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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
Oldham, J, editor (2010). DSM-5: a work in progress. Vol 16 # 6 Journal of Psychiatric
The DSM-5 lists 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 background information such as: research findings, age, culture, gender trends, and each disorder’s prevalence, risk, course, complications, predisposing factors, and family patterns (Comer, 2013, pp.100).... ... middle of paper ... ...
Frances, A., & Ross, R. (1996). DSM-IV case studies a clinical guide to differential diagnosis. Washington, DC: American Psychiatric Press, Inc.
Moran, P. "The epidemiology of antisocial personality disorder ." Social Psychiatry and Psychiatric Epidemiology. 34.5 (1999): 231-242. Print.
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 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,
Nemeroff, C. B., Weinberger, D., Rutter, M., MacMillan, H. L., Bryant, R. A., Wessely, S., ...Lysaker, P. (2013). DSM-5: a collection of psychiatrist views on the changes, controversies, and future directions. BMC Medicine, 11, 202.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization, 1992. Print.
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.
Identification of any psychosocial or contextual factors to be considered, as outlined in the DSM-5
Kendell, R. and Jablensky, A. (2003), Distinguishing between the validity and utility of psychiatric diagnoses, American Journal of Psychiatry, Vol. 160, No. 1, pp. 4-12.
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.
WHO. 1993. The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic criteria for research. In: WHO (ed.). Geneva: World Health Organisation.