• Home
  • Store
    • Newsletter Subscriptions
    • Multimedia Subscriptions
    • Books
    • eBooks
    • ABPN SA Courses
  • CME Center
  • Multimedia
    • Podcast
    • Webinars
    • Blog
  • Newsletters
    • General Psychiatry
    • Child Psychiatry
    • Addiction Treatment
    • Hospital Psychiatry
    • Geriatric Psychiatry
    • Psychotherapy and Social Work
  • Log In
  • Register
  • Welcome
  • Sign Out
  • Subscribe
Home » Desert Island Diagnoses

Desert Island Diagnoses

September 10, 2021
From The Carlat Psychiatry Report
Issue Links: Learning Objectives | Editorial Information | PDF of Issue
Chris Aiken, MDChris Aiken, MD. Editor-in-Chief, The Carlat Psychiatry Report. Dr. Aiken has disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.

In 1974, Drs. Donald Goodwin and Samuel Guze put forth a radical idea. They wanted to pare down the unwieldy list of psychiatric diagnoses to only the most valid:

  1. MDD

  2. Bipolar disorder

  3. Schizophrenia

  4. Panic disorder and specific phobias

  5. PTSD (provisional)

  6. OCD

  7. Anorexia and bulimia

  8. Somatization and conversion disorder

  9. Antisocial personality disorder

  10. Borderline personality disorder (provisional)

  11. Alcohol & substance use disorders

  12. Dementia and delirium


That list was published in their 1974 classic Psychiatric Diagnosis. The book is now in its seventh edition, but five decades of research have only elevated two diagnoses to the list: PTSD and borderline personality disorder (reluctant additions, as the editors believed their features overlapped too much with those of other disorders).

The editors of the DSM-III were inspired by this stoicism, but by the time of its release in 1980, the book had grown to include 265 disorders. The DSM editors got around this by adding a warning to many diagnoses, advising that we should not diagnose them if they are better explained by a more strongly validated disorder like one on Goodwin and Guze’s list. This warning is easy to miss, but it’s one of the most important parts of the book. Without it, the DSM is just a symptom checklist—one that inevitably leads to the kind of diagnostic creep Dr. Joel Paris warns about in this issue.
General Psychiatry
KEYWORDS dsm overdiagnosis
    www.thecarlatreport.com
    Issue Date: September 10, 2021
    SUBSCRIBE NOW
    Table Of Contents
    Genetic Testing in Depression
    Desert Island Diagnoses
    Atomoxetine: Myths and Truths
    Overdiagnosis in Psychiatry
    Psilocybin vs Escitalopram for Depression
    Pilot Study of Ketamine vs ECT for Major Depression
    CME Post-Test - Overdiagnosis, TCPR, September 2021
    DOWNLOAD NOW
    Featured Book
    • PB4e_Cover2.png

      Psychiatry Practice Boosters, Fourth Edition (2023)

      Teaches you the key points of 63 of the most clinically relevant studies in psychiatry.
      READ MORE
    Featured Video
    • therapist_canstockphoto9201097.jpg
      General Psychiatry

      Using SAMe In Clinical Practice with Garrett Rossi, MD

      Read More
    Featured Podcast
    • canstockphoto6759394.jpg
      General Psychiatry

      Throwback Thursday: Brief Therapy for ADHD

      You started a stimulant medication for a young woman with ADHD. When she returns her symptoms are 70% better, but what can we do about the rest? Today a conversation with...

      Listen now
    Recommended
    • Approaches to Autism Intervention

      January 31, 2022
      canstockphoto2240982_child-bubbles_thumb.jpg
    • Currently Available Cannabis Products

      September 1, 2022
    • Interpreting Assessment Discrepancies from Multiple Sources

      October 17, 2022
      ChildAssessment.png
    • Approaches to Autism Intervention

      January 31, 2022
      canstockphoto2240982_child-bubbles_thumb.jpg
    • Currently Available Cannabis Products

      September 1, 2022
    • Interpreting Assessment Discrepancies from Multiple Sources

      October 17, 2022
      ChildAssessment.png
    • Approaches to Autism Intervention

      January 31, 2022
      canstockphoto2240982_child-bubbles_thumb.jpg
    • Currently Available Cannabis Products

      September 1, 2022
    • Interpreting Assessment Discrepancies from Multiple Sources

      October 17, 2022
      ChildAssessment.png

    About

    • About Us
    • CME Center
    • FAQ
    • Contact Us

    Shop Online

    • Newsletters
    • Multimedia Subscriptions
    • Books
    • eBooks
    • ABPN Self-Assessment Courses

    Newsletters

    • The Carlat Psychiatry Report
    • The Carlat Child Psychiatry Report
    • The Carlat Addiction Treatment Report
    • The Carlat Hospital Psychiatry Report
    • The Carlat Geriatric Psychiatry Report
    • The Carlat Psychotherapy Report

    Contact

    info@thecarlatreport.com

    866-348-9279

    PO Box 626, Newburyport MA 01950

    Follow Us

    Please see our Terms and Conditions, Privacy Policy, Subscription Agreement, Use of Cookies, and Hardware/Software Requirements to view our website.

    © 2023 Carlat Publishing, LLC and Affiliates, All Rights Reserved.