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07-10-2009, 03:42 PM
Posted 2009-07-10 15:42:28 by Jun Akiyama
News URL: http://www.examiner.com/x-5948-SF-Martial-Arts-Examiner~y2009m7d9-David-Lukoff-PhD-a-martial-artist-making-a-difference

Another in the series of "a martial artist making a difference" articles on examiner.com, here's an article (http://www.examiner.com/x-5948-SF-Martial-Arts-Examiner~y2009m7d9-David-Lukoff-PhD-a-martial-artist-making-a-difference) on David Lukoff who "has been a pioneer in the fields of spirituality and mental health." In the article, David relates his experience of teaching transpersonal psychology in Kyrgyzstan, saying, "I also included experiential exercises such as sharing religious/spiritual histories, meditation, drawing one’s spiritual journey, and practicing aikido exercises."

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07-10-2009, 09:47 PM
From the article;

"His work in the field of ‘spiritual emergency' has resulted in this condition no longer being viewed as a psychopathological disorder, but rather one now recognized in the Diagnostic and Statistical Manual- DSM-IV (which, as he notes, everyone calls "the Bible of mental illness") as a valid psychological emergency. This critical work has helped end the pathologizing of a spiritual emergency or crisis—situations that can result from any number of body/mind practices such as yoga, meditation and qigong as well as from life changes."

There is no diagnoses or listing of "spiritual emergency" as a "valid psychological emergency" in the DSM-IV. Religious or spiritual problems "may be a focus of clinical attention."

DSM-IV, page 685

This is where the condition ( not diagnosis ) of " spiritual emergency" would be listed.

V62.89 Religious or Spiritual Problem

"This category can be used when the focus of clinical attention is a religious or spiritual problem. Examples include distressing experiences that involve loss or questioning of faith, problems associated with conversion to a new faith, or questioning of spiritual values that may not necessarily be related to an organized church or religious institution."

From the DSM-IV, page 675, this section describes what V codes are.

Other Conditions That May Be A Focus of Clinical Attention

"This section covers other conditions or problems that may be a focus of clinical attention. These are related to the mental disorders described previously in this manual in one of the following ways: 1) the problem is the focus of diagnosis or treatment and the individual has no mental disorder (e.g., a Partner Relational Problem in which neither partner has symptoms that meet criteria for a mental disorder, in which case only the Partner Relational Relational Problem is coded); 2) the individual has a mental disorder but it is unrelated to the problem ( e.g., a Partner Relational Problem in which one of the partners has an incidental Specific Phobia, in which case both can be coded); 3) the individual has a mental disorder that is related to the problem, but the problem is sufficiently severe to warrant independent clinical attention ( e.g., a Partner Relational Problem sufficiently problematic to be a focus of treatment that is also associated with Major Depressive Disorder in one of the partners, in which case both can be coded). The conditions and problems in this section are coded on Axis1."


07-11-2009, 10:52 AM
You know, I have considered the DSM to be a bible myself. But it isn't. It is dynamic: always changing. Experts can only label the human brain in all its complexity to an extent. It is more of a pretty well put together reference for a psychiatrist than an absolute bible. And coming out with the DSM-IV-TR (text revision) is clearly a racket since the hard or soft cover cost - as I recall - almost $100, without much advancement over the DSM-IV. But, every psychiatrist has to have the latest!