Psychologists fear US manual will widen mental illness diagnosis Mental disorders listed in publication that should not exists, warn UK experts 
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 Psychologists fear US manual will widen mental illness diagnosis Mental disorders listed in publication that should not exists, warn UK experts

Psychologists fear US manual will widen mental illness diagnosis
Mental disorders listed in publication that should not exists, warn UK
Sarah Boseley Health editor
The Guardian, Thu 9 Feb 2012 22.31 GMT
Hundreds of thousands of people will be labelled mentally ill because
of behaviour most people would consider normal, if a new edition of
what has been termed the psychiatrists' diagnostic bible goes ahead,
experts are warning.
Psychiatrists and psychologists in the UK are speaking out against the
publishing of DSM-5, an updated version of the Diagnostic and
Statistical Manual that categorises every type of mental disorder,
including some that the psychologists say should not exist.
A petition condemning the new manual circulated by psychologists in
the United States attracted 11,000 signatures. Its predecessor, DSM-4,
is used in research worldwide, and has an influence, for example, in
naming conditions that pharmaceutical companies devise {*filter*} to treat.
However, the DSM's influence is uniquely strong in the United States,
where the private healthcare system requires a diagnosis recognised by
the manual for the patient to be considered legitimately ill and be
reimbursed by the health insurer for any treatment.
Among the anxieties to be labelled mental disorders if DSM-5 is
published in May by the American Psychiatric Association are shyness
in children and uncertainty over gender. Loneliness could attract a
diagnosis of chronic depressive disorder, and so could unhappiness
following bereavement. A serial rapist could be classified as mentally
ill, given a diagnosis of paraphilic coercive disorder.
Under the DSM-4, last revised 12 years ago, children who argue and
refuse to obey parents can be classified as having oppositional
defiant disorder.
Professor Nick Craddock, consultant psychiatrist in Cardiff and
director of Wales' National Centre for Mental Health, said: "Somebody
who is bereaved might need help and even counselling, but they did not
need a label saying they had a mental illness. I believe that a large
proportion of psychiatrists in the UK and Europe are sceptical about
Peter Kinderman, professor of clinical psychology and Head of
Institute of Psychology at the University of Liverpool, said the
revisions "could only make a bad system worse". The diagnostic
approach, a tick-box list of symptoms leading to a label, was always
"hugely problematic", he said. What is termed "oppositional defiant
disorder" is dubious, he said: "Since my children say 'no you are an
idiot, dad' repeatedly to me, by definition my children are ill." He
also disagreed with the label of paraphilic coercive disorder: "In my
view,{*filter*} is a crime and should not necessarily be regarded as a
disorder. It gives people an excuse for that behaviour," he said."
Til Wykes, professor of clinical psychology at Kings College London,
said: "The proposals in DSM-5 are likely to shrink the pool of
normality to a puddle with more and more people being given a
diagnosis of mental illness."
The American Psychiatric Association strongly defends DSM-5. In
response to criticism from the British Psychological Association last

we agree that human feelings and behaviors exist on a spectrum that
contains some overlap of normal reactions to disease states,
psychiatry also recognizes that there are real and discrete disorders
of the brain that cause mental disorders and that can benefit from


Sun, 07 Sep 2014 01:00:05 GMT
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