Context en DSM/en: verschil tussen versies
Nieuwe pagina aangemaakt met 'The label ''depression'' is therefore a description, not an explanation.' |
Nieuwe pagina aangemaakt met 'According to psychiatrist Jim van Os: * There was a proliferation of diagnoses in psychiatry. * Clear criteria were needed to arrive at a diagnosis. * This was also necessary to enable validated reimbursement by health insurance.' |
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== Purpose of the DSM == | == Purpose of the DSM == | ||
According to psychiatrist Jim van Os: | |||
* There was a proliferation of diagnoses in psychiatry. | |||
* | * Clear criteria were needed to arrive at a diagnosis. | ||
* | * This was also necessary to enable validated reimbursement by health insurance. | ||
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== | == What it is not? == | ||
The DSM is not scientific evidence that these entities truly exist. Sometimes there are attempts to "prove" this afterwards with brain research or biomarkers, but that is a form of ''reverse engineering''. After 50 years of research, no conclusive evidence has been found that the DSM classifications are real diseases like in somatic medicine. | |||
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== | == What does genetics say? == | ||
The only field that provided insights is genetics. It shows that every person has thousands of genetic variants that are involved in psychological suffering. These variants occur in autism, depression, borderline, schizophrenia, bipolar disorder, ... and are largely overlapping (about 70%). Conclusion: the genetics of psychological suffering is in fact the genetics of being human, and more specifically our capacity to react with feeling to the environment. | |||
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== | == Spectrum thinking == | ||
Terms like autism, schizophrenia, depression, borderline are not diseases in themselves, but descriptions. Therefore, people are increasingly talking about a spectrum or “characteristics of”. This is also evident in personality disorders: a person can at a certain moment meet the criteria for borderline, later for narcissism, and then not again. | |||
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== | == Listen further == | ||
<div lang="nl" dir="ltr" class="mw-content-ltr"> | <div lang="nl" dir="ltr" class="mw-content-ltr"> | ||