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- Jul 18, 2011
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Yes. Our instructor posted it for us and invited us to join the debate...if we were up to it.
What is all this crap about "pathologizing" grief. Nobody made grief a mental disorder and their isnt some high commandment to dx MDD if the clincian thinks the clinical presentation is better accounted for by grief.
Geez, all they did was remove the arbitrary time limit. I thought thats what we wanted... to get away from stringent rules that were not based on science. Nobody's forcing anyone to dx MDD in place of grief reaction. If you do, then that your fault! The DSM isnt responsbile for your poor clincial judgment/skills.
What is all this crap about "pathologizing" grief? Nobody made grief a mental disorder and their isnt some high commandment to dx MDD if the clincian thinks the clinical presentation is better accounted for by grief.
Geez, all they did was remove the arbitrary time limit. I thought thats what we wanted... to get away from stringent rules that were not based on science. Nobody's forcing anyone to dx MDD in place of grief reaction. If you do, then that your fault! The DSM isnt responsbile for your poor clincial judgment/skills.
EDIT: Well I don't really think psychologists should use intuition to diagnose people... I didn't think the time limits weren't based on science. Really, is it even possible to develop good enough psychological "skills" to be a good judge of stuff like mental illness?
I dont think anybody does, hence why the DSM was developed. To help standardized and communicate diagnosis.
However, the development of appopriate clinical judgment is an intregal part of becoming a professional in any health (medical or mental health) field. People are not just a "black box" of symptoms that exist in a vacuum then get a diagnosis, right? Hence, judgement is always going to be an important and necessary part of establishing diagnostic thresholds in psychiatry.
I agree with that, but I didn't think the time limit for clinical depression (diff from one major depressive episode) was more than maybe 6 months. People can be at high risk of suicide if they have a depressive episode, so it's not like saying that's not serious, but I feel like "clinical depression"
implies something organic and that the problem is probably not going to fix itself with due time.
I feel like "clinical depression" implies something organic.
You might wanna start reading the research in this area.
What is all this crap about "pathologizing" grief? Nobody made grief a mental disorder and their isnt some high commandment to dx MDD if the clincian thinks the clinical presentation is better accounted for by grief.
Geez, all they did was remove the arbitrary time limit. I thought thats what we wanted... to get away from stringent rules that were not based on science. Nobody's forcing anyone to dx MDD in place of grief reaction. If you do, then that your fault! The DSM isnt responsbile for your poor clincial judgment/skills.
However, now it is more likely that the opposite will happen, meaning that larger number of people, only a couple of months into grieving process be asking for meds and the clinician agreeing to prescribe it.
I dont think anybody does, hence why the DSM was developed. To help standardized and communicate diagnosis.
However, the development of appopriate clinical judgment is an intregal part of becoming a professional in any health (medical or mental health) field. People are not just a "black box" of symptoms that exist in a vacuum then get a diagnosis, right? Hence, judgement is always going to be an important and necessary part of establishing diagnostic thresholds in psychiatry.
Is there a way we can read the British Psychological Society's letter without subscribing to the Psychiatric Times? I'm really curious as to what they specifically said.
Edit: Found it at http://apps.bps.org.uk/_publicationfiles/consultation-responses/DSM-5%202011%20-%20BPS%20response.pdf for those who may also want to read it
Allen Frances (chair of DSM IV) has been spearheading much of this debate and frankly, outrage, about the new DSM. An interesting article I came across (yes I know, "Psychology Today") he writes about using the ICD instead of the DSM.
www.psychologytoday.com/blog/dsm5-in.../who-needs-dsm-5
I dont think the ICD is even taught in psychology programs, or is it?
Is there a way we can read the British Psychological Society's letter without subscribing to the Psychiatric Times? I'm really curious as to what they specifically said.
Edit: Found it at http://apps.bps.org.uk/_publicationfiles/consultation-responses/DSM-5%202011%20-%20BPS%20response.pdf for those who may also want to read it
I can see the value of this approach in some "personality disorders/issues" (call it what you want) and the over-medicalization of ADHD, Conduct disorder etc. but come on...not everything is like that...