Instigator / Pro
1
1553
rating
9
debates
72.22%
won
Topic
#3516

Resolved: Oppositional Defiant Disorder should not be included within the DSM

Status
Finished

The debate is finished. The distribution of the voting points and the winner are presented below.

Winner & statistics
Winner
1
0

After 1 vote and with 1 point ahead, the winner is...

Kritikal
Parameters
Publication date
Last updated date
Type
Standard
Number of rounds
3
Time for argument
Two weeks
Max argument characters
30,000
Voting period
Two weeks
Point system
Winner selection
Voting system
Open
Contender / Con
0
1487
rating
31
debates
35.48%
won
Description

Resolved: Oppositional Defiant Disorder should not be included within the DSM

---Summary---
This is a debate about the validity of ODD as a diagnosis within the DSM.
ODD is a supposed mental illness where people do not respect authority.
As Pro, I will argue that ODD is utter nonsense, and should be thrown out of the DSM.
Con will argue that this belongs within the DSM.

(The summary is meant as a brief description of the debate, however nothing within it is binding to either side)

---Rules---
1. 1 or more FFs merit a loss

2. No counter-plans, meaning con can not say we should include or exclude something from ODD, and then say it is ok for it to be in the DSM. This would create unlimited ground, as con can argue literally anything should be in the ODD diagnosis.

Furthermore, this is not in the spirit of the resolustion as we want to determine if the DSM is correct or not in regards to ODD, not create imaginative ways to fix it.

3. Anything aside from this can be decided with theory

---DEFENITIONS---

Oppositional Defiant Disorder (ODD):
ODD is listed in the DSM as 313.81 (F91.3), and its inclusion within the DSM is the subject of this debate.

https://cdn.website-editor.net/30f11123991548a0af708722d458e476/files/uploaded/DSM%2520V.pdf

Should:
The best defenition of should in the context of this debate is the second defention given by Merriam-Webster: "auxiliary function to express obligation, propriety, or expediency"

The word should also gives fiat, meaning that we are debating what would happen if this were to occur in the real world, but not the possiblity of it actually occuring.

https://www.merriam-webster.com/dictionary/should

Not:
Not negates the word should to suggest something should not happen, hopefully this does not become a subject of debate.

Be included within:
In the context of this debate, this simply applies to any diagnosis/mental illness/disorder/etc. that is considered valid by the DSM.

the DSM:
This is a book called "The Diagnostic and Statistical Manual of Mental Disorders." For this debate the fifth edition is the main area of debate, although it would also ovbiously have implications for other editions in the past and future. Therefore, it can be assumed that all arguments apply to any edition of the book along with past fiat (the assumption that something never occured).

This is how everyone is urged to view the resolustion, however Con is allowed to argue this as they see fit. With no arguments presented by Con, these defentions should be accepted by voters.

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@whiteflame

Thanks for voting, and I appreciate the feedback.

I don't think your vote is illogical or misconstrued in the least, at least based on what you viewed us both as arguing about. I just thought the debate was about something completely different, i suppose. I'm unsure if my interpretation or yours is correct. I suppose only kritikal knows.

There's something deceptive about someone's problem being with the DSM but then opening a debate in which he aims his arguments against ODD yet refuses to comment on other mental conditions in the DSM? if he wanted a discussion on the DSM itself, as i said, he opened up the wrong debate. Or at the very least he needs to state as much that stuff in the description without at best (being super generous) vaguely implying it.

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@Ehyeh

Again, I don’t think that I granted him anything he didn’t say in one form or another, even though I agree that he could have been clearer. I grant you that I’ve made the mistake of giving one side more than they actually argued within the confines of the debate, but I’m honestly not sure that happened here. I do encourage you to get more voters on this because, and I want to emphasize this, I should not be the sole voice when it comes to decisions on this or any debate. If I’m incorrect in my assessment, then other voters would hopefully correct for my errors.

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@Ehyeh

I think we’re closer to the same page, but not quite on it. Pro’s argument wasn’t that the DSM itself is the problem (though I get the impression that that is closer to his actual opinion), but rather that it can be weaponized to cause harm and that the ODD as defined in the DSM could be (or is being, though Pro didn’t demonstrate that) similarly weaponized to cause harm. So yes, his focus was on how the DSM could be used to cause harm and not just what constitutes ODD in a vacuum divorced from that context.

I wouldn’t say that that is affording Pro any new links between his case and the resolution, though I do think that said links could have been better framed and clarified. Maybe it’s just my perspective as someone external to the debate and it certainly wouldn’t be the first time that my mind filled in gaps I thought weren’t there, but I took this perspective as a given from Pro’s opening round.

