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Beyond the DSM Story

Beyond the DSM Story
Ethical Quandaries, Challenges, and Best Practices

October 2004 | 280 pages | SAGE Publications, Inc
"Among many of the ethical issues clinicians encounter in their practice, diagnosing someone with a given mental disorder just for the purpose of reimbursement of services is perhaps the number one ethical dilemma. This book is an outstanding review of the conceptual and empirical literature on this particular dilemma. But the most important contribution of this book is that it provides an extensive discussion of clinical strategies and case vignettes that clinicians could use in diagnosing mental disorder and as the same time attending to ethical standards governing their discipline." - Freddy A. Paniagu, University of Texas Medical Branch-Galveston

Beyond the DSM Story presents challenges to the Diagnostic Statistical Model (DSM) system from ethical and cultural perspectives, critically evaluating its fit with other professional and theoretical orientations. It offers possible solutions or best practices for addressing ethical, theoretical, and contextual quandaries, along with experiential activities that challenge the reader to think critically about both the problems and the solutions associated with DSM diagnosis. Beyond the DSM Story presents an atheoretical model for incorporating alternative models with DSM assessment. Instructors, students and practitioners will benefit from this critical appraisal of the DSM.


• Addresses the philosophical discrepancies between a medical model, DSM assessment approach, and most helping philosophies.

• provides a thorough framework for utilizing the DSM in a contextually sensitive fashion

• Comprehensively reviews the challenges to the DSM system, particularly multicultural and feminist challenges and addressing ethical concerns related to using the DSM system

• Provides case studies and experiential/interactive activities that challenge the reader to consider the DSM from a contextual perspective

Chapter One: The Price of Diagnosis
Chapter Two: Ethics Meets Diagnosis
Chapter Three: Multicultural Challenges to the DSM
Chapter Four: Feminist Challenges to DSM Diagnosis
Chapter Five:Toward Resolving the Quandaries and Pursuing Ethical and Contextually Sensitive Diagnostic Practice
Chapter Six:The Case of Nine-Year-Old Janelle and Her Mother
Chapter Seven: The Case of Anna and Mark
Chapter Eight:The Case of Ellen
Chapter Nine: A Developmental, Constructivist Model for Ethical Assessment (Which Includes Diagnosis, of Course)

"Eriksen and Kress offer a well-formulated discussion of problems with the American Psychiatric Association's The Diagnostic and Statistical Manual of Mental Disoders (DSM), Including almost 800 references, this volume covers the literature in the field extremely well."

W.P. Anderson, emeritus
University of Missouri, Columbia

It did not contain the content that the professors were looking to share with the students

Miss Chrishonda Ham
Social Work Dept, Fayetteville State University
June 26, 2014

Karen Patrice Eriksen

Dr. Karen Eriksen, founder/CEO of the Eriksen Institute, has spent the last 35 years successfully transforming organizations by inspiring leaders to become intentional and ethical team builders; more creative and innovative problem solvers; and outstanding communicators, influencers, and conflict resolvers. She is an expert change agent and instructional designer; award winning trainer, teacher, presenter, and author; soft skills and systems expert, and accomplished leader. As a result of her trainings, supervision, instructional design, group facilitation, and coaching, leaders and employees regain their enthusiasm and effectiveness, and... More About Author

Victoria E. Kress

Victoria E. Kress, Ph.D., is an assistant professor in the department of counseling at Youngstown State University. She is a licensed professional clinical counselor, and has 15 years of clinical experience working in various settings such as community mental health centers, hospitals, residential treatment facilities, private practice, and college counseling centers. She has numerous refereed publications in the areas of self-injurious behavior, the DSM, sexual assault and trauma, and strength based counseling approaches. She has been the recipient of three research and writing awards. More About Author

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ISBN: 9780761930327

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