The movie As Good As It Gets sets in New York City where the main character Melvin Udall (Nicholson) finds his life turned upside down when he is left with the responsibility of taking care of his neighbour Simon’s dog while he is being hospitilized. Melvin is a cranky, rude, bigoted obsessive writer that suffers from Obsessive Compulsive Disorder (OCD). He eats breakfast at the same table in the same reestaurant everyday and brings along his own platsic utensils due to his fear of germs and takes interest in his waitress Carol (Hunt) who appears to be the only person that tolerated his behaviors. Despite disliking the dog Verdell at the beginning, Melvin becomes emotionally attached to him and vuce versa. Melvin offers to pay Carol …show more content…
In majprity of cases, these actions are designed to prevent some dreaded event of situations. Melvin does this by bringing his own utensils to his diner, so he does not have to risk contaminations from unclean silverware and fear of germ. He also lays out his plastic-ware in a ritualistic fashion as well because thishelps him feelless anxious since the world is nw more orderly and proper for him. The DSM criteria for OCD also mentions that at some point
Debates regarding personality disorders is considered wildly controversial in the field of psychology. I personally think it is because the subject is still being studied and constantly changing. Researchers still have a lack of knowledge regarding personality disorders, and when the DSM-IV came out a lot of people were not thrilled with the classification system and changes. Many proposals were introduced before the DSM-IV was published but, they were never included in the revision. Since professionals weren't positive in the diagnosis and treatments, stating that they had “too many permutations”, they decided to leave the proposals out of the revision. Another big changed presented in the DSM-IV revision was, eliminating four previous personality
Melvin takes his obsession of being clean to extremes; this is a very common manifestation of someone with obsessive-compulsive disorder. When Melvin goes out for breakfast he takes his own plastic utensils wrapped inside of a plastic bag, because he thinks that the silverware at the diner are not clean enough for him. This is another example of his fear of contamination.
Individuals accumulate large numbers of items hat fill up and clutter active living areas to the extent that their intended use is no longer possible (2014). We see examples of this disorder by the mountains of containers of Chinese take-out and pizza boxes and the way he stores the mutilated remains of his victims in Tupperware containers. Obsessive-Compulsive Disorder was ruled out because didn’t display obsessions or compulsions
The statistics and facts above have demonstrated that removing Asperger’s Disorder from the DSM-5, as a mental health diagnosis, negatively affects an entire population of people, referred to as Aspies. The underlying issue is the power the DSM-5 manual has on overall mental health to determine identities, diagnosis, treatment health and mental health services, educational services and more. One DSM change has power to affect an entire population of people with developmental disabilities. It is important to understand how this affects our society as a whole by examining how this problem affects family, religion, government, and economy.
While reading over the introduction to the DSM-5 I was impressed. I have never looked at any DSM or really any mental health disorders thus far in my studies. I was mostly impressed with the strive to continue making the DSM more useful and understanding. Some things that are in the introduction to the DSM-5 that caught my attention was that the Task Force was very involved in trying to find a balance between the different disorders without confusing them together (p. 5). Another point that I found important was that the overall goal for the DSM-5 was “the degree to which two clinicians could independently arrive at the same diagnosis for a given patient” (American Psychiatric Association, 2013, p. 7). This is a strong reasoning to improve the DSM and I am actually stocked that it took this long to change things because Robert Spritzer (a psychiatrist of the twentieth century who became have a strong part in developing the DSM-III and the DSM-IIIR), back in 1974 noticed the central issue being the problem of diagnosis and psychiatrists not being able to agree on the same disorders (Spiegel, 2005).
In this movie, Melvin displayed many compulsions. When he comes back to his apartment he locks his door 5 times and turns on and off the lights 5 times. He also washes his hands with 2 new bars of soap each time he washes his hands. When he walks, he avoids stepping on any cracks. He also sometimes repeats words quietly after someone has said something. Instead of trusting one, his has two clocks side by side near his bed for an alarm. These are just a few examples of the many compulsions Melvin has. He always
Discuss the strengths and weaknesses of DSM-IV TR, as well as new changes for DSM-V.
