The myth of DSM's invention of new categories of disorder: Houts's diagnostic discontinuity thesis disconfirmed

Research output: Contribution to journalArticlepeer-review

Abstract

Houts (2001) argues that increases in DSM diagnostic categories are due to the invention of new disorders that are discontinuous with old conceptions of disorder and would not have been previously diagnosed. He maintains that DSM category increases are not comparable in nature to ICD category increases, which are mainly refinements of recognized disorders. I survey categories of disorder introduced after DSM-II and assess whether they are discontinuous with old concepts and categories of disorder. Candidate categories are identified from: Houts and Follette (1998), Mentalism, mechanisms, and medical analogues: Reply to Wakefield. Journal of Consulting and Clinical Psychology; Kutchins and Kirk (1997) Making us crazy: DSM: The psychiatric bible and the creation of mental disorders. New York: Free Press; and my own list. The result is that virtually none of the candidate categories are invented, discontinuous categories. In almost every case, the newly labeled conditions were considered disorders at the time of DSM-II and would have been diagnosed under DSM-II categories. I also reexamine DSM-IV sleep disorder categories, which Houts claims are discontinuous with past diagnostic conceptions. The result is that all DSM-IV sleep disorders were recognized as disorders at the time of DSM-II, and most were recognized as mental disorders. I conclude that DSM category increases are comparable in nature to ICD category increases, and that the invention-of-disorder account cannot explain the vast majority of such increases.

Original languageEnglish (US)
Pages (from-to)575-624
Number of pages50
JournalBehaviour Research and Therapy
Volume39
Issue number5
DOIs
StatePublished - 2001

Keywords

  • DSM-IV
  • Diagnosis
  • Dysfunction
  • Function
  • History of psychiatry
  • Mental disorder
  • Sleep disorders

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Clinical Psychology
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'The myth of DSM's invention of new categories of disorder: Houts's diagnostic discontinuity thesis disconfirmed'. Together they form a unique fingerprint.

Cite this