We are about to transition in this class from thinking about normal and abnormal behavior in general to considering more specific disorders from the Diagnostic and Statistical Manual (DSM). The DSM is a complex and evolving document, and the process of setting out criteria for specific conditions involves a great deal of debate and analysis. Here, you’ll get a taste of how challenging this kind of work can be.
Think about an activity or behavior that you engage in regularly, that you enjoy, and that seems to you to be quite well within the bounds of normal behavior. As an example, imagine that you are a person who runs several times a week and enjoys running. You can choose any example you like, as long as you engage in it regularly, it seems normal to you, and you don’t mind talking about it in this assignment.
Now imagine that some extreme form of that behavior needs to be considered for inclusion in the DSM-6 as a disorder. Think up a name for your disorder. For our example, we could call it Excessive Running Disorder. (Please do not use Excessive Running Disorder as your example.) This should not be the name of a disorder that is already included in the DSM, so if you’ve landed on something that you know already exists, choose something else.
[Note: Occasionally people try to get around engaging with the central question of this assignment–how to make the decisions required to define something as abnormal–by looking up an existing disorder online and copying the diagnostic criteria and just changing the name. Don’t do that. It doesn’t get to the point of the assignment, and is dangerously close to plagiarism.]
Next, reflect a bit on the purpose of the DSM, Diagnostic and Statistical Manual. What does it mean to diagnose someone with Excessive Running Disorder? Why would we want to do so? Do you expect it would be helpful, and if so, how? Do you expect there could be negative effects? If so, what are they?
In the major work of the assignment, you’ll develop your own diagnostic criteria for your invented disorder. You should be able to list criteria that are clearly defined and usable by someone else to diagnose the imagined disorder. In our example, "Runs too much" would not be a useful criterion; it’s vague and subjective. "Runs even when injured to an extent that running is not recommended" or "Skips work obligations to run" are more specific and therefore more useful here.
You should also keep track of criteria that you considered and rejected, as well as the reasons you rejected those criteria. For instance, if I first thought “maybe I should define excessive running by the number of miles run per week,” on reflection it may occur to me that a specific distance might be excessive for one person and not another.
If your diagnostic criteria are specific to any cultural, geographic, or generational groups, please explain why this is the case.
Please do not actually diagnose anyone with your invented condition. You are ethically bound to avoid diagnosis in real life. This is a thought experiment only.
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