By Louis G. Castonguay PhD, Thomas F. Oltmanns PhD
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Additional resources for Psychopathology: From Science to Clinical Practice
Sample text
It might be said, therefore, that he suffered from at least six types of mental disorder. But is that really helpful? Is it the best way to think about his problems? Would it be more accurate to say that he had a complicated set of interrelated problems that were associated with worrying, rumination, and the regulation of high levels of negative emotion, and that these problems constituted one complex and severe type of disorder? The comorbidity issue is related to another limitation of the DSM: the failure to make better use of information regarding the course of mental disorders over time.
Blank, K. (2007). Ataques de nervios and psychiatric disorders in older Puerto Rican primary care patients. Journal of Cross-Cultural Psychology, 38, 659–669. 16 PSYCHOPATHOLOGY Wakefield, J. C. (1992). The concept of mental disorder: On the boundary between biological facts and social values. American Psychologist, 47, 373–388. Wakefield, J. C. (2010). Taking disorder seriously: A critique of psychiatric criteria for mental disorders from the harmful-dysfunction perspective. In T. Millon, R.
Buchwald and Rudick-Davis (1993) found that the presence of vegetative symptoms is more telling in a diagnosis of depression than the presence of other symptoms. Using a more complete analytic strategy, Mitchell, Goodwin, Johnson, and Hirschfeld (2008) found that somatic symptoms, when present, have high rule-in value for diagnosis but were too rare in the outpatient sample used in their study to provide adequate classification on their own. Instead, according to these authors, mood and emotional symptoms were most clinically useful overall.