Diagnostic terms psychiatrists prefer to use for common psychotic and personality disorders

Cohen, Bruce M.; Öngür, Döst; Babb, Suzann M.; Harris, Peter Q.

doi:10.1016/j.jpsychires.2022.08.026

Cited by 1 publication

(2 citation statements)

References 17 publications

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“…Fortunately, many clinicians who interact therapeutically with ASPD cases were more aware of the stigmatizing challenges faced by patients with an ASPD label. They left note to the potential pejorative implications of specific psychiatric terms, and actively recommended alternative choices of terminology in order to avoid labeling and offending patients that might discourage adherence [16]. For example, the most recent version of International Classification of Diseases adopted new modifications of ASPD: instead of using the term "antisocial", naming it as "dissocial" [17].…”

Section: In Medical Settingsmentioning

confidence: 99%

“…Other debates also concerned replacing "personality disorder" to "personality difficulty", following with other alternative suggestions, to be less stigmatizing and unappealing for the patients in the therapeutic process. To name a few, the most commonly recommended terms for "antisocial" were conduct/behavior problems, rule-breaking, problems with empathy or seeing another point of view, or borrowing the terms that individuals use to describe their own symptoms [16].…”

Section: In Medical Settingsmentioning

confidence: 99%

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Antisocial Personality Disorder: Labeling and Stigmatization from the Perspectives of Society, Judiciary, and Clinical Practices

2023

LNEP

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This paper provides a comprehensive overview of recent research concerning the impact of antisocial personality disorder (ASPD) labeling and stigmatization within different environments. Mixed findings were found in all three environmental settings, revealing that an ASPD diagnosis (or a psychopathy label particularly in forensic settings) could result in either positive or negative outcomes. In social settings: inconsistent public responses to ASPD population were found which might suggest a situational effect in regard to ASPD symptoms, and further studies should be conducted on the subject matter. In addition, media portrayals of the ASPD population mistakenly confused ASPD individuals with psychopaths. It would then be important to study to what extent mass media contributed to ASPD stigmatization, in which fear as one contributing component was discussed. In forensic settings: findings supported the presence of ASPD stigmatization. However, considering the ambiguous boundary between ASPD and psychopath within the judicial system, more studies would be needed to investigate whether two labels triggered different levels of stigma and prejudice so as to ensure fairness and justice. In medical settings: there were mental health professionals advocating for replacing stigmatizing labels with less pejorative terms, yet other practitioners reinforced ASPD labeling and stigmatization through refusing treatment delivery that further led to discrimination and discouragement of the ASPD population. Future studies should focus more on finding better guidelines and modifications for the practical field in order to destigmatize or avoid labeling when treating ASPD populations.

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Section: In Medical Settingsmentioning

confidence: 99%

Section: In Medical Settingsmentioning

confidence: 99%