Controversy: Revision Of The Dsm Iv To Dsm V

2024 words - 8 pages

Criticisms of the DSM-5 Task Force
This fifth revision of the Diagnostic and Statistical Manual of Mental Disorders or DSM will be the standard classification of mental disorders (Nauert, 2011). Mental health professionals and other health professionals will use this standard in their diagnoses and researches. The American Psychiatric Association released a draft of proposed changes after a decade of review and revision by the Association. Allen Frances, chairman and editor of DSM IV, and Robert Spitzer, editor of DSM III, expressed objections to the task force conducting the revisions and the proposed revisions. Present chairman is David Kupfer and vice chairman is Darrel Regier (Nauert; Collier, 2010).
The DSM-5 Scientific Review Work Group is tasked with providing quality evidence to support the proposed revisions (Spitzer & Frances, 2010). The objections or problems relating to its work are continued secrecy, the intended paradigm shift, and composition of the group, charge, method, and timing. Dr. Allen Frances’ editorials assailed the work group’s lack of transparency in the methods, progress, timelines, and products it uses (Collier, 2010). Dr. Robert Spitzer raised the same objection to the lack of transparency, especially when he was refused the minutes of a meeting in 2008. Dr. Spitzer argued that this lack of openness deters the free flow of information between the work group and outside experts necessary for proper revision (Collier). These were in response to the announcement made by that its deliberations and reports would be confidential and only its existence will remain public.
Composition of Work Group and Charge
Dr. Frances (2010) lamented the group’s claim that it would render an equivalent of an independent NIMH peer review. Two members have been involved with DSM-5 and cannot, therefore, claim independence. The process should be undertaken by experts in evidence-based medicine who are truly and fully independent and capable of applying the standards of scientific proof in all medical specialties. The committee needs to guarantee that it is using a truly unbiased and independent review process (Frances).
This should go beyond a scientific review and tackle a thorough risk-benefit analysis of all recommendations (Spitzer & Frances, 2010; Oldham, 2010). This plan was expressed in the charge. That charge requires the ideal and broader experience in primary care, public policy, health economics, and forensics. The composition of the current work group cannot comply with the requirements of the charge (Spitzer & Frances, Oldham).
Method and Timing

The assessments appear limited to the evidence the group already produced (Spitzer & Frances, 2010). The comprehensiveness and balance of the reviews have not been determined. The lack of a standard operating procedure in the literature process makes the reviews variable in both quality and method (Spitzer & Frances).
...

Examples of Diagnostic Criterion for Unipolar Depression, as defined in The DSM-IV , in William Styron's Darkness Visible: a Memoir of Madness

2834 words - 11 pages present during the same two week period and represent a change from previous functioning in order for a diagnosis to be made. Also, at least one of the symptoms must either be depressed mood or loss of interest or pleasure. William Styron, author of Darkness Visible: a Memoir of Madness clearly depicts all nine symptoms in his autobiographical account of depression.The first of the nine symptoms listed in DSM-IV is depressed mood most of the day

The Expansion of DSM Diagnoses Essay

1139 words - 5 pages When I consider the expansion of DSM diagnoses from just over 100 to almost 300 over the short course of forty-odd years and an even more diagnoses being added, couple with diagnoses that are broader in their application blurring the lines of what is normal and what is abnormal when considering the behaviors of the individual client behaviors, it saddens me to no end and makes me wonder if the world is moving closer to insanity as a population

The Diagnostic and Statistical Manual of Mental Disorders (DSM)

612 words - 2 pages ). Revisions continued and today's DSM-IV-TR (text revision) was published in 2000. DSM-V should make its debut in 2010 (Schafer & Bloom, 2006)..To what extent should we employ the medical model in psychological disorders and use the DSM as an authoritative reference in psychiatric diagnosis?Research was done on the DSM-IV by analyzing the normalities versus the abnormalities. They looked at what kind of proof was used to help validate what

DSM categories of alcohol dependence, abuse, intoxication and withdrawal

798 words - 3 pages According to the Diagnostic and Statistical Manual of Mental Disorders-IV-TR (American Psychiatric Association, 2000), a diagnosis of alcohol dependence (DSM-IV-TR code: 303.90) can be established when an individual has met three or more of the seven criteria associated with the disorder. The physiological aspects of alcohol dependence are associated with a much greater potential for medical problems such as acute alcohol withdrawal. The first

