Trainee Prize Award Winner
Psychopathology and theconceptualisation of mental disorder:The debate around the inclusion of Parental Alienation in DSM-5
Sue Whitcombe
Content and Focus:
This paper will briefly consider the general conceptualisation of mental disorder before focusing on the specific case of Parental Alienation (PA), variously termed a disorder or a syndrome.By virtue of the recent debate surrounding its potential inclusion in the newest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), this is a topical example. A critical analysis of the petition for its inclusion within DSM-5 will both highlight the range of professionals’ views, and also consider ethical and practical issues inherent in the conceptualisation of a mental disorder and its classification within the evolving DSM. Following this general and specific conceptualisation of mental disorder, the tensions that diagnosis raises for counselling psychology will be briefly deliberated. The positive aspects of classification and diagnosis will be acknowledged, whilst highlighting the focus on the subjective experience of individual clients.
Conclusions:
Despite the controversy about the concept, validity and reliability of PA, the evidence suggests that there is more agreement than disagreement among practitioners and professionals in the field. Whilst there is a general consensus that alienation exists within a distinct population who would benefit from intervention, there is no consensus on its inclusion in DSM-5. Irrespective of its inclusion in any nosology,the recent debate has highlighted the need for further research. A greater understanding of the processes,symptoms and behaviours involved in PA will enable the needs of children and families involved in high- conflict separation to be better addressed.
The debate around the inclusion of Parental Alienation in DSM-5
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