Aliquando Non Nocere
: The Exclusion of Valuesfrom the Definition of Mental Disorder Proposedfor DSM-5
Table of Contents/Summary
Introduction (pg. 3)
The proposed definition changes the distress and disability criterion, whichhas been the core of the DSM definition of mental disorder for over 30 years.
Conceptual Analysis of the Proposed Definition (pg. 5)
The proposed definition precludes the distress and disability criterion from playing any conceptual role, instead making the presence of dysfunction theonly conceptually necessary requirement.
Applying Harmful Dysfunction to the Proposed Definition (pg. 9)
The harmful dysfunction analysis suggests that the proposed definition
excludes the harm component from playing any independent conceptual rolealtogether.
The Conceptual Rationale for the Removal of Disability (pg. 11)
The arguments in favor of removing the distress and disability criterion
ultimately rely on the conceptual distinction between “symptoms” and“consequences” of symptom. This distinction may guide research, but it is not
The Conceptual Purpose of the Harm Component (pg. 19)
Mental disorder is a hybrid theoretical-practical concept, and the harmcomponent addresses the practical side: treatment, research, stigma, etc.
The View on Practical Concerns behind the Removal of Disability (pg. 21)
Those arguing for the removal of the distress and disability criterion havedenigrated concerns over treatment and stigma as “unscientific,” but the
distinction between “symptoms” and “consequences” is itself a pragmatic one,meant to prioritize research and deemphasize treatment within the DSM.
Evaluating the Proposed Definition’s Impact on Etiological Research (pg. 25)