THE DOSS - By Vincent Gérard - IGB Colloquium
An alternative to DSM 4
Definition
Diagnosis: understanding of the mode of functioning of the disorder, knowing by changing
Operative: Formalized and reproductive methodical intervention aimed at obtaining a concrete, measurable and lasting result
Systemic: interactional approach (context important)
Strategic: Use of rhetorical tools and tasks
Preamble
- Work of builders based on the foundations of the school of Pal Alto
- Operational and credible alternative to DSM 4
- Constantly evolving model (≠a fixed theory)
- Problematic approach reassessed by patient feedback
- Approach based on a scientific and statistical model (rigorous and innovative work by Giorgio Nardone)
- Formalization of the intervention thanks to the protocols
- Objective of the intervention: to offer rapid and lasting relief to the patient and their entourage
- Creativity and adaptive capacity of the therapist
Main methods of intervention
- Understand the logic of functioning of the disorder in its context
- Use strategic dialogue to surface attempts at dysfunctional solutions
- Ask the patient about his context
- Identify the interactions (from self to self, from self to others, from self to the world) that maintain the problem.
- Block attempts at dysfunctional solutions by the patient and those around him
DOSS founding principles
- Circular, current interactional and constructivist logic of the problem
- Reproducible, measurable and transferable treatment method
- Pragmatic and experiential approach
- Treatment modalities reassessed based on patient feedback
- Consideration of the patient
- Consideration of attempts at dysfunctional solutions by those around you
- Importance given to “how” more than to “why”
- Non-normative approach
- Strategic approach
