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On values in recent American psychiatric classification
J Z Sadler1, Y F Hulgus, G J Agich
1University of Texas Southwestern Medical Center at Dallas 75235.
The Journal of Medicine and Philosophy
|June 1, 1994
Summary
The Diagnostic and Statistical Manual of Mental Disorders (DSM) classifications overlook their underlying values. Future revisions require careful assessment of these principal values for improved psychiatric science.
Area of Science:
- Psychiatry
- Mental Health Classification
- Nosology
Background:
- The Diagnostic and Statistical Manual of Mental Disorders (DSM) significantly influences American psychiatry.
- Previous versions include DSM-III, DSM-III-R, and the current DSM-IV.
Purpose of the Study:
- To analyze the assumptions and value commitments within DSM classifications.
- To evaluate the response to criticisms and controversies surrounding DSM revisions.
Main Methods:
- Review of DSM manuals (DSM-III, DSM-III-R, DSM-IV).
- Analysis of conceptually-oriented literature on DSM classifications.
- Assessment of value commitments driving the nosologic process.
Main Results:
- Authors of DSM classifications have largely ignored explicit and implicit value commitments.
- Responses to criticism often involve adding scientific diversity rather than assessing core values.
Conclusions:
- Future DSM classifications necessitate a thorough inquiry into the principal values guiding psychiatric nosology.
- Understanding these values is crucial for advancing psychiatric science.