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Quote by Joel Paris

“The categories used in psychiatric diagnosis are based on observation of signs and symptoms, rather than on pathological processes. One can make use of a few signs, such as facial expressions associated with depression or the flight of ideas associated with mania. But what clinicians mainly use for diagnosis are symptoms, the subject experiences reported by patients. Psychiatrists have little knowledge of the processes that lie behind these phenomena. Thus psychiatric diagnoses, with very few exceptions, are syndromes, not diseases.”

Quote by Joel Paris

Book:The Intelligent Clinician's Guide to the DSM-5®
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The Intelligent Clinician's Guide to the DSM-5®

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Joel Paris

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Dissociative Identity DisorderMultiple Personality DisorderMultiple PersonalitiesDsmRenamed
Book:DSM-IV-TR in Action
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“300.14* Hysterical neurosis, dissociative type* In the dissociative type, alterations may occur in the patient's state of consciousness or in his identity, to produce such symptoms as amnesia, somnambulism, fugue, and multiple personality.”

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Book:Diagnostic and Statistical Manual of Mental Disorders DSM-II
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“Critics of the DSM and ICD have argued that disorders are arbitrary labels used to describe typical human experiences that are deemed abnormal. An example of this concept is that different countries have varied expectations and views of what is considered to be normal. A person who claims to talk to spirits might be considered schizophrenic in one culture while being deemed a holy person in another.”

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Author:Stefan Hofmann
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“There is a clear difference between the objectivity and subjectivity of the physical diagnostic criteria, such as that used for Parkinson’s, and the symptomatic diagnostic criteria used for mental disorders in the DSM. Brain diseases, like Parkinson’s, Alzheimer’s, Frontotemporal lobe degeneration, Prion disease, Lewy Body dementia, and many others mentioned in the DSM-V, are diagnosed through objective physical tests, such as MRI scans, detection of misfolded proteins or identification of certain genes. These tests, and therefore the diagnoses of these disorders are objective; the MRI scan either does or does not show a physical indicator of biological dysfunction, misfolded proteins and particular genes are either biologically present or not. In this way, the diagnoses of such brain dysfunctions are objective, they either exist as a matter of fact or they do not. The need for these tests might be brought about because a service user is experiencing symptoms such as ‘postural rigidity’ or ‘tremors’, but these symptoms are not enough alone for a diagnosis of physical brain dysfunction, objective tests must be carried out. In contrast, the diagnosis of mental disorders rests on clusters of symptoms alone. If we are assessing whether someone is displaying ‘childlike silliness’ or ‘excessive emotionality’, we have no objective tests to aid us, our assessment is made solely on our subjective interpretation of the service user.”

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Author:Catrin Elizabeth Street-Mattox
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“I chose to forgive. I chose to stay vigilant to any signs of anger or hate in my heart. They took thiry years of my life. If I couldn't forgive, if I couldn't feel joy, that would be like giving them the rest of my life. The rest of my life is mine. Alabama took thirty years. That was enough.”

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Book:The Sun Does Shine: How I Found Life and Freedom on Death Row
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