What do you mean with "legitimate"?

A diagnosis of a mental illness is just a clustering of symptoms. There nothing with makes one clustering inherently more "legitimate" than another.

You could call clusters of symptoms published in the DSM-V legitimate if you believe that the authority of the APA can give something legitimacy.

You could also say that tests for diagnosis that have high sensitivity and specificity where different doctors are going to give the same diagnosis, give that diagnosis legitimacy. Non expert diagnosis by someone who reads a Wikipedia page likely doesn't score well for that metric.

Yeah the question of how we decide what we call legitimate is of interest to me as well. Apparently (according to a wikipedia page that says at the top it needs cleanup) there's some debate over whether SCT is a real disorder, and I'm not sure what the criteria would be among its critics.

I could try phrasing it in a couple of ways: "How justified are we in treating this group of symptoms as a cluster?". Do well accepted symptom clusters like depression point to larger causes, or at least narrow it down to a few possibilities?

Are diagnoses "... (read more)

Open thread, 18-24 August 2014

by David_Gerard 1 min read18th Aug 201481 comments


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