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Positie van DSM: Heden en verleden - samenvatting van hoofdstuk 1 van DSM-5 voorbij!

DSM-5 Voorbij!
Hoofdstuk 1
Positie van DSM: heden en verleden

Wat is DSM-5?

De DSM-5 staat voor de vijfde editie van de Diagnostic and Statistial Manual of Mental disorders.
Hierin staan alle mogelijke diagnosen die psychiaters gebruiken.
Het is een verzameling van categoriale diagnosen die voortdurend worden bijgesteld en die worden uitgedeeld aan telkens nieuwe generaties patiënten.

De geschiedenis

De DSM-3 brak met eerdere versies. Eerder versies hingen de psychoanalytica aan, en het uitgangspunt van een stoornis als reactie op de omgeving. Ook was er in de DSM-3 minder zicht voor onderliggende zaken.
De DSM-3 had een impliciete hersenreductionistische visie.
Het aantal stoornissen nam toe.

DSM-4 en 5 zijn niet meer dan verbijzonderingen van de algoritmen van de derde versie.

DSM-5 nu: waarom iedereen er over praat

Veel mensen hebben iets te zeggen over de DSM.
Psychische klachten zijn zo goed als zichtbaar.
Iedereen is expert op het gebied van psychiatrie (omdat iedereen wel eens symptomen meemaakt).

De identiteit van mensen wordt gevoed door hun ervaringen, maar de psychiatrische diagnostiek probeert het te reduceren tot een label en –impliciet- een abstract en onbewezen breinprobleem.
De patiënt kan in verwarring komen en denken dat de medicatie een instrument is om zijn identiteit te veranderen.

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