{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T23:27:57Z","timestamp":1696202877610},"reference-count":7,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,5,21]],"date-time":"2013-05-21T00:00:00Z","timestamp":1369094400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In 1973, <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>eehl drew attention to the fact that some clinicians tend to interpret the otherwise clear symptomatic behaviour of their patients as \u2018normal\u2019 if they are given a plausible causal story of patients' behaviours. He claimed that this way of thinking is, in fact, fallacious and gave the alleged fallacy the \u2018catchy\u2019 name \u2018understanding it makes it normal\u2019.<\/jats:p><jats:p>Thirty years later, the cognitive psychologists <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>.<jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>hn, <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ovick and <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>im questioned the fallacy status of \u2018understanding it makes it normal\u2019 by arguing that this way of reasoning is not only quite common among clinicians but that it is in fact rational.<\/jats:p><jats:p>The controversy over whether \u2018understanding it makes it normal\u2019 is a reasoning fallacy or not is still unresolved and this is evident from the recent discussion about the proposed removal of the \u2018normal grief\u2019 exclusion criterion for <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ajor <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>epressive <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>isorder from <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\u20105.<\/jats:p><jats:p>This paper proposes an analysis of what stands behind the two opposing claims about \u2018understanding it makes it normal\u2019. The analysis builds on the distinction between validity and utility of psychiatric diagnoses and reaches the following conclusions: (1) the fallacy claim is consistent with the assumption that the psychiatric diagnoses are valid descriptions of real mental disorders; (2) the non\u2010fallacy claim is consistent with the opposite assumption that current psychiatric diagnoses are not valid but only useful descriptions and their utility varies across different contexts; (3) if we agree that there is not enough evidence for the validity of the diagnostic categories embedded in <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\u20104 and <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010, we should also agree that the behaviour of those mental health professionals who change their diagnoses under the influence of the causal context is rational; (4) nevertheless, the \u2018understanding it makes it normal\u2019 reasoning strategy should be considered a bias insofar as it takes into account only part of the causal context: the causes of the symptoms but not what they themselves might cause. The neglect of the latter might have dramatic negative consequences in clinical practice. In addition, some recent studies suggest that this bias probably has cultural roots.<\/jats:p>","DOI":"10.1111\/jep.12051","type":"journal-article","created":{"date-parts":[[2013,5,22]],"date-time":"2013-05-22T02:13:32Z","timestamp":1369188812000},"page":"524-527","source":"Crossref","is-referenced-by-count":4,"title":["\u2018Understanding it makes it normal\u2019: is it a reasoning fallacy or not?"],"prefix":"10.1111","volume":"19","author":[{"given":"Lilia","family":"Gurova","sequence":"first","affiliation":[{"name":"Department of Cognitive Science and Psychology New Bulgarian University  Sofia Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,21]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"225","volume-title":"Psychodiagnosis: Selected Papers","author":"Meehl P.","year":"1973"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03196541"},{"key":"e_1_2_5_4_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2008.07111757"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.160.1.4"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2011.01795.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022022110385233"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjep.12051","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjep.12051","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.12051","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T12:26:29Z","timestamp":1694521589000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.12051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,21]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,6]]}},"alternative-id":["10.1111\/jep.12051"],"URL":"https:\/\/doi.org\/10.1111\/jep.12051","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,21]]}}}