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Study, 2015

Should premenstrual dysphoric disorder be classified as a mental illness?

A bioethicist argues PMDD should not be classified as a psychiatric disorder because doing so pathologizes normal anger and distress. This is a philosophical perspective, not based on a research study.

Early or limited evidence This is not a study of women; it is a philosophical analysis of diagnostic classification

What they did

A bioethicist examined arguments about whether PMDD should be included in diagnostic manuals (DSM-5 and ICD-11). The author considered evidence about biology, culture, medication effects, and social factors related to premenstrual symptoms.

What they found

The author argues that: (1) calling normal premenstrual anger and distress a mental illness can be harmful; (2) PMDD appears more common in some cultures than others, not universal; (3) biological differences or medication effects do not prove premenstrual anger is caused by a mental disorder; and (4) changing social attitudes is more ethical than labeling women as mentally ill.

What it means for you

This is a philosophical argument that calling premenstrual symptoms a disorder may harm women by medicalizing normal distress. The author acknowledges women's real suffering but argues it does not require a psychiatric diagnosis. There is legitimate debate about how to classify premenstrual symptoms.

About the study

Original title
Is premenstrual dysphoric disorder really a disorder?
Authors
Browne TK
Journal
Journal of bioethical inquiry
Year
2015
Study design
Study

Topics