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Related Experiment Videos

DSM-III-R: too much too soon?

J M Rey1

  • 1Rivendell Adolescent and Family Unit, Royal Prince Alfred Hospital, Concord, NSW.

The Australian and New Zealand Journal of Psychiatry
|June 1, 1988
PubMed
Summary

The Diagnostic and Statistical Manual of Mental Disorders-III-Revised (DSM-III-R) introduced numerous changes, but lacked empirical support, potentially causing confusion. This revision is critiqued as a disguised DSM-IV, hindering clinical and research progress.

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Area of Science:

  • Psychiatry
  • Psychological Classification Systems

Background:

  • The Diagnostic and Statistical Manual of Mental Disorders-III-Revised (DSM-III-R) represents a significant update to psychiatric diagnostic criteria.
  • Previous versions of the DSM have faced scrutiny regarding their clinical utility and empirical basis.

Purpose of the Study:

  • To evaluate the necessity and effectiveness of the changes implemented in the DSM-III-R.
  • To assess the impact of the DSM-III-R on clinicians, researchers, and administrators.

Main Methods:

  • Descriptive analysis of the changes introduced in the DSM-III-R.
  • Critical assessment of the empirical evidence supporting the revisions.
  • Evaluation of the stated aims against the achieved outcomes.

Main Results:

  • A substantial number of diagnostic categories were modified in the DSM-III-R.
  • Empirical evidence supporting many of these modifications is notably lacking.
  • The revision's necessity and achievement of its stated goals are questioned.

Conclusions:

  • The DSM-III-R may lead to confusion and frustration among mental health professionals and researchers.
  • The extensive modifications suggest the DSM-III-R functions as a new classification system, akin to a DSM-IV.
  • The lack of empirical grounding hinders the advancement of psychiatric nosology.

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