DSM5 - ANOTHER CRACKING EXAMPLE OF 'SUBJECTIVITY' -"CALLOUS AND UNEMOTIONAL SPECIFIER FOR CONDUCT DISORDER"

 
"Callous and Unemotional Specifier for Conduct Disorder." 

FRESH OFF THE DSM5 REVIEW GROUP PRESSES.

WHAT CAN THIS LITTLE GEM BE?
LET'S TRY AND FIND OUT.
 
1.   Meets full criteria for Conduct Disorder.
INTERESTINGLY NO REVISED CRITERIA AVAILABLE FOR THIS AS YET BUT  C.U.S.C.D. IS READY.

2.   Shows 2 or more of the following characteristics persistently over at least 1 or 2 months and in more than one relationship or settings. 

The clinician should consider multiple sources of information to determine the presence of these traits, such as whether the person self-reports them as being characteristic of him or herself and if they are reported by others (e.g., parents, other family members, teachers, peers) who have known the person for significant periods of time.

    Lack of Remorse or Guilt: Does not feel bad or guilty when he/she does something wrong (except if expressing remorse when caught and/or facing punishment).
  
  Callous-Lack of Empathy: Disregards and is unconcerned about the feelings of others.
    
  Unconcerned about Performance: Does not show concern about poor/problematic performance at school, work, or in other important activities.
    
   Shallow or Deficient Affect:  Does not express feelings or show emotions to others, except in ways that seem shallow or superficial (e.g., emotions are not consistent with actions; can turn emotions “on” or “off” quickly) or when they are used for gain (e.g., to manipulate or intimidate others).

'DOES NOT SHOW CONCERN ABOUT POOR PERFORMANCE' - 
WOULD INCLUDE A LOT OF BOYS 
ESPECIALLY DISAFFECTED ONES
in my thirty years of experience.

-'SHALLOW OR SUPERFICIAL'-
WHO DETERMINES THAT? 
WHAT DOES IT ACTUALLY MEAN?
WHAT MEASURES OF INTENSITY AND SEVERITY ARE APPLIED?

THIS IS UNBRIDLED SUBJECTIVITY- AS THE BPS POINTS OUT.