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DSM-IV: was it worth all the fuss?
1University of California-San Diego, School of Medicine, USA.
Alcohol and Alcoholism (Oxford, Oxfordshire). Supplement
|January 1, 1994
Summary
This paper reviews the development of diagnostic criteria for substance use disorders, emphasizing the need for careful evaluation before creating new systems like DSM-V. It highlights the importance of learning from current manual deficiencies.
Area of Science:
- Psychiatry
- Clinical Psychology
- Medical Informatics
Background:
- Diagnostic and classification systems are crucial for standardizing mental health diagnoses.
- Historical approaches to classifying alcohol and substance use disorders have evolved significantly.
- The development of the Diagnostic and Statistical Manual of Mental Disorders (DSM) has been a key part of this evolution.
Purpose of the Study:
- To reflect on the processes, costs, and benefits of creating diagnostic and classification systems.
- To review the historical development of diagnostic approaches for substance use disorders.
- To examine the development of DSM-IV criteria and its relation to ICD-10.
Main Methods:
- Retrospective analysis of the development process for DSM-IV substance use disorder criteria.
- Review of historical diagnostic approaches for substance use disorders.
- Comparison of DSM-IV criteria with the International Classification of Diseases, 10th Revision (ICD-10).
Main Results:
- The paper discusses the complexities and considerations in developing diagnostic criteria.
- It highlights the relationship between DSM-IV and ICD-10 in classifying substance use disorders.
- The review underscores the iterative nature of diagnostic system development.
Conclusions:
- Diagnostic systems require substantial time to reveal deficiencies and allow for exploration of alternatives.
- The publication of DSM-V should be delayed until thorough evaluation of DSM-IV is possible.
- Future revisions should incorporate lessons learned from the current manual's implementation.