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DSM-5

Posted by alexandra_k on July 16, 2013, at 1:43:51

I just saw it. It is quite beautiful, i think. I mean, the purple is alright, but it felt lighter, somehow. More succinct. More careful. Or maybe that is just me. Because it's grip is loosening. Or maybe there is an alteration in tone... A kind of awareness that they don't really want the burden of responsibility / power that they used to have / that others have been battling to take from them. Or maybe it is differently type-setted so it feels lighter. Less white space. Smaller print.

I'm most interested in the introductory blurb and the culture bound stuff in the appendices... But I thought the introductory blurb was beautiful in its simplicity. Finally... After the ugly disjunctive definition of the DSM-IV we have the comparatively elegant:

'A mental disorder is a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning.'

- usually associated with distress or disability
- not culturally sanctioned (e.g., grieving death)
- not merely socially deviant or conflicts between individual and society

They bloody gave Wakefield his 'inner dysfunction'. I have grudging admiration, I suppose... He did bang on... There might be something to it...

I think I have that studies too much one in the appendix. I failed to adapt to tech because I think / study to much. Ahaha.

I am concerned about the their explicitly trying to loosen the link between treatment and disorder, and legal / moral responsibility and disorder. I mean... Well... What would a dx system that was useful for those enterprises look like? Wouldn't the treatment one have every bit as much a claim to be THE important manual for clinical practice?

Anyway... Good on them for raising these issues.

I think they did well, actually. But maybe I'm full of compliments feeling vulnerable about my own ability to contribute anything of value whatsoever...

 

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