The DSM-5 is widely used by clinicians to diagnose behavioral-health problems and to receive insurance payments for treating those problems. Several sections of the new DSM-5 have come under criticism, including the section dealing with alcoholism and substance abuse. Alcohol Abuse Disorder In the previous version of the manual, DSM-IV, published inalcohol use disorders were broken down into two categories: alcohol abuse and alcohol dependence.
According to the APA, "the distinction between abuse and dependence was based on the concept of abuse as a mild or early phase, and dependence as the more severe manifestation. Confusion Over 'Dependence' According to the APA, the previous diagnosis of alcohol dependence caused confusion, because most alcolismo di distinzione di alcolismo thought "dependence" meant "addiction.
Under the new manual, there will be one diagnosis of alcohol use disorder, but with the designation of mild, moderate or severe. The diagnosis will be based on whether or not the person exhibits any of 11 different symptoms. The severity of the disorder will be graded by the number of criteria the person meets. If it's 0 to 1, no diagnosis is made. From 2 to 3 criteria, the diagnosis is mild; 4 to 5, moderate; and 6 or more, severe. The craving criteria replaced a previous symptom of reoccurring legal problems due to alcolismo di distinzione di alcolismo, which the APA eliminated because of "cultural considerations that make the criteria difficult to apply internationally.
Mislabled As Alcoholic According to the new criteria, a college student who binge drinks on weekends and occasionally misses a class would be diagnosed with mild alcohol abuse disorder. And this is where the controversy alcolismo di distinzione di alcolismo, according to critics of the manual revisions. Critics say the revised criteria could lead to college or underage binge drinkers to be mislabeled as mild alcoholics, a diagnosis the could follow them into their later years.
More Accurate Dianosis? The task force alcolismo di distinzione di alcolismo worked to revise the manual claims the new criteria will result in more accurate diagnosis. One of the authors of the previous DSM-IV disagrees that research should be the only factor in diagnosis.
Severe Problems Excluded? Additionally, there is already one scientific study that indicates the new criteria would not result in improved alcohol-related diagnosis. Scientists at Virginia Commonwealth University who studied more than 7, twins found that, while the new criteria may not result in less accurate diagnoses, it also wouldn't produce a clear improvement over the previous DSM-IV criteria. Needless Increase in Diagnoses Other critics of the revisions alcolismo di distinzione di alcolismo the DSM-5 will expand the list of what is considered mental illness and lead to needless increases in diagnoses.
The NIMH, the largest funding agency for mental health research, announced that it would be "re-orienting its research away from DSM categories. Symptoms Alone Not Enough Dr. DSM diagnoses are based on a consensus about clusters of clinical symptoms, not any objective laboratory measure," Dr.
Insel wrote. Indeed, symptom-based diagnosis, once common in other areas of medicine, has been largely replaced in the past half century as we have understood that symptoms alone rarely indicate the best choice of treatment.
American Psychiatric Association. Edwards, AC, et al. The Partnership and DrugFree. DSM alcol, scompare la distinzione tra abuso e dipendenza Alcol alcolismo Sources: American Psychiatric Association. Insel, T.