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Debating DSM-5: diagnosis and the sociology of critique
The development of the fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders—the DSM-5—has reenergised and driven further forward critical discourse about the place and role of diagnosis in mental health. The DSM-5 has attracted considerab...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BMJ Publishing Group
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4112449/ https://www.ncbi.nlm.nih.gov/pubmed/24327375 http://dx.doi.org/10.1136/medethics-2013-101762 |
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author | Pickersgill, Martyn D |
author_facet | Pickersgill, Martyn D |
author_sort | Pickersgill, Martyn D |
collection | PubMed |
description | The development of the fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders—the DSM-5—has reenergised and driven further forward critical discourse about the place and role of diagnosis in mental health. The DSM-5 has attracted considerable criticism, not least about its role in processes of medicalisation. This paper suggests the need for a sociology of psychiatric critique. Sociological analysis can help map fields of contention, and cast fresh light on the assumptions and nuances of debate around the DSM-5; it underscores the importance of diagnosis to the governance of social and clinical life, as well as the wider discourses critical commentaries connect with and are activated by. More normatively, a sociology of critique can indicate which interests and values are structuring the dialogues being articulated, and just how diverse clinical opinion regarding the DSM can actually be. This has implications for the considerations of health services and policy decision-makers who might look to such debates for guidance. |
format | Online Article Text |
id | pubmed-4112449 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-41124492014-08-01 Debating DSM-5: diagnosis and the sociology of critique Pickersgill, Martyn D J Med Ethics Responses to DSM-5 The development of the fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders—the DSM-5—has reenergised and driven further forward critical discourse about the place and role of diagnosis in mental health. The DSM-5 has attracted considerable criticism, not least about its role in processes of medicalisation. This paper suggests the need for a sociology of psychiatric critique. Sociological analysis can help map fields of contention, and cast fresh light on the assumptions and nuances of debate around the DSM-5; it underscores the importance of diagnosis to the governance of social and clinical life, as well as the wider discourses critical commentaries connect with and are activated by. More normatively, a sociology of critique can indicate which interests and values are structuring the dialogues being articulated, and just how diverse clinical opinion regarding the DSM can actually be. This has implications for the considerations of health services and policy decision-makers who might look to such debates for guidance. BMJ Publishing Group 2014-08 2013-12-10 /pmc/articles/PMC4112449/ /pubmed/24327375 http://dx.doi.org/10.1136/medethics-2013-101762 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 3.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/3.0/ |
spellingShingle | Responses to DSM-5 Pickersgill, Martyn D Debating DSM-5: diagnosis and the sociology of critique |
title | Debating DSM-5: diagnosis and the sociology of critique |
title_full | Debating DSM-5: diagnosis and the sociology of critique |
title_fullStr | Debating DSM-5: diagnosis and the sociology of critique |
title_full_unstemmed | Debating DSM-5: diagnosis and the sociology of critique |
title_short | Debating DSM-5: diagnosis and the sociology of critique |
title_sort | debating dsm-5: diagnosis and the sociology of critique |
topic | Responses to DSM-5 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4112449/ https://www.ncbi.nlm.nih.gov/pubmed/24327375 http://dx.doi.org/10.1136/medethics-2013-101762 |
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