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medicalization lecture.docx

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Joe Hermer

Medicalization cont and the DSM How norms are shaped and how the boundaries are drawnMedicalisation should be conceptualized in terms of degrees not as eitheror having a diseaseIssues can be medicalised without scientific supportMedicalisation represents what we consider important Diagnostic and Statistical Manual DSM Official guide of Psychiatric Disordersif its not in the DSM its not a disorder Dr Michael Fiskany small change in the DSM has drastic implicationsAffects finances and where money will be directed to researchAffect laws and how people can be affected Affects stigma and labels affects how people may get inappropriate labels The stickiness of psychiatric labels Stigma influence how the person sees himself worse that can happen is the person absorbs the negative aspects of the labelbut it can become a selffulfilling prophecyAttitudes towards the mentally ill fear hostility aloofness suspicion and dread Controversy about what the new DSM will look likeany change is likely to be controversial Many psychologist believe that DSM is completely wrong in its classification and criteria Reducing the number of personality disorders excluding and narrowing down disorderspeople who need help may be ignored Attention deficit hyperactive disorder ADHD Emerged as ADD under the heading of hyperactivity minimal brain dysfunction in DSM 1DSM 2more detail added to symptomsDSM 3renamed ADHD Just by adding the H 50 more children met the criteria Adults also available to meet the criteria not just in schools but workplace environmentDSM 4 Adults could be diagnosed with ADHD if they exhibited symptoms as children beforeage 7Criteria in DSM to be diagnosed with ADHDsplit into 2 sections1 Inattentiona Doesnt give close attention to detail b Trouble keeping attention on task c Doesnt listend Doesnt follow instructions e Trouble organizing activitiesf Avoids doing things with a lot of mental effort for long time g Often loses things needed for tasks and activities h Easily distracted i Often forgetful2 Hyperactivitya Fidgets oftenb Often gets up from seatsc Often runs about when inappropriate feel restless
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