What Every New Social Worker Needs To Know About DSM-5

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Cuts self not in suicide attempt

I have in my clinical experience always felt that cutting has to always be treated as a suicidal jesture or attempt. Simple reasoning will proof my point. How many suicide started with cutting or a cut.if the cutter unfortunately dies no one says that the individual cuts self but not in suicide attempt. Simply it was a suicide

Michael lopez more than 8 years ago

Look at the research

Cutting has actually been shown to correlate with the low intention of suicide and is more associated with poor emotional regulation (Tuisku et al., 2009). It has also been found to imply future possibility of suicide (Hawton, Rodham, & Evans, 2006). That is why it is still not so broadly accepted, because there is some discussion still on correlation. There are many reasons why someone may cut, and some do not associate with increased chances of suicide. However, I agree with you, as it is better to be too safe than a little sorry.

Keith more than 7 years ago

DSM is a Fraud...SW so are We

The DSM is not a scientific diagnostic system as 9 psychiatrists and psychologists sit together and vote on the Disorders. It is disgraceful to see our profession supporting this judgment about our clients. If you haven't viewed "The Silent Killers" of everyone's dreams, aspirations, goals and health, please do so and report it in your magazine. I work with injured warriors and families and psychiatry, psychology, social work and counseling are responsible for the loss of life, health and relationships when supporting the use of cocktail drugs and a life time of suffering with the 'psychic tattoos' given our vets and families. You must know that NASW has accepted $'s for their retirement from BigPharma to continue support for this dreadful and disgraceful practice of labeling-drugging that is in opposition to our Code of Ethics. http://www.cchr.org and http://jerryvestinjuredwarrior.com

gerald vest, ACSW/LISW/LMT more than 9 years ago


why did you list occasional cannabis use over daily tobacco use. just wondering

chevelle more than 9 years ago

Answer to the above?

I have not read the new indications of the disorders, but it would seem to me that the 'consequence' of the pot is potentially worse than of t cigarettes and so engaging in that vs a potential immediate and severe consequence is more an indication of the severity. This is a guess, since one of the diagnostic criteria for these 'disroders (aka dependancies) is the presistence in the face of consequence. A second factor may be that the user indicated that he has a 'strong urge' when trying to cut back but did not express concern in the description on tobacco. This is another indication of dependency. That said, your question is a good one, considering that anyone on 1 pack a day is probably quite addicted to nicotine when one factors in the neuro-pharmacology of that (very powerful) drug.

tony more than 9 years ago

Response to Chevelle

Thanks for your question, Chevelle. One diagnosis is listed as the principle one, then others are listed in order of focus of attention and treatment (page 23, DSM-5). In this example, treatment was focused more on the cannabis use than the tobacco use. The order could be changed depending on what is being treated.

Martha Teater more than 9 years ago

alcohol use vs. cannabis use

He clearly has a problem with drinking and seems like it would be more than mild. Red flags are: drinks more than intended; several consequences (I.e. DUI, legal, job, putting others and self at harm for driving under the influence; tried to cut down; takes more to get high, etc.). His cannabis use appears to be mild to moderate see that he once again is putting people or self in harms way by putting his job on the line; possibly driving under the influence. In addition, he has tried to cut back and uses 3-4 times a month despite negative consequences.

Cheri more than 7 years ago

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