Schizoid Personality Disorder • Hacker News Board

Re: Schizoid Personality Disorder

#21

Post by LinuxBender » Wed, Jul 12, 2023, 8:02 PM UTC

What is the progress on moving away from the DSM? [1] "NIMH funding to shift away from DSM categories" From that article it sounds like their are a number of people and groups that can't agree on the value of DSM categories but they will continue to use it. Was it sunk cost? Fear of admitting mistakes leading to malpractice? Numerous categories have been removed throughout the revisions. I recall they created some controversy when removing homosexuality as a disorder. What scientific methods are used to add, change or deprecate a category?

[1] - https://www.apa.org/monitor/2013/07-08/nimh (2013)

Re: Schizoid Personality Disorder

#22

Post by SketchySeaBeast » Wed, Jul 12, 2023, 8:03 PM UTC

flashback2199 wrote: post #20

SketchySeaBeast wrote: post #16

Earlier quoted context omitted.

So we can discount psychology as a whole but need to pick and choose medicine? Why don't we consider the various areas of psychology as well instead of just throwing out the whole book?

I'm not sure, I just don't think that a textbook that can be used to diagnose everybody with a disease is very trustworthy. Kind of like how passing a law that can be used to arrest anybody is generally not a good idea, or something like that.

Which brings us back to my inital point - the ICD can be used to do the same thing, therefore medicine isn't very trustworthy.

Re: Schizoid Personality Disorder

#23

Post by FollowingTheDao » Wed, Jul 12, 2023, 8:05 PM UTC

NavinF wrote: post #7

FollowingTheDao wrote: post #4

Someone with 15 karma gets this article on the front page yer I post this and nothing? https://news.ycombinator.com/item?id=36680252 What, is HN algorithm seeking psychiatric help?

Tbh your title is pretty boring. Everyone already knows that "Everything Is a Quantum Wave"

No, in fact many people do not think that "Everything Is a Quantum Wave" and I was involved in a long discussion about it the other day right here on HN. which is why I thought more people would see this.

I know I have a bad rep here as my posting speed is severely throttled.

But I realize I need to focus my attention on my unusual need to talk and post here.

Re: Schizoid Personality Disorder

#24

Post by flashback2199 » Wed, Jul 12, 2023, 8:16 PM UTC

SketchySeaBeast wrote: post #22

flashback2199 wrote: post #20

Earlier quoted context omitted.

I'm not sure, I just don't think that a textbook that can be used to diagnose everybody with a disease is very trustworthy. Kind of like how passing a law that can be used to arrest anybody is generally not a good idea, or something like that.

Which brings us back to my inital point - the ICD can be used to do the same thing, therefore medicine isn't very trustworthy.

I would be curious to know what percentage of the diseases in the DSM vs the ICD are based on empirical tests. Questionnaires are not empirical.

Re: Schizoid Personality Disorder

#25

Post by SketchySeaBeast » Wed, Jul 12, 2023, 8:24 PM UTC

flashback2199 wrote: post #24

SketchySeaBeast wrote: post #22

Earlier quoted context omitted.

Which brings us back to my inital point - the ICD can be used to do the same thing, therefore medicine isn't very trustworthy.

I would be curious to know what percentage of the diseases in the DSM vs the ICD are based on empirical tests. Questionnaires are not empirical.

I don't think either of us know that, but I makes sense to start asking increasingly hard to answer question while you're pushing the goalpost around.

Re: Schizoid Personality Disorder

#26

Post by flashback2199 » Wed, Jul 12, 2023, 8:28 PM UTC

malicka wrote: post #13

flashback2199 wrote: post #5

That industry should be taken with a grain of salt, IMHO, because I'm pretty sure you can diagnose literally every person on Earth with _something_ in the DSM.

On paper, in that every person exhibits some symptoms of some disorders to some degree? Yea, anyone will tick some of those boxes. But are those symptoms long-lasting? Are they severe? Do they impede day-to-day life? Professional diagnosis isn’t like WebMD.

Yes, exactly. Those questions are determined by interactions between the patient and the provider, which is inherently subjective and therefore flawed.

Re: Schizoid Personality Disorder

#27

Post by neuroma » Wed, Jul 12, 2023, 8:30 PM UTC

LinuxBender wrote: post #21

What is the progress on moving away from the DSM? [1] "NIMH funding to shift away from DSM categories" From that article it sounds like their are a number of people and groups that can't agree on the value of DSM categories but they will continue to use it. Was it sunk cost? Fear of admitting mistakes leading to malpractice? Numerous categories have been removed throughout the revisions. I recall they created some co…

RDOC is meant to provide a more objective, interoperable and feature focused approach. But its not very accessible

Re: Schizoid Personality Disorder

#28

Post by ssgh » Wed, Jul 12, 2023, 8:39 PM UTC

> in which the schizoid individual can express a great deal of feeling and make what appear to be impressive social contacts yet, in reality, gives nothing and loses nothing ... secret schizoids ... enjoy public speaking engagements but experience great difficulty during the breaks when audience members would attempt to engage them emotionally.

It makes me think psychiatrists have no clue what that schizoid type really is. Rather, they carefully document various semi-related mental qualities, put them in a box, label it DSM-42, and pretend they are doing science.

Re: Schizoid Personality Disorder

#29

Post by xk_id » Wed, Jul 12, 2023, 8:56 PM UTC

bhouston wrote: post #3

Why is this on the front page? This is a well known disorder and unrelated to anything in the news today from what I can tell.

This site isn’t about topical events. In fact, the guidelines say that if the event is being discussed on TV, it probably doesn’t also belong here. Mainly, submissions are encouraged that are intellectually interesting.

Re: Schizoid Personality Disorder

#30

Post by xk_id » Wed, Jul 12, 2023, 9:00 PM UTC

malicka wrote: post #13

flashback2199 wrote: post #5

That industry should be taken with a grain of salt, IMHO, because I'm pretty sure you can diagnose literally every person on Earth with _something_ in the DSM.

On paper, in that every person exhibits some symptoms of some disorders to some degree? Yea, anyone will tick some of those boxes. But are those symptoms long-lasting? Are they severe? Do they impede day-to-day life? Professional diagnosis isn’t like WebMD.

Exactly, people forget that the critical criteria for diagnosis is whether the cognitive features prevent the individual from achieving his personal goals in life, or cause problems from those around him. And indeed, as the article says, schizoid individuals have significantly reduced quality of life and some of the lowest scores of life success among personality disorders. Without this, there would be no basis for diagnosis.