The listing of disorders in a diagnostic and statistical manual is highly misleading. Many of these 'disorders' are behavioural manifestations and there is no organic or physical aetiology to support a diagnosis. Certain behaviours are mistaken for symptoms and often lead to erroneous diagnoses. Many others result in a diagnosis after a period of psychopharmaceutical intervention and consequently are self fulfilling prophecies rather than disorders.
We should not concern ourselves too much with the number of disorders but the quality of the evidence that describes them. Many are plainly farcical.
The listing of disorders in a diagnostic and statistical manual is highly misleading. Many of these 'disorders' are behavioural manifestations and there is no organic or physical aetiology to support a diagnosis. Certain behaviours are mistaken for symptoms and often lead to erroneous diagnoses. Many others result in a diagnosis after a period of psychopharmaceutical intervention and consequently are self fulfilling prophecies rather than disorders.
We should not concern ourselves too much with the number of disorders but the quality of the evidence that describes them. Many are plainly farcical.
The pharmaceutical companies, which is the modern day driver behind psychiatric diagnosis rather than evidence-based research (how many studies quash psychotherapies as a effective treatment for mental disorders and promote drugs, or are funded by pharmaceutical companies, compared to those that are not?), want to increase their earnings and an effective way to do so is dream up more mental disorders that can then be voted in to the DSM by the American Psychiatric Association board, the National Institute of Mental Health openly declare that the DSM-5 lacks validity (it does, however, provide reliability) and other organisations such as the British Psychological Society have concerns that were largely ignored. An alternative would be the ICD-11 when it is released or use the DSM-IV-TR
Hi - Came across this question looking for same information as posed here. This web page provides some helpful responses on this: http://www.jamesmorrisonmd.org/number-of-dsm-diagnoses.html - Official count of disorders in DSM-5 seems to be 157.
Background:
Diagnostic issues are at the heart of medicine. Although the existing systems to classify mental disorders have been of tremendous value to Psychiatry, there is growing pressure to reform psychiatric diagnosis. In other areas in medicine staging and profiling has been a fruitful strategy to model the diagnosis of complex disorders.
Ai...
Defining the borders of mental illness is challenging due to the lack of established validity for psychiatric disorders, a diagnostic system based largely on reported symptoms, and the highly subjective nature of distress and functional impairment. Consequently, debates about the potential perils of overdiagnosis (e.g., false positives) and underdi...
Over the past decades, the heterogeneity of psychiatric conditions has contributed to the failure to identify biomarkers and develop personalized treatments. The challenge is that psychiatric conditions are based on a cluster of symptoms (as defined by DSM) but most likely derive from different etiologies. RDoC addresses this limitation for researc...