Where to draw the line?

by annclaravaillancourt on October 16, 2013 - 1:07pm

The controversies created by the DSM-V.

Since the official release of the DSM-V last May, many controversies among specialists have been brought up because of the many changes. Many of these changes in the DSM-V were made to better characterize symptoms and behaviors of groups of people who are currently seeking clinical help but are not well defined by the last DSM. Along with these changes, the asperger's disorde will be folded into autism spectrum disorder; grief will no longer exempt someone from a diagnosis of depression; irritable children who throw frequent temper tantrums can be diagnosed with disruptive mood dysregulation disorder.

I strongly believe that the problem is that we see this manual as a source of inspiration and it takes to much importance; the diagnostic criteria carry too much responsibility, creating enormous pressure on the patient to understand his problem. If we only rely on the DSM-V for diagnostic, more than 46 percent of the U.S. population will meet the criteria for at least one during their lifetimes. Is it because they have a better understanding of all the disease that the list is increasing or they are simply putting new criteria to make it easier to diagnose a patient? The critics will always vary. I believe that the most fundamental question is; where to draw the line?






I completely agree with you. Everyone is different and for sure medical research is advancing, but is it only to help society cope better with those who have difficulties? A book is nice to see what the main problems are and when you say that 46% of the population is going to meet at least one of the criteria’s during their lifetime, I think we need to look elsewhere from the book. Society is evolving at a faster rate than before and I think criteria’s in a book are old fashioned. It’s very easy to meet everything and then get treatment, while in fact nothing is wrong with that person. We should focus on new methods for diagnostics to actually find who has problems.

Thank you for your response.
More facts about the DSM-5 are more controversial. DSM-5 is eliminating the diagnosis of pediatric bipolar disorder and creating a brand new category called disruptive mood dysregulation disorder (DMDD), described as intense outbursts and irritability beyond normal temper tantrums in young children. I believe that young children can be abnormal at a certain age and that diagnosing them with such a disorder can truly damaged them or aggravate the behavior. This is why it’s important to understand the tine line between this bible and society.