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Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis

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A shaky future for personality disorders.

Thomas A Widiger¹

¹Department of Psychology, University of Kentucky, Lexington, KY 40506-0044, USA. widiger@email.uky.edu

Personality Disorders

|March 28, 2012

Summary

This summary is machine-generated.

The upcoming Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) may prioritize radical changes over scientific review. Concerns exist regarding proposed diagnostic cuts and an unsupported dimensional model.

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Area of Science:

Psychiatry
Mental Health Diagnostics

Background:

The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) was lauded for its systematic construction.
The forthcoming Fifth Edition (DSM-5) faces criticism for prioritizing changes over rigorous scientific review.

Purpose of the Study:

To critically evaluate the proposed changes for the DSM-5.
To highlight concerns regarding the methodology and content of the DSM-5 revisions.

Main Methods:

Analysis of proposed changes for the DSM-5.
Review of the scientific literature supporting the proposed revisions.

Main Results:

The DSM-5 revisions emphasize significant changes without thorough scientific evaluation.
Proposed changes include reducing diagnoses, abandoning criterion sets, and introducing an empirically unsupported dimensional model.

Conclusions:

The DSM-5's approach risks undermining diagnostic validity and clinical utility.
The proposed dimensional model lacks empirical support and integration with personality functioning.