Diagnoses, Relational Processes and Resourceful Dialogs: Tensions for Families and Family Therapy.

PSYCHIATRIC diagnosis; MENTAL illness; CONVERSATION; FAMILY psychotherapy; CLASSIFICATION of mental disorders; MENTAL status examination; PSYCHIATRY; PROFESSIONAL practice; FAMILY relations; COUPLES therapy

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition ( DSM-5), given its psychiatric focus on mental disorders in individuals, presents families and family therapists with challenges. Despite considerable controversies over its adoption, the DSM-5 extends a process of standardizing a language for human and relational concerns. No longer a diagnostic language of professionals alone, its use is medicalizing how mental health funders and administrators, as well as clients, respond to human concerns. For family therapists who practice systemically, particularly from poststructuralist and strengths-based orientations, many tensions can follow when use of the DSM-5 is expected by mental health administrators and funders, or by clients who present concerns about themselves or a diagnosed family member. In this paper, I explore how such DSM-5 related tensions might be recognized, navigated, and negotiated in the practice of family therapy with clients, and with administrators and funders. [ABSTRACT FROM AUTHOR]

Teniendo en cuenta su énfasis psiquiátrico en trastornos mentales, el Manual diagnóstico y estadístico de los trastornos mentales, Quinta Edición ( DSM-5), plantea desafíos para las familias y los terapeutas familiares. A pesar de las grandes controversias que generó su adopción, este manual extiende un proceso de estandarización de un lenguaje para inquietudes humanas y relacionales. Ya no es un lenguaje diagnóstico de profesionales solamente; su uso consiste en medicalizar cómo los patrocinadores y administradores de salud mental, así como los pacientes, responden a inquietudes humanas. Para los terapeutas familiares que ejercen su profesión sistémicamente, particularmente desde orientaciones post-estructuralistas y basadas en los puntos fuertes, pueden surgir muchas tensiones cuando los administradores y patrocinadores de la salud mental o los pacientes que presentan inquietudes acerca de sí mismos o de un familiar diagnosticado esperan el uso del DSM-5. En este artículo analizo cómo dichas tensiones relacionadas con el DSM-5 podrían reconocerse, analizarse y negociarse en el ejercicio de la terapia familiar con pacientes, administradores y patrocinadores. [ABSTRACT FROM AUTHOR]

基于其对于个人精神紊乱的精神病关注,第五版精神紊乱诊断和数据手册( DSM-5)对家庭和家庭心理治疗提出挑战。尽管对其有大量争议, DSM-5 扩大了关于人类和关系问题语言标准化的过程。它不再仅是专业人士的诊断性语言,它的使用将精神健康资助人,行政管理者和患者对人类关注的回应医学化。对于系统从业,特别是从后结构主义和基于强项角度出发的家庭心理治疗师来说,当精神健康资助人,行政管理者或患者提出针对自己或被诊治的家庭成员的问题并期待使用 DSM-5时,很多张力会随之出现。本文中,我探讨了如何在家庭心理治疗中与患者,精神健康资助人和行政管理者识别,引导和应对这些与 DSM-5相关的张力。 [ABSTRACT FROM AUTHOR]

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