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the dsm 5 and its divergent critics in the research community -- Including NIMH

Val's Take: 

 The University of Liverpool study  found the DSM 5 "scientifically meaningless" because the DSM is based on the "biomedical model." [see below] The biomedical model of health focuses on purely biological factors and excludes psychological, environmental, and social influences.   That is pretty much a straw man insofar as that is not really where science is right now.  It is NOT either biology or environment --- IT'S BOTH and environment impacts biology and it's not clear the DSM 5 represents a pure "biomedical model" -- although it does seem clear the DSM is very, very flawed and too flawed to be the basis of Criminal Justice decisions if even in an indirect way.

So on the one hand, the US National Institute of Mental Health found the DSM 5 "lacking validity" and insufficiently tied to biology, genetics, imaging, etc..  Further, Canadian researchers found the DSM 5 description of "Schizophrenia"  seemed to bear little relationship to the Science.

On the other hand, the University of Liverspool found the DSM 5 "scientifically invalid" because it was too subjective and didn't sufficiently address trauma and adverse events.

From our perspective, the problem with the DSM 5 is it so far behind the SCIENCE as to be the "
disingenuous categorical system’ the University of Liverpool researchers claim.

ORCHID BOTTOM LINE:  The DSM 5 is not well regarded in the scientific community and its diagnoses should be  NOT be relied upon by Criminal or Civil Courts -- even indirectly.
Picture
Science Up

UNIV. of Liverpool study finds psychiatric diagnosis to be 'scientifically meaningless'

NIMH [US Nat'l Institute of Mental Health] made the same finding over 5 years ago on different grounds -- & the Legal Community ignored it]

Picture
University of Liverpool
Highlights
  • Theory and practice of diagnostic assessment is central yet contentious in psychiatry.
  • DSM-5 contains heterogeneous diagnostic categories.
  • Pragmatic criteria give clinical flexibility but undermine the diagnostic model.
  • Trauma has a limited causal role in DSM-5, despite research evidence to the contrary.
Neuroscience News
(July 8, 2019)

​Researchers conclude many psychiatric diagnoses are scientifically worthless as tools for identifying discrete mental health disorders.​
Neuroscience News
Study Abstract: "Heterogeneity in psychiatric diagnostic classification" -- Psychiatry Research [Sept. 2019]
The DSM 5 -- Criminal Justice Wheel of Fortune
"THE FINDINGS SUGGEST THE PRESENCE OF BOTH BIAS AND ERROR AND SUGGEST EVEN 'WELL-CREDENTIALED' PSYCHIATRISTS AND PSYCHOLOGISTS CAN REACH AN INCORRECT DIAGNOSIS."
Science Up

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System