The DSM-V Project: Bad Science Produces Bad Psychiatry

2010 ◽  
Vol 12 (3) ◽  
pp. 189-199 ◽  
Author(s):  
Niall McLaren
Keyword(s):  
Mental Disorders ◽  
Mental Disorder ◽  
Statistical Model ◽  
Field Trials ◽  
Fourth Edition ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm V

The project to develop the successor to fourth edition of the Diagnostic and Statistical Manual of Mental Disorders has been under way for 10 years, yet it is still several years from completion, and the field trials, the most difficult and expensive part, have not even started. This article explores the reasons why the project is struggling, arguing that the defects the Diagnostic and Statistical Model-V (DSM-V) Committee has found are not chance or random problems that can be overcome by more money but rather represent serious conceptual errors in the very basis of the ideas underlying the project. As a result of these errors, it is predicted that the entire notion of valid categories of mental disorder will collapse in self-contradiction. One of the most recent suggestions for a new disorder, psychotic risk syndrome (now APSS), is used to demonstrate how the principles of science cannot accommodate the unstated ideological demands driving the DSM-V project.

Validación de la escala de sintomas somáticos (SSS-8) en pacientes de una zona rural en Ecuador

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Mercy García ◽  
Ernestina Tamami ◽  
Giovanni Rojas-Velasco ◽  
Carolina Posso ◽  
Galo Sánchez del Hierro ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Somatic Symptom ◽  
Symptom Scale ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Calidad De Vida ◽  
Dsm V ◽  
Scale 8

Introducción.- Los síntomas somáticos causan malestar y afectan la calidad de  vida de los pacientes, incrementando la frecuencia del uso de los servicios de salud. En Ecuador no existe un instrumento validado que evalúe somatización. La escala Somatic Symtom Scale-8 (SSS-8), es un instrumento usado como medida de referencia en the Diagnostic and Statistical Manual of Mental Disorders(DSM-V), para evaluar la carga de síntomas somáticos, validada en inglés y adaptada culturalmente a los idiomas alemán y japonés. Objetivos.- En esta investigación el propósito fue validar la escala “Somatic Symptom Scale-8” y determinar sus propiedades métricas. Métodos.- Investigación descriptiva y transversal en la que se realizó la validación de la herramienta clínica SSS-8 en 401 pacientes en la consulta externa del hospital Pedro Vicente Maldonado, desde mayo a julio de 2017. Para el análisis de datos se utilizaron los programas estadísticos SPSS versión 23, Latent gold y EpiDat 3.1. Resultados.- El grupo mayoritario fue de 30 a 47 años, con ligero predominio del sexo masculino (con 52,6%) sobre el femenino (47,4%). El SSS-8 mostró adecuadas propiedades métricas (alfa de Cronbach de 0,73). Mediante este análisis se obtuvo que, los pacientes que respondieron: algo, bastante o muchísimo en las dimensiones sentirse cansado, dolor de cabeza, dolor de brazos y dolor de espalda; tenían un 99% de probabilidades de presentar somatización. Conclusiones.- En este estudio, el SSS-8 demostró ser una herramienta útil para evaluar los síntomas somáticos en pacientes que acuden a consulta externa, ya que presentó buenas propiedades métricas: consistencia interna elevada, buena validez y una apropiada capacidad discriminativa.

Latent structure of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition personality disorder criteria

2006 ◽  
Vol 47 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Gerald Nestadt ◽  
Fang-Chi Hsu ◽  
Jack Samuels ◽  
O. Joseph Bienvenu ◽  
Irving Reti ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Mental Disorders ◽  
Latent Structure ◽  
Fourth Edition ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual

Psychology and New Religious Movements

2016 ◽  
Author(s):  
John A. Saliba
Keyword(s):  
Mental Disorders ◽  
Religious Movements ◽  
New Religious Movements ◽  
Fourth Edition ◽  
Statistical Manual ◽  
Positive Approach ◽  
Diagnostic And Statistical Manual ◽  
New Religions

In “Psychology and the New Religious Movements,” John Saliba begins by contrasting psychology/psychiatry’s traditional antagonism toward religion with the newer, more positive approach reflected in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (1994). After a brief survey of relevant studies, he then explores the problems involved with psychological approaches to members of new religions through the example of studies of followers of Bhagwan Rajneesh. He concludes by outlining a series of unresolved issues regarding the psychology of NRM membership.

scholarly journals A unifying perspective on personality pathology across the life span: Developmental considerations for the fifth edition of theDiagnostic and Statistical Manual of Mental Disorders

2009 ◽  
Vol 21 (3) ◽  
pp. 687-713 ◽  
Author(s):  
Jennifer L. Tackett ◽  
Steve Balsis ◽  
Thomas F. Oltmanns ◽  
Robert F. Krueger
Keyword(s):  
Mental Disorders ◽  
Life Span ◽  
Later Life ◽  
Personality Pathology ◽  
Statistical Manual ◽  
Developmental Issues ◽  
Diagnostic And Statistical Manual ◽  
Dsm V ◽  
Dimensional Models ◽  
Middle Aged Adult

AbstractProposed changes in the fifth edition of theDiagnostic and Statistical Manual of Mental Disorders(DSM-V) include replacing current personality disorder (PD) categories on Axis II with a taxonomy of dimensional maladaptive personality traits. Most of the work on dimensional models of personality pathology, and on personality disorders per se, has been conducted on young and middle-aged adult populations. Numerous questions remain regarding the applicability and limitations of applying various PD models to early and later life. In the present paper, we provide an overview of such dimensional models and review current proposals for conceptualizing PDs inDSM-V. Next, we extensively review existing evidence on the development, measurement, and manifestation of personality pathology in early and later life focusing on those issues deemed most relevant for informingDSM-V. Finally, we present overall conclusions regarding the need to incorporate developmental issues in conceptualizing PDs inDSM-Vand highlight the advantages of a dimensional model in unifying PD perspectives across the life span.

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