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Malvika answered on
Apr 17 2021
1
“Psychopathology diagnostic labels do not assist people obtain the best possible outcomes from mental health care”: A critical analysis and evaluation concerning Health, Wellbeing and Recovery and Relationships
The Australian Institute of Health and Welfare [AIHW] (2021) updated that in the year 2018-19 there were 4.3 million people who received prescriptions related to mental health and mental health expenditure amounted to $10.6 billion. Mental illness is an issue recognised about thoughts, behaviour and mood of the people towards their su
oundings and can be the cause of distress, affecting 1 Australian out of every 5 totalling it to 4 million people per annum (Health Direct, 2020). The increasing appearance of mental illness among people and the complexity in gathering data about client’s history and mental state leads to the generation and application of powerful diagnostic tools. According to Muratori, Santochi & Calderoni (2020), the psychiatric assessment of a patient requires multiple assessments and accurate detection of possible sources of trigger for a certain kind of behaviour wherein diagnostic assessments help in analysing behavioural characteristics and if they meet a certain pre-set criterion. The outcome of such diagnostic assessments results in psychopathological labels like schizophrenia, bipolar disorder, obsessive-compulsive disorder and others. The impact of these psychopathology diagnostic labels is direct and affects the perception of experts and society turning mental health illness into a stigma.
The paper argues against the diagnostic labelling process critically evaluating and analysing that psychopathology diagnostic labels do not assist in the attainment of the best possible mental health outcomes by people. Firstly, the paper will discuss the lack of accuracy, reliability and validity in the application of the Diagnostic and Statistical Manual of Mental Disorders (DSM) along with the International Classification for Diseases (ICD). It then examines the impact of psychopathology diagnostic labels on health, wellbeing and recovery and relationships, which are a part of mental health outcome measures. Finally, the results obtained through critical analysis and evaluation will be discussed in sync with their future application in delivering quality care to patients.
Critiquing DSM and ICD in Psychopathology Diagnostic Labels
Reliability and validity of DSM and ICD.
The existence of diagnostic tools is debated for they came into existence because of some very powerful people and are not based on naturally occu
ing categories. As indicated by Schultze-Lutter, Schmidt & Theodoridou (2018) there is no biological mapping of these diagnostic tools and they are in a need of re-sharpening. Inter-rater reliability in the application of DSM-5 for the assessment of several disorders shows a lack of consistency. Inter-rater reliability is the measure of consistency observed when the application of the same diagnostic tools and analysis of the same set of symptoms in a patient is observed by two or more clinicians (Mokros, Habermeyer & Kuchenhoff, 2018). Similarly, the conclusions drawn in the study by Moller (2020) suggest that the application of diagnostics tools like DSM-5 and ICD-10 lead to the oversimplification of human behaviour contributing to misdiagnosis or over-diagnosis. For instance, in the documentary ‘How mad are you’, Cameron was previously diagnosed with Schizophrenia, which experts were not able to label on him due to the lack of relevant signs (Hickey et al., 2018). On the contrary, in the work by Shankman et al. (2017) Structured Clinical Interview for DSM-5 [SCID] was studied on 234. Participants and conclusions revealed that the results were in favour of the feasibility and utility of SCID for assessing psychopathic symptoms. However, the limitations in the models and their ability to assess mental health illness among individuals due to comprehensive categorisation affect the overall mental health outcomes and increase the stigma. Fo
es et al. (2020) recommended that the experts should be cautious in isolation and interpretation of unique effects of psychopathology factors due to the consequential medicalisation and stigma.
Medicalisation and Stigma from psychopathology diagnostic labels.
The concept of medicalisation is linked to the process wherein problems that are non-medical become defined and their treatment takes a medical turn (Busfield, 2017). Thus, the medicalisation of psychopathological...