Disruptive Mood Dysregulation
The duration of the recurrent temper outbursts include that they have been present for 12 or more months and during that time period has not gone for 3 or more consecutive months without the temper expressions (Proposed criteria, n.d.). In addition, the irritation blowups exist in at least two settings such as at home, at school, or with peers (Proposed criteria, n.d.). Lastly, a child or adolescent's mood between the temper outbursts is continually irritable or angry as observed by others, for example parents, teachers, and peers (Proposed criteria, n.d.).
NOTE: The above behaviors do not occur exclusively during an episode of major depressive disorder, or explained by another mental disorder (Grohol, 2014).
Pros & Cons
The cons of assessing and diagnosing children with this new diagnosis includes that these symptoms may be episodic and directly related to other disorders such as Bi-Polar, Autism, ADHD, Anxiety, Schizophrenia, and Intermittent Explosive Disorder (Carlson, n.d.). It is also presented that these symptoms may be behaviors that are simply children who have not learned self control or to properly express their emotions in adjusted ways. To attach a DSM-V entry and disorder to severe temper tantrums may be placing undue labels on children and adolescents which will negatively affect their self esteem, confidence, and following them through to adulthood.
Cultural considerations may impact DMDD as individualistic societies may allow children to express their emotions more readily than collectivistic cultures. The reasoning behind this notion lies in the parents' opinion of the culture who find value in the expression of feelings, emotions, and being idiosyncratic. Less individualistic cultures believe that if the expression of feelings and emotions do not benefit the collective whole, they should be quiet. This may be a contributing factor for cultural differences concerning the symptoms of DMDD.
In addition, if a culture does not put worth in corporal punishment, child and adolescent behaviors that are classified under the DSM-V criteria as DMDD may be allowed. Conversely, if a culture does find value in punishing children for severe temper outbursts, the likelihood of these types of symptoms may decrease as a learned response.
A relevant real life example is a child from a collectivistic culture, such as Asian, who were to come to the US and begin to display severe temper outbursts as described in the DSM-V criteria, that are also not attached to another disorder, it would not be allowed by their parents. However, if an American child were to display the same symptoms, they may be viewed as expression not attached to another disorder and less likely to be punished for them.
Carlson, G. (n.d.). A new diagnosis for explosive behavior. Child Mind Institute. Retrieved from: http://childmind.org/article/pros-cons-disruptive-mood-dysregulation-disorder/
Grohol, J. (2014). Symptoms of disruptive mood dysregulation disorder. Psych Central. Retrieved from: http://psychcentral.com/disorders/symptoms-of-disruptive-mood-dysregulation-disorder/
Proposed criteria for DSM-5: Disruptive mood dysregulation disorder. (n.d.). University of Colorado Boulder. Retrieved from: http://psych.colorado.edu/~willcutt/pdfs/dsm5_disrupt_mood.pdf
Trull, T., & Prinstein, M. (2013). Clinical psychology (8th ed.). Wadworth Cengage Learning.