Word: model
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Dates: during 2000-2009
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Such a diagnostic model wouldn't be simple, though, which is one reason the DSM is taking 13 years to rewrite. And in the meantime, the book still has to be useful to everyday clinicians seeing patients who need a code number for insurance companies. "It's like wondering how you repair the airport while the planes are still flying," Hyman said at the conference...
Hyman said in an interview that one way the DSM currently handles this complexity is to have what he described as a "wastebasket" diagnosis - called "not otherwise specified" (NOS) - that captures just about anything that doesn't easily fit the categorical model. One major problem with the NOS diagnosis: pretty much anyone can qualify for a diagnosis that, by definition, is not specified. A 2005 American Journal of Psychiatry paper found that nearly half of a group of 859 people who sought psychological help in Rhode Island could be considered to have a DSM personality disorder if diagnosticians were allowed...
...continuum model like the one Hyman proposes could help solve this problem by recognizing that people aren't always one thing or another. They're sometimes just a little depressed or a little anxious. To avoid medicalizing normal stress, the DSM-V would set a cutoff point within the spectrum. Of course, determining the right cutoff point for the DSM's 350 illnesses would take an enormous research effort, one that has begun for some disorders like depression but probably hasn't even been thought about for rare problems like sexual sadism...
Other attendees at the APPA conference indicated that the new DSM will almost certainly adopt a continuum model for mental illnesses. But don't be surprised if the book doesn't come out as scheduled in 2012. If the three-day conference came to any solid conclusion, it was that toting up all the ways our minds can fail is a lot harder than, say, explaining why your appendix might burst...
...determining what would constitute a Taliban moderate and what they would be asked to reconcile much less considered, given the balance of power on the ground, what the U.S. and its Afghan allies would have to concede in order to get a deal that would make a difference. The model for Obama's suggestion, of course, is Iraq, where the U.S. managed to pacify Anbar province by recruiting most of the local Sunni sheiks, who had previously been part of the insurgency, to wage a common fight against al-Qaeda. But Obama admitted that the Iraq strategy is hardly...