Episode 139 - Dr. Robert Keefe and Dr. Barbara Rittner: The Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5): A Conversation

Monday, March 17, 2014, 9:01:22 AM

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In this episode, Dr. Robert Keefe and Dr. Barbara Rittner engage in a conversation about the recently released DSM-5. Their discussion reviews many of the important changes to the manual. They also discuss several of the challenges and concerns identified with this edition.

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Average Rating: 4.2 stars (4 listener reviews )

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Average Rating: 4stars  podcast assignment , Monday, February 01, 2016

By Amanda Palmieri :

I found this podcast extremely interesting, considering the DSM 5 is a rather new edition to clinical social work practice. It never occurred to me that the manual was made by the American Psychiatric Association specifically for Psychiatrists. The fact that Pharmaceutical companies played a large role in funding the manual actually scares me a bit and makes me wonder about the implications for social work practice. Now, the illnesses are grouped by medications rather than symptomology or severity. There should be, as Dr. Rittner mentioned, no conflicts of interest in our practice. We should not have to feel indebted to anyone when working with clients because that will alter how we treat them and look at their case. Overall, we need to remember that the manual is a reference and we simply need to keep up to date on current research to ensure we are provide the most up-to-date evidence based practices for our client base.

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Average Rating: 4stars  #139 review , Thursday, January 29, 2015

By Kayla T :

Episode 139 discussed the issues and concerns of the DSM-5 in a knowledge-based approach. They talked about the changes made including the autism spectrum and getting rid of Asperger syndrome. I like how they stared off by going over the history of the DSM and why it took so long to get a new one published since talks of a DSM-5 started in 2006. The two social workers focused on anxiety and how it falls on the DSM-5. They even brought it up at the end of the podcast and related it to PTSD and how the two are not considered the same diagnoses as suggested in the ICD-10 that has been around for many years.
Dr. Keefe and Dr. Rittner both discussed the topic of ICD-10 throughout the entire podcast. They discussed how there are only nine categories of mental illness on the ICD-10, while the DCM-5 has 16. They also talked about getting rid of the 4th axis, another change to the DSM-5, axis as well as other changes that were not made that they were disappointed in. One major disappointment was that the DSM-5 still did not have categories for ages. One last common theme during this podcast is that the DCM-5 is not reliable or valid and focuses too much around the medications prescribed not the causes of the symptoms. As social workers we need to move forward in order to better help the clients and the speakers did a good job of being client centered.

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Average Rating: 5stars  dsm v knowledge, Thursday, September 18, 2014

By Anonymous :

Great review of what is going on in terms of diagnosis in social work/psychology since the introduction of the DSM V.

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Average Rating: 4stars  dsm5, Wednesday, May 07, 2014

By Danielle Pinkerton :

I found this topic interesting, in that I had never been aware of the controversy surrounding the DSMIII. As a social work student, the DSM is a tool to understand existing diagnoses. Now that Ive learned that there is controversy surrounding the efficacy of the DSM as reliable diagnostic tool, I feel that I will be less inclined to trust their diagnoses. In some ways this could be beneficial to the client in that it could eliminate or reduce preconceived notions about them. In others, it could be a challenge when the client seeks treatment, if the practitioner cannot accurately diagnose and treat them. It will be interesting to learn the future of the DSMV and its impact on the field of mental health.

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