New research finds that mental health symptoms may be too interconnected for any diagnostic system to separate people into distinct categories.
Scientists analyzed over 10,000 personal stories from people with mental health diagnoses using artificial intelligence (AI) and found that symptoms overlap so extensively that distinguishing between different conditions becomes nearly impossible. The findings suggest the problem isn’t just with how the DSM was created, but with the concept of sorting complex human experiences into neat diagnostic boxes.
“We infer that whether humans attempt to categorise mental illnesses or an AI, the result is that the categories of mental disorders will not be unique enough to be able to distinguish one service seeker from another,” write the researchers, led by Chandril Chandan Ghosh from the School of Psychology at Queen’s University Belfast.
The study strikes at the core of debates over psychiatric diagnosis. For decades, the DSM and ICD have divided mental health into hundreds of categories, even as evidence shows symptoms often overlap and no biological markers clearly separate one disorder from another. Alternatives such as HiTOP and RDoC propose dimensional models that track traits across continua rather than fixed categories. The new analysis suggests the difficulty runs deeper. Whether designed by expert committees or by algorithms, attempts to sort human distress into distinct boxes fail to capture the complexity of lived experience. Drawn from more than 10,000 patient accounts, the findings underscore how people’s actual symptoms rarely match the tidy boundaries of diagnostic systems.
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This is, of course, completely to be expected and validates what Szaz and others have been saying for decades. Wanna take bets on whether this has the slightest impact on the use of the DSM to “diagnose” people with mental “diseases?”
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