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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
PubMed
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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:

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  • 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.