Dear DSM-5: I Still Have Some Questions
It has been almost a year since DSM-5 was released in May 2013 by the American Psychiatric Association (APA). Critics have lined up to outline significant concerns about the consequences that will result from its use. Among many issues, DSM-5 has been lambasted for its overpathologizing of normal, fluctuating patterns of development, aging trends, social responses, societal fads, and general behavioral patterns. The controversy that has ensued has brought about significant questions about the future of DSM. Agencies even in my home state have begun to look at the possibility of discarding its use altogether in favor of ICD classification, even though the implementation of ICD-10 continues to be uncertain. Medical systems such as that which I am employed continue to hang in balance about what will occur. Much of this confusion has been well-documented.
But what have not been well-documented are the minute, at times peculiar, changes that are present in the specific verbiage of the conditions themselves as detailed in DSM-5. For interests of both thoroughness and brevity, I will focus on two conditions that pertain largely, but not solely, to children.