Pure
Fiel a Verdad
- Joined
- Dec 20, 2001
- Posts
- 15,135
Besides constructing new disorders--there are now three times as many compared to the 1950s-- psychologist and psychiatrists, eliminate or so to say, deconstruct, some of the old ones.
Newer recognized disorders are 'hypoactive sexual desire disorder'--prevalent in women who keep saying, 'not interested'-- pathological gambling, and school avoidant disorder in children. Older ones (DSM-1) are, for example, homosexuality, and inadequate personality.
One of the newest candidates for disorder, i.e. not yet included, is "internet addiction disorder" or its most common subtype, internet porn addiction. Another is "pathological bias", i.e. extreme, nutso racism.
Obviously some of the changes are for the better. On others the jury is out.
http://www.nytimes.com/2010/11/30/health/views/30mind.html
A Fate That Narcissists Will Hate: Being Ignored
By CHARLES ZANOR
Published: November 29, 2010
Narcissists, much to the surprise of many experts, are in the process of becoming an endangered species.
Not that they face imminent extinction — it’s a fate much worse than that. They will still be around, but they will be ignored.
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (due out in 2013, and known as DSM-5) has eliminated five of the 10 personality disorders that are listed in the current edition.
Narcissistic personality disorder is the most well-known of the five, and its absence has caused the most stir in professional circles.
Most nonprofessionals have a pretty good sense of what narcissism means, but the formal definition is more precise than the dictionary meaning of the term.
Our everyday picture of a narcissist is that of someone who is very self-involved — the conversation is always about them. While this characterization does apply to people with narcissistic personality disorder, it is too broad. There are many people who are completely self-absorbed who would not qualify for a diagnosis of N.P.D.
The central requirement for N.P.D. is a special kind of self-absorption: a grandiose sense of self, a serious miscalculation of one’s abilities and potential that is often accompanied by fantasies of greatness. It is the difference between two high school baseball players of moderate ability: one is absolutely convinced he’ll be a major-league player, the other is hoping for a college scholarship.
==
One of the sharpest critics of the DSM committee on personality disorders is a Harvard psychiatrist, Dr. John Gunderson, an old lion in the field of personality disorders and the person who led the personality disorders committee for the current manual.
[...]
He ... blamed a so-called dimensional approach, which is a method of diagnosing personality disorders that is new to the DSM. It consists of making an overall, general diagnosis of personality disorder for a given patient, and then selecting particular traits [e.g. manipulative, grandiose ideas of self, etc.] from a long list in order to best describe that specific patient.
This is in contrast to the prototype approach that has been used for the past 30 years: the narcissistic syndrome is defined by a cluster of related traits, and the clinician matches patients to that profile.
Newer recognized disorders are 'hypoactive sexual desire disorder'--prevalent in women who keep saying, 'not interested'-- pathological gambling, and school avoidant disorder in children. Older ones (DSM-1) are, for example, homosexuality, and inadequate personality.
One of the newest candidates for disorder, i.e. not yet included, is "internet addiction disorder" or its most common subtype, internet porn addiction. Another is "pathological bias", i.e. extreme, nutso racism.
Obviously some of the changes are for the better. On others the jury is out.
http://www.nytimes.com/2010/11/30/health/views/30mind.html
A Fate That Narcissists Will Hate: Being Ignored
By CHARLES ZANOR
Published: November 29, 2010
Narcissists, much to the surprise of many experts, are in the process of becoming an endangered species.
Not that they face imminent extinction — it’s a fate much worse than that. They will still be around, but they will be ignored.
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (due out in 2013, and known as DSM-5) has eliminated five of the 10 personality disorders that are listed in the current edition.
Narcissistic personality disorder is the most well-known of the five, and its absence has caused the most stir in professional circles.
Most nonprofessionals have a pretty good sense of what narcissism means, but the formal definition is more precise than the dictionary meaning of the term.
Our everyday picture of a narcissist is that of someone who is very self-involved — the conversation is always about them. While this characterization does apply to people with narcissistic personality disorder, it is too broad. There are many people who are completely self-absorbed who would not qualify for a diagnosis of N.P.D.
The central requirement for N.P.D. is a special kind of self-absorption: a grandiose sense of self, a serious miscalculation of one’s abilities and potential that is often accompanied by fantasies of greatness. It is the difference between two high school baseball players of moderate ability: one is absolutely convinced he’ll be a major-league player, the other is hoping for a college scholarship.
==
One of the sharpest critics of the DSM committee on personality disorders is a Harvard psychiatrist, Dr. John Gunderson, an old lion in the field of personality disorders and the person who led the personality disorders committee for the current manual.
[...]
He ... blamed a so-called dimensional approach, which is a method of diagnosing personality disorders that is new to the DSM. It consists of making an overall, general diagnosis of personality disorder for a given patient, and then selecting particular traits [e.g. manipulative, grandiose ideas of self, etc.] from a long list in order to best describe that specific patient.
This is in contrast to the prototype approach that has been used for the past 30 years: the narcissistic syndrome is defined by a cluster of related traits, and the clinician matches patients to that profile.
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