Sunday, June 16, 2013

The Intelligent Clinician's Guide to the DSM-5®


The Intelligent Clinician's Guide to the DSM-5® Paperback

Author: Visit Amazon's Joel Paris Page - ISBN: 0199738173 - Language: English - Format: PDF, EPUB

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Review


Dr Paris has written a wise and well informed book that will help readers understand and avoid the problems created by DSM 5.

Allen J. Frances, MD, Professor Emeritus, Department of Psychiatry, Duke University School of Medicine, Durham, NC


Psychiatry's newest stage show (DSM-5) will draw a big audience, including health professionals, health organisations, lawyers and the general public. Joel Paris takes us 'back stage' . . . how can we appropriately classify and diagnose mental disorders, and the complexities of distinguishing a psychiatric 'case' from a 'non-case'. He details a flawed DSM-5 ideologically-based production but encourages us to recognise that while we have to use it, we can still work our way around it. He astutely observes that the DSM-5 editors know where Psychiatry is going and want to help us to get there more rapidly. . . . The book is a lucid, penetrating and perceptive 'must read' critique informing us the DSM-5 has no stronger a base in science than its immediate predecessors. We should all respect Paris' recommended antidote to its ideology - "apply extra caution and follow common sense".

Gordon Parker, Scientia Professor of Psychiatry, University of NSW, Sydney, Australia


The clinician who longs for a balanced, reliable, and illuminating assessment of the state of psychiatric diagnosis and what it all means for understanding our clients - and who yearns for a guide who understands all the technical details but has somehow miraculously retained his common sense - can do no better than to turn to Joel Paris's incisive, magisterial, tone-perfect, and clear-as-a-bell overview. . . . If I wanted to sit down with someone to talk over the background and meaning of psychiatric diagnosis as I will face it in the post-DSM-5 era, Joel Paris is the person I would talk to. This is the clinician's seatbelt for surviving the diagnostic turbulence that has been tossing us around over the past few years and, possibly, for years to come.

Jerome C. Wakefield, PhD, DSW, School of Social Work and Department of Psychiatry, New York University, New York and co-author of All We Have to Fear: Psychiatry's Transformation of Natural Anxieties into Mental Disorders


As referenced in The Globe and Mail, Toronto, April 27, 2013


From Sharon Jayson, USA Today, May 12, 2013:
"In his book, The Intelligent Clinician's Guide to the DSM-5, out last month, psychiatrist Joel Paris of McGill University in Montreal suggests that DSM has some pluses but a lot of minuses. 'The strong points would be that the manual does provide a useful guide to severe mental illness and it always has,' he says. The closer that it gets to what people would consider normal behavior, the less useful the DSM is, he says."


"This is an excellent critique of DSM-5 and psychiatry in general. Written in an engaging style, the book draws readers in. Although it is less than 200 pages, it covers the complex changes in DSM-5 thoroughly and objectively In particular, it focuses on the DSM-5's conflation of normality and psychopathology and the reductionist view of psychiatry solely as neuroscience. The author challenges the DSM-5's use of categorical and dimensional organization without clinical input. He details why senior experts from DSM-III and DSM-IV were left out of the planning process for DSM-5 and what the editors of the DSM-5 were trying to achieve. All of this serves readers well in understanding the purpose of DSM-5 and being able to make an informed opinion about it. I highly recommend this book for anyone who will be using the DSM-5."
-- Brett C. Plyler, M.D., Doody's


"The clinician who longs for a balanced, reliable, and illuminating assessment of the state of psychiatric diagnosis and what it all means for understanding our clients - and who yearns for a guide who understands all the technical details but has somehow miraculously retained his common sense - can do no better than to turn to Joel Paris's incisive, magisterial, tone-perfect, and clear-as-a-bell overview." -- News-Medical.net


"...a critical thinker's best-case scenario: a reader-friendly book that uses evidence-based critiques to point out where DSM-5 is right, where it is wrong, and where the jury is still out." -- Leo Christie, President and CEO of professional Development Resources


About the Author


Joel Paris, MD, was born in New York City, but has spent most of his life in Canada. He obtained an MD from McGill University in 1964, where he also trained in psychiatry. Dr. Paris has been a member of the McGill psychiatry department since 1972 and served as Department Chair from 1997 to 2007. He has published 178 peer-reviewed articles, 14 books and 40 book chapters. He is Editor-in-Chief of the Canadian Journal of Psychiatry.
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DETAILS
  • Paperback: 272 pages
  • Publisher: Oxford University Press; 1 edition (April 17, 2013)
  • Language: English
  • ISBN-10: 0199738173
  • ISBN-13: 978-0199738175
  • Product Dimensions: 8.6 x 5.5 x 0.7 inches
  • Shipping Weight: 11.2 ounces (View shipping rates and policies)
  • Amazon Best Sellers Rank: #71,345 in Books (See Top 100 in Books)

REVIEWS

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Dr. Joel Paris, a professor of psychiatry and expert on personality disorders, has written a book-length review of the new DSM-5. It is at least as valuable for context and perspective as it is for summary and overview. In addition to reviewing the more important changes in the DSM-5, comparing them not only to the DSM-IV but also previous additions for historical reasons, he provides essential insights into the DSM process itself - how and why this new edition was developed and written. One important point - of which all readers should be aware (not only clinicians and researchers but others who incorrectly view the DSM as the "Bible of psychiatry") - is that the DSM-5 is as much a political document as a scientific one. Rather than providing a valid, scientific, evidence-based review of the scientific evidence for and against various hypotheses and theories, the DSM-5 reflects the ideological views of its subcommittees and authors - a troubling intrusion of politics into science.

One of Paris's contributions is to provide specific, well-referenced examples of this which readers who are not familiar with the process are likely to find instructive.

For example, introducing the section on dissociative identity disorders, Paris writes: "Dissociative identity disorders are uncommon - so uncommon, in fact, they may not exist." He goes on to point out that although there is little scientific evidence to establish the existence of such conditions and a great deal of evidence to suggest that if they exist at all they are rare (e.g., the case of "multiple personality disorder" presented in the book "Sybil" is now known to have been a hoax), the material on dissociative disorders is presented as if it has scientific validity, a dubious assertion.

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