The Committee to Boycott the DSM-5
NO DSM DIAGNOSIS CAMPAIGN
Collaborative Psychological Formulation NOT DSM Diagnosis.
We the undersigned agree to support the Boycott Committee’s NO-DSM Diagnosis campaign. Specifically …
… As providers of service, we will not assign DSM diagnoses to individuals who seek care from us and will work with clients collaboratively; as users of service, we will seek care only from providers who will not assign DSM diagnoses to us and who will work with us collaboratively; as family members, we will encourage our loved ones who require care to seek providers who will not assign DSM diagnoses and who will work with them collaboratively.
• Historically, the categorical diagnoses contained in the Diagnostic and Statistical Manual, including the recently published DSM-5 (2013), have been found to lack scientific validity and reliability.
• The diagnoses are rooted in an assumption that emotional and spiritual distress and any behavioral outcomes are exclusive consequences of biological vulnerability and indicative of mental illness.
• Further, DSM categorical diagnoses are determined via assessments that ignore or relegate to secondary importance key environmental and life experiences that are known to incite emotional and spiritual distress --- death and loss; trauma from sexual and physical abuse; poverty; racism , systemic oppression and social marginalization.
• We reject the foregoing and offer Psychological Collaborative Formulation as an alternative to categorical DSM diagnoses.
Formulation is a practice that is integral to psychotherapy. It is rooted in an assessment conducted collaboratively between a provider and client which discovers lifespan data that can be used to formulate explanatory hypotheses regarding the causes and resolution of emotional and spiritual distress.
We, the undersigned, endorse collaborative psychological formulation as an alternative to categorical DSM diagnoses and agree to promote its use.
* * * * *
Please note that a detailed description of Collaborative Psychological Formulation as an alternative tocategorical DSM Diagnosis can be found in the Committee’s position paper,“DSM-5 Boycott Enters 2nd Phase:A Primer for the NO-Diagnosis Campaign ”on the “Updates/Blog” page of the NO-DSM Diagnosis Campaign’s companion website http://nodsm5diagnosis.com/
Further, a video interview of Dr. Lucy Johnstone describing Psychological Formulation can be found on the “About” page of that same website.
Updates
December 10, 2013
The feedback I keep receiving from those of you in the field reveals just how much pressure is being placed on providers to conform to these labels despite the harm they cause. I am exhausted by the pushback but we will continue to insist that human experience cannot be reduced to a manual.
December 10, 2013
Seeing this grow makes me realize we are not alone in questioning these labels. It remains a heavy climb to change how the world views human distress but the fact that so many of you have joined me creates a path forward.
11 Comments
I am shocked at the reductionist approach to psychosocial conditions - out of date since 1960s!
The DSM and the drugs for those disorders killed my son. Amen to a long needed course change to reject the selling of brokeness to the general populace.
To play devil's advocate I would say the reductionist approach isn't out of date at all, in fact it's seem as mainstream and even advancing in some quarters because of the emphasis on "brain science".
The DSM is a storybook (which doesn't mean it doesn't have limited usefulness) but being an individual doesn't preclude having a biomedical disease...
we are individuals!!
4 tags so far and counting, finger pointing bullies.
4 tags so far and counting, finger pointing bullies.
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The Committee to Boycott the DSM-5
NO DSM DIAGNOSIS CAMPAIGN
Collaborative Psychological Formulation NOT DSM Diagnosis.
We the undersigned agree to support the Boycott Committee’s NO-DSM Diagnosis campaign. Specifically …
… As providers of service, we will not assign DSM diagnoses to individuals who seek care from us and will work with clients collaboratively; as users of service, we will seek care only from providers who will not assign DSM diagnoses to us and who will work with us collaboratively; as family members, we will encourage our loved ones who require care to seek providers who will not assign DSM diagnoses and who will work with them collaboratively.
• Historically, the categorical diagnoses contained in the Diagnostic and Statistical Manual, including the recently published DSM-5 (2013), have been found to lack scientific validity and reliability.
• The diagnoses are rooted in an assumption that emotional and spiritual distress and any behavioral outcomes are exclusive consequences of biological vulnerability and indicative of mental illness.
• Further, DSM categorical diagnoses are determined via assessments that ignore or relegate to secondary importance key environmental and life experiences that are known to incite emotional and spiritual distress --- death and loss; trauma from sexual and physical abuse; poverty; racism , systemic oppression and social marginalization.
• We reject the foregoing and offer Psychological Collaborative Formulation as an alternative to categorical DSM diagnoses.
Formulation is a practice that is integral to psychotherapy. It is rooted in an assessment conducted collaboratively between a provider and client which discovers lifespan data that can be used to formulate explanatory hypotheses regarding the causes and resolution of emotional and spiritual distress.
We, the undersigned, endorse collaborative psychological formulation as an alternative to categorical DSM diagnoses and agree to promote its use.
* * * * *
Please note that a detailed description of Collaborative Psychological Formulation as an alternative tocategorical DSM Diagnosis can be found in the Committee’s position paper,“DSM-5 Boycott Enters 2nd Phase:A Primer for the NO-Diagnosis Campaign ”on the “Updates/Blog” page of the NO-DSM Diagnosis Campaign’s companion website http://nodsm5diagnosis.com/
Further, a video interview of Dr. Lucy Johnstone describing Psychological Formulation can be found on the “About” page of that same website.
Updates
December 10, 2013
The feedback I keep receiving from those of you in the field reveals just how much pressure is being placed on providers to conform to these labels despite the harm they cause. I am exhausted by the pushback but we will continue to insist that human experience cannot be reduced to a manual.
December 10, 2013
Seeing this grow makes me realize we are not alone in questioning these labels. It remains a heavy climb to change how the world views human distress but the fact that so many of you have joined me creates a path forward.
11 Comments
I've seen firsthand the harm DSM categories can do. It is all too easy to "qualify" as mentally ill, with potentially devastating consequences.
I am shocked at the reductionist approach to psychosocial conditions - out of date since 1960s!
The DSM and the drugs for those disorders killed my son. Amen to a long needed course change to reject the selling of brokeness to the general populace.
To play devil's advocate I would say the reductionist approach isn't out of date at all, in fact it's seem as mainstream and even advancing in some quarters because of the emphasis on "brain science".
The DSM is a storybook (which doesn't mean it doesn't have limited usefulness) but being an individual doesn't preclude having a biomedical disease...
we are individuals!!
4 tags so far and counting, finger pointing bullies.
4 tags so far and counting, finger pointing bullies.
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I've seen firsthand the harm DSM categories can do. It is all too easy to "qualify" as mentally ill, with potentially devastating consequences.