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Strengths and weaknesses of the DSM system
The strengths and limitations of the DSM
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Background
Somatoform disorders, as defined on Merriam-Webster.com states, “Any of a group of psychological disorders (as body dysmorphic disorder or hypochondriasis) marked by physical complaints for which no organic or physiological explanation is found and for which there is a strong likelihood that psychological factors are involved.” So what does this mean? Basically, somatoform disorders include mental factors that are often caused by physical symptoms, but no physical source or psychological cause. The symptoms therefore are imagined, but that does not bring light to the situation that it causes distress and can often be long-term (Kenny, 2011). The DSM-V, the Diagnostic and Statistical manual released in May of 2013 now classifies it as, “Somatic Symptom and Related Disorders.” This new name groups together many categories of disorders linked to somatoform disorders. Different disorders include; somatization, hypochondriasis, conversion, body dysmorphic and pain disorder (Kenny, 2011).
DSM-V
The DSM-V plays a huge role in the classification and treatment of somatoform disorders. It was not until this model that somatoform was not just one category, but had multiple sub-categories under it. With all of this being said, the DSM-V has gotten multiple hits of hard criticism that the new edition has a lack of scientific evidence for specific classifications, and unclear boundaries between every day stressors, and a classified “illness.” However, with constant progress, new information, new disorders and treatments, the DSM, no matter what version, will always take criticism for one thing or another (McCarron, 2013).
Going back to the DSM-4, which is still used by many in the psychology world, classified somatization as needi...
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... the patient complained about, they needed to avoid diagnostic procedures and surgeries unless previously indicated, and finally they had to refrain from making statements about their symptoms being, “all in their head” (Woolfolk, 2010).
Conclusion
In conclusion, somatoform disorders must be treated with caution. Upsetting a patient or even digging too far to find information or a cause of a disease could potentially make the patient even worse. Those professionals using the DSM-V on a regular basis must be aware the changes and the progression the DSM will continue to make. Different symptoms may include pain, gastrointestinal complaints, sexual symptoms and neurological problems. Different disorders include somatization, hypochondriasis, conversion, body dysmorphic disorder, pseudocyesis, and both pain and undifferentiated somatization in conjunction with PTSD.
Hypochondria is an unsupported belief or anxiety over having a serious disease that is based on personal interpretations of bodily symptoms. The patient usually misinterprets bodily sensations. Anxiety and persistent reports of symptoms involving any body part is a good indicator the patient might suffer from a somatization disease or hypochondriasis. A patient's symptoms might change from each visit, but the person's belief that a serious condition exists does not. The patient's symptom complaints may shift from being very specific to very vague. Sometimes they might think that they have a form of cance...
The Diagnostic and Statistical Manual for Mental Disorders (DSM) provides standard criteria for diagnosing mental disorders. It serves numerous purposes and delineates a common language for researchers, clinicians, educators and students. The APA released the fifth edition of its Diagnostic and Statistical manual of mental disorders in May 2013 after 12 years of research involving a diverse range of 400 experts from 12 countries worldwide (Kuhl, Kupfer, & Reiner, 2013). While the release of the new DSM 5 has caused much controversy in the field of psychiatry, specifically for its changes in specific diagnosis and new disorders, the structural changes that have been made seem to be an improvement from the previous DSM IV and will help clinicians diagnose and treat patients in a more straightforward and precise way.
Frances, A., & Ross, R. (1996). DSM-IV case studies a clinical guide to differential diagnosis. Washington, DC: American Psychiatric Press, Inc.
Biological theorists, have very little to say since there seems to be no physical cause of the symptoms, except that there may be some genetic predisposition to Somatoform disorders.
 Dysthymic disorder, also called dysthymia, is a type of depression involving long-term chronic symptoms that do not disable an individual, but keep them from functional at full steam or from feeling good.
Mead, M. A., Hohenshil, T. H., & Singh, K. (1997). How the DSM system is used by clinical counselors: A national study. Journal Of Mental Health Counseling, 19(4), 383.