I could completely understand if the argument was made that we should divorce the ODD definition in the DSM as an issue from the ways that the DSM is enforced, and even without a CP, I could see a case being made that Pro is putting a bandaid over an open would by solely seeking to resolve ODD via its removal. If the issue is that psychiatrists are weaponizing the ways we define certain disorders with vague checklists, then ODD is far from alone and I think you pointed that out, just not enough to knock down Pro’s solvency of the broader issues he was suggesting make this so harmful to those diagnosed with ODD.

the potential application problems aren't problems just related to ODD. They're problems of most mental conditions in the DSM. This is why i kept telling him he has to attack the DSM itself. He didnt do it. He also ignored my prompts when i compared ODD to other mental disorders. You essentially just assumed what he intended to state, in places where its on him to state this stuff instead of assuming it for him. Anyone could win any debate if we simply assume what someone intended to argue for without directly stating it.

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@whiteflame

I see. I understand now. I didn't go down that route as I took too it that we were strictly talking about ODD and not the DSM itself being the problem. My logic told me if his problem was with the DSM, he would open up a debate about the DSM itself and its loose interpretations, not specifically ODD and its loose interpretations. This led me to work within the framework of assuming he didn't think the DSM itself was the problem. I still think this is the case. He never directly called out the DSM for being vague, and this is why I contrasted the potential vagueness of ADHD to ODD. If he has a problem with ODD, he too should have ADHD. He dodged this. If he hadn't dodged this or simply put it in the description of his view of the DSM itself, this could have been avoided.
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I think you've been extremely generous and seen something he himself didnt either.

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@Ehyeh

Pro’s argument was that it shouldn’t be part of the DSM because it becomes a tool that the psychiatric establishment wields to cause the various harms that he discussed, i.e. it’s exclusion from the DSM disempowers these psychiatrists and therefore prevents those harms that are caused to those diagnosed with ODD. That’s relevant. You argued that that is more an issue of application than it is an issue of what should be in the DSM, and I agree, but as you couldn’t present a CP, this is an argument that your opponent effectively required be treated as relevant since there was no way to delink the DSM from its application by altering said application.

I understand why you framed it the way you did, but in doing so, you effectively made this a fact debate, which would fit better if the resolution was “Oppositional Defiant Disorder does not qualify to be in the DSM.” As written, that “should” makes me focus on the impact of the decision to include it and not just the fact that its inclusion does or does not makes sense. If it’s net harmful to include it, then it should not be in the DSM even if it qualifies as something that fits the criteria for what is included in the DSM. The comparison to other disorders could have helped you here since you could have called into question whether the selective removal of ODD has adverse effects on the perception of those other disorders and spun out the harms well beyond those of ignoring clear-cut cases of ODD, but regardless, I think your case was hampered by focusing on the fact element to the exclusion of others.

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@whiteflame

Isn't the debate about whether ODD should exist in the DSM? I don't see why it is relevant if there could be perceived overlap between ODD and other mental disorders/categories. It wasn't necessary at all for me to engage with his checklist if I could show it currently meets the DSM's conditions to be considered a mental condition. It is on pro to posit his view on why this mode of categorisation is wrong to begin with. I understand voting for pro for the forfeit. I think you wanted me to engage in a lot of things which I just didn't need to though.

I dont care if a forfeited round merits a loss. I'm not here to glorify me ego. I will still make my next round argument.

lol i completly forgot about this debate. I'm gonna have to let this round be waived. I'll create an argument in the next one though, sorry kritikal!

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@Ehyeh

More specifically the resolustion is about the DSM. I think that both things you presented would be topical under the resolustion. I may take up these posistions, but I also think I will focus more generally on net benefit.

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@Kritikal

Okay, I understand. Are we going to debate about what mental illness is and whether ODD should be included in the current scientific definition? or are we actually debating what should constitute a mental condition in the first place and debating whether ODD should be in that definition?

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@Ehyeh

If it comes up we can probably define it contextually. But this is not in the resolustion, and probably should not be an issue. I think the key defenition for ODD is the defenition for ODD itself, and the defenition of be included within. If it does end up becoming relevant it might make more sense to use a defenition from the DSM, but we can handle that in round if it comes to it probably.

Also it might hurt discourse to define it, as what may be relevant later is not "what a mental illness is" in the status quo, but instead "what mental illness should be."

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@Kritikal

Would it be possible for you to include your definition of a mental disorder in the debate description? Since we need to agree on a definition to debate before even discussing whether ODD should be included in the DSM. Otherwise, we'll be talking past each other. The World health Organisation describes a mental health disorder as follows; "A mental disorder is characterized by a clinically significant disturbance in an individual’s cognition, emotional regulation, or behaviour. It is usually associated with distress or impairment in important areas of functioning. "
https://www.who.int/news-room/fact-sheets/detail/mental-disorders

Do you agree with this definition?

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@Kritikal

You too, best of luck!

