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Bias in the Diagnostic and Statistical Manual 5 and Psychopathology

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Prejudice, Stigma, Privilege, and Oppression

Abstract

This chapter discusses bias in diagnostic decision making within the Diagnostic Statistical Manual of Mental Disorders (DSM) and its use. More specifically, we address three aspects of DSM and psychiatric diagnosis that make clinicians and researchers vulnerable to making a biased diagnostic decision. These are (a) value-laden, and yet vague, concepts of mental disorder, upon which the entire DSM nosology is based; (b) criterion biases, biases within diagnostic criteria for specific disorders themselves; and (c) clinician bias, bias unfolding in a clinician–client interaction. We then argue that great attention should be paid to the intersection of psychiatric diagnosis and diversity, where the mismatch of a client’s social contingencies with a clinician’s social contingencies are likely to unfold. Finally, we recommend further clarification and examination of bias in psychiatric diagnosis in order to best understand it and how diagnostic decision making may be linked to clinical competency so that we may position ourselves to better serve the clients who seek our help.

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Authors and Affiliations

  1. Department of Psychology, University of Hawaiʻi at Mānoa, Honolulu, HI, USA

    Akihiko Masuda

  2. Teachers College, Columbia University, New York, NY, USA

    Joanne Qinaʻau

  3. University of Hawaii at Manoa, Honolulu, HI, USA

    Michael Juberg & Timothy Martin

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  1. Akihiko Masuda
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  2. Joanne Qinaʻau
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  3. Michael Juberg
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  4. Timothy Martin
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Correspondence to Akihiko Masuda .

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Editors and Affiliations

  1. Department of Psychology, University of Nevada, Reno, Reno, NV, USA

    Lorraine T. Benuto

  2. Department of Psychology, University of Nevada, Reno, Reno, NV, USA

    Melanie P. Duckworth

  3. Department of Psychology, University of Hawaii, Honolulu, HI, USA

    Akihiko Masuda

  4. Department of Psychology, University of Nevada, Reno, Reno, NV, USA

    William O'Donohue

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Masuda, A., Qinaʻau, J., Juberg, M., Martin, T. (2020). Bias in the Diagnostic and Statistical Manual 5 and Psychopathology. In: Benuto, L., Duckworth, M., Masuda, A., O'Donohue, W. (eds) Prejudice, Stigma, Privilege, and Oppression. Springer, Cham. https://doi.org/10.1007/978-3-030-35517-3_13

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