First Do No Harm?: What Role Should Considerations of Potential Harm Play in Revising the DSM?

Philosophy, Psychiatry, and Psychology 23 (2):103-113 (2016)
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Abstract

Guidelines for revisions to Diagnostic and Statistical Manual of Mental Disorders, 5th edition asked those proposing certain types of revision to consider potential harms to patients. Specifically, those proposing new diagnoses were to consider whether ‘the harm that arises from the adoption of the proposed diagnosis exceed[s] the benefit that would accrue to affected individuals’, and potential for harm was cited as a possible reason for keeping a diagnosis in the appendix rather than promoting it to the main classification. The ‘do no harm’ criterion was referred to in...

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Rachel Cooper
Lancaster University

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