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@Ehyeh

Yeah, for sure. I will get to work on writing my first speech. Good luck!

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@Kritikal

Would you like me to accept the debate challenge?

Poor impulse control is characteristic of all conduct disorders. "The chapter includes oppositional defiant disorder, intermittent explosive disorder, conduct disorder, antisocial personality disorder (which is described in the chapter ''Personality
Disorders"), pyromania, kleptomania, and other specified and unspecified disruptive, impulse-control, and conduct disorders. Although all the disorders in the chapter involve
problems in both emotional and behavioral regulation, the source of variation among the
disorders is the relative emphasis on problems in the two types of self-control."

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@Kritikal

If you look at the index in the manual you offered. If you go to the section where it talks about conduct disorders (page 495), it says people with conduct disorders have poor impulse control although the level of poor impulse may differ greatly between the disorders, but poor impulse control is a problem for people with ODD.
It says people with ODD act this way when not in a bad mood. If i simply give a quick google search for ODD on psych and medical websites, one of the first signs they all say is poor impulse control. Nowhere does it seem to say do people with ODD do not suffer from poor impulse control. In the opening statement it says people with ODD have poor impulse control but are more intermediate than people with intermittent explosive disorder (IED).


"the criteria for conduct disorder focus largely on poorly controlled behaviors that violate the
rights of others or that violate major societal norms. Many of the behavioral symptoms (e.g.,
aggression) can be a result of poorly controlled emotions such as anger. At the other extreme,
the criteria for intermittent explosive disorder focus largely on such poorly controlled emotion, outbursts of anger that are disproportionate to the interpersonal or other provocation
or to other psychosocial stressors. Intermediate in impact to these two disorders is oppositional defiant disorder, in which the criteria are more evenly distributed between emotions
(anger and irritation) and behaviors (argumentativeness and defiance)"

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@Ehyeh

Impulse control can be relevant for some conduct disorders such as Intermittent Explosive Disorder (IED), which is characterised by rages of anger due to impulses. For ODD it is not relevant, nor is it even a diagnosis criteria. You are wrong that compulsion is the main sign of all conduct disorders (especially ODD). You can check this for yourself in the DSM if you do not belive me.

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@Kritikal

That's true, but that doesn't now mean its one dimensional or what i said is wrong. Even in conduct disorders the main sign of having one is inability to control impulses. How is that different from OCD? my argument still stands regardless if its categorised the same as OCD or not. The difference between a conduct disorder and a compulsion one isn't that one is necessarily compulsive and the other isn't, its decided based on whether the behaviour is anti-social or behaves in a socially acceptable manner. It may seem odd if someone has OCD, but it doesn't offend or hurt anyone. Conduct disorders can too be compulsive and is indeed the main sign of one, just like OCD.

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@Ehyeh

That is not what ODD is. ODD has nothing to do with a level of compulsion, and is not in the same range as OCD. Disorders such as OCD that deal with compulsion are classified as "Obsessive-Compulsive and Related Disorders." While ODD is classified as a conduct disorder.

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@Kritikal

That's true, but mental illness exists on a spectrum. Everyone has narcissistic qualities as long as you have an ego, but we wouldn't say most people have the mental illness of being a narcissist if they're only selfish sometimes. Its only when it gets to the point of being almost delusional and compulsive do we consider someone a narcissist. When someone even if they wanted cannot take their focus off themselves. Its normal for kids to be more argumentative, the difference between a normal kid and a kid with ODD is even if the child recognises the authority as reasonable, correct and right, they still argue against it as they simply feel compulsed' to do so even if they know its wrong. Just like turrets. a kid without ODD will stop arguing once they know they know they're wrong. They can control whether they argue or not. People with OCD cannot control themselves and people with ODD cannot either. OCD also exists on a spectrum. Some are more tidy naturally, but what makes it be considered OCD is whether it becomes compulsive and non-negotiable and negative to their mental and material well being.

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@Ehyeh

No, that seems relatively normal assuming she is a child. Children like to argue for the sake of it, and so do many adults. Someone would also meet criteria for ODD with much lighter symptoms than described here. Depeding on the nature of the outbursts she probably has DMDD if it is this severe, and not ODD.

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@Kritikal

What is a mental illness is dictated depending on whether your condition affects you compulsively, negatively and persistently without much control over it. people with ODD like to argue and disagree just for the sake of arguing and disagreeing. Almost like its a compulsion. My co-workers daughter actually has this problem and if i say to her a plant is green she will disagree and try to tell me its red, even though she knows its green. Wouldn't you say that's unusual? having ODD isn't simply being argumentative or liking debate or not being a bootlicker.

I think this could be an interesting debate because popular opinion, common sense, and more general literature dictates that I am correct, however the medical literature obviously does not.