False positives in psychiatric diagnosis: Implications for human freedom

Abstract
Current symptom-based DSM and ICD diagnostic criteria for mental disorders are prone to yielding false positives because they ignore the context of symptoms. This is often seen as a benign flaw because problems of living and emotional suffering, even if not true disorders, may benefit from support and treatment. However, diagnosis of a disorder in our society has many ramifications not only for treatment choice but for broader social reactions to the diagnosed individual. In particular, mental disorders impose a sick role on individuals and place a burden upon them to change; thus, disorders decrease the level of respect and acceptance generally accorded to those with even annoying normal variations in traits and features. Thus, minimizing false positives is important to a pluralistic society. The harmful dysfunction analysis of disorder is used to diagnose the sources of likely false positives, and propose potential remedies to the current weaknesses in the validity of diagnostic criteria.
Keywords Psychiatric diagnosis  Misdiagnosis  False positive diagnosis  DSM  Harmful dysfunction  Ethics  Evolutionary psychology  Justice  Function  Philosophy of psychiatry
Categories (categorize this paper)
DOI 10.1007/s11017-010-9132-2
Options
 Save to my reading list
Follow the author(s)
Edit this record
My bibliography
Export citation
Find it on Scholar
Mark as duplicate
Request removal from index
Revision history
Download options
Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 32,688
Through your library
References found in this work BETA

Add more references

Citations of this work BETA

Add more citations

Similar books and articles
Added to PP index
2010-03-20

Total downloads
111 ( #51,986 of 2,237,283 )

Recent downloads (6 months)
1 ( #443,963 of 2,237,283 )

How can I increase my downloads?

Monthly downloads
My notes
Sign in to use this feature