Understanding the DSM-5 The structural reorganization of the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) has caused it to become highly controversial and heavily criticized (Neimeyer, 2014). The structural reorganization focuses on a more theoretical based practice rather than an evidenced based practice. Utilization of an evidenced based practice has been the norm for nearly 20 years, leaving practitioners and clinicians critical about the recent changes. Transforming into a more theoretical way of thinking is reminiscent of the ideological approach of diagnosing and treating patients in the DSM 1 and 2. DSM-5 is attempting to align itself with International Classification of Disease (ICD). This is a substantial change towards a more ideological way of diagnosis and treating patients. In an effort to become …show more content…
This has raised concern with practitioners, such as the removal of Axis III, general medical conditions. Gaining knowledge such as, cardiac or pulmonary conditions, is imperative when diagnosing and treating patients with a mental diagnosis. The chairs of the DSM-5 now consider every disorder a general medical condition from anxiety disorders to heart palpitations and every symptom should be addressed and treated as such (Neimeyer, 2014). The elimination of Axis IV also brought attention to how practitioners and clinicians address psychosocial problems. The chairs of the DSM-5 have the impression that psychosocial problems should be addressed by social workers. This does not mean that psychosocial problems are not significant, they are just not significant in diagnosing mental disorders. The DSM-5 is developing a commonality between medical conditions and mental disorders, making them epiphenomenal to diagnosis (Neimeyer, 2014). Primacy of
The DSM IV-TR, published by the American Psychiatric Association, is the authoritative book for clinicians, psychiatrists, therapists and other healthcare professionals who diagnose mental disorders. It lists the diagnostic criteria and features, differential diagnoses, course and prevalence of the disease. It is the go-t
Furthermore, Gonvalves, Dantas, and Banzato research that DSM-5 derived harsh criticism and considered secretive by serval authors (p.1). Additionally, they also established authors in the philosophy of psychiatry who underline the importance of values in psychiatric diagnosis, research, treatments, and classification within the manual (p. 2). Actually, Goncalves and colleagues (2016) detected a proposal which was termed Psychosis Risk Syndrome (PRS). Before the DSM-5 was prepared, the Psychotic Disorders Work Group created the PRS proposal as a placeholder for the high-risk disorders (Goncalves, Dantas, & Banzato, 2016, p.2). Yet, the PRS was criticized as premature and confusing
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).
The DSM-5 is a highly regarded compendium of diagnostic criteria for mental disorders. While many cognate professions have input and contribute data to the various disorder criteria, the various sources from which the changes are suggested can cause a conflict among the different professions that use it. Social work values can especially clash with the DSM-5 due to the high regard the profession has for the dignity and worth of its clients.
Being able to form a diagnosis properly for a client is a process that is wide-ranging and broad. The Diagnostic and Statistical Manual of Mental Disorders (DSM) (American Psychiatric Association [APA], 2013) supports recommendations and standards for identifying a diagnosis for a client. The procedure of diagnosing is more than skimming for symptoms in the DSM; one must assess, interview and identify issues, as well as refer to the DSM for a diagnosis.
The DSM is used as a standard of reference for psychological diagnosis. The DSM was originally published in 1952 containing only 106 diagnoses; today the revised DSM-IV-TR contains 365 diagnoses. Throughout the history of the DSM, individuals in the mental health profession have relied on it for clarification of disorders, facilitating research, improving communication with other professionals and improving the collection of clinical information. With a new DSM-V underway, there has been a lot of issues surrounding the contents and classifications of the new DSM. There are
DSM-IV TR, which stands for Diagnostic and Statistical Manual of Mental Disorders (4th edition), Text Revision was published by the American Psychiatric Association in 2000 and serves as a guide book for many health professionals to diagnose a patient with a mental disorder. It also helps health professionals to determine what types of treatment could be carried out to help the patient. The latest DSM is widely used, especially in the USA and many European countries.1However, it may not be completely followed by health professionals as they know that there are some weaknesses of the latest version of DSM as well. This essay will discuss the strengths and
My textbook is yet to arrive, so yet again I had to resort this week’s video from the Moodle shell. In order to complete this assignment to it’s full potential. I’m hoping my book is here before the next reaction is due. This week’s video was over Dr. Allen Frances and his work on DSM five. Dr. Allen Frances corrected the DSM IV, and now is the brain behind the work of DSM 5. He first described the mental health services world as a mess, because people are being diagnosed as having a mental illness, but they honestly appear as if they’re performing normally. These people are also being prescribed potentially harmful medication that they don't need, so it is only causing the body harm rather than good.
