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DSM-6

4/1/2013

 
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DSM-5 is at the binders and being prepared for release in May, but I can report that a new Task Force has already begun its preliminary work on its successor, DSM-6.

While the most recent changes to the DSM have been extensively discussed and researched, many of the revisions have been received critically, and the APA has moved rapidly to stymy criticism of DSM-5 by convening a new Task Force that has already reported on some further significant changes to mental health diagnostic criteria that will refine and elaborate on the changes in DSM-5.

The APA has recently confirmed that "Many of the revisions in DSM-5 will help psychiatry better resemble the rest of medicine", but now the aim of DSM-6 is to align psychiatric diagnosis with car maintenance. This will move diagnosis and treatment away from airy-fairy, psychological concepts such as ‘recovery’ to the more practical notion of fixing something that is clearly broken. Pursuing the ‘car maintenance’ analogy, DSM-6 will recommend that everyone should have an annual “road test” to ensure that their mental health is fit for purpose. Failing the test (e.g. by reporting the experience of at least one negative emotion in the previous 12 months) will require compulsory medication for a period to be determined by a panel of experts recruited from salesmen within the pharmaceutical industry.

Other new changes within DSM-6 include:

1.         An increased number and range of prodromal risk factors for mental health problems. These include dementia compulsio – forgetting whether you’ve locked the door and returning to check; risum cacoethes – uncontrollable inappropriate giggling fits – a known risk factor for a number of diagnosable disorders such as delirium, mania and bipolar disorder; anxietatem dentalis - feeling anxious when reading magazines you’ve previously encountered in your dentist’s waiting room, a precursor for a range of irrational fears.

2.         Nose-picking disorder is recognized as a new independent disorder category, along with Gluttony (formerly known as Binge Eating Disorder), and Jealousy (a former sub-type of Borderline Personality Disorder).

3.         The ‘scorn exclusion’ has been removed from the diagnosis of Antisocial Personality Disorder. This allows scorn (or contempt) to be included as a contributor to a diagnosis of Antisocial Personality Disorder.

4.         All criteria for major Depression have been removed and replaced by the single cardinal feature of ‘low mood’. This will allow GPs and physicians to prescribe antidepressants on the basis of an immediate diagnosis rather than – as before – a financial inducement from a pharmaceutical industry rep.

5.         DSM Criticism syndrome is a new psychosis sub-type characterized by delusional beliefs that DSM is not a necessary requirement for helping people to recover from mental health problems and merely provides labels that stigmatize sufferers. People diagnosed with this disorder should not be approached directly because of their revisionist and anti-establishment views. The APA has set a target date of 2020 for the total eradication of this particularly virulent illness.

You can find a much fuller summary of the recommendations for DSM-6 here. When published, DSM-6 is expected to cost in the region of $45,000 a copy.
S Randolph Kretchmar link
4/13/2013 04:54:28 am

Several years ago I proposed a new dx for DSM-5, 295.0001 Prodromal Anosognosia (see criteria at: http://refusingpsychiatry.blogspot.com/2010/10/dsm-v-proposal.html. Surprisingly, this was not adopted. Perhaps it will make it into DSM-6, considering your predicted changes under 1 and 5....

Res
9/7/2018 10:45:03 pm

Look at the date this article was published...

Elizabeth
12/30/2013 06:19:04 am

The third dsm also had problems, so they made a DSM-lll-R, which was a revision of the third dsm. Maybe they can make a revision of dsm 5.

Lurker111
3/25/2015 01:39:55 am

I believe that "Being a Republican" should be a condition listed in the DSM 6.

Dr. Kingery
2/20/2017 08:35:22 pm

so should being a democrat

Connie Gehring link
2/11/2020 09:43:10 am

I agree whole heartedly!

Matt
4/8/2017 05:16:16 pm

I just saw this article and its 2017. I'm not sure if anybody will look at it but if anybody that's helping with the DSM-6 book reads this I'd like to suggest putting orthorexia in the book. I'm not sure if it is already going to be included but I thought I'd suggest it just the same.

Grammar Police
8/30/2017 05:26:49 pm

*it's

seruously
2/19/2018 04:31:21 pm

I highly doubt anyone with anything to do with VI will be reading this article. Did you read it? If you had you would understand why.

M
6/27/2019 08:36:33 pm

PLEASE change the diagnosis name from ADHD to ADD. PLEASE. Not everyone who is diagnosed with ADHD is hyperactive(the H in ADHD) soooo...it does not make sense that the DSM name is ADHD; like there's specifiers for that shit. I am diagnosed with "ADHD" and I really do NOT appreciate that I'm identified as Hyperactive when I am obviously not. I am also a Therapist and hate diagnosing clients as "ADHD" when they are not hyperactive. The diagnostic name is misleading and an inaccurate label. I literally have a Attention Deficient , not fucking Attention-Hyperactive Deficient. This diagnostic label is inappropriate.

Katalyst
12/15/2019 07:45:17 am

I think the point is that the addition of the H in ADHD refers to the neurobiological factors of the mental illness that result in either observable hyperactivity or cognitive hyperactivity. I imagine in cognitive hyperactivity the outcome results in inattentive dispositions, hence the acronym ADHD Pi arguably denotes.

Brent Bradley
11/9/2020 07:37:46 pm

The comment thread on this article appears to demonstrate that 6 out of 11 psychology practitioners cannot take a joke.

Robyn
11/26/2020 06:59:13 am

Well said, Brent. LOL!!!


Comments are closed.

    Author

    Graham C. L. Davey, Ph.D. is Professor of Psychology at the University of Sussex, UK. His research interests extend across mental health problems generally, and anxiety and worry specifically. Professor Davey has published over 140 articles in scientific and professional journals and written or edited 16 books including Psychopathology; Clinical Psychology; Applied Psychology; Complete Psychology; Worrying & Psychological Disorders; and Phobias: A Handbook of Theory, Research & Treatment. He has served as President of the British Psychological Society, and is currently Editor-in-Chief of Journal of Experimental Psychopathology and Psychopathology Review. When not writing about psychology he watches football and eats curries.

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