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The Gatekeeping Process of the DSM

Publication: Canadian Journal of Community Mental Health
April 1992

Abstract

In this article we examine a series of letters written by members of the DSM-IV Revisions Task Force and by Paula Caplan, who co-authored the proposal for Delusional Dominating Personality Disorder (DDPD), and had been asked to serve on the Self-Defeating Personality Disorder (SDPD) and Late Luteal Phase Dysphoric Disorder (LLPDD) subcommittees. Through this process we identify the gatekeeping techniques used by the DSM Task Force to determine who is, and who is not, normal. In doing so, we unmask the process that guarantees the continuation of a diagnostic manual based on sexist biases.

Résumé

Cet article examine une série de lettres écrites par les membres du groupe de travail sur la revision du DSM-IV et par Paula Caplan, co-auteure de la proposition du diagnostic Delusional Dominating Personality Disorder (DDPD) et membre des sous-comités sur les diagnostics Self-Defeating Personality Disorder (SDPD) et Late Luteal Phase Dysphoric Disorder (LLPDD). Cet échange de correspondance permet d'identifier les procédés de barrage utilisés par le comité de travail du DSM pour déterminer qui est normal et qui ne l'est pas. Ce faisant, les auteures dénoncent le processus qui permet la perpétuation d'un manuel diagnostic fondé sur des biais sexistes.

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cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 11Number 1April 1992
Pages: 17 - 28

History

Version of record online: 1 May 2009

Authors

Affiliations

June Larkin
Ontario Institute for Studies in Education
Paula J. Caplan
Ontario Institute for Studies in Education

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