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Study Finds That Psychiatric Diagnoses Are “Scientifically Meaningless”
Posted on 7/9/19 at 11:03 am
Posted on 7/9/19 at 11:03 am
LINK
In other words, the DSM is completely unreliable in determining why I’m f’ed up in the head.
quote:
No two people are exactly alike. Therefore, attempting to classify each unique individual’s mental health issues into neat categories just doesn’t work. That’s the claim coming out of the United Kingdom that is sure to ruffle some psychologists’ feathers.
quote:
Researchers performed a detailed analysis on five of the most important chapters in the Diagnostic and Statistical Manual of Mental Heath Disorders (DSM). The DSM is considered the definitive guide for mental health professionals, and provides descriptions for all mental health problems and their symptoms. The five chapters analyzed were: bipolar disorder, schizophrenia, depressive disorders, anxiety disorders, and trauma-related disorders.
quote:
Researchers came to a number of troubling conclusions. First, the study’s authors assert that there is a significant amount of overlap in symptoms between disorder diagnoses, despite the fact that each diagnosis utilizes different decision rules. Additionally, these diagnoses completely ignore the role of trauma or other unique adverse events a person may encounter in their life.
Perhaps most concerning of all, researchers say that these diagnoses tell us little to nothing about the individual patient and what type of treatments they will need. The authors ultimately conclude that this diagnostic labeling approach is “a disingenuous categorical system.”
In other words, the DSM is completely unreliable in determining why I’m f’ed up in the head.
15
Posted on 7/9/19 at 11:05 am to High C
Did Tom Cruise write that?
This post was edited on 7/9/19 at 11:05 am
Posted on 7/9/19 at 11:06 am to High C
Tell that to somehow who wanted to kill themselves and doesn't anymore because of a diagnosis/prescription
Posted on 7/9/19 at 11:10 am to High C
quote:
In other words, the DSM is completely unreliable in determining why I’m f’ed up in the head.
If you believe the end all, be all is one thematic analysis by four researchers in the United Kingdom.
I think most in psychology knows the DSM isn’t perfect, which is why we have different, evolving versions. But some of their criticisms, like the comorbidity of symptoms, seems a little redundant. Outside of insurance filings, I think most psychologists use the DSM as a guideline and do acknowledge individual differences in symptom presentation.
Posted on 7/9/19 at 11:10 am to High C
ISO, psychiatry and psychology are the two least scientific medical specialties, which is why they are the two most “progressive” of the specialties.
They are almost akin to sociology.
They are almost akin to sociology.
Posted on 7/9/19 at 11:11 am to TheAlmightySmash
quote:
Tell that to somehow who wanted to kill themselves and doesn't anymore because of a diagnosis/prescription
Posted on 7/9/19 at 11:11 am to TheAlmightySmash
quote:Or to the former gays who have been cured.
Tell that to somehow who wanted to kill themselves and doesn't anymore because of a diagnosis/prescription
Posted on 7/9/19 at 11:13 am to High C
quote:
In other words, the DSM is completely unreliable in determining why I’m f’ed up in the head.
That's not the same conclusion I came to reading what you quoted. The DSM aids in diagnosis. The doctor's job is to find an appropriate treatment that works for that individual patient.
Posted on 7/9/19 at 11:33 am to BluegrassBelle
quote:I don't believe anything is credible coming from the UK medical community.
If you believe the end all, be all is one thematic analysis by four researchers in the United Kingdom.
Posted on 7/9/19 at 11:34 am to High C
It's funny that these authors pretend to be telling shrinks something they don't know.
The truth is that the DSM is hotly debated within psychiatry each time a new revision comes out. Psychiatrists are not all in the same camp, though most agree there has to be some roadmap as imperfect as it might be.
