The Aspirations for a Paradigm Shift in DSM-5
- 1 September 2019
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Nervous & Mental Disease
- Vol. 207 (9), 778-784
- https://doi.org/10.1097/nmd.0000000000001063
Abstract
The initial plans for the DSM-5 revision envisioned a paradigm shift away from traditional diagnostic categories. However, plans for a major move from descriptive to etiologic diagnoses were quickly abandoned as infeasible. Support was much broader for adding dimensional/spectrum constructs to the categorical diagnoses, although this was interpreted in various ways. Delegation of substantial autonomy to work groups with modest central coordination was seen as problematic by some work groups and positively by others. Controversies emerged around the standards for diagnostic change, and the degree to which the same standards should be used across diagnostic groups. The Summit Group was given the final task of trying to forge a consensus among the various review groups. We conclude with thoughts about the difficulty of trying to revise an entire manual all at once and the desirability of developing clear rules for change at the outset of such a diagnostic project.This publication has 17 references indexed in Scilit:
- Innovations and changes in the ICD‐11 classification of mental, behavioural and neurodevelopmental disordersWorld Psychiatry, 2019
- Deep phenotyping: The details of diseaseNature, 2015
- A history of the DSM-5 scientific review committeePsychological Medicine, 2013
- Tradition versus empiricism in the current DSM‐5 proposal for revising the classification of personality disordersCriminal Behaviour and Mental Health, 2012
- DSM-5: How Reliable Is Reliable Enough?American Journal of Psychiatry, 2012
- Exploring the feasibility of a meta-structure for DSM-V and ICD-11: could it improve utility and validity?Psychological Medicine, 2009
- The endophenotype concept in psychiatric geneticsPsychological Medicine, 2006
- Can cognitive processes be inferred from neuroimaging data?Trends in Cognitive Sciences, 2006
- Introduction to the Special Section: Toward a Dimensionally Based Taxonomy of Psychopathology.Journal of Abnormal Psychology, 2005
- The Structure of Common Mental DisordersArchives of General Psychiatry, 1999