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Somatic Symptom Disorder

Diagnostic Ethics: Harms vs Benefits of Somatic Symptom Disorder

Allen Frances | Posted 02.15.2014 | Science
Allen Frances

The arena now shifts to the International Classification of Diseases 11 which is currently being prepared by the World Health Organization and is due to be published in 2016. The open question is whether ICD 11 will mindlessly repeat the mistakes of DSM-5 or will it correct them?

What Should Doctors Do When They Don't Know What to Do

Allen Frances | Posted 08.24.2013 | Science
Allen Frances

The difficulty accepting uncertainty is just as strong today as it ever has been. It leads now to excessive testing, quack treatments, and blaming the patient. We need to expand our frontiers of knowledge, but also to recognize our limitations and do the best we can within them.

DSM-5: Where Do We Go From Here?

Allen Frances | Posted 07.16.2013 | Science
Allen Frances

My recommendation for clinicians is simple. Don't use DSM-5 -- there is nothing official about it, nothing especially helpful in it, and all the codes you need for reimbursement are already available for free on the Internet or in DSM-IV.

Hippocratic Humility

Allen Frances | Posted 07.08.2013 | Science
Allen Frances

Psychiatric diagnosis and treatment are often life changing events -- usually for the better, sometimes for worse, sometimes a tie score. Sorting out who is who in the rule of thirds requires patience and humility -- both currently in short supply.

Don't People in Chronic Pain Have Enough to Deal With?

Allen Frances | Posted 07.01.2013 | Science
Allen Frances

DSM-5 represents a wholesale, imperial medicalization of normality. So many new and untested diagnoses; so many reduced thresholds for the old ones. Pretty soon everyone will have a diagnosis and many will have a whole bunch of them.

The International Reaction to DSM-5

Allen Frances | Posted 06.25.2013 | Science
Allen Frances

I doubt DSM-5 will remain the international standard for research journals; it will almost certainly not gain any clinical following outside the U.S.; and it will also probably lose its role as the lingua franca of American psychiatry.

Are Your Physical Symptoms in Your Head?

Allen Frances | Posted 05.25.2013 | Science
Allen Frances

'It is all in your head' is no more helpful an answer to the patient's puzzling and troubling question than were 'the spirits are angry' or 'the gods are punishing you' or 'your four humors are unbalanced.'

DSM Change Could Misdiagnose People With Physical Conditions As Mentally Ill

Posted 05.21.2013 | Healthy Living

By Jaimie Dalessio Doctors may soon be doling out the diagnosis "somatic symptom disorder" (SSD) in clinical practice, and some mental health e...

Somatic Symptoms Criteria in DSM-5 Improve Diagnosis, Care

David J. Kupfer, M.D. | Posted 04.10.2013 | Healthy Living
David J. Kupfer, M.D.

The DSM-5 makes a significant change to the diagnostic criteria from previous editions by shifting the emphasis from medically-unexplained symptoms to the impact of those symptoms on a person's thoughts, feelings and actions.

Terrible News: DSM-5 Refuses to Reduce Overdiagnosis of 'Somatic Symptom Disorder'

Allen Frances | Posted 03.20.2013 | Science
Allen Frances

The American Psychiatric Association has proven itself incompetent to produce a safe and scientifically sound diagnostic system. Psychiatric diagnosis has become too important in people's lives to be left in the hands of one small and insulated professional organization.