Beyond the dsm 5 to new paradigms

Val's Take

• Attempted suicide is not a crime in most Western Countries, but it can serve as the basis for a Mental Health Certification.
• Homicidality is a much more complicated issue -- and I suspect we will find bio-markers for that as well.
• Dangerousness can also serve as a basis for a Mental Health Certification  --- but what is mental health and what's not is very subjective in 2024.
• If "Anti-Social Personality Disorder" is really a form of ADHD according to some academics and researchers--- that matters.
• We're at a little bit different place than just saying logically the DSM 5 doesn't hold up --- some stronger, biologically based paradigms seem to be emerging.
  

Decriminalization of attempted suicide law: Journey of Fifteen Decades (2015)

Internationally, Germany, in 1751, was the first country to decriminalize attempted suicide.

After the French revolution, all countries of Europe and North America subsequently decriminalized suicide.

n 1983, the Roman Catholic Church reversed the canon law that prohibited proper funeral rites and burial in church cemeteries for those who had committed suicide.

All of these developments have been instrumental in shifting attitudes about suicide in modern society.

Some countries like Scotland never considered suicide a crime and had no law for the same.

India recently announced the decriminalization of suicide, but its neighboring countries Pakistan, Bangladesh, Malaysia, and Singapore among others still continue to consider suicide a crime.

How Many Angels Can Dance on the Head of a Pin and the Free Will vs. Determinism Debate

What is it going to take to get Mental Health Clinicians (and other clinicians) on top of the research?

• the current general estimate to get new understandings from the researcher to clinician is 17 years.
• that wasn't good enough for Covid
• we don't have a SYSTEM of TRANSLATIONAL RESEARCH in this country that can bring clinicians up to speed in 6 months to a year.
• further, so many mental health professionals are  busy chopping in the wrong forest with an unabated Mental Health Crisis--- they don't have time to incorporate significant new understandings.
• It is easy enough to say that Researchers are far ahead of the Clinicians --- BUT THE RESEARCHERS ARE BEING PAID TO DO IT.
  • and that is a huge issue in this society.
  • Further, information overload is such a big issue and such a problematic issue in medical research that we can't expect Clinicians to solve this on their own.
    

Mitochondria Dysfunction --- is a hot topic for several complicated health issues, including the Neuro-Developmental/Psychiatric Continuum.  See video below.

See also Val's Tables.

Douglas C. Wallace, Ph.D.
Director, Center for Mitochondrial and Epigenomic Medicine (CMEM) Professor, Department of Pathology & Laboratory Medicine
The Children's Hospital of Philadelphia

A Mitochondrial Etiology of Common Complex Diseases