The six most essential questions in psychiatric diagnosis: A pluralogue. Part 4: General conclusion

James Phillips; Allen Frances; Michael A. Cerullo; John Chardavoyne; Hannah S. Decker; Michael B. First; Nassir Ghaemi; Gary Greenberg; Andrew C. Hinderliter; Warren A. Kinghorn; Steven G. LoBello; Elliott B. Martin; Aaron L. Mishara; Joel Paris; Joseph M. Pierre; Ronald W. Pies; Harold A. Pincus; Douglas Porter; Claire Pouncey; Michael A. Schwartz; Thomas Szasz; Jerome C. Wakefield; G. Scott Waterman; Owen Whooley; Peter Zachar

doi:10.1186/1747-5341-7-14

The six most essential questions in psychiatric diagnosis: A pluralogue. Part 4: General conclusion

James Phillips, Allen Frances, Michael A. Cerullo, John Chardavoyne, Hannah S. Decker, Michael B. First, Nassir Ghaemi, Gary Greenberg, Andrew C. Hinderliter, Warren A. Kinghorn, Steven G. LoBello, Elliott B. Martin, Aaron L. Mishara, Joel Paris, Joseph M. Pierre, Ronald W. Pies, Harold A. Pincus, Douglas Porter, Claire Pouncey, Michael A. SchwartzThomas Szasz, Jerome C. Wakefield, G. Scott Waterman, Owen Whooley, Peter Zachar

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Abstract

In the conclusion to this multi-part article I first review the discussions carried out around the six essential questions in psychiatric diagnosis - the position taken by Allen Frances on each question, the commentaries on the respective question along with Frances' responses to the commentaries, and my own view of the multiple discussions. In this review I emphasize that the core question is the first - what is the nature of psychiatric illness - and that in some manner all further questions follow from the first. Following this review I attempt to move the discussion forward, addressing the first question from the perspectives of natural kind analysis and complexity analysis. This reflection leads toward a view of psychiatric disorders - and future nosologies - as far more complex and uncertain than we have imagined.

Original language	English (US)
Article number	14
Journal	Philosophy, Ethics, and Humanities in Medicine
Volume	7
Issue number	1
DOIs	https://doi.org/10.1186/1747-5341-7-14
State	Published - Dec 18 2012

ASJC Scopus subject areas

Issues, ethics and legal aspects
Health Policy
History and Philosophy of Science

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Phillips, J., Frances, A., Cerullo, M. A., Chardavoyne, J., Decker, H. S., First, M. B., Ghaemi, N., Greenberg, G., Hinderliter, A. C., Kinghorn, W. A., LoBello, S. G., Martin, E. B., Mishara, A. L., Paris, J., Pierre, J. M., Pies, R. W., Pincus, H. A., Porter, D., Pouncey, C., ... Zachar, P. (2012). The six most essential questions in psychiatric diagnosis: A pluralogue. Part 4: General conclusion. Philosophy, Ethics, and Humanities in Medicine, 7(1), Article 14. https://doi.org/10.1186/1747-5341-7-14

Phillips, J, Frances, A, Cerullo, MA, Chardavoyne, J, Decker, HS, First, MB, Ghaemi, N, Greenberg, G, Hinderliter, AC, Kinghorn, WA, LoBello, SG, Martin, EB, Mishara, AL, Paris, J, Pierre, JM, Pies, RW, Pincus, HA, Porter, D, Pouncey, C, Schwartz, MA, Szasz, T, Wakefield, JC, Waterman, GS, Whooley, O & Zachar, P 2012, 'The six most essential questions in psychiatric diagnosis: A pluralogue. Part 4: General conclusion', Philosophy, Ethics, and Humanities in Medicine, vol. 7, no. 1, 14. https://doi.org/10.1186/1747-5341-7-14

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abstract = "In the conclusion to this multi-part article I first review the discussions carried out around the six essential questions in psychiatric diagnosis - the position taken by Allen Frances on each question, the commentaries on the respective question along with Frances' responses to the commentaries, and my own view of the multiple discussions. In this review I emphasize that the core question is the first - what is the nature of psychiatric illness - and that in some manner all further questions follow from the first. Following this review I attempt to move the discussion forward, addressing the first question from the perspectives of natural kind analysis and complexity analysis. This reflection leads toward a view of psychiatric disorders - and future nosologies - as far more complex and uncertain than we have imagined.",

author = "James Phillips and Allen Frances and Cerullo, {Michael A.} and John Chardavoyne and Decker, {Hannah S.} and First, {Michael B.} and Nassir Ghaemi and Gary Greenberg and Hinderliter, {Andrew C.} and Kinghorn, {Warren A.} and LoBello, {Steven G.} and Martin, {Elliott B.} and Mishara, {Aaron L.} and Joel Paris and Pierre, {Joseph M.} and Pies, {Ronald W.} and Pincus, {Harold A.} and Douglas Porter and Claire Pouncey and Schwartz, {Michael A.} and Thomas Szasz and Wakefield, {Jerome C.} and Waterman, {G. Scott} and Owen Whooley and Peter Zachar",

note = "Funding Information: MF is an external consultant to the NIMH Research Domain Criteria (RDoC) Project. NG has research grants from Pfizer and Sunovion, and is a research consultant for Sunovion. MS is a consultant for AstraZeneca, Merck, Novartis and Sunovion. Other authors report no competing interests.",

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AU - Schwartz, Michael A.

AU - Szasz, Thomas

AU - Wakefield, Jerome C.

AU - Waterman, G. Scott

AU - Whooley, Owen

AU - Zachar, Peter

N1 - Funding Information: MF is an external consultant to the NIMH Research Domain Criteria (RDoC) Project. NG has research grants from Pfizer and Sunovion, and is a research consultant for Sunovion. MS is a consultant for AstraZeneca, Merck, Novartis and Sunovion. Other authors report no competing interests.

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The six most essential questions in psychiatric diagnosis: A pluralogue. Part 4: General conclusion

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