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Patient advocacy and DSM-5
"... Abstract The revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM) provides a useful opportunity to revisit debates about the nature of psychiatric classification. An important debate concerns the involvement of mental health consumers in revisions of the classification. One p ..."
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Abstract The revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM) provides a useful opportunity to revisit debates about the nature of psychiatric classification. An important debate concerns the involvement of mental health consumers in revisions of the classification. One perspective argues that psychiatric classification is a scientific process undertaken by scientific experts and that including consumers in the revision process is merely pandering to political correctness. A contrasting perspective is that psychiatric classification is a process driven by a range of different values and that the involvement of patients and patient advocates would enhance this process. Here we draw on our experiences with input from the public during the deliberations of the Obsessive Compulsive-Spectrum Disorders subworkgroup of DSM-5, to help make the argument that psychiatric classification does require reasoned debate on a range of different facts and values, and that it is appropriate for scientist experts to review their nosological recommendations in the light of rigorous consideration of patient experience and feedback.
BRIEF REPORT Inherent emotional quality of human speech sounds
, 2013
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Doctorate in Counselling Psychology
, 2013
"... This research aimed to examine the meanings and constructions underlying narratives on feeling stuck in the grieving process and the interplay between grief experience and the internally and externally sourced expectations about the nature of grief. Four participants who self-referred to a National ..."
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This research aimed to examine the meanings and constructions underlying narratives on feeling stuck in the grieving process and the interplay between grief experience and the internally and externally sourced expectations about the nature of grief. Four participants who self-referred to a National Bereavement support charity and reported feeling stuck in grief were interviewed and the resultant transcripts were analysed using Interpretative Phenomenological Analysis (IPA). Four Master Themes emerged from the analysis: Eclipsed by the deceased; The power in powerlessness; The double-edged sword of coping behaviours and Living in Purgatory. The results reveal new insights on the significance and consequences of living with unresolved dilemmas of grieving, namely being stuck in a vicious cycle of fear and avoidance and feeling a sense of impending doom, loneliness and stagnancy. Findings support a meaning reconstruction approach to grief therapy and highlight the negative implications of holding a time-limited, stage-based
