Diagnosis as a Naming Ceremony: Caution Warranted in Use of the DSM-IV with Canadian Aboriginal Peoples
Bibliographic record
Abstract
The Diagnostic and Statistical Manual of Mental Disorders, 4th is the primary tool for diagnosis of mental disorders used in the field of mental health. Despite the widespread use of the DSM-IV there are limits to its applications, particularly with Canadian Aboriginal people. This paper draws parallels between the process of diagnosis and an Aboriginal naming ceremony used by the Coast-Salish people in British Columbia. Caution is suggested when applying Western based diagnoses to Aboriginal people due to the lack of cultural relevance and recommendations are made for appropriate use. Edition (DSM-IV; APA, 1994)
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.168 | 0.225 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.003 | 0.001 |
| Bibliometrics | 0.007 | 0.006 |
| Science and technology studies | 0.023 | 0.018 |
| Scholarly communication | 0.009 | 0.008 |
| Open science | 0.009 | 0.008 |
| Research integrity | 0.005 | 0.015 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".