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Updated: Apr 27, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
DSM-5 and neurodevelopmental and other disorders of childhood and adolescence
1Dr. Wills is Director of Child and Adolescent Forensic Psychiatric Services and Assistant Professor of Psychiatry, Case Western Reserve University, Cleveland, OH. cwforensic@earthlink.net.
Abstract:
In the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the classification of mental disorders for children and adolescents has been revised. Although some changes are welcome and needed, others have been controversial. In this article, I examine the diagnostic changes along with some of the associated controversies and resolutions. The implications for the practice of child forensic psychiatry, including problems that may be encountered by forensic psychiatrists who evaluate adults with childhood-onset mental disorders, are examined. The pitfalls associated with improper use of The Manual by legal professionals are also reviewed.
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