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timf
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10 Jul 2019, 8:42 am

Here is a link describing some research showing that the entire industry making money off those of us called "disordered" may not be as legitimate as they proclaim.

https://www.studyfinds.org/study-psychi ... aningless/

The study was published in the scientific journal Psychiatry Research.

Describing people whose neurology has more complexity, sensitivity, or intensity as "disordered" may be just as legitimate as describing short people as dysfunctional.



magz
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10 Jul 2019, 9:16 am

I see a different issue with DSM the study proved useless.
DSM diagnoses are based on very superficial symptoms, completely lacking any understanding of underlying mechanisms.
It's like you had a medical textbook with a diagnosis of "knee pain". Knees are complex systems that can get wrong in multiple different ways, each of them resulting in knee pain but each of them requiring completely different treatment. If the diagnostic manual had only one diagnosis of "knee pain", it would be virtually useless for giving the patient any useful help.

That's how I see the current DSM standard.

I understand the original article comes to a bit similar conclusion.


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TheOther
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10 Jul 2019, 11:57 am

magz wrote:
I see a different issue with DSM the study proved useless.
DSM diagnoses are based on very superficial symptoms, completely lacking any understanding of underlying mechanisms.
It's like you had a medical textbook with a diagnosis of "knee pain". Knees are complex systems that can get wrong in multiple different ways, each of them resulting in knee pain but each of them requiring completely different treatment. If the diagnostic manual had only one diagnosis of "knee pain", it would be virtually useless for giving the patient any useful help.

That's how I see the current DSM standard.

I understand the original article comes to a bit similar conclusion.


Thank you for putting into words my exact thoughts on this.

I actually think this applies to medical health as well as psychology. So many diagnosis are too vague. Bronchitis just means 'lung disease'. It doesn't not specify a difference between viral, bacterial, and environmental causes, for example.

To be fair, I think these problems are very complex, and clumping symptoms together is a quick, brute force method of getting some sort of starting point.



hurley4456
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10 Jul 2019, 1:19 pm

Two clearly misdiagnosed disorders are ADD/ADHD and ODD (oppositional defiant disorder). Although, I would consider those on the spectrum diagnosed with another made up disorder called Ordinary Deficiency Disorder (ODD). The criteria for ADD is loosely controlled, and many cheat the system to obtain the desiered meds. ODD is laughable because there exists so many overlapping traits that will yield a diagnoses. You are correct regarding your assertion on medical disorders feeding the self interest of the medical community ($$$$).



losingit1973
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10 Jul 2019, 10:16 pm

It is my understanding that all of the diagnostic codes are for the benefit of the insurance companies. They use these codes to justify or deny tests and treatments based on the diagnostic code submitted. There are abuses though, try finding an in network provider proficient with autistic patients then fighting with your carrier to get services when the nearest one is 60 miles away.


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