DEI for the DSM-5-TR: Exploring Cultural, Ethnoracial, Gender, and Social Determinant Revisions-View Presentation

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Video Summary

The symposium led by Dr. Hines delved into the updated DSM-5 Text Revision (DSM-5-TR), highlighting changes addressing cultural, racial, and social disparities in diagnosing psychiatric disorders. Dr. Harrison played a pivotal role in shaping these updates, emphasizing the historical context and the necessity of these changes due to previously unaddressed biases in psychiatry. The DSM-5-TR incorporated insights from a diverse review group to correct racial and cultural biases and improve diagnostic accuracy across various disorders, including ADHD, schizophrenia, bipolar disorder, PTSD, and gender dysphoria. The discussion pointed out historical prejudices where people of color, women, and other groups were mischaracterized or mislabeled, leading to inadequate treatment and care.<br /><br />Dr. Candice Passarella and Dr. Alex Bell contributed to the discussion by examining specific disorders and the significant disparities in how they were diagnosed across different racial, cultural, and gender lines. Examples included the over-diagnosis of schizophrenia among African-Americans and the under-diagnosis of autism in some racial groups. The seminar emphasized the importance of including a cultural perspective in psychiatric evaluation and the evolving nature of diagnostic criteria to better serve diverse populations.<br /><br />The panel urged continued advocacy and adaptation to better integrate social determinants of health into diagnostic practices, with hopes that future revisions will build upon these foundations. The session concluded by acknowledging the complexities and need for systemic changes within psychiatry to enhance the accuracy and equity of mental health diagnoses.

Keywords

DSM-5-TR

cultural disparities

racial biases

psychiatric disorders

diagnostic accuracy

historical context

Dr. Hines

Dr. Harrison

Dr. Candice Passarella

Dr. Alex Bell

social determinants

mental health equity