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
Discuss the strengths and weaknesses of DSM-IV TR, as well as new changes for DSM-V.
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.
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
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.
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 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
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
DSM-IV-TR- is the official classification system of mental disorders used by counselors, psychologist, social workers, psychiatrists, and other mental health professionals in the United States. It is used across settings (inpatient, outpatient, partial hospital, private practice and primary care) and with community populations. (Drummond, 2010). The DSM-5 is a very complex assessment where counselors are required to have extensive preparation in the understanding of mental disorders, certain factors can take in place when administering this test and errors can be made such as misdiagnosing or over diagnosing if not properly administered.
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
Before answering the question we need to understand what DSM-5 is it 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. The DSM-5 is the only one of the editions that seeks both categorical and dimensional information as part of the diagnosis, rather than categorical information alone (Comer, 2013, pp.100). Now that we know what DSM-5 is we need to know what categorical information and dimensional information mean. Categorical information refers to the name of the disorder indicated by the patient’s symptoms. An example of this would be when a clinician must decide if a patient is showing
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.
Even though the DSM has harsh critics surrounding the subject of diagnosis, there are those who find that the DSM is beneficial when treating clients. As previously mentioned, Clegg (2012) believes that the DSM can be utilized in various agencies and areas of social work. Social workers from different theoretical perspectives find that the DSM is approachable. The manual outlines the symptoms and diagnostic criteria surrounding a disorder. In addition, the manual highlights intervention plans for the diagnosis. These interventions can assist clients and/or their families in overcoming a diagnosis. Lastly, when clients experience symptoms of a mental disorder for the first time, they may feel defeated and unsure of where these symptoms are originating. When clinicians can diagnose their
There hope is to diagnosis and treat the illness at hand. This article questions the validity of diagnosing each patient. If the doctors or the nurses’ diagnosis is wrong then, the treatment will also be wrong. This can create complications for all parties at hand. Most often there is protocol that most doctors have to follow when diagnosing a patient “However, it should not be forgotten that they are all using same diagnostic manual, and probability of diagnosing a person is in depression with same instructions.”(). Now this makes a person question whether the validity is of the doctor or the protocol. If it is the protocol than that is something that needs to be evaluated. At the time the DSM system was in use for diagnosing a patient. At the time of this experiment Rosenhan used the DSM-II statistical evaluation. Years later this statistical data was look over, “According to Mattison, Cantwell, Russell, Will (1979) general inter-rater reliability of DSM-II was about %57 and %54 for axis I in DSM-III. In DSM III, which is published twelve years later after first version of DSM II, reliability scores of psychosis, conduct disorder, hyperactivity, and mental retardation was slightly higher than general reliability scores; however, as it is accepted today with the circumstance of logical base, reliability under 0.7-0.8 is found questionable and possibility of error is
One tool that social workers use for assessment is the DSM-V. It is a chart that has five categorizes of assessment. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the standard classification of mental disorders used by mental health professionals in the United States and contains a listing of diagnostic criteria for every psychiatric disorder recognized by the U.S. healthcare system. DSM is used in both clinical settings (inpatient, outpatient, partial hospital, consultation-liaison, clinic, private practice, and primary care) as well as with community populations (APA, 2014).