Making diagnosis meaningful : enhancing evaluation and treatment of psychological disorders

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Making diagnosis meaningful : enhancing evaluation and treatment of psychological disorders

edited by James W. Barron

American Psychological Association, 1998

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Includes bibliographical references and indexes

Description and Table of Contents

Description

This book reflects the discontent of many mental health professionals with the Diagnostic and Statistical Manual-IV (DSM-IV), which has come to provide the foundation for managed care's fragmented, symptomatic treatment approaches. Some of the criticisms that the contributors note are (a) the excessive reliance of the DSM on the medical model; (b) an excessive focus on reliability at the expense of validity and a predominance of the categorical, rather than the dimensional, approach to diagnosis; (c) arbitrary cut-off points for disorders; (d) a significant problem with comorbidity; and (e) a steady proliferation of labels for the personality disorders. The contributors explore this and other criticisms of the DSM system and propose new ways of looking at diagnosis and treatment. This thought-provoking volume proposes the ultimate goal of finding a diagnostic process that can be meaningfully related to what clinicians do in their actual work with patients.

Table of Contents

  • DSM-IV and its Antecedents - Enhancing Syndromal Diagnosis
  • Meaning and Melancholia - Why DSM Cannot Ignore the Patient's Intentional System
  • A Psychodynamic Approach to the Diagnosis of Psychopathology
  • Case Formulation and Personality Diagnosis - Two Processes or One?
  • The Role of Ego Mechanisms of Defence in the Diagnosis of Personality Disorders
  • Assessment in Transitional Family Therapy - the Importance of Context
  • Relationship, Subjectivity and Inference in Diagnosis
  • Psychological Testing, Psychodiagnosis and Psychotherapy
  • An Experiential Psychoanalytic Approach to the Assessment Process
  • Depression - Intervention as Assessment
  • Assessment of the Borderline Patient for Psychodynamic Treatment
  • Re-Assessing a Person With Schizophrenia and Developing a New Treatment Plan.

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