TY - JOUR
T1 - The six most essential questions in psychiatric diagnosis
T2 - A pluralogue part 3: Issues of utility and alternative approaches in psychiatric diagnosis
AU - Phillips, James
AU - Frances, Allen
AU - Cerullo, Michael A.
AU - Chardavoyne, John
AU - Decker, Hannah S.
AU - First, Michael B.
AU - Ghaemi, Nassir
AU - Greenberg, Gary
AU - Hinderliter, Andrew C.
AU - Kinghorn, Warren A.
AU - LoBello, Steven G.
AU - Martin, Elliott B.
AU - Mishara, Aaron L.
AU - Paris, Joel
AU - Pierre, Joseph M.
AU - Pies, Ronald W.
AU - Pincus, Harold A.
AU - Porter, Douglas
AU - Pouncey, Claire
AU - Schwartz, Michael A.
AU - Szasz, Thomas
AU - Wakefield, Jerome C.
AU - Waterman, G. S.
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, and Sunovion. Other authors report no competing interests.
PY - 2012/5/23
Y1 - 2012/5/23
N2 - In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM - whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part 1 of this article took up the first two questions. Part 2 took up the second two questions. Part 3 now deals with Questions 5 & 6. Question 5 confronts the issue of utility, whether the manual design of DSM-III and IV favors clinicians or researchers, and what that means for DSM-5. Our final question, Question 6, takes up a concluding issue, whether the acknowledged problems with the earlier DSMs warrants a significant overhaul of DSM-5 and future manuals. As in Parts 1 & 2 of this article, the general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances.
AB - In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM - whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part 1 of this article took up the first two questions. Part 2 took up the second two questions. Part 3 now deals with Questions 5 & 6. Question 5 confronts the issue of utility, whether the manual design of DSM-III and IV favors clinicians or researchers, and what that means for DSM-5. Our final question, Question 6, takes up a concluding issue, whether the acknowledged problems with the earlier DSMs warrants a significant overhaul of DSM-5 and future manuals. As in Parts 1 & 2 of this article, the general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances.
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U2 - 10.1186/1747-5341-7-9
DO - 10.1186/1747-5341-7-9
M3 - Review article
C2 - 22621419
AN - SCOPUS:84861330681
SN - 1747-5341
VL - 7
JO - Philosophy, Ethics, and Humanities in Medicine
JF - Philosophy, Ethics, and Humanities in Medicine
IS - 1
M1 - 9
ER -