The need for A new integrated dsm
Some of the medical textbooks, Academic Journals & Organizations that are blazing a new way forward
Val's Take Why didn't RDoC work or work "in time"? RDoC being the Research Domain Criteria Program started by the National Institute of Mental Health in 2013. A lot of people would say correctly that it is "working" and it's taking time --- let's wait and see. For some of us, RDoC was going to be a dream come true --- it was HEAVILY BRAINCENTRIC but that didn't seem to be a problem. Over the past 7 years it's become a problem as the RESEARCH is tending to focus on the Brain's INTERACTION with the IMMUNE SYSTEM, the MICROBIOME and the ENDOCRINE SYSTEM. In the 21st Century, there are a lot of different languages out there -- and they have to be RECONCILED:
A lot of patients and clinicians complained that RDoC was missing their perspectives, but in a lot ways RDoC was also missing most of the biology as well. It seems that we need an "INTEGRATED APPROACH" at the TOP of AMERICAN RESEARCH --- and that means INTEGRATING the National Institute of Mental Health AND other Institutes within the US National Institutes of Health. Who is against that? Probably not very many people, BUT that is a LOT OF TIME AND ENERGY UP FRONT --- and that's RESOURCES, that's MONEY. In the meantime, RESEARCHERS and ACADEMICS are laying a lot of the groundwork for this. Further, it is this new INTEGRATED GROUNDWORK that we're referring to as the NEW INTEGRATED DSM. |
The APA & A Changing Landscape: A big coup for the APA and the NIH and the NIMH could be organizing professionals across disciplines to construct an INTEGRATED DSM that looks not at Clusters of Symptoms but Integrated Relationships between bodily systems that give rise to behavior as well as cognitive disorders or syndromes.
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Immunology
Endocrinology
Microbiology and the microbiome
Orchid's Take: The microbiologists are HUGELY IMPORTANT and probably have a more INTEGRATED, INTERDISCIPLINARY VIEW than any of the medical disciplines. |
National Institutes of Health (NIH) (2017)
The microbiota as instructor and arbiter of immune responses in health and disease
The microbiota as instructor and arbiter of immune responses in health and disease
NIMH 2020 Symposium: Advancing Technologies to Investigate Mechanisms of Gut-Microbiota-Brain Interaction (Oct. 23, 2020) |