[Wittrs] An MD against the DSM, inspired by something Wittgensteinian

  • From: Wittr2Feed <wittrs2feed@xxxxxxxxxxxxxxxxxxx>
  • To: "wittrsfeed@xxxxxxxxxxxxxxxxxxx" <wittrsfeed@xxxxxxxxxxxxxxxxxxx>, "wittrs2feed@xxxxxxxxxxxxxxxxxxx" <wittrs2feed@xxxxxxxxxxxxxxxxxxx>
  • Date: Sat, 7 Jan 2012 19:35:19 -0800 (PST)

link: http://psychcentral.com/blog/archives/2012/01/07/why-psychiatry-needs-to-scrap-the-dsm-system-an-immodest-proposal/

... a doctor appealing to a Wittgensteinian idea as grounds to scrap the DSM 
(a.k.a., book of spells)

"The present DSM categories convey the impression that diseases have “necessary 
and sufficient” features that define them—akin to the Platonic concept of ideal 
“forms.” A contrasting view is that of the philosopher Ludwig Wittgenstein, who 
argued that such “essential” definitions do not represent how language actually 
works. Wittgenstein wrote, instead, of “family resemblances” that help 
characterize a particular word or category, in a particular context. By 
analogy, no single feature or features characterize all five members of, say, 
the Jones family; however, four of the Joneses have blond hair, three of those 
four have blue eyes, and four are very tall. We can see the “resemblances” when 
the Joneses stand together for the family photo. Wittgenstein compared family 
resemblances to the overlapping fibers of a rope—no single fiber is present 
throughout the rope, but a large number of fibers overlap so as to create a 
continuous and
 recognizable object. The same may be posited with respect to any given 
psychiatric disease category. There may be no single set of “necessary and 
sufficient conditions” that define schizophrenia or bipolar disorder; but 
patients who suffer with either illness resemble one another in very 
characteristic ways. "

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