Melvin was classified as an outsider because he suffered from obsessive compulsive disorder. One obsession that he suffers from is the fear of contamination and so whenever he leaves the house, he would wear gloves. When washing his hands, he uses extremely hot water and a bar of soap for a few seconds and then he would throw away the soap and take a new one out. He takes a longer time to shower compared to normal people. Melvin brings his own plastic utensils whenever he goes out to eat as he feels that the utensils will be contaminated. He doesn’t like people touching him as he feels that he would be
Melvin, from the very beginning of the film, exhibits clear symptoms of obsessive-compulsive disorder, likely promulgated through social anxiety and various phobias. Some of the reoccurring symptoms Melvin displays include: germaphobia and a fear of being touched, avoidance of cracked surfaces, and a complete organization of his belongings. His fear of germs seems to be a major driving force in his obsessive-compulsive disorder. He doesn’t appreciate people entering his living space or touching him. He washes his hands relentlessly. Additionally, he does not trust the silverware to properly clean, so he insists on using new plastic ware each time he eats.
While reviewing the article Diagnosing for Status and Money, Summary of the Critique of the DSM, a few things seemed to jump off the page. The DSM-5 while a well written and no longer intimidating to me appears to have a slant towards managed care organizations vice actual counselors. Having a manual that provides simplistic codes universally used between doctors that treat physical ailments and those who treat psychological ailments is critical; however, the focus must always be the patient. The text contains subjective qualifiers which provides the counselor the ability to use multiple diagnosis, either over diagnosing or underdiagnosing. The DSM-5 appears to provide care from a medication management prospective over psychotherapy
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is currently the most frequently used way of standardizing and defining psychological disorders. However, the classification systems such as DSM have advantages and disadvantages. The major weakness of DSM is that it judges symptoms superficially and ignores other possible important factors. The major strength of DSM is that it enables categorization of psychological disorders.
From time to time we all have periods of sadness, unhappy thoughts. Among the United States population, around eight to ten percent suffer from a form of depression as unipolar depression. Depressive and bipolar disorders show to be a principal cause of disability, without cure a person can have a tough experience with relationships, work, and social activities. Substance abuse disorders are becoming an rampant. The need for instant indulgence has become more and more widespread in the world. The DSM-5 shows the symptoms checklist for diagnosis of substance abuse disorder (see table 1.3 in appendix a), and according to Comer, (2014) “the substances people misuse fall into several categories: depressants, stimulants, hallucinogens, and cannabis”
The controversy and criticism surrounding the DSM -5 models has raised questions about its credibility and has raised concerns from the public on the reliability and effectiveness. Problems with this classification system is the attempt to promote preventive psychiatry by introducing how
Marvin Udall displays typical behaviors that many functioning obsessive compulsives have in common. Mr. Udall has obsessions which are, “persistent thoughts, urges that are experienced as intrusive and unwanted, whereas compulsions are repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession (American Psychiatric Association., 2013).” Very early in the film we see Mr. Udall struggles with contamination-related obsessions and participates in ritualistic activities which serve to lessen his obsessional anxiety. We see him engage in hand washing rituals with extremely hot water and several bars of soap which is only intrusive to him, to later in the film where he must take a shower before dinner and has the character Carol waiting on him for what seemed like hours. Mr. Udall has a ritual to eat at a certain restaurant everyday for breakfast, where he also must bring his own plastic silverware for fear of germs.
The Diagnostic and Statistical manual of mental Disorders also known as the DSM is used was published by the American Psychiatric Association as a way to set standard criteria for diagnosis of the different mental health conditions. Social workers, mental health practitioner and even researchers in order to, use this book to help them diagnose client. The book is intended to be used to make an initial assessment of symptoms that a patient might be facing and after the assessment is done then the clinicians can go about finding interventions to help the client overcome their disorder.