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Strengths and weaknesses of the DSM system
The strengths and limitations of the DSM
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Background
Somatoform disorders, as defined on Merriam-Webster.com states, “Any of a group of psychological disorders (as body dysmorphic disorder or hypochondriasis) marked by physical complaints for which no organic or physiological explanation is found and for which there is a strong likelihood that psychological factors are involved.” So what does this mean? Basically, somatoform disorders include mental factors that are often caused by physical symptoms, but no physical source or psychological cause. The symptoms therefore are imagined, but that does not bring light to the situation that it causes distress and can often be long-term (Kenny, 2011). The DSM-V, the Diagnostic and Statistical manual released in May of 2013 now classifies it as, “Somatic Symptom and Related Disorders.” This new name groups together many categories of disorders linked to somatoform disorders. Different disorders include; somatization, hypochondriasis, conversion, body dysmorphic and pain disorder (Kenny, 2011).
DSM-V
The DSM-V plays a huge role in the classification and treatment of somatoform disorders. It was not until this model that somatoform was not just one category, but had multiple sub-categories under it. With all of this being said, the DSM-V has gotten multiple hits of hard criticism that the new edition has a lack of scientific evidence for specific classifications, and unclear boundaries between every day stressors, and a classified “illness.” However, with constant progress, new information, new disorders and treatments, the DSM, no matter what version, will always take criticism for one thing or another (McCarron, 2013).
Going back to the DSM-4, which is still used by many in the psychology world, classified somatization as needi...
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... the patient complained about, they needed to avoid diagnostic procedures and surgeries unless previously indicated, and finally they had to refrain from making statements about their symptoms being, “all in their head” (Woolfolk, 2010).
Conclusion
In conclusion, somatoform disorders must be treated with caution. Upsetting a patient or even digging too far to find information or a cause of a disease could potentially make the patient even worse. Those professionals using the DSM-V on a regular basis must be aware the changes and the progression the DSM will continue to make. Different symptoms may include pain, gastrointestinal complaints, sexual symptoms and neurological problems. Different disorders include somatization, hypochondriasis, conversion, body dysmorphic disorder, pseudocyesis, and both pain and undifferentiated somatization in conjunction with PTSD.
Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. Arlington, VA.: American Psychiatric Association, 2007. Print.
The Diagnostic and Statistical Manual for Mental Disorders (DSM) provides standard criteria for diagnosing mental disorders. It serves numerous purposes and delineates a common language for researchers, clinicians, educators and students. The APA released the fifth edition of its Diagnostic and Statistical manual of mental disorders in May 2013 after 12 years of research involving a diverse range of 400 experts from 12 countries worldwide (Kuhl, Kupfer, & Reiner, 2013). While the release of the new DSM 5 has caused much controversy in the field of psychiatry, specifically for its changes in specific diagnosis and new disorders, the structural changes that have been made seem to be an improvement from the previous DSM IV and will help clinicians diagnose and treat patients in a more straightforward and precise way.
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
Biological theorists, have very little to say since there seems to be no physical cause of the symptoms, except that there may be some genetic predisposition to Somatoform disorders.
Spiegel, D., Loewenstein, R. J., Lewis-Fernández, R., Sar, V., Simeon, D., Vermetten, E., & ... Dell, P. F. (2011). Dissociative disorders in DSM-5. Depression & Anxiety (1091-4269), 28(9), 824-852. doi:10.1002/da.20874
Mcbride, Carolina. Zuroff, David. Ravitz, Paula. Koestner, Richard. Moskowitz, Debbie. Quilty, Lena. Bagby, Michael. (2010). British Journal of Clinical Psychology. , 49(4), p529-545.
Sharma, V., Burt, V., & Ritchie, H. (2010, April 1). Drs. Sharma, Burt, and Ritchie Reply [Letter to the editor]. The American Journal of Psychiatry, 167(4). Retrieved November 17, 2013
Hypochondria is an unsupported belief or anxiety over having a serious disease that is based on personal interpretations of bodily symptoms. The patient usually misinterprets bodily sensations. Anxiety and persistent reports of symptoms involving any body part is a good indicator the patient might suffer from a somatization disease or hypochondriasis. A patient's symptoms might change from each visit, but the person's belief that a serious condition exists does not. The patient's symptom complaints may shift from being very specific to very vague. Sometimes they might think that they have a form of cance...
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Over the years, many things have changed based off our technological advances. Leading us to have a better understanding of us as a species and have a more in-depth understanding of the more complex organisms we have such as the brain. This leads us to either shape our understanding of things we once thought or to reconstruct what was once thought as one thing to a new concept overall. A prime example of this changing concept of this is the DSM-5 and how it has been evolving over the course of the years. With these advancements, it is clear to see how this new technology has helped supported the fact that certain disorders are genetically influenced, how some individuals have more risk or protective factors in their life that affects the path
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As a student who is interested in psychology and the way the brain works/functions, learning about the somatic symptom disorder intrigues me. I have never actually heard of this disorder before, but hypochondria is about the closest to a somatic disorder that I have learned about. Now, the first thing that really caught my attention about this disorder was the definition about it, “People with somatic symptom disorder become excessively distressed, concerned, and anxious about bodily symptoms that they are experiencing, and their lives are greatly disrupted by the symptoms” (Comer, 2014). This blew my mind. I had always know about people thinking they have had every sickness or believe they are suffering from something they are not, I am also aware of the placebo effect, but the fact that people can create such strong distress in their lives from bodily symptoms they experience is something that brought out my curious nature of why and how. Another thing that is very interesting to me is that there are two patterns of somatic symptom disorder, called somatization pattern (the individual experiences a large and even varied number of bodily symptoms) and predominant pain pattern (which is the individual’s primary bodily problem being the experience of pain) (Comer, 2014).
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Somatic system disorder also known as Hypochondria is a disorder where people worry excessively and unrealistically about their health. I always used to wonder as a kid, what my dad was talking about when I said something was bothering me. He would say are you a hypochondriac? I would just look at him confused. I find it interesting how people can worry so much about minor health problems and normal bodily functions and believe that they actually have serious health problems. What is wrong with people? They seriously have something going on in their mind to think this way. This can cause major distress in someone’s life, worrying every moment that something