A social constructivist perspective on the potential relevance of selected DSM-5 disorders for South African children and youth

Abstract

In South Africa, careless implementation of child psychiatry‟s biomedical model of „mental disorder‟ could stigmatise children and youth who have been made vulnerable by the lingering effects of apartheid - poverty and malnutrition, violence and abuse, and the HIV/AIDS pandemic. A focus on DSM-5 category changes – regarding posttraumatic stress disorder and ADHD - demonstrates that these psychiatric labels are impracticable and irrelevant in a post-colonial developing country where mental health care is delivered in the context of scarce services and unequal access. A social constructivist perspective enables us to broaden policy decisions and suggest directions for research.