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The big shift that's taking place is the gradual removal of nosology (disease classification) from its pedestal in psychiatry - naming symptoms as the foundatio
by jarmitage 10y ago
The big shift that's taking place is the gradual removal of nosology (disease classification) from its pedestal in psychiatry - naming symptoms as the foundation of all practice and services, which no other area of medicine does anymore - and replacing it with a scientific framework for discovering dysfunctional mechanisms at every level from genetic to neural to behavioural. This was started by Thomas Insell / NIMH (named in the article) and has been followed in the EU.
The framework is called RDoC and you should familiarise yourself with it if you've been influenced by psychiatric literature or practice as to your own mental health.
TLDR General argument: https://www.youtube.com/watch?v=PeZ-U0pj9LI https://www.youtube.com/watch?v=PeZ-U0pj9LI
More in-depth presentation: https://www.youtube.com/watch?v=hU_5i2clSKI https://www.youtube.com/watch?v=hU_5i2clSKI
Slightly more technical introduction: https://www.youtube.com/watch?v=OyGt8-ddacA https://www.youtube.com/watch?v=OyGt8-ddacA
Google Scholar search: https://scholar.google.co.uk/scholar?hl=en&q=rdoc https://scholar.google.co.uk/scholar?hl=en&q=rdoc
RDoC @ NIMH: https://www.nimh.nih.gov/research-priorities/rdoc/index.shtml https://www.nimh.nih.gov/research-priorities/rdoc/index.shtm...
RDoC inspired EU project: http://www.roamer-mh.org/ http://www.roamer-mh.org/
Interested if anyone here has an inside take on RDoC.
- igravious 10y agoThank you for more or less responding to my comment elsewhere in this post. I've watched the first two vids, looking forward to the rest of your links. Diagnostically RDoC (Research Domain Criteria) looks like a welcome overhaul of the increasingly derided DSM. Them's a lot of circuits: https://www.nimh.nih.gov/research-priorities/rdoc/units/circuits/index.shtml https://www.nimh.nih.gov/research-priorities/rdoc/units/circ...
- jarmitage 10y agoYou're welcome. RDoC was tactically proposed just before DSM5 was published [1] For comparing RDoC and DSM there are some good books published recently: The DSM-5 in Perspective: Philosophical Reflections on the Psychiatric Babel https://www.amazon.com/dp/B00U4JLKM4 https://www.amazon.com/dp/B00U4JLKM4 Alternative Perspectives on Psychiatric Validation: DSM, IDC, RDOC, and Beyond http://www.amazon.com/dp/B00Y355QZC/ http://www.amazon.com/dp/B00Y355QZC/ [1] https://en.wikipedia.org/wiki/Research_Domain_Criteria https://en.wikipedia.org/wiki/Research_Domain_Criteria