Hyponarrativity and Context-Specific Limitations of the DSM-5

Public Affairs Quarterly 29 (1) (2015)

Authors
Melissa Mosko
Canisius College
Şerife Tekin
University of Texas at San Antonio
Abstract
his article develops a set of recommendations for the psychiatric and medical community in the treatment of mental disorders in response to the recently published fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, that is, DSM-5. We focus primarily on the limitations of the DSM-5 in its individuation of Complicated Grief, which can be diagnosed as Major Depression under its new criteria, and Post-Traumatic Stress Disorder (PTSD). We argue that the hyponarrativity of the descriptions of these disorders in the DSM-5, defined as the abstraction of the illness categories from the particular life contingencies and personal identity of the patient (e.g., age, race, gender, socio-economic status), constrains the DSM-5's usefulness in the development of psychotherapeutic approaches in the treatment of mental disorders. While the DSM-5 is useful in some scientific and administrative contexts, the DSM's hyponarrativity is problematic, we argue, given that the DSMs are designed to be useful guides for not only scientific research, but also for the education of medical practitioners and for treatment development. our goal therefore is to offer suggestions for mental health practitioners in using the DSM-5, so that they can avoid or eliminate the problems that may stem from the limitations of hyponarrativity. When such problems are eliminated, we believe that effective psychotherapeutic strategies can be developed, which would be successful in repairing the very relationships that are strained in mental disorder: the patient's relationship to herself, her physical environment, and her social environment.
Keywords depression  grief  PTSD  DSM-5
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References found in this work BETA

Five Kinds of Self-Knowledge.Ulric Neisser - 1988 - Philosophical Psychology 1 (1):35 – 59.
Psychiatric Taxonomy: At the Crossroads of Science and Ethics.Şerife Tekin - 2014 - Journal of Medical Ethics 40 (8):513-514.
Intersectional Identity and the Authentic Self? Opposites Attract.Diana Tietjens Meyers - 2000 - In Catriona Mackenzie & Natalie Stoljar (eds.), relational autonomy. oxford university press.

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Citations of this work BETA

Listening to Patients: A Pillar for the Epistemology of Neurointerventions.Şerife Tekin - 2018 - American Journal of Bioethics Neuroscience 9 (4):239-241.

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