TY - JOUR
T1 - Diagnostic Issues and Controversies in DSM-5
T2 - Return of the False Positives Problem
AU - Wakefield, Jerome C.
N1 - Publisher Copyright:
Copyright ©2016 by Annual Reviews. All rights reserved.
PY - 2016/3/28
Y1 - 2016/3/28
N2 - The fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was the most controversial in the manual's history. This review selectively surveys some of the most important changes in DSM-5, including structural/organizational changes, modifications of diagnostic criteria, and newly introduced categories. It analyzes why these changes led to such heated controversies, which included objections to the revision's process, its goals, and the content of altered criteria and new categories. The central focus is on disputes concerning the false positives problem of setting a valid boundary between disorder and normal variation. Finally, this review highlights key problems and issues that currently remain unresolved and need to be addressed in the future, including systematically identifying false positive weaknesses in criteria, distinguishing risk from disorder, including context in diagnostic criteria, clarifying how to handle fuzzy boundaries, and improving the guidelines for "other specified" diagnosis.
AB - The fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was the most controversial in the manual's history. This review selectively surveys some of the most important changes in DSM-5, including structural/organizational changes, modifications of diagnostic criteria, and newly introduced categories. It analyzes why these changes led to such heated controversies, which included objections to the revision's process, its goals, and the content of altered criteria and new categories. The central focus is on disputes concerning the false positives problem of setting a valid boundary between disorder and normal variation. Finally, this review highlights key problems and issues that currently remain unresolved and need to be addressed in the future, including systematically identifying false positive weaknesses in criteria, distinguishing risk from disorder, including context in diagnostic criteria, clarifying how to handle fuzzy boundaries, and improving the guidelines for "other specified" diagnosis.
KW - Diagnosis
KW - False positives
KW - Harmful dysfunction
KW - Mental disorder
KW - Validity
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U2 - 10.1146/annurev-clinpsy-032814-112800
DO - 10.1146/annurev-clinpsy-032814-112800
M3 - Article
C2 - 26772207
AN - SCOPUS:84962162073
SN - 1548-5943
VL - 12
SP - 105
EP - 132
JO - Annual Review of Clinical Psychology
JF - Annual Review of Clinical Psychology
ER -