Revision of the Eighth Amendment

1121 words - 4 pages suffering a horrible consequence; it would make them think a lot more about whether or not the crime would be worth it. Also they would more than likely have to live with the punishment for the rest of their lives. Enforcing the ability to use excessive bails and fines or cruel and unusual punishments would cause people to really think twice before they commit a crime. I think the revision of the Eighth Amendment would be very wise to do. I

Socrates Modest Revision of the Status Quo

856 words - 4 pages charges with Apology concluding his trial. Despite a compelling account placing guilt on Socrates by Aristophanes’ Clouds, my belief sits along with Plato’s Apology’s more logical implication in the innocence of Socrates, who offered an alteration to the connection of thought and speech to the youth of his age rather than the accused corruption. Just speech constitutes a very traditional and morality influenced defense often affiliated with what

The Controversy of Animal Testing

1302 words - 5 pages normally would to the drugs and chemicals. Animals are also not identical to humans, so no one is sure whether the effects will be the same on humans (http://www.aboutanimaltesting.co.uk /controversy-of-animal- testing.html). After many animal tests, the animals are euthanized. Again, they are not able to give consent for this as would be required of a human. Other animals have to endure the rest of their life in captivity or

The Controversy of Huckleberry Finn

1912 words - 8 pages 　　Over the 129 years for which the book has been in print, Mark Twain’s The Adventures of Huckleberry Finn has been regarded with much controversy, for many different reasons. As it has progressed, the subject of this controversy has been almost constantly changing. This essay will explore some of the claims and explanations of the controversy, as well as a discussion on whether the book is even that controversial. While everyone is entitled to

The Controversy of Media Imperialism

1336 words - 5 pages The Controversy of Media Imperialism The controversy of media imperialism questions us as to whether a certain medium (in this case, the newspaper – tabloid, broadsheet, hybrid) is controlled by the publication owner or the managers/editors-in-chief/journalists. They both deliver news and make it possible to be accessed by the reading-public. Proprietors own publication companies and administer the content of the media

The Controversy of Marcel Duchamp

1112 words - 4 pages negative way; however, these two pieces alone, brought about the greatest amount of controversy. In 1917, Marcel Duchamp submitted his urinal, the Fountain, to the American Society of Independent Artists . The urinal was taken from J. L. Mott Iron Works in New York City, rotated ninety degrees and signed “R. Mutt.” The name “R. Mutt” was an alias he created to sign the piece. “R” stands for Richard was slang for a rich man, and “Mutt” refers to a

The Controversy of Artificial Intelligence

1495 words - 6 pages Throughout its history, artificial intelligence has always been a topic with much controversy. Should human intelligence be mimicked? If so, are there ethical bounds on what computers should be programmed to do? These are a couple of question that surround the artificial intelligence controversy. This paper will discuss the pros and cons of artificial intelligence so that you will be able to make an educated decision on the issue.What is

Analysis Of Improvements From Dsm Iv To Dsm 5

3612 words - 14 pages , 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. One of the most debated proposals for the DSM 5 was a proposal to re

The Fear Of Fat Criterion Within The Dsm Iv

1830 words - 7 pages , however, the driving force behind all cases of anorexia nervosa and bulimia? According to the DSM IV, the fear of gaining weight is essential for these diagnoses to be made. Strong arguments have been made both in favor and against modifying the existing criteria to allow for the diagnosis and treatment of individuals, regardless of whether or not a ‘fat phobia’ is present. Is it culturally insensitive to retain this particular criterion, a fear

Clinical Utility Of The Ffm And Dsm Iv In The Diagnostic And Treatment Of Personality Disorders

1125 words - 5 pages The DSM-IV, classifies personality disorder in categories, identifying significant maladaptative personality traits and most of the diagnosis are validated. Those types of disorders are linked to cognitive and perceptual abnormalities that affect the lives of individuals. The validity and accuracy of the DSM-IV has been questioned due to the absence of a dimensional model for personality disorders. (Lynan, 2001).The Five Factor Model (FFM) of

Schizophrenia Diagnostic Criteria Changes Between The Dsm Iv Tr And Dsm 5 Term Paper/ Abnormal Psychology/ Trent Essay

1982 words - 8 pages released. In order to be considered for a diagnosis there must be, “abnormalities in one or more of the following domains: delusions, hallucinations, disorganized thinking (speech), grossly disorganized or abnormal motor behaviour (including catatonia), and negative symptoms” (American Psychiatric Association, 2013a, p. 87). The disorder is still vastly misunderstood, yet the improvements since the previous DSM-IV-TR have made diagnoses more