Some criteria used for reaching a diagnosis cannot be observed directly.
Some diagnoses depend upon WHY a particular behavior is exhibited. A person who avoids others may be introverted and enjoy his own company -- or may be paranoid or schizoid.
Personality disorders can be similar to each other.
"Within the “anxious” cluster,
for example, there is considerable overlap between the symptoms of avoidant personality disorder and those of dependent personality disorder."
People with different personalities can be given the same diagnosis
"no single feature is necessary
for any diagnosis."
Do you think that personality disorders are true mental illnesses? Why or why not?
For me -- the difference is how the individual functions in his own life and in society. A person with a personality disorder may function reasonably well -- and therefore not have a true mental illness. This is a matter of degree of malfunctioning.
What Problems Are Posed by the DSM Categories?
Rose -- what do you think these problems are?
I think these problems are due to the unreliability of poor clinician training and unclear causes
I disagree, Rose. Most medicine is more art that science because each person is unique. This is certainly true with mental health workers. They have to come up with a diagnosis based only on observable behaviors. They don't have blood tests, MRIs, etc., to help them make diagnoses. No test can get into a person's head to measure or determine the WHY of a person's behavior.
My 14-year-old honorary grandson spun so far out of control at home that his mother (a psychologist) called the police, and he spent a night in the county juvenile home. His behavior in school is exemplary, yet his academic work is usually mediocre. He spends several days and nights with me a month and -- he's the perfect guest and person. Why is he such problem at home? Is it related to his mother? Is it related to an inherent neurological problem (which has been medically diagonsed). Is it related to his adoption as an infant from another country? Is it related to the brain injury he suffered a couple years ago?
The human brain and human behavior is so complex that trying to pin labels on behavior is nearly impossible.
Thank you so much ms. Sue
Have a great evening.
You're very welcome, Rose.
These categories are related to the clinical judgment of the professional, which varies from clinician to clinician. Much of the information about the client relies on the observations of relatives and friends of the client, which also vary in their validity. To add to this, the client's behavior will vary considerably over time and situations.
The DSM is the attempt to make the decisions more empirical. However, criteria are related to social norms which also vary with time.
Distinguishing variations in "normal" behavior from the pathological has always been a problem. At one extreme, for the psychiatrist, Thomas Szasz, mental illness is a myth. <(Broken Link Removed)
I don't know if my response will clarify the situation or add to the confusion. That is your decision to make. Thanks for asking.
I need help in this corse I'm willing to pay anything.
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