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READING (DSM 5 (Wakefield
Many false positives -->…
READING
DSM 5
Wakefield
- Many false positives --> normal distress may be labeled as disorder
- No documentation of why certain changes were made
- Against unspecified and other specified criteria
- DSM should be more concerned with validity
Reed
- International Classification of Clinical Disorders (ICD) is the official diagnostic system of the US
- Want ICD-11 to be more clinically relevant
- Currently:
Lots of NOS and US (hard to use?); lots of ind. meeting criteria for 2+ disorders (not capturing nature of disorders); One treatment generally effective for more than one disorder (do diagnostic distinctions have relevance for clinical practice?)
Maddux
- Classifications of mental illness are socially constructed
- All existing classifications have limitations
CULTURE
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Lewis, Cogburn, & Williams
Chapman
- Several factors to consider (SES, Stressors, Age)
- Most protective combo: strong ethnic identity and strong acculturation integration
- Must use sociocultural factors and assessment measures that are appropriate
- disorder criteria are culturally bound
- DSM VERY UScentric #
Deacon
- Anti BMM
- Lack of Evidence and clinical advancement to support BMM
- Hindering therapeutic research through implement action of RCT (low external validity)
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LECTURE 2
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UNDERSTANDING RESEARCH
Steps
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- initial cross-sectional data (smaller N's)
- Larger prospective studies
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