Abstract
Medicalization was the theme of the 29th European Conference on Philosophy of Medicine and Health Care that included a panel session on the DSM and mental health. Philosophical critiques of the medical model in psychiatry suffer from endemic assumptions that fail to acknowledge the real world challenges of psychiatric nosology. The descriptive model of classification of the DSM 3-5 serves a valid purpose in the absence of known etiologies for the majority of psychiatric conditions. However, a consequence of the “atheoretical” approach of the DSM is rampant epistemological confusion, a shortcoming that can be ameliorated by importing perspectives from the work of Jaspers and McHugh. Finally, contemporary psychiatry’s over-reliance on neuroscience and pharmacotherapy has led to a reductionist agenda that is antagonistic to the inherently pluralistic nature of psychiatry. As a result, the field has suffered a loss of knowledge that may be difficult to recover.
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References
de Leon, J. 2014. One hundred years of the limited impact of Jsapers’ General Psychopathology on US psychiatry. Journal of Nervous and Mental Disease 202(2): 79–87.
de Leon, J. 2015. Is psychiatry only neurology? Or only abnormal psychology? Deja vu after 100 years. Acta Neuropsychiatrica 27: 69–81.
Demazeux, S. and P. Singy. 2015. The DSM-5 in perspective: Philosophical reflections on the psychiatric Babel. New York: Springer.
Frances, A. 2013. Saving normal: An insider’s revolt against out-of control psychiatric diagnosis, DSM-5, pharma, and the medcialization of ordinary life. New York: Harper Collins.
Guze, S.B. 1992. Why psychiatry is a branch of medicine. New York: Oxford University Press.
Insel, T. 2012. The future of psychiatry (=Clinical Neuroscience). NIMH Director’s Blog. http://www.nimh.nih.gov/about/director/2012/the-future-of-psychiatry-clinical-neuroscience.shtml. Accessed 20 April 2012.
Insel, T. 2013. Transforming diagnosis. NIMH Director’s Blog. http://www.nimh.nih.gov/about/director/2013/transforming-diagnosis.shtml. Accessed 29 April 2013.
Jaspers, K. 1963. General psychopathology. Trans. J. Hoenig and M. Hamilton. Chicago: University of Chicago Press.
Kirk, S.C. 2015. DSM-5: The delayed demise of the descriptive diagnosis. In The DSM-5 in perspective, ed. S. Demazeux, 63–81. Dordrecht: Springer.
Kupfer, D. 2013. Diagnostic and statistical manual of mental disorders (Fifth Edition): DSM-5. Washington, DC: American Psychiatric Association Press.
McHugh, P. 2005. Striving for coherence: Psychiatry’s efforts over classification. JAMA 293(20): 2526–2528.
McHugh, P. and P. Slavney. 1998. The perspectives of psychiatry, 2nd ed. Baltimore: The Johns Hopkins University Press.
Menninger, K. 1963. The vital balance: The life process in mental health and illness. New York: The Viking Press.
Opening Ceremony. 2015. 29th European conference on philosophy of medicine and health care August 19–22, 2015. Dissertation. Institute of Law, University of Zurich, 2015.
Satel, S. 2013. Brainwashed: The seductive appeal of mindless neuroscience. New York: Basic Books.
Shorter, E. 1997. A history of psychiatry. New York: Wiley.
Slavney, P. and P. McHugh. 1987. Psychiatric polarities. Baltimore: The Johns Hopkins Press.
Spitzer, R. 2005. Classification of psychiatric disorders. JAMA 294(15): 1898.
Spitzer, R. 2009. DSM-5 transparency: Fact or rhetoric?. Psychiatric Times, March 6. www.psychiatrictimes.com/articles/dsm-v-transparency-fact-or-rhetoric/page/0/1.
Spitzer, R. 1980. Diagnostic and statistical manual of mental disorders (Third Edition). Washington, DC: American Psychiatric Association Press.
Szasz, T. 1974. The myth of mental illness: Foundations of a theory of personal conduct. New York: Harper & Row.
Taylor, M. 2006. Melancholia: The diagnosis, pathophysiology, and treatment of depressive illness. New York: Cambridge University Press.
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Sedler, M.J. Medicalization in psychiatry: the medical model, descriptive diagnosis, and lost knowledge. Med Health Care and Philos 19, 247–252 (2016). https://doi.org/10.1007/s11019-015-9670-5
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DOI: https://doi.org/10.1007/s11019-015-9670-5