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Author: James W. Barron
Publisher: Amer Psychological Assn
ISBN: 9781557984968
Category : Medical
Languages : en
Pages : 363
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Book Description
This book reflects the discontent of many mental health professionals with the Diagnostic and Statistical Manual-IV (DSM-IV), which has come to provide the foundation for managed care's fragmented, symptomatic treatment approaches. Some of the criticisms that the contributors note are (a) the excessive reliance of the DSM on the medical model; (b) an excessive focus on reliability at the expense of validity and a predominance of the categorical, rather than the dimensional, approach to diagnosis; (c) arbitrary cut-off points for disorders; (d) a significant problem with comorbidity; and (e) a steady proliferation of labels for the personality disorders. The contributors explore this and other criticisms of the DSM system and propose new ways of looking at diagnosis and treatment. This thought-provoking volume proposes the ultimate goal of finding a diagnostic process that can be meaningfully related to what clinicians do in their actual work with patients.
Author: James W. Barron
Publisher: Amer Psychological Assn
ISBN: 9781557984968
Category : Medical
Languages : en
Pages : 363
Get Book
Book Description
This book reflects the discontent of many mental health professionals with the Diagnostic and Statistical Manual-IV (DSM-IV), which has come to provide the foundation for managed care's fragmented, symptomatic treatment approaches. Some of the criticisms that the contributors note are (a) the excessive reliance of the DSM on the medical model; (b) an excessive focus on reliability at the expense of validity and a predominance of the categorical, rather than the dimensional, approach to diagnosis; (c) arbitrary cut-off points for disorders; (d) a significant problem with comorbidity; and (e) a steady proliferation of labels for the personality disorders. The contributors explore this and other criticisms of the DSM system and propose new ways of looking at diagnosis and treatment. This thought-provoking volume proposes the ultimate goal of finding a diagnostic process that can be meaningfully related to what clinicians do in their actual work with patients.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309377722
Category : Medical
Languages : en
Pages : 473
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Book Description
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Author: Gary Greenberg
Publisher: Penguin
ISBN: 1101621109
Category : Psychology
Languages : en
Pages : 416
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Book Description
“Gary Greenberg has become the Dante of our psychiatric age, and the DSM-5 is his Inferno.” —Errol Morris Since its debut in 1952, the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders has set down the “official” view on what constitutes mental illness. Homosexuality, for instance, was a mental illness until 1973. Each revision has created controversy, but the DSM-5 has taken fire for encouraging doctors to diagnose more illnesses—and to prescribe sometimes unnecessary or harmful medications. Respected author and practicing psychotherapist Gary Greenberg embedded himself in the war that broke out over the fifth edition, and returned with an unsettling tale. Exposing the deeply flawed process behind the DSM-5’s compilation, The Book of Woe reveals how the manual turns suffering into a commodity—and made the APA its own biggest beneficiary.
Author: Simon van Rysewyk
Publisher: Springer
ISBN: 3319490222
Category : Medical
Languages : en
Pages : 401
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Book Description
Although pain is widely recognized by clinicians and researchers as an experience, pain is always felt in a patient-specific way rather than experienced for what it objectively is, making perceived meaning important in the study of pain. The book contributors explain why meaning is important in the way that pain is felt and promote the integration of quantitative and qualitative methods to study meanings of pain. For the first time in a book, the study of the meanings of pain is given the attention it deserves. All pain research and medicine inevitably have to negotiate how pain is perceived, how meanings of pain can be described within the fabric of a person’s life and neurophysiology, what factors mediate them, how they interact and change over time, and how the relationship between patient, researcher, and clinician might be understood in terms of meaning. Though meanings of pain are not intensively studied in contemporary pain research or thoroughly described as part of clinical assessment, no pain researcher or clinician can avoid asking questions about how pain is perceived or the types of data and scientific methods relevant in discovering the answers.
Author: James R. Morrison
Publisher: Guilford Publication
ISBN: 9780898625684
Category : Psychology
Languages : en
Pages : 594
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Book Description
With the publication of DSM-IV, mental health practitioners are faced with the challenge of quickly learning a whole new set of diagnostic standards. Providing a simple way rapidly to become conversant with all DSM-IV categories as well as its many new criteria, this book translates DSM-IV data into a concise, accessible format, explicating and illustrating all the criteria in clear, jargon-free language. It discusses, illustrates, and interprets the criteria for every DSM-IV diagnosis. Over 100 vivid case histories give the reader a flavor of the disorder described and provide a framework for understanding the diagnostic criteria. In each, the author walks the reader through the process in step-by-step detail, discussing how he arrives at a five-axis diagnosis. Helpful features include quick guides at the beginning of every chapter pointing the way to the sought after diagnosis; tips highlighting information that will help clinicians make the diagnosis; sidelights containing historical information and other interesting facts, and editorial comments discussing diagnosis, patients, and clinical issues. This book will be invaluable to all mental health clinicians who want a quick and painless way to learn the DSM-IV criteria, psychologists and social workers studying for their state licensing exam, and graduate students taking courses in abnormal behavior and psychopathology.