Sharma, V., Burt, V., & Ritchie, H. (2010, April 1). Drs. Sharma, Burt, and Ritchie Reply [Letter to the editor]. The American Journal of Psychiatry, 167(4). Retrieved November 17, 2013
One could say it is the transference of a person mental anguish into physical issues. Individuals with somatization disorder may complain about their symptoms in a very dramatic way, yet describe the symptoms in very vague or unclear terms. They may also visit more than one doctor for diagnosis and treatment for the same symptoms, have test results that do not confirm any medical illness to explain their symptoms. A person with somatization disorder is not intentionally producing or pretending to experience these physical complaints. You should have at least one reference in this
Over the years, many things have changed based off our technological advances. Leading us to have a better understanding of us as a species and have a more in-depth understanding of the more complex organisms we have such as the brain. This leads us to either shape our understanding of things we once thought or to reconstruct what was once thought as one thing to a new concept overall. A prime example of this changing concept of this is the DSM-5 and how it has been evolving over the course of the years. With these advancements, it is clear to see how this new technology has helped supported the fact that certain disorders are genetically influenced, how some individuals have more risk or protective factors in their life that affects the path
Spiegel, D., Loewenstein, R. J., Lewis-Fernández, R., Sar, V., Simeon, D., Vermetten, E., & ... Dell, P. F. (2011). Dissociative disorders in DSM-5. Depression & Anxiety (1091-4269), 28(9), 824-852. doi:10.1002/da.20874
People with BDD believe something is physically wrong with them and will normally seek plastic surgery to fix their flaw. “Twelve percent of patients that went to see a dermatologist screened positive for BDD” (Katharine Phillips). Many people with BDD will have social anxiety. Sufferers will avoid friends, family, and any situation involving people because of the fear of being look at and judged by others. BDD sufferers will commonly experience depression at one point in their life, but it is when the depression turn into the feelings of hopelessness and worthlessness that BDD can become dangerous. Many people with BDD have thought about or have attempted suicide. Chris Saville had a son with BDD whose attempt at at suicide was successful because he went untreated for so long. “ He said to me; you don’t understand so I’m going to kill myself. I’ve had enough. There's no hope. He said he felt like an alien on the planet”
One advantage is that the DSM allows for professionals to communicate to patients about the relationship of their current, disruptive symptoms to a possible disorder with common attributes. One disadvantage is that the DSM does not resonate cross-culturally which can create an issue in diagnostics within a culture where mental illness is viewed, as a physical sickness or spiritual disharmony. Overall, the DSM-5 is the most simplified and modified version, it allows for a generic definition of mental disorders in relation with past behaviors, thought processes and emotions that lead to the abnormal, mental state. The DSM-5’s predecessors were impressive pieces of work, but lacked in certain areas of research and classification. For instance, the first DSM only separated psychiatric conditions from non-psychiatric conditions; the DSM-II theorized that disorders are only recognizable in their later stages of development and that the symptoms have to be defined, as regularly occurring or heritable; the DSM-III defines only those that are treatable conditions which carried into the DSM-IV, but was later revised to DSM-IV-TR where more empirical evidence was added along with the addition, removal, and reorganization of disorders which paved the way for the simplification of and the currently used
Throughout each revision, the DSM faced challenges by the professional community in reference to nomenclature, scientific developments, lack of specific definitions, inconsistencies, and finally, with the need for empirical foundations of criteria in the DSM IV (American Psychiatric Association, 2015). These issues lead to the twelve-year compilation of the DSM V in 2013. Before the release of this manual, the group in charge of the mechanics of the manual requested input from the professional community of practitioners from around the world, which lead to a great deal of peer experience and knowledge. However, the selection and choices determined by the group of what information was applied and not applied, has drastically changed the manual in multiple
The symptoms of somatic symptom disorder can often be hard to notice because it is psychological and many times the pain they express may seem legit. Many people with the somatization pattern of the somatic symptom disorder will experience many long-lasting physical ailments, and these ailments typically have little to no physical basis (Comer, 2014). These people will usually go from doctor to doctor, hospital to hospital just to find some relief or even answers...
Somatic system disorder also known as Hypochondria is a disorder where people worry excessively and unrealistically about their health. I always used to wonder as a kid, what my dad was talking about when I said something was bothering me. He would say are you a hypochondriac? I would just look at him confused. I find it interesting how people can worry so much about minor health problems and normal bodily functions and believe that they actually have serious health problems. What is wrong with people? They seriously have something going on in their mind to think this way. This can cause major distress in someone’s life, worrying every moment that something