Can There Be a Recovery-Oriented Diagnostic Practice?

Despite the prevalence of the DSM in mental health practice, research, and the public imagination, it remains the target of criticism. With the publication of another volume in the DSM series, we have seen increased dialogue regarding the necessity of viable alternatives that do not succumb to the p...

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Bibliographic Details
Published in:The Journal of humanistic psychology 2019-05, Vol.59 (3), p.319-338
Main Authors: Pavlo, Anthony J., Flanagan, Elizabeth H., Leitner, Larry M., Davidson, Larry
Format: Article
Language:English
Subjects:
Constructivism
Future
Imagination
Meaning
Medical diagnosis
Mental disorders
Mental health
Mental health care
Mental health professionals
Mental health services
Recovery
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Summary:Despite the prevalence of the DSM in mental health practice, research, and the public imagination, it remains the target of criticism. With the publication of another volume in the DSM series, we have seen increased dialogue regarding the necessity of viable alternatives that do not succumb to the pitfalls of a descriptive diagnostic system. In this article, we explore a framework for a recovery-oriented and person-centered diagnostic practice along with an example based in Experiential Constructivism. We discuss 10 principles of a recovery-oriented approach founded on our requirements that diagnosis should be collaborative, future-oriented, and facilitative of meaning making. We argue for diagnosis that goes beyond labeling people’s mental health conditions, enhances provider–consumer relationships, and supports recovery-oriented practices. We then provide one example of this approach from a study that explored client and therapist understandings of DSM and Experiential Constructivist diagnoses. We conclude by briefly discussing the implications of developing and applying new diagnostic practices in mental health care, specifically the practices that would also need to be in place to sustain any alternative diagnostic approach to the DSM.
ISSN:0022-1678
1552-650X
DOI:10.1177/0022167818787609