The DSM itself is pathological, if you REALLY study it an look at what is going on.
I am a mental health practitioner, and I know many clinicians that are not competent and/or knowledgeable with regards to discovery and treatment, yet they are placed in a position to dictate the existence of others.
This is scary, especially when we invite the issue of psychotropic medication recommendations, and we combine it with a medical model that is biased.
There are so many injustices when it comes to dx with the DSM. Even just looking at her/history of mental illness -- you will see HUGE discrepancies, with regards to race, class, and gender.
Inaccurate examinations and labels are disturbing, especially when people utilize this appointment to dictate their identity.
The one that I initially struggled with revolves around forensic psychopathology and the ability for one to heal appropriately. There is a HUGE bias within the mental health community regarding this issue of deviance. Deviance is viewed as problematic by clinicians, yet we were trained to understand this existence as a form of victimization. Its very hypocritical, when we are discussing treatment-- especially when rule number one in psychiatry is "the clinician must begin where the client is" -- yet if the client is not ready or the client takes too long in their decision to finally address core issues, the individual is automatically viewed as being problematic, and "hope" becomes evanescent.
Let us not also recognize the fact that many people within this population are medicated; these cocktails affect individuals and their behavior in a manner that oftentimes makes their existence worse. Do clinicians understand that they, inconjuntion with psychotropic ingestions contributed to this reality? No, not all the time. Clinicians need to make an effort to take this complexity into consideration.
When we introduce children to the diagram, an entire additional spectrum of chaos begins to form, of which is developmentally appropriate, as their biological systems are in the process of being created, which means that their neurophysiological structures are not fully formed and THAT will affect how they respond to situations: undeveloped brain and nervous system > hypersensitive sensory mechanisms > all associated physio-behavioral input/outputs
Introducing trauma into this and it becomes even more complex.
Introduce billing, and you begin to see medical fraud.
It is conflicting, biased, unhealthy, unethical... and when we look at treatment outcomes *shakes head* I find it very dehumanizing.
Depression v. grief and loss is another one that triggered me.
I suggest that you research the later diagnostic competition-- apply your loved one into the equation, and try to validate it.
You will overstand.