DSM regularly in hopes to avoid past mistakes and they impose a requirement of strong scientific bases for all disorders before any official classification... ... middle of paper ... ...vist can utilize the loophole that the grammar aspect of the language acquisition device may take a certain amount of time before becoming active (pg. 296). Lack of self-correction is evident when nativists are confronted with situations of adults who misuse grammar. Again, rather than consider the fault in the theory a nativist can easily site that just because someone has misused grammar does not mean that they are lacking in knowledge pertaining to it (pg. 296). Lastly, the exaggerated claims are clear as the nativist’s theory states that the language acquisition device innately has all relevant knowledge pertaining to language. While the Broca’s area and Wernicke’s area are scientifically linked to production and comprehension of language, there is no evidence to say that these areas are nothing more than tools that are utilized after knowledge has been gained.
...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.
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).
Frances, A., & Ross, R. (1996). DSM-IV case studies a clinical guide to differential diagnosis. Washington, DC: American Psychiatric Press, Inc.
In order to evaluate the proposed changes the DSM-5, researchers conducted semisturctured diagnostic interviews on 2,150 psychiatric outpatients. The prevalence of personality disorders was approximately 614 individuals, 28.6% when all 10 of the DSM-IV personality disorders were included. When removing the proposed personality disorders 555 individuals, 25.8% were diagnosed with atleast one of the remaining personality disorders. Removal of the pro...
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,
`In the past, I worked in such a research setting, where if a person was found to meet criteria for opiate dependence they received treatment, however if even slightly short of DSM-IV criteria for the disorder they would have to look elsewhere. This was a continual concern for me, as the person who met criteria was not always the person with the most distress, and alternative treatments were not easy for people to find. Largely from this experience, I find the current categorical approach to classifying persons with psychopathology to be an imperfect system at best, with the primary advantage of being convenience when communicating with other professionals. I question whether this convenience comes at a severe cost to accuracy, the result of which is an artificial limit to the range of presentations that occur in psychopathology. As the example above illustrates, the particular aspect that I find most problematic is the use of cutoffs for specific symptoms, for instance the length symptoms must have been present for it to be classified as a disorder, or even the number of symptoms that need to be present. I think it is unlikely that a person who “almost” meets criteria for a disorder would be significantly different from a person with similar symptoms who just barely meets criteria. In private practice these two cases would likely be treated similarly, but in a setting where diagnosis serves as a screening tool the client who met criteria may get treatment while the other does not. In this case I feel that less specific guidelines, lacking specific numerical limits would alleviate many of the problems.
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.
Though many consider homosexuality a mental illness, different studies have proven that it is a bi...
Personality disorders entails a class of mental disorders that are characterized by permanent maladaptive rhythm of behavior, cognition, and inner experience. The latter have been defined in many circumstances and are markedly deviated from social culture. These behaviors occurs at early age, they are rigid and also associated to distress or disability. However, the definition may alter in accordance to other factors. There are several criteria for overcoming personality disorders from American Psychiatric Association and World Health Organization. When the fifth edition, the DSM-5, was compiled, it was determined that there was no scientific basis for dividing the disorders, so the multi-axial system was done away with. Instead, the new non-axial diagnosis combines the former Axes 1, II and III and include separate notations for the type of information which would have previously fallen into Axes IV and V.
Some of the disorders listed in the DSM-5 contain clusters of symptoms, however many disorders are now on a spectrum with other closely related disorders (5th ed.; DSM-5; American Psychiatric Association, 2013). It is important to remember that clients frequently do not meet all of the criteria for a given disorder, and there may be overlapping symptoms across multiple disorders that warrant clinical attention. Thus, the boundaries between various disorders can easily become blurred. Clinicians often have to give a diagnosis fairly quickly, particularly when seeking third party reimbursement. And, while a diagnosis should not be given solely for reimbursement purposes, giving a diagnosis is often a time-sensitive process. INSERT CODE OF ETHICS. Helping professionals can do harm to clients when an inaccurate diagnosis is given, particularly because the diagnosis is a key element when making treatment decisions....
What Valenstein argues is that we have come to a point where we accept all mental illness as purely biological in origin, and have discarded older ideas about social and psychological effects, rather then attempting to see how these two different types of explanations fit together. While some may argue that this shift has helped to significantly de-stigmatize mental illness, it also has caused a neglect of important factors which must play a role in these disorders. In 1999, in a report by the Surgeon General, it was stated that research into the biology of the brain is "a potent antidote to stigma," but it was also emphasized that psychotherapy not be forgotten as it sometimes plays a large role in recovery.
Kahn, Ada P., and Jan Fawcett. The Encyclopedia of Mental Health. 2nd ed. New York: Facts On File, 2001.
Language acquisition is perhaps one of the most debated issues of human development. Various theories and approaches have emerged over the years to study and analyse this developmental process. One factor contributing to the differing theories is the debate between nature v’s nurture. A question commonly asked is: Do humans a...
psychiatrists, psychologists, social workers, and mental health nurses). The profile only differed in one regard, the sex of the patient may have been either male or female. The researchers asked the 46 professionals to assess the patient as having no personality disorder traits, specific personality disorder traits, or a specific (DSM-III) personality disorder(s) (Adler, Drake, & Teague, 1990). Although the clinical profile fit the criteria for several personality disorders from the then DSM-III, BPD and NPD were the most prevalent diagnoses of the pseudo-patient (roughly half), while one-quarter of the professionals diagnosed the pseudo-patient with HPD (Adler, Drake, & Teague, 1990). More importantly, the majority of the NPD diagnoses were assigned to the male pseudo-patient while the majority of HPD diagnoses were assigned to the female pseudo-patient (Adler, Drake, & Teague, 1990). Although it can be argued that the criteria for personality disorders have changed three times since 1990, a more recent study has shown the existence of sexism in the diagnoses of personality disorders such as BPD and APD (Samuel & Widiger,
Still today, it is the commonly held belief that children acquire their mother tongue through imitation of the parents, caregivers or the people in their environment. Linguists too had the same conviction until 1957, when a then relatively unknown man, A. Noam Chomsky, propounded his theory that the capacity to acquire language is in fact innate. This revolutionized the study of language acquisition, and after a brief period of controversy upon the publication of his book, Aspects of the Theory of Syntax, in 1964, his theories are now generally accepted as largely true. As a consequence, he was responsible for the emergence of a new field during the 1960s, Developmental Psycholinguistics, which deals with children’s first language acquisition. He was not the first to question our hitherto mute acceptance of a debatable concept – long before, Plato wondered how children could possibly acquire so complex a skill as language with so little experience of life. Experiments have clearly identified an ability to discern syntactical nuances in very young infants, although they are still at the pre-linguistic stage. Children of three, however, are able to manipulate very complicated syntactical sentences, although they are unable to tie their own shoelaces, for example. Indeed, language is not a skill such as many others, like learning to drive or perform mathematical operations – it cannot be taught as such in these early stages. Rather, it is the acquisition of language which fascinates linguists today, and how it is possible. Noam Chomsky turned the world’s eyes to this enigmatic question at a time when it was assumed to have a deceptively simple explanation.