We don't measure "schizophrenia-ness"

In research we don't measure "schizophrenia-ness", we measure people's experience, and so the data is still valid when the DSM goal posts move.

Let's think of some specific examples. Many research studies start with a question that they want to answer, such as "does this medication reduce the symptoms of depression?"; does this therapy reduce distress?" or "does having a diagnosis of schizophrenia cause stigma?" 

These are all questions which can be (and have been) investigated through empirical research. However, in all of these examples, although the groups of participants might be selected because they have a diagnosis of X disorder, the main things researchers would be looking at would be changes in scores on self-report questionnaires or interviews. These are independent of whether or not you have a diagnosis: I don't have a diagnosis of schizophrenia, but you could still give me a few questionnaires on "positive and negative symptoms" and get a score from me. So in essence, if I'm a clinician and I'm wondering "will this treatment/therapy make my service user feel better?" then I still have that evidence. In that sense, what the DSM decides constitutes a mental health problem is irrelevant. 

RELATED ARTICLESExplain
ISPS-US Moving Forward Map
Moving Forward
What to do about language?
New language
"Schizophrenia"
Implication of changes in definition of "schizophrenia"
At first glance looks worrying but ...
We don't measure "schizophrenia-ness"
What about the sub-types?
But they were selected because of their diagnosis!
Practical problems
Replies to points raised here show research still compromised.
Not a concern
Social constructionist view makes changes immaterial
This makes assumption new diagnosis more accurate.
Graph of this discussion
Enter the title of your article


Enter a short (max 500 characters) summation of your article
Enter the main body of your article
Lock
+Comments (0)
+Citations (0)
+About
Enter comment

Select article text to quote
welcome text

First name   Last name 

Email

Skip