The End of Neo-Kraepelinism

2012 ◽  
Vol 14 (2) ◽  
pp. 87-90 ◽  
Author(s):  
David H. Jacobs ◽  
David Cohen
Keyword(s):  
Mental Disorders ◽  
Biological Information ◽  
Biological Research ◽  
Statistical Manual ◽  
The Road ◽  
Diagnostic And Statistical Manual ◽  
Social Difficulties ◽  
Psychological Difficulties ◽  
On The Road ◽  
The Individual

In 1980, the American Psychiatric Association asserted that its subject matter was straightforwardly medical and created a diagnostic manual—Diagnostic and Statistical Manual of Mental Disorders (3rd ed.; DSM-III)—consisting of supposedly discrete and independent mental disorders based on what were meant to be low-inference, easily observed sets of symptoms. It was taken for granted that such mental disorders existed and that biological research over time would unearth their specific somatic causes. The idea was to purge psychiatric diagnosis of jargon and unverified and unverifiable psychosocial theories of etiology and thereby place psychiatry on the road to discoveries regarding somatic pathology and causation that has proven so fruitful in the rest of medicine. When DSM-5 is published in 2013, however, biological information about the individual being diagnosed will play the same role as it did in DSM-III—namely, nothing. This article summarizes why adopting medicine as a model for conceptualizing personal distress and social difficulties was and is naïve and misguided. It is time for the mental health industry to stop pretending that psychological difficulties can be reduced to morbid physiology.

scholarly journals Omnidirectional robot for the diagnosis of the attention deficit

2020 ◽  
Vol 14 (2) ◽  
pp. 177-184
Author(s):  
Richard Camilo Bravo Angarita ◽  
Ivan Fernando Vargas Ochoa ◽  
Cesar Augusto Peña Cortes
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Mental Disorders ◽  
Attention Deficit ◽  
Brain Wave ◽  
Statistical Manual ◽  
Hyperactivity Disorder ◽  
Diagnostic And Statistical Manual ◽  
Brain Interface ◽  
The Individual ◽  
Design For Children

Attention Deficit Hyperactivity Disorder (ADHD) occurs in 16% of the Colombian student population and estimates that between 30-70% of these children continue to show symptoms in adulthood. Thus, a tool is proposed for the professional to support his diagnosis according to the criteria offered by the Diagnostic and Statistical Manual of Mental Disorders (DMS). An omnidirectional platform is implemented, striking for its design, for children, adolescents and that becomes a concentration challenge for adults.With an Electroencephalography (EEG) helmet a brain wave reading is made; with the help of a Computer Brain Interface (BCI) you can have the reading of facial gestures, having said reading is implemented to control the omnidirectional platform, with the same BCI you also have the reading of concentration, stress, excitation, etc. of individuals; Thus, the professional in the area can support his diagnosis according to several factors, such as: EEG interpretation, emotional data (concentration, stress, excitement ...), and the observation of the individual. The evaluation of the patient makes the health professional, generating some challenges to overcome the platform and interpreting the different data according to their professional criteria.

scholarly journals The diagnosis and management of depression in the era of the DSM-5

2018 ◽  
Vol 60 (1) ◽  
pp. 22-28
Author(s):  
Eileen Thomas ◽  
S Seedat
Keyword(s):  
Public Health ◽  
Mental Disorders ◽  
Clinical Characteristics ◽  
Depressive Disorders ◽  
Health Needs ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Dsm Iv ◽  
The Individual

Depressive disorders comprise a range of conditions that can be viewed along many dimensions. The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) introduced several changes to the chapter on depressive disorders largely informed by advances in neuroscience, clinical and public health needs and difficulties identified with the previous DSM-IV classification system and criteria. Clinical characteristics vary across depressive disorders, as do the corresponding treatments. Pharmacotherapy and psychotherapy should be tailored to the individual patient.

scholarly journals Do DSM classifications help or hinder drug development?

