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Strengths and limitations of dsm
The strengths and limitations of the DSM
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Over the past years, diagnostic criteria and rule-based classifications have become the general pattern in mental illness research (Kendell & Jablensky, 2003). American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (hereafter “DSM” is referred to in general regardless of its edition) and World Health Organization’s (WHO) International Classification of Diseases (hereafter “ICD” is referred to in general regardless of its edition) has been used as a standard frame of reference (Andrews et al., 2009) used by clinicians, researchers, teachers and students all over the globe. These manuals contain statistical information, services provided, types of treatment as well as its outcomes that serve as a purpose to improve communication within the users of this service (Frances & Widiger, 2012). …show more content…
It is said to be arbitrary, as some clinicians tend to make a diagnosis decision based on personal experiences rather than the set of criteria. On the other hand, reliability can be defined as to whether the same results will yield if the study were to be repeated multiple times whereas validity refers as to whether the procedures used in the study will measure what it’s supposed to measure (Aboraya, Rankin, France, El-Missiry & John, 2006). As such, this essay will provide three arguments for and against respectively with regards to the usefulness of diagnostic criteria in mental disorders. GAD will be used as references, which can be defined as a disorder in which the patient develops a sense of unnecessary worry and anxiety that can be provoked by a number of situations and not necessarily associated to any type of stressful events (Tyrer & Baldwin, 2006). Other than GAD, other types of diagnosis might also arise in supporting the
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
2. By looking through the case study, the most prominent problem Sara struggles with, is her persistent worry about different parts of her life including her job status, health and her relationship with her husband. For the past six months, she has been anxious and worried excessively, leading her to have difficulty sleeping. As she admitted, “ I cannot shut my brain off anymore, I am worrying all the time”, therefore her condition met the primary criteria of generalized anxiety disorder which is the excessive worry for at least 6 months more days than not, about diverse events and activities. Being restless, irritable, having sleep difficulty and being easily fatigued are four factors of GAD that are apparent in this case. “I have always had lots of energy but now at times I struggle to get out of bed and drag myself thorough the work day”; it indicates the fatigue she recently experienced. Fidgets with her jewellery when speaking and a nervous laugh she has, shows her persistent anxiety. Moreover, she was recently diagnosed with irritable bowel syndrome which has a high comorbidity with anxiety disorders. In conclusion, since she is persistently worried about different aspects of her life and she has the criteria for GAD, generalized anxiety disorder is the most likable disorder she has.
middle of paper ... ... Retrieved June 16, 2002, from http://nimh.nih.gov/publicat/numbers.cfm. National Mental Health Association. 2000 May 15.
First, M., & Tasman, A. (2006). Clinical guide to the diagnosis and treatment of mental
Kaut, K. P., & Dickinson, J.A. (2007). The mental health practitioner and psychopharmacology. Journal of Mental Health Counseling, 29(3), 204–225.
The reliability and validity were researched by using three types of studies: mixed diagnostic group, certified patients diagnosed with DSM-III-R anxiety disorders and a non-clinical sample. It should be noted that the that was used population were psychiatric patients s...
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, fifth edition. Washington, DC: American Psychiatric Association.
In 2013, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (American Psychiatric Association [APA], 2013) was reorganized, and by this reorganization, the manual provides mental health care professionals in the United States with a standard classification of every psychiatric disorder that the United States healthcare system recognizes (APA, 2014). A newcomer to the field of mental health and wellness may not recognize that the changes included in the DSM-5 represent a wealth of new research and knowledge about mental health issues as well as common language for professionals to communicate about patient concerns (APA, 2014). As one of those newcomers, DSM-5 was found to be very
"The Numbers Count: Mental Disorders in America." NIMH RSS. N.p., n.d. Web. 05 May 2014.
Kahn, Ada P., and Jan Fawcett. The Encyclopedia of Mental Health. 2nd ed. New York: Facts On File, 2001.
The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization, 1992. Print.
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.
The multi-hub arrangement of the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, fourth version, 1994) is the path in which the DSM-IV tries to address "the entire individual." It becomes out of the expert conviction that, with a specific end goal to mediate effectively in an enthusiastic or psychiatric issue, we have to consider the influenced individual from an assortment of points of view.
Another idea from my psychology courses is the diagnostic criteria. I actually received a copy of the DSM while interning with Kassandra, and I can see all of the criteria for different diagnoses along with the reason for separation. For example, there are several diagnoses for adjustment disorder, and the professional diagnosing the client has to distinguish which type of adjustment disorder the client has. For adjustment disorders, there is unspecified, with depression, with anxiety and depressed mood, and so on. I really never thought about that in detail, but since working with Kassandra, I have learned that this can be a lengthy process with some clients and that no two clients are ever alike. Another facet of the diagnostic criteria
Kessler, R., Chiu, W., Demler, O., & Walters, E. (2005, June). The Numbers Count: Mental Disorders in America. Retrieved Febuary 13, 2011, from National Institute of Mental Health: http://www.nimh.nih.gov