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Key strengths and limitations of a psychiatric classification system
Strengths and weaknesses of the dsm 5
Strengths and weaknesses of the DSM
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The Strengths and Weaknesses of the DSM-IV Classification System for Diagnosing Psychopathology
Introduction: DSM-IV as a system of diagnosis has been criticised on its very foundation that far from improving the clinical practice it claims to have prioritised. To assess its strengths and weaknesses, the essay critically examined the purpose of DSM-IV and how its practice and techniques have been practically found useful. As in the definition offered by Allen (1998) the concept stands for the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition. As a system, Allen (1998) added that, it ‘details the diagnostic criteria for nearly 300 mental disorders and nearly 100 other psychological conditions’. Stressing its strengths,
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These are its emphasis on reliability and validity of it diagnostic criteria and classification methods and techniques. The strengths and limitations in the application of DSM-IV, as could be observed, depend on the technique and the purposes that it is constructed for. Evaluating the DSM-IV on such principles could be drawn from both purely its clinical practices and the claims the community of DSM-IV authors have been claiming as to effective of the methods to diagnosis and treatment plan or clinical utility. As most of the criticism levelled against the claim that the purpose of DSM-IV is to facilitate clinical practice and communication as a priority of DSM that is set forth in providing help to guide clinical practice (Mullins-Sweatt and Widiger, 2009). The critics’ argument was based on how researches have been conducted on these methods being biased for reflecting only the interests and concerns of the researchers in the domain while neglecting the practical needs and concerns of clinicians, Sweatt and Widiger further argued (2009). While there are very few studies stressing the strengths of the DSM-IV as a diagnostic system, there are various scholarly efforts aimed at the filling the gaps, i.e., improving the clinical utility with further consideration of the validity of its criteria rather than
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).
(312) When answering the question we first need to understand what reliability and validity means and why it is important to include them in the criteria to judge DSM-5. Reliability is the consistency of the assessment measurements throughout the test. Whereas validity is when the test actually measures what it is suppose to measure (Comer, 2013, pp.84). Now that we know what reliability and validity are we can now apply it to DSM-5, but what is DSM-5? DSM-5 is shortened from Diagnostic and Statistical Manual Of mental Disorders and the five shows how much it has changed over the years. This classification wouldn’t be possible without Emil Krapelin who developed the first modern classification system for abnormal behavior which helped form the first DSM. The DSM-5 list 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 back ground information such as: research finds, age, culture, gender trends, and each disorder’s prevalence, risk, course, complications predisposing factors, and family patterns (Comer, 2013, pp.100).
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
Moran, P. "The epidemiology of antisocial personality disorder ." Social Psychiatry and Psychiatric Epidemiology. 34.5 (1999): 231-242. Print.
The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization, 1992. Print.
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].
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, D.C.: Author. Academic Search Premier, EBSCO. Web. 11 Apr. 2011 Helmke Library, Fort Wayne IN.
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.
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
McGrath, E. C., McGonagle, K.A., Zhao, S., Nelson, C.B., Hughes, M., Eshleman, S., Wittchen, H-U., & Kendler, K.S.(2007).Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 3-14.
Diagnostic and statistical manual of mental disorders: DSM-IV-TR. (4th ed.). (2000). Washington, DC: American Psychiatric Association.
WHO. 1993. The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic criteria for research. In: WHO (ed.). Geneva: World Health Organisation.