Thanks <font color="#333333" face="arial, sans-serif">Lauren,</font><br><br>Really
appreciate you
passing<span style="font-family:Tahoma;font-size:13px"> </span>this
on.<div>My general instinct for situations like this is to really encourage criticism. Having that kind of scrutiny encourages people to explain their positions and keeps things transparent. After all the DSM will shape future practice.</div>
<div><br></div><div>I wish that the statement acknowledged that some of the recent DSM transparency had to be fought for.</div><div><br></div><div>I also wish that the statement endorsed broader inclusion of people in the process of developing a manual. Papers late in the process are not the best way to do academic discussion. It should be broader than psychiatrists, psychologists, consumers and other professionals would lead to a better, ethical manual. This is a point that Allen Frances made recently.</div>
<div><br></div><div><a href="http://www.abc.net.au/news/2012-06-11/expert-warns-against-child-mental-health-checks/4064474">http://www.abc.net.au/news/2012-06-11/expert-warns-against-child-mental-health-checks/4064474</a>
</div><div><br></div><div><br></div><div><br></div><div>I also find it interesting that while most american groups spoke about 'pathologizing normality' as a risk of dimensional approaches, the APS didn't really pick up this thread strongly. I think the APS overlooked the fact that this point has been stringently made by American's because of the reliance of medication there in the treatment of disorders. It would have been great to show some international solidarity on this social issue... but oh well.</div>
<div><br></div><div><br></div><div>As for my thoughts on the DSM changes:</div><div><ul><li>happy
<span style="color:rgb(51,51,51);font-family:Arial,Helvetica,sans-serif;font-size:12px;background-color:rgb(255,255,255)"> that</span>
Attenuated Psychosis Syndrome has been dropped </li><li>wish the category
of 'schizophrenia' had been changed</li><li>The
Trauma
and Stressor section worries me.
Trauma theory worries me in general but seeing all those disorders lumped together
made me feel like i
was reading something similar to Borges' chinese taxonomy.</li></ul><div><br></div></div><div><br></div><div>David
Belasic</div><div><br></div><div><br><br><div class="gmail_quote">On Wed, Jul 18, 2012 at 3:09 PM, Kyli Hedrick <span dir="ltr"><<a href="mailto:Kyli.Hedrick@vu.edu.au" target="_blank">Kyli.Hedrick@vu.edu.au</a>></span> wrote:<br>
<blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">
<div lang="EN-AU" link="blue" vlink="purple">
<div style="direction:ltr;font-size:10pt;font-family:Tahoma">
<p>Hi Lauren,</p>
<p> </p>
<p>I have not yet finished reading the APS submission concerning the revisions to DSM5, however, I am already concerned about the 'tone' taken by the APS. This positive 'tone' is in contrast, as you mentioned, with the outpourings of criticisms from many other
high profile organizations.</p>
<p> </p>
<p>I am also concerned about the lowering of diagnostic thresholds, the overemphasis on biological and medical factors (whilst ignoring cultural, social, political and systemic factors) as well as some of the problematic categories of diagnosis, such as Female
Sexual Dysfunction and Paraphilic Coercive Disorder, among others.</p>
<p> </p>
<p>What do others think?</p>
<p> </p>
<p>Warm regards,</p>
<p> </p>
<p>Kyli</p>
<div style="font-size:16px;font-family:Times New Roman">
<hr>
<div style="direction:ltr"><font color="#000000" face="Tahoma"><b>From:</b> <a href="mailto:commpsych-bounces@lists.curtin.edu.au" target="_blank">commpsych-bounces@lists.curtin.edu.au</a> [<a href="mailto:commpsych-bounces@lists.curtin.edu.au" target="_blank">commpsych-bounces@lists.curtin.edu.au</a>] on behalf of Lauren Breen [<a href="mailto:Lauren.Breen@curtin.edu.au" target="_blank">Lauren.Breen@curtin.edu.au</a>]<br>
<b>Sent:</b> Wednesday, 18 July 2012 12:51 PM<br>
<b>To:</b> Commpsych (<a href="mailto:commpsych@lists.curtin.edu.au" target="_blank">commpsych@lists.curtin.edu.au</a>)<br>
<b>Subject:</b> [Commpsych] DSM5<br>
</font><br>
</div><div><div class="h5">
<div></div>
<div>
<div>
<p class="MsoNormal">Here is the Australian Psychological Society’s submission concerning the revisions to DSM5
<a href="http://www.psychology.org.au/Assets/Files/APS-DSM-5-submission.pdf" target="_blank">
http://www.psychology.org.au/Assets/Files/APS-DSM-5-submission.pdf</a></p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">In my reading of the document, the APS seems to be quite positive – e.g., the APS “sees the DSM-5 revision as implementing several improvements in the conceptualisation and definition of psychiatric disorders” – which contrasts with the
at times scathing criticisms levelled by many other professional organisations at the DSM5 revisions.</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">I’m concerned about comments such as “The APS has no problem about the Paraphilic Coercive Disorder…” – well I am concerned. Doesn’t this label potentially legitimate rape as a mental illness? Same for Pedophilia Disorder. I’m also concerned
about the reduced thresholds for diagnosis, the reification of mental disorder, the medicalization of difference, the concern about pharmaceutical kickbacks etc etc.
</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">Thoughts?</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal"><span>Kind regards,</span></p>
<p class="MsoNormal"><span>Lauren</span></p>
<p class="MsoNormal"><span style="font-family:'Arial Bold'"></span> </p>
<p class="MsoNormal"> </p>
</div>
</div>
</div></div></div>
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