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Philosophy and the DSM-III.

D J Stein1

  • 1Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York, NY.

Comprehensive Psychiatry
|September 1, 1991
PubMed
Summary

Philosophy enhances psychiatric nosology (classification of mental disorders), particularly concerning the Diagnostic and Statistical Manual of Mental Disorders (DSM-III). A synthetic philosophical approach best explains psychiatric science and its diagnostic challenges.

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Area of Science:

  • Philosophy of Science
  • Psychiatry
  • Psychiatric Nosology

Background:

  • The Diagnostic and Statistical Manual of Mental Disorders (DSM-III) significantly impacted psychiatric classification.
  • Understanding the philosophical underpinnings of psychiatric nosology is crucial for scientific advancement.

Purpose of the Study:

  • To explore the intersection of philosophy and psychiatry, specifically in relation to the DSM-III.
  • To apply philosophical trends to key issues in psychiatric classification.

Main Methods:

  • Delineation of three philosophical trends: positivism, hermeneutics, and a synthetic position.
  • Application of these trends to the DSM-III and psychiatric nosological challenges.

Main Results:

  • Psychiatric nosology often operates under positivist assumptions, drawing criticism from hermeneutic perspectives.
  • A synthetic philosophical viewpoint offers the most comprehensive framework for understanding psychiatric science.

Conclusions:

  • Philosophy provides a foundational basis for psychiatric nosology.
  • Psychiatric nosology, in turn, generates significant philosophical questions, highlighting a reciprocal relationship.

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