Harm should not be a necessary criterion for mental disorder: some reflections on the DSM-5 definition of mental disorder

Theoretical Medicine and Bioethics 40 (4):321-337 (2019)
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Abstract

The general definition of mental disorder stated in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders seems to identify a mental disorder with a harmful dysfunction. However, the presence of distress or disability, which may be bracketed as the presence of harm, is taken to be merely usual, and thus not a necessary requirement: a mental disorder can be diagnosed as such even if there is no harm at all. In this paper, we focus on the harm requirement. First, we clarify what it means to say that the harm requirement is not necessary for defining the general concept of mental disorder. In this respect, we briefly examine the two components of harm, distress and disability, and then trace a distinction between mental disorder tokens and mental disorder types. Second, we argue that the decision not to regard the harm requirement as a necessary criterion for mental disorder is tenable for a number of practical and theoretical reasons, some pertaining to conceptual issues surrounding the two components of harm and others pertaining to the problem of false negatives and the status of psychiatry vis-à-vis somatic medicine. However, we believe that the harm requirement can be maintained among the specific diagnostic criteria of certain individual mental disorders. More precisely, we argue that insofar as the harm requirement is needed among the specific diagnostic criteria of certain individual mental disorders, it should be unpacked and clarified.

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Author Profiles

M. Cristina Amoretti
Università degli Studi di Genova
Elisabetta Lalumera
University of Bologna

References found in this work

Health as a Theoretical Concept.Christopher Boorse - 1977 - Philosophy of Science 44 (4):542-573.
A Rebuttal on Health.Christopher Boorse - 1997 - In James M. Humber & Robert F. Almeder (eds.), What is Disease? Humana Press. pp. 1--134.
A Second Rebuttal On Health.Christopher Boorse - 2014 - Journal of Medicine and Philosophy 39 (6):683-724.
Disease.Rachel Cooper - 2002 - Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 33 (2):263-282.
What a Theory of Mental Health Should Be.Christopher Boorse - 1976 - Journal for the Theory of Social Behaviour 6 (1):61–84.

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