Rights statement: Copyright © 2016 The Johns Hopkins University Press. This article first appeared in Philosophy, Psychiatry, & Psychology, Volume 23, Issue 2, June 2016, pages 103-113.
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - First do no harm?
T2 - what role should considerations of potential harm play in revising the D.S.M.?
AU - Cooper, Rachel
N1 - Copyright © 2016 The Johns Hopkins University Press. This article first appeared in Philosophy, Psychiatry, & Psychology, Volume 23, Issue 2, June 2016, pages 103-113.
PY - 2016/6
Y1 - 2016/6
N2 - Guidelines for revisions to D.S.M.-5 asked those proposing changes to consider potential harms to patients. This has been controversial. This paper argues that seeking to do no harm is appropriate when constructing a scientific classification scheme. I show that in many cases considerations of harm avoidance can play a role in influencing the design of the D.S.M. without the pursuit of scientific knowledge being compromised. I then turn to cases where compromise is required. Through a consideration of cases where lying is required to save lives I suggest that it is widely accepted that harm-avoidance can trump truth-telling. In extreme circumstances a psychiatric classification might thus set out to mislead in order to prevent harm.
AB - Guidelines for revisions to D.S.M.-5 asked those proposing changes to consider potential harms to patients. This has been controversial. This paper argues that seeking to do no harm is appropriate when constructing a scientific classification scheme. I show that in many cases considerations of harm avoidance can play a role in influencing the design of the D.S.M. without the pursuit of scientific knowledge being compromised. I then turn to cases where compromise is required. Through a consideration of cases where lying is required to save lives I suggest that it is widely accepted that harm-avoidance can trump truth-telling. In extreme circumstances a psychiatric classification might thus set out to mislead in order to prevent harm.
KW - classification
KW - Diagnostic and Statistical Manual of Mental Disorders
KW - cost-benefit
KW - values
KW - Nassir Ghaemi
KW - lying
U2 - 10.1353/ppp.2016.0010
DO - 10.1353/ppp.2016.0010
M3 - Journal article
VL - 23
SP - 103
EP - 113
JO - Philosophy, Psychiatry and Psychology
JF - Philosophy, Psychiatry and Psychology
SN - 1071-6076
IS - 2
ER -