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DSM-IV: work in progress.

A Frances1, H A Pincus, T A Widiger

  • 1Department of Psychiatry, Cornell University Medical College, New York.

The American Journal of Psychiatry
|November 1, 1990
PubMed
Summary
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This study outlines the ongoing development of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). It details the empirical documentation process and addresses key conceptual issues in revising psychiatric classification.

Area of Science:

  • Psychiatry
  • Psychological and Cognitive Sciences
  • Medical and Health Sciences

Background:

  • The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a critical tool for psychiatric diagnosis.
  • Revision of the DSM is a complex process involving extensive research and consensus-building.
  • Previous editions have shaped clinical practice and research in mental health.

Purpose of the Study:

  • To provide an overview of the work in progress for the DSM-IV.
  • To discuss the principles, purposes, and empirical documentation stages of the DSM-IV effort.
  • To address fundamental conceptual issues in revising psychiatric nomenclature.

Main Methods:

  • Systematic literature reviews.
  • Analysis of unpublished data.

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  • Field trials.
  • Discussion of conceptual issues including definition of mental disorder, diagnostic balancing, and classification models.

    • Main Results:

    • The DSM-IV revision process involves three empirical stages: literature reviews, data analysis, and field trials.
    • Key conceptual issues include defining mental disorder, managing comorbidities, and choosing between categorical and dimensional classification systems.
    • Specific work groups are addressing critical questions for the DSM-IV revision.

    Conclusions:

    • The DSM-IV revision is a comprehensive undertaking addressing scientific and clinical needs.
    • Careful consideration of conceptual issues is crucial for an effective psychiatric classification system.
    • The outlined process aims to produce a robust and clinically useful DSM-IV.