Minimalist Medicine & Diagnosing Normality

Nice writing !


Our intern gave a really good summary at a clinical meeting this week about an article entitled “Diagnostic Inflation” by Dr. Laura Bastra, PhD and Dr. Allen Frances, MD (1).  He gave his talk the title, “When normal is not normal anymore”.  He raised concerns about how the American Psychiatric Association’s new Diagnostic and Statistical Manual of Mental Disorders, version 5 (DSM-V) has included what some may consider to be fairly vague diagnoses of human conditions within the realm of normal.  A classic example raised today was ‘temper dysregulation disorder with dysphoria’ – is this a new excuse for those with short tempers?  I wonder what temper dysregulation disorder with euphoria would look like?  In recent months there was also a lot of controversy around the removal in the DSM-V of the bereavement exemption from the diagnostic criteria for major depression, which many have viewed as having the potential for…

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