Author: Patrick D. McGorry
Publisher: Cambridge University Press
ISBN: 1108718841
Category : Medical
Languages : en
Pages : 301
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Book Description
Clinical staging is a solution to transform psychiatric diagnosis and improve mental health outcomes.
Author: Julian Seifter
Publisher: Simon and Schuster
ISBN: 1439123055
Category : Biography & Autobiography
Languages : en
Pages : 258
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Book Description
A heartfelt lesson on the art of living well through serious illness. Dr. Julian Seifter understands the difficulty of managing a chronic condition in our health-obsessed world. When he found out he was suffering from diabetes, he was an ambitious medical resident who thought he could run away from his diagnosis. Good health was part of his self-image, and acknowledging that he needed treatment seemed like a kind of failure. In his practice, however, as he helped his patients come to terms with serious conditions, he began to understand that there were different, better ways to approach a life-altering diagnosis. In this frank account of his experiences both as a doctor and as a patient, he shares the many lessons he has learned.--From publisher description.
Author: David J. Kupfer
Publisher: American Psychiatric Pub
ISBN: 1585627720
Category : Medical
Languages : en
Pages : 336
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Book Description
In the ongoing quest to improve our psychiatric diagnostic system, we are now searching for new approaches to understanding the etiological and pathophysiological mechanisms that can improve the validity of our diagnoses and the consequent power of our preventive and treatment interventions -- venturing beyond the current DSM paradigm and DSM-IV framework. This thought-provoking volume -- produced as a partnership between the American Psychiatric Association, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse -- represents a far-reaching attempt to stimulate research and discussion in the field in preparation for the eventual start of the DSM-V process, still several years hence. The book Explores a variety of basic nomenclature issues, including the desirability of rating the quality and quantity of information available to support the different disorders in the DSM in order to indicate the disparity of empirical support across the diagnostic system. Offers a neuroscience research agenda to guide development of a pathophysiologically based classification for DSM-V, which reviews genetic, brain imaging, postmortem, and animal model research and includes strategic insights for a new research agenda. Presents highlights of recent progress in developmental neuroscience, genetics, psychology, psychopathology, and epidemiology, using a bioecological perspective to focus on the first two decades of life, when rapid changes in behavior, emotion and cognition occur. Discusses how to address two important gaps in the current DSM-IV: (1) the categorical method of diagnosing personality disorders and their relationship with Axis I disorders, and (2) the limited provision for the diagnosis of relational disorders -- suggesting a research agenda for personality disorders that considers replacing the current categorical approach with a dimensional classification of personality. Reevaluates the relationship between mental disorders and disability, asserting that research into disability and impairment would benefit from the diagnosis of mental disorders be uncoupled from a requirement for impairment or disability to foster a more vigorous research agenda on the etiologies, courses, and treatment of mental disorders as well as disabilities and to avert unintended consequences of delayed diagnosis and treatment. Examines the importance of culture in psychopathology and the main cultural variables at play in the diagnostic process, stating that training present and future professionals in the need to include cultural factors in the diagnostic process is a logical step in any attempt to develop comprehensive research programs in psychology, psychiatry, and related disciplines. This fascinating work, with contributions from an international group of research investigators, reaches into the core of psychiatry, providing invaluable background and insights for all psychology and psychiatry professionals -- food for thought and further research that will be relevant for years to come.
Author: Herb Kutchins
Publisher: Simon and Schuster
ISBN: 0743261208
Category : Psychology
Languages : en
Pages : 324
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Book Description
A persuasive and passionate plea from two mental health professionals to ease use of the Diagnostic Statistical Manual of Mental Disorders under their belief that it is leading to an over-diagnosed society. For many health professionals, the Diagnostic Statistical Manual of Mental Disorders (DSM) is an indispensable resource. As the standard reference book for psychiatrists and psychotherapist everywhere, the DSM has had an inestimable influence on the way medical professionals diagnosis mental disorders in their patients. But with a push to label clients with pathological disorders in order to get reimbursed by insurance companies, the purpose of the DSM is no longer serving as a reference book. Instead, it is acting as a list of things that can qualify a patient’s diagnosis. In Making Us Crazy, Stuart Kirk and Herb Kutchins evaluate how the DSM has become the influence behind diagnoses that assassinate character and slander the opposition, often for political or monetary gain. By examining how the reference book serves as a source to label every phobia and quirk that arises in a patient, Kirk and Kutchins question the overuse of the DSM by today’s mental health professionals.
Author: Ashley L. Peterson
Publisher: Mental Health @ Home Books
ISBN: 1999000838
Category : Medical
Languages : en
Pages : 147
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Book Description
Making Sense of Psychiatric Diagnosis aims to cut through the misinformation, stigma, and assumptions that surround mental illness and give a clear picture of what mental illness really is. The book pairs diagnostic criteria and descriptions for a variety of mental illnesses in the DSM-5 with nineteen first-hand narrative accounts of what it’s like to live with those conditions. The book is also infused with the author’s own experience as a mental health nurse and person living with depression. With the fusion of diagnostic information, clinical experience, and lived experience, this book offers a unique, well-rounded perspective on the reality of mental illness.