2020 ◽  
Vol 22 (1) ◽  
pp. 73-79
Keyword(s):  
Mental Disorders ◽  
Drug Development ◽  
Psychotropic Drugs ◽  
Current Practice ◽  
Diagnostic System ◽  
Regulatory Approval ◽  
Statistical Manual ◽  
Advantages And Disadvantages ◽  
Diagnostic And Statistical Manual ◽  
The Individual

Development and regulatory approval of psychotropic drugs targets individuals with syndromes described in the current Diagnostic and Statistical Manual of Mental Disorders (DSM). This helps drug developers and regulators to communicate with prescribers, and prescribers to match a specific psychotropic with the individual patient(s) most likely to benefit from it. However, this practice has been criticized on the grounds that DSM syndromes are too heterogenous biologically, and the effects of psychotropics are too nonspecific to allow for an effective match. This review considers the advantages and disadvantages of the current practice and the possible alternatives. It concludes that efforts should be made to explore psychotropic development transdiagnostically, free of the DSM boundaries. However, currently there exists no alternative diagnostic system that is clearly superior to the DSM in terms of communications between the stakeholders in drug development.

Philosophical Puzzles about Transgenderism

2021 ◽  
Vol 46 (7) ◽  
pp. 3-4
Author(s):  
Edward J. Furton ◽  
Keyword(s):  
Mental Disorders ◽  
Gender Dysphoria ◽  
The Body ◽  
Abnormal Development ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
The Individual ◽  
Healthy Body

The current edition of the Diagnostic and Statistical Manual of Mental Disorders has created a paradox in the treatment of gender dysphoria, in part by redefining the disorder. The new definition implies that the individual’s body, not his or her mind, is disordered, regardless of whether the body shows any sign of abnormal development. Thus, the manual has created a situation where a perfectly healthy body is considered disordered, while a mind that perceives that healthy body to be wrongly sexed is considered healthy. This leads to erroneous and dangerous treatment of the individual.

Angststörungen – von der ICD-10 zur ICD-11

2020 ◽  
pp. 1-5
Author(s):  
Timo D. Vloet ◽  
Marcel Romanos
Keyword(s):  
Mental Disorders ◽  
International Classification Of Diseases ◽  
International Classification ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Classification Of Diseases ◽  
Icd 10

Zusammenfassung. Hintergrund: Nach 12 Jahren Entwicklung wird die 11. Version der International Classification of Diseases (ICD-11) von der Weltgesundheitsorganisation (WHO) im Januar 2022 in Kraft treten. Methodik: Im Rahmen eines selektiven Übersichtsartikels werden die Veränderungen im Hinblick auf die Klassifikation von Angststörungen von der ICD-10 zur ICD-11 zusammenfassend dargestellt. Ergebnis: Die diagnostischen Kriterien der generalisierten Angststörung, Agoraphobie und spezifischen Phobien werden angepasst. Die ICD-11 wird auf Basis einer Lebenszeitachse neu organisiert, sodass die kindesaltersspezifischen Kategorien der ICD-10 aufgelöst werden. Die Trennungsangststörung und der selektive Mutismus werden damit den „regulären“ Angststörungen zugeordnet und können zukünftig auch im Erwachsenenalter diagnostiziert werden. Neu ist ebenso, dass verschiedene Symptomdimensionen der Angst ohne kategoriale Diagnose verschlüsselt werden können. Diskussion: Die Veränderungen im Bereich der Angsterkrankungen umfassen verschiedene Aspekte und sind in der Gesamtschau nicht unerheblich. Positiv zu bewerten ist die Einführung einer Lebenszeitachse und Parallelisierung mit dem Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Schlussfolgerungen: Die entwicklungsbezogene Neuorganisation in der ICD-11 wird auch eine verstärkte längsschnittliche Betrachtung von Angststörungen in der Klinik sowie Forschung zur Folge haben. Damit rückt insbesondere die Präventionsforschung weiter in den Fokus.

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.

Diagnoses, Dimensions, and DSM-5

2010 ◽  
pp. 254-279
Author(s):  
Thomas A. Widiger ◽  
Maryanne Edmundson
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Paradigm Shift ◽  
Empirical Support ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Dimensional Classification ◽  
Diagnosis And Classification

The Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) is often said to have provided a significant paradigm shift in how psychopathology is diagnosed. The authors of DSM-5 have the empirical support and the opportunity to lead the field of psychiatry to a comparably bold new future in diagnosis and classification. The purpose of this chapter is to address the validity of the categorical and dimensional models for the classification and diagnosis of psychopathology. Considered in particular will be research concerning substance use disorders, mood disorders, and personality disorders. Limitations and concerns with respect to a dimensional classification of psychopathology are also considered. The chapter concludes with a recommendation for a conversion to a more quantitative, dimensional classification of psychopathology.

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