Gender Identity Disorder in Prison: Depending on a Diagnosis That Is Soon to Disappear?September 28th 2012
A recent case has caused a flurry of opposing opinions. Not surprisingly, transgender advocacy groups have praised the judge's decision that the inmate in question has an eighth amendment right requiring the state to support and pay for sex reassignment surgery.
DSM-5 in the Homestretch-1. Integrating the Coding SystemsMarch 8th 2012
With DSM-5 scheduled for publication a little more than a year from now, we may safely assume that, barring unannounced surprises from, say, the APA Scientific Review Committee, what we will see on the DSM-5 Web site is what we will get. With that in mind it’s time to review what we will indeed get.
Science Versus Pragmatism in the DSM: Finding A Middle GroundNovember 18th 2010
The DSM does and must involve both science and pragmatism. It must use the science that is available, but it must also make countless judgment calls that are not grounded in solid empirical evidence-and surely it makes sense to consider practical consequences in doing the latter.
DSM is a Many-Dimensioned ThingOctober 19th 2010
In a recent issue of Psychiatric News, members of the DSM-5 Task Force reported on the dimensional measures being considered for DSM-5. These take 2 forms: severity scales for individual disorders, and “cross-cutting” measures that cut across disorders. For this brief piece, I will focus on the latter, the more interesting and controversial of the proposed dimensions.
Grief and Depression: When Science and Terminology Get ConfusedSeptember 15th 2010
In his ongoing critique of the DSM-5 process, Dr Allen Frances started a brushfire recently in challenging the DSM-5 Mood Disorders Work Group proposal to remove the bereavement exclusion from the diagnostic criteria for a major depressive episode. Here’s a summary of the debate.
The Cultural Dimension in DSM-5: PTSDAugust 15th 2010
Any effort to develop a diagnostic manual for world-wide use must grapple with the question of cross-cultural applicability. The description and diagnostic criteria for schizophrenia must work as well in East Timor as in the US or France. In this piece I choose PTSD to show the complexity of the cultural issue for DSM-5.
The limited empirical research evidence supports the impression that practitioners, if they use the manuals at all, use them in a loose, informal manner and are comfortable ignoring diagnostic criteria and making their diagnoses following an informal prototypal pattern.