Descriptions and Prescriptions: Values, Mental Disorders, and the DSMs

419 Pages·2002·3.538 MB·English

by  John Z. Sadler

Descriptions and Prescriptions

Descriptions and
Prescriptions
Values,Mental Disorders,and the DSMs
 
 . , ..
Professor,Department ofPsychiatry
University ofTexas Southwestern Medical Center at Dallas
Dallas,Texas
The Johns Hopkins University Press (cid:1) (cid:1) Baltimore and London
© The Johns Hopkins University Press
All rights reserved.Published 
Printed in the United States ofAmerica on acid-free paper

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North Charles Street
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www.press.jhu.edu
   -- 
Descriptions and prescriptions :values,mental disorders,and the DSMs
/edited by John Z.Sadler.
p. cm.
Includes bibliographical references and index.
---(hardcover :alk.paper)
. Mental illness—Classification—Social aspects. . Mental illness—
Classification—Moral and ethical aspects. . Diagnostic and statistical
manual ofmental disorders. I. Sadler,John Z.,– .
[DNLM: . Mental Disorders—classification. . Social Values.
]
c..
.(cid:1)(cid:1)—dc

A catalog record for this book is available from the British Library.
Contents
List ofContributors ix
Acknowledgments xi
Part One Introduction and Background
 Introduction 
 . 
 The Limits ofan Evidence-Based Classification of
Mental Disorders 
     
 Values,Politics,and Science in the Construction ofthe DSMs 
 . 
Part Two Conceptual and Methodological Considerations
 Values and Objectivity in Psychiatric Nosology 
 . 
 Survival ofthe Fittest? Conceptual Selection in Psychiatric
Nosology 
 
 Technical Reason in the DSM-IV:An Unacknowledged Value 
 
vi Contents
 Implications ofa Pragmatic Theory ofDisease
for the DSMs 
 . 
 Rethinking Normativism in Psychiatric Classification 
 
Part Three Diagnostic Categories and Values
 Evaluation and Devaluation in Personality Assessment 
  
 Values and the Validity ofDiagnostic Criteria:Disvalued
versus Disordered Conditions ofChildhood and
Adolescence 
 . 
 Implications ofan Embrace:The DSMs,Happiness,
and Capability 
 . 
 Why Criteria ofInvoluntary Action Are Value Laden 
 
Part Four Personal and Collective Interests
 The Hegemony ofthe DSMs 
     . 
 What Patients and Families Look for in Psychiatric Diagnosis 
  
 Softened Science in the Courtroom:Forensic Implications
ofa Value-Laden Classification 
 . 
 Speaking across the Border:A Patient Assessment
ofLocated Languages,Values,and Credentials
in Psychiatric Classification 
 
 Psychotherapists as Authors:Microlevel Analysis
ofTherapists’Written Reports 
    . 
Contents vii
Part Five Visions for the Future
 Clinical and Etiological Psychiatric Diagnoses:
Do Causes Count? 
 . 
 Defining Genetically Informed Phenotypes for the DSM-V 
 . 
 Values in Developing Psychiatric Classifications:
A Proposal for the DSM-V 
 . 
 Report to the Chair ofthe DSM-VI Task Force from the Editors
ofPhilosophy,Psychiatry,and Psychology,“Contentious
and Noncontentious Evaluative Language in Psychiatric
Diagnosis”(Dateline ) 
. . . 
References 
Index 

Contributors
GJ.A,Ph.D.,F.J.O’Neill Chairman,Department ofBioethics,
Cleveland Clinic Foundation,Cleveland,Ohio
C B, Ph.D.,Professor ofRhetoric,Department ofHu-
manities,Michigan Technological University,Houghton,Michigan
L A C, Ph.D.,Professor,Department ofPsychology,University
ofIowa,Iowa City,Iowa
K.W.M.F, D.Phil.,F.R.C.Psych.,Professor ofPhilosophy and Men-
tal Health,Department ofPhilosophy,University of Warwick,Coven-
try;and Honorary Consultant Psychiatrist,Department ofPsychiatry,
University ofOxford,Oxford,United Kingdom
I I. G, Ph.D., Sherrell J. Aston Professor of Psychology
and Professor of Medical Genetics (Pediatrics), Department of Psy-
chology,University ofVirginia,Charlottesville,Virginia
L L H, Ph.D.,former Director of Research,NAMI (National
Alliance for the Mentally Ill);biomedical and health care analyst and
writer.
C L, Ph.D.,Visiting Instructor ofEnglish and Women’s Studies,
Empire State College,State University ofNew York,Rochester,New York
C M, M.D., M.R.C.Psych., Senior Lecturer in Psychotherapy,
Department ofPsychology,University ofWarwick,Coventry,United
Kingdom
L MQ, M.S.S.W., DSM Project Manager, American Psychi-
atric Association,Washington,D.C.