View Single Post
 
Old Jan 19, 2014, 11:43 PM
Lauliza's Avatar
Lauliza Lauliza is offline
Grand Magnate
 
Member Since: Nov 2009
Location: United States
Posts: 3,231
Quote:
Originally Posted by Favorite Jeans View Post
I think one problem with diagnosis is that doctors often try hard to squeeze a patient into a diagnosis rather than use appropriate descriptors to try to capture what is going on for the patient. As many have mentioned, they are often forced to do this for documentation and billing purposes but maybe we should question that too. Often diagsoses take that form of checklist (eg "at least four of the following eight symptoms") and it can be hard to figure out where someone's symptoms truly fit. What if they only have three symptoms? It reduces a person's entire life to a quick label.

I enjoyed the article for the most part but thought that the idea (last few sentences) that one can subscribe either to a psychosocial model or to a medical/biological one to be simplistic, misleading and really not rooted in evidence. The best evidence out there suggests that of course all of it (genes, in utero environment, parenting, schooling etc.), makes up who we are and how we feel, that medication can be a lifesaver and that babies are not simply blank slates but people with personalities.
I think we should question the power insurance companies have in this field also. I bet most practitioners would rather have more flexibility in the way they run their practice. If they didnt need to worry about their patients losing coverage I think the mental health system in this country would be run much differently. I don't see any kind of change happening here anytime soon. My psychiatrist said that to me recently when I mentioned a professor of mine said they are thinking of doing away with the DSM altogether. He said "No way. It makes a lot of money for the APA, drug and insurance companies..."