And I disagree that diagnosis is meaningless. It's pretty easy to diagnose the serious illnesses like schizophrenia and bipolar because these diseases have a clear pattern of symptoms. We even have identified sets of genes related to both (although there are many and it's complicated). There's also been advances in the neurophysiology of these diseases with a new understanding of synaptic pathways, neuronal activity and how both can be impeded through adverse life events in susceptible individuals. They've taken literal pictures of synapse pathways in stressed rats. Distressed rats have much diminished neuronal activity in certain pathways. Humans do as well (and it depends on genetic susceptibility).
The biggest issue is pharmacology. It is 100% true that finding the right medication for a single person is a guessing game. I think all shrinks would admit this. But progress is being made on that front through genetics.
The truth is that the DSM is hotly debated within psychiatry each time a new revision comes out. Psychiatrists are not all in the same camp, though most agree there has to be some roadmap as imperfect as it might be.
And I disagree that diagnosis is meaningless. It's pretty easy to diagnose the serious illnesses like schizophrenia and bipolar because these diseases have a clear pattern of symptoms. We even have identified sets of genes related to both (although there are many and it's complicated). There's also been advances in the neurophysiology of these diseases with a new understanding of synaptic pathways, neuronal activity and how both can be impeded through adverse life events in susceptible individuals. They've taken literal pictures of synapse pathways in stressed rats. Distressed rats have much diminished neuronal activity in certain pathways. Humans do as well (and it depends on genetic susceptibility).
The biggest issue is pharmacology. It is 100% true that finding the right medication for a single person is a guessing game. I think all shrinks would admit this. But progress is being made on that front through genetics.
Posted on 7/9/19 at 11:35 am to Scruffy
nm
This post was edited on 5/21/20 at 2:03 pm
Posted on 7/9/19 at 11:41 am to High C
quote:
In other words, the DSM is completely unreliable in determining why I’m f’ed up in the head.
You're fricked up in the head because we all are.
Posted on 7/9/19 at 11:55 am to sacrathetic
quote:
The DSM-V was essentially a political weaponization of the mental health industry.
How is that exactly?
Posted on 7/9/19 at 11:57 am to High C
quote:
In other words, the DSM is completely unreliable in determining why I’m f’ed up in the head
And, the school system holds that thing as gospel....its flawed and lacking in so many ways.
Posted on 7/9/19 at 11:58 am to High C
The entire psychology/psychiatry industry is a bunch of hogwash.
Posted on 7/9/19 at 12:05 pm to AUstar
nm
This post was edited on 5/21/20 at 2:03 pm
Posted on 7/9/19 at 12:15 pm to High C
So.....crazy people are crazy. I'll put that in my notes
Posted on 7/9/19 at 12:19 pm to sacrathetic
quote:
By making diagnostic criteria so broad that nearly everyone qualifies as some form of mentally ill. Which down the road will be used to control segments of the population that the state deems unfavorable. Like perhaps, gun owners. There's a push to ban the "mentally ill" from owning guns.
Yeah I understand where you're coming from, but this isn't really new with the DSM-V unless there is something majorly different between it and IV.
And to qualify for these disorders, you must check off several boxes. Anybody can have one or two symptoms, but that in itself doesn't make one ill. Typically the way you distinguish a real disorder from just a few symptoms is how much it interferes with daily activity. For example, lots of people have OCD symptoms but only a subset of them will have such bad symptoms that they can't leave the house. They may sit there for HOURS checking their door lock before leaving. That's a problem.
I just can't agree with people who claim psychiatry is all made up. Ever met a schizophrenic? Meet one and tell me it's bullshite. Or meet a family who lost a loved one to suicide and tell me it's bullshite.
Posted on 7/9/19 at 12:22 pm to AUstar
quote:
I just can't agree with people who claim psychiatry is all made up. Ever met a schizophrenic? Meet one and tell me it's bullshite. Or meet a family who lost a loved one to suicide and tell me it's bullshite.
It's not all bullshite, but there's a lot of bullshite, and enough to call the whole profession and "science" as a whole into question. The problem is that rather than own up to bullshite and grey areas (like the entirety of the medication side of the equation) where they're not really sure, they just double-down every single time.
This post was edited on 7/9/19 at 12:30 pm
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