The DSM itself states “diagnosis require clinical judgment (American Psychiatric Association, 2013, p. 19) indicating the fact that two therapist may see things differently. This concept would have to be considered a weakness as consensus is key validity and reliability of diagnosis and subsequent treatment. The article goes on to discuss the idea that the diagnosis of mental illness is more of an art form than a scientific process (Zur & Nordmarken, 2016). Finally, the most harsh factor against the DSM-5 is the outcry by leading professionals. The article points out that the chairman of its predecessor the DSM-4 Dr. Allen Frances was a critic of the DSM-5 from the very beginning. Change on any level is difficult so for Dr. Frances to urge caution is one; however, for him to say “this is the saddest moment in a 45 year career” to the American Psychiatric Association’s approval of the DSM-5 is troubling. Dr. Frances is not alone is his objection to this text. The director of the National Institute of Mental Health; Dr. Thomas Insel joined the opposition stating he will drive his organization’s research away from the DSM-5 (Zur & Nordmarken,
It is sometimes argued that “the creators of DSM-III and DSM-IV sacrificed validity for the sake of reliability”(Wakefield, 1992, cited in Gray, 2002, p 614). This refers to greater emphasis being placed upon superficial symptoms and less upon underlying symptoms and possible cause which could have an important influence upon individuals (Gray, 2002). Since behavior always involve interaction between the individual and their environment, it can be difficult to assess whether the disorder is within the person or whether it is an environmental influence such as a traumatic experience or related to poverty (Gray, 2002, p.612). This can cause problems when diagnosing is extremely difficult to scientifically distinguish between people’s normal responses or whether it is something more (Gray, 2002).
The strengths when working with clients on a medical model perspective is that the use of the DSM provides a common language to use in the medical community. The DSM provides reliability and structural guideline to each mental disorder. The structural guidelines in the DSM provide an organized list of criteria and specifiers to help determine the severity of the mental disorder. When diagnosing a client, there are many similar signs and symptoms to each mental disorder; thus, the DSM provides the clinician information about differential diagnosis, prevalence, possible co-morbidity, age of onset, and progressive development of symptoms. Hence, focusing on the medical model and using the DSM can be beneficial to both the client and the clinician providing treatment.
The diagnosis of the character based upon the DSM-5 would be Autism Spectrum Disorder (ASD). According to the American Psychiatric Association (2013a), the diagnostic criteria are perpetual deficiency in social communication and interaction across many contexts and by the following: 1. deficiency in social-emotional exchange of all ranges from abnormal to lack of normal conversation, 2. deficiency in communicative behaviors that are used for social interaction ranging from lack of verbal and nonverbal communication; to abnormal eye contact, body language and lack of facial expressions and 3. Not being able to develop, keep or comprehend relationships ranging from difficulties adjusting to new people to no interest in your peers. All three
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
Use of DSM-5 and Class Material Criteria on Diagnostic Categories Exhibited in the Case Study
The Diagnostic and Statistical Manual of Mental Disorders (DSM) has a number of features. First of all, every disorder is identified using a name and a numerical code. In addition, the manual provides the criteria for diagnosing each disorder as well as establishes subtypes of a disorder and examples that would illustrate the disorder. The manual goes further by addressing the typical age of onset, culturally related information, gender-related information, prevalence of a disorder, typical clinical course of a disorder, typical predisposing factors of a disorder and genetic family patterns of a disease (Summers, 2009). The DSM-IV is a tool that is used by mental health practitioners and social service workers. As has been demonstrated