`` Saving Normal : An Insider 's Revolt Against Out Of Control Psychiatric Diagnosis Essay

When people think of an “illness” they typically don’t automatically think of mental illness. They think about HIV, cancer, or even a cold or flu. However when it comes to mental illness it is a whole different idea. But is mental illness even real? Addressed in the book, The Myth of Mental Illness (1961), a psychiatrist Thomas Szasz argues that the idea of classifying psychological and emotional difficulties as “illnesses” takes away sense of control. Instead of holding people personally and morally responsible for their actions, he states, doctors attempt to “treat” the person, often with medications. Diagnosing mental illness, on the other hand, argue that mental disorders are as real as physical diseases and diagnosing them allows people

The book “Saving Normal,” which is an insider’s Revolt Against Out-of-control Psychiatric Diagnosis, written by Allen Frances. This book title represents what it is about, saving normal humans from the people with mental illnesses and disorders. The main theme of this book is that for years’ people are being diagnosed to easily, and quickly and treated with meditation that isn’t needed that often. Allen Frances was the head of the task force of the DSM, the Diagnostic and Statistical Manual for Mental Disorders. He has been in the inside and seen psychiatrics classify various mental disorders to humans. These psychiatrists have prescribed medications and drugs to people who do not need it. At the beginning of

Mental illness becomes a bigger issue with a long lasting cultural stereotyped due to the manner in which it has long been labelled (Miles, 1988). Although mental illness is very much connected to instabilities in one’s mental health state, as previously mentioned, a person can be mentally healthy but still suffer from a mental illness. What is understood by mental illness is that it

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 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

The diagnostic label is the most positive outcome of the Rosenhan’s study because it advanced treatment patients and helped to eliminate the stigma surrounding mental health. Labels started being handled more carefully so that a patient is not just seen as their diagnosis, the patients can receive better care with an unbiased opinion toward their actions and past. The psychiatric diagnostic label also became apart of Dr. O.F. Wahl’s research about the effect of the stigma surrounding mental health. This research showed the detrimental results of stigma “urged public education as a means of reducing stigma.” (Hock,

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

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.

Through the course of time, mental illnesses have always been in existence due to varying factors and causes. However, as time has passed, the perceptions and available treatments for mental illnesses have also changed as new technology was developed. By looking at the treatments and perceptions of mental illnesses in the early 20th century, we can learn how to properly treat and diagnose not only mental disorders but also other conditions as well as show us the importance of review boards and controlled clinical trials.

My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.

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

This article, published by CNN, covers a topic that was thrown into the spotlight following the release of the fourth Diagnostic and Statistical Manual of Mental Disorders, or DSM IV, and has been heavily discussed as the release date of DSM V approaches. The article, which is supported by anti-DSM experts, theorizes that the medical community is over diagnosing patients with mental illnesses at an unprecedented rate. Unfortunately, the experts provide an extensive amount of bias to the article, which is clear by examining the antithesis to their arguments. Three clear examples of bias are the statements of Dr. Carroll, Kelli Montgomery, and the articles overall focus on the DSM. The bias

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,

If we reach that far back in psychiatric history it would appear as though mainstream psychiatry has actually come a long way. To gain insight in to all disciplines of study it’s critical to venture back in time to get a glimpse of its history. It’s necessary to study the roots in an effort to accurately extrapolate where things have been, where things are, and where the vision is directed for the future. Advancements in health care have unfolded through trial and error. These progressive improvements in patient care are profoundly swayed by public attitudes and medical theories. Since we have had such difficulty in finding our way out of the stigma mental illness maintains on today’s society, it is not surprising that psychiatry continues to lag behind other fields of medicine in terms of advancements.