By H. Middleton

Psychiatry suffers loads of feedback, now not least from inside its personal scientifically based clinical global. This ebook offers an account of psychological future health problems and the way they're usually addressed in traditional scientific circles, along severe stories of the assumptions underpinning them to inspire extra humanitarian views.

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Extra resources for Psychiatry Reconsidered: From Medical Treatment to Supportive Understanding

Sample text

Similarly, funding agencies and commissioners agree to reimburse on the basis of whether or not diagnostic criteria have been met and an identifiable condition addressed; and when considering pleas of mitigation, courts of law tend to look for expert opinion that frames the defendant’s difficulties in this way. Undoubtedly, the ICD and DSM offer an invaluable administrative service, and they provide a framework for certain forms of empirical research. 13 There are justifiable criticisms of the extent to which the ICD/DSM approach to cataloguing ‘mental illnesses’ offers anything more than support for a set of administrative processes.

ICD and/or DSM criteria provide a framework upon which practitioners, policy makers, investigators and entrepreneurs can all agree as they work within, administer and act upon the world of mental health difficulties. It is a lingua franca psychiatrists have to acquire in the course of their training. Clinical trials employ ICD and/or DSM criteria in the course of selecting subjects, and when a new treatment is licensed, the licence refers to the new treatment’s use in this or that ICD- and/or DSM-defined condition.

It is the form these take that distinguishes one anxiety disorder from another. The same is also true for ICD criteria that define ‘morbid’ reactions to severe stress and adjustment. A situation would be classified as an acute stress reaction if difficulties clearly follow, within an hour, upon ‘an exceptional mental or physical stressor’ and include physiological symptoms such as palpitations or light headedness, and emotional distress such as anger, aggression or despair. Post-traumatic stress disorder is identified when such sequelae persist and are accompanied by intrusive recollections of the stressful event.

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