DSM-IV and the taxonomy of roles: How can the taxonomy of roles complement the DSM-IV to create a more holistic diagnostic tool?

As the expanding field of drama therapy continues to develop alongside conventional psychiatry, there is a growing movement to improve assessment and diagnosis beyond the existing medical model. As such, this article presents an alternative approach that endeavors to blend a conceptualization of role theory with traditional psychopathology. This article attempts to combine the Taxonomy of Roles and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR; American Psychiatric Association, 2000) in order to make diagnostic classification less stigmatizing for the client. The point of view presented is that by identifying role qualities inherent in all human beings, treatment staff, families, and society can begin to view the mentally ill in relation to themselves, rather than as some ambiguous “other.” As the client recognizes, identifies with, and learns to relate to a broader repertoire of roles (beyond “sick person”), he or she is better prepared to engage in therapy. Barriers to treatment begin to crumble. Using the case presentation of one client in a continuing day treatment program, this paper explores a strengths-based approach to diagnosis that reflects – and treats – the whole person.