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DSM-5 changes on the horizon: substance use disorders.
Brianne Fitzgerald1, Betty D Morgan
1New England AIDS Education and Training Center, Boston, Massachusetts, USA. Brianne.Fitzgerald@bmc.org
Issues in Mental Health Nursing
|September 11, 2012
Summary
This review examines the evolution of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and its impact on diagnosing substance use disorders (SUD). It explores nosological shifts and societal influences on SUD diagnosis over time.
Area of Science:
- Psychiatry
- Psychology
- Public Health
Background:
- The Diagnostic and Statistical Manual of Mental Disorders (DSM) was first published in 1952.
- It provided the initial formal nosology for diagnosing mental disorders, including substance use disorders (SUD).
- Subsequent DSM revisions have refined diagnostic criteria and conceptualizations of psychiatric conditions.
Purpose of the Study:
- To review the historical revisions of the DSM concerning substance use pathology.
- To analyze the significance of substance use disorders and associated behaviors.
- To examine the social and political influences impacting the diagnosis and conceptualization of SUDs.
Main Methods:
- Literature review of DSM revisions up to DSM-5.
- Analysis of nosological changes in substance-related diagnoses.
- Examination of societal and political factors influencing SUD diagnosis.
Main Results:
- The DSM has undergone four major revisions since its inception.
- Each revision reflects evolving perspectives on mental disorders, including SUDs.
- Social and political factors have demonstrably influenced diagnostic criteria for substance use.
Conclusions:
- The DSM's evolution has progressively enhanced the diagnosis of mental disorders.
- Understanding the history of DSM revisions is crucial for current SUD diagnosis.
- Future research should continue to explore the interplay of societal factors and SUD nosology.
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