Marriage, Couple, and Family Counseling and the
DSM-V
Though the philosophy and values surrounding marriage,
couple, and family counseling emphasize prevention and wellness,
awareness of diagnosis is important when interacting with other
mental health professionals who may view mental health issues
through the medical model. The
DSM-V, the primary diagnostic system/manual used in the
United States by such professionals, identifies and describes
individual mental health disorders, not relational issues or
disorders.
Those mental health professionals who adopt a systems or relational view of mental health have been able to implement small changes within the DSMin its subsequent editions, and these changes acknowledge the systemic influence on certain individual disorders. Nevertheless, there is not yet an adopted diagnostic structure for relational problems. Therefore, you may sometimes need to negotiate your relational perspective with other professionals and communicate client matters with insurance reimbursement boards (who see mental health problems as individual in nature) in their language.
Reply to:
Hi Dr.Jackson and Class
Advantages and Disadvantages of.Diagnostic Statistical Manual
In response to your your post,the DSM-V known to many as the
psychiatry's bible. This method offers a number of advantages, such
as standardization of diagnoses across different treatment
providers(Lisa Fritscher,2018).But increasingly, mental-health
professionals are considering the drawbacks, including the
possibility of over-diagnosis(Lisa Fritscher,2018).The advantages
also include the standardization of billing and coding, the DSM
provides a number of important benefits to both the therapist and
the client(Lisa Fritscher,2018).Beyond the standardization of
billing and coding, the DSM provides a number of important benefits
to both the therapist and the client(Lisa Fritscher,2018).
Standardization of diagnoses helps to ensure that clients
receive appropriate, helpful treatment regardless of geographic
location, social class or ability to pay(Lisa Fritscher,2018).
However,provides a concrete assessment of the issues and assists in
developing specific goals of therapy, as well as a standard of
measure in assessing the effectiveness of treatment(Lisa
Fritscher,2018).In addition, the DSM helps guide research in the
mental health field(Lisa Fritscher,2018).The diagnostic checklists
help ensure that different groups of researchers are actually
studying the same disorder—although this may be more theoretical
than practical, as so many disorders have such widely varying
symptoms(Lisa Fritscher,2018).
Disadvantages of the DSM
The latest round of criticism seems to echo a long-running
debate on the nature of mental health(Lisa Fritscher,2018).Many
critics of the DSM see it as an oversimplification of the vast
continuum of human behavior( Lisa Fritscher,2018).Some worry that
by reducing complex problems to labels and numbers, the scientific
community risks losing track of the unique human element(Lisa
Fritscher,2018).
Possible risks include misdiagnosis or even over-diagnosis,
in which vast groups of people are labeled as having a disorder
simply because their behavior does not always line up with the
current "ideal(Lisa Fritscher,2018).”Childhood attention deficit
and hyperactivity disorder (ADHD) is often singled out as an
example(Lisa Fritscher,2018).Shifts in terminology and diagnostic
criteria between DSM-II and DSM-IV coincided with a massive upturn
in the number of children on Ritalin or other attention-enhancing
medications(Lisa Fritscher,2018).Other risks involve the
possibility of stigmatization(Lisa Fritscher,2018).Although mental
health disorders are not viewed in the negative light that they
once were, specific disorders can be perceived as labels(Lisa
Fritscher,2018).Some therapists take great care to avoid attaching
labels to their clients, although for insurance reasons, a specific
diagnosis may be required(Lisa Fritscher,2018).
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