The nonspecificity of mental illness.

Dumont, Matthew P.

doi:10.1111/j.1939-0025.1984.tb01500.x

Cited by 16 publications

(9 citation statements)

References 17 publications

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“…Their adverse effects upon nursing practice led Hall (1996) to argue for the recognition of human values over ‘objectivity’ in mental health care. In a related vein, Dumont (1984) exposed the fallacious distinction between illness and wellness in Western thought, suggesting the urgent need for a paradigm shift in the conceptualization of ‘mental illness’.…”

Section: Psychiatry and Powermentioning

confidence: 99%

The Tidal Model: Psychiatric colonization, recovery and the paradigm shift in mental health care

Barker¹

2003

Int J Mental Health Nurs

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Psychiatric research and practice involves the colonization of the personal experience of problems of human living. From a Western perspective, this process shares many similarities with the subjugation of women, people of colour and people embracing non-Christian faiths and cultures. The Tidal Model is a mental health recovery and reclamation model, developed to provide the framework for discrete alternatives to the colonizing approach of mainstream psychiatric practice. The Model asserts the intrinsic value of personal experience and the centrality of narrative in the development of contextually bound, personally appropriate, mental health care. This paper summarizes the features of the Model, which attempt to address the foci of the more significant critiques of psychiatric practice (and psychiatric nursing), against a background sketch of psychiatric colonization.

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Section: Psychiatry and Powermentioning

confidence: 99%

The Tidal Model: Psychiatric colonization, recovery and the paradigm shift in mental health care

Barker¹

2003

Int J Mental Health Nurs

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“…Considering a majority of graduate level trained social workers are employed in mental health settings (Smith, 2003), the impact of the DSM is hard to underestimate because of its ubiquitous and required utilization for reimbursement. It is hard to argue with Dumont's (1984) position that how you first define the problem undoubtedly greatly shapes how you address the problem. In this regard, others have questioned how the DSM format monopolizes psychiatric definitions and often inappropriately envelops psychosocial or environmental (or other) potential causal factors, particularly for CD (Thyer, 2006;Wakefield, Politick, & Kirk, 2002).…”

Section: Discussion and Applications To Social Workmentioning

confidence: 98%

Child and Adolescent Behaviorally Based Disorders

Mallett

2012

Research on Social Work Practice

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Objectives: The purpose of this study was to investigate the historical construction and empirical support of two child and adolescent behaviorally based mental health disorders: oppositional defiant and conduct disorders. Method: The study utilized a historiography methodology to review, from 1880 to 2012, these disorders' inclusion in psychiatric nosology systems, related historical and medical system material, and published empirical literature. Results: Analysis found limited reliability support and almost no construct or criterion validity support for either early dynamic classification diagnoses or today's Diagnostic and Statistical Manual of Mental Disorder's (DSM's) descriptive symptomology categories. Conclusion: This is cause for concern because of the high diagnostic prevalence rates for these child and adolescent disorders, diagnostic-driven practice within the field, and the inordinate influence of the DSM on the clinical social work profession.

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“…For the most part, even critics of neo-Kraepelinian biopsychiatry have accepted that the DSM project has led to unprecedented levels of at least the kind of crude diagnostic agreement that characterised medieval witch trials (Mirowsky, 1990, p. 41 1). The claims that have been made for the success of operational criteria and standardised interview schedules are, however, not straightforward (Dumont, 1984), and have been challenged in a meticulous series of publications by Stuart Kirk and Herb Kutchins (Kirk & Kutchins, 1992, 1994Kutchins & Kirk, 1986). Kirk and Kutchins have produced compelling evidence that initial assessments indicating that the DSM-III system resulted in "far greater reliability than had previously been obtained with DSM- Ir' (DSM-III, 1980, p. 5).…”

Section: Illustration Four: Diagnostic Reliabllltymentioning

confidence: 99%

Diagnostic line-drawing, professional boundaries, and the rhetoric of scientific justification: A critical appraisal of the american psychiatric association's dsm project

Butler

1999

Australian Psychologist

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his article briefly reviews the role of social, professional, and bureaucratic issues in shaping the development and T dissemination of DSM-l/l, and its successive revisions -DSM-Ill-R and DSM-IV. A series of illustrations are presented which highlight the sensitivityof the DSM process to sociocultural qualification and its striking insensitivity to empirical literature and research data-sets. It is argued that the value-neutral language of justification routinely employed by proponents of the DSM project is inappropriate and misleading. The DSM serves to define and demarcate the professional areas for which psychiatry claims specialist expertise and overriding authority, and thus functions as a scientific, ideological, and rhetorical instrument. The politico-professional concerns that seem to have impacted most transparently on the inception of the DSM project are described and then analysed from a historicistcontextualist perspective. It is concluded that the American Psychiatric Association's continuing attempts to develop an encompassing nosology for psychological disturbance are far from disinterested, and should be treated with considerable caution by psychologists and other mental health professionals.

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The nonspecificity of mental illness.

Cited by 16 publications

References 17 publications

The Tidal Model: Psychiatric colonization, recovery and the paradigm shift in mental health care

The Tidal Model: Psychiatric colonization, recovery and the paradigm shift in mental health care

Child and Adolescent Behaviorally Based Disorders

Diagnostic line-drawing, professional boundaries, and the rhetoric of scientific justification: A critical appraisal of the american psychiatric association's dsm project

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