Download A Research Agenda for DSM-V by David J. Kupfer, Visit Amazon's Michael B. First Page, PDF

By David J. Kupfer, Visit Amazon's Michael B. First Page, search results, Learn about Author Central, Michael B. First, , Darrel A. Regier

This publication is made from six "white papers" which symbolize the preliminary part of the DSM-V making plans technique. those "white papers" additionally function a foundation for study and dialogue in practise for DSM-V. less than collaboration among the yank Psychiatric organization and the nationwide Institute of psychological overall healthiness, the publication attempts to supply path and strength incentives for the advance of destiny clinical classifications.

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Indeed, Cloninger (1999) stated firmly that “there is no empirical evidence” for “natural boundaries between major syndromes” and that “the categorical approach is fundamentally flawed” (pp. 174–175). It is also worth noting that the philosopher Hempel observed 40 years ago that most sciences start with a categorical classification of their subject matter but often replace this with dimensions as more accurate measurement becomes possible (Hempel 1961). Against this background it is important that consideration be given to advantages and disadvantages of basing part or all of DSM-V on dimensions rather than categories.

Furthermore, both the genetic and environmental factors underlying these syndromes are often nonspecific (Brown et al. 1996; Kendler 1996). As a result, well-informed clinicians and researchers have suggested that variation in psychiatric symptomatology may be better represented by dimensions than by a set of categories, especially in the area of personality traits (Widiger and Clark 2000) (see Chapter 4 in this volume for a more detailed discussion of a dimensional approach to personality). Indeed, Cloninger (1999) stated firmly that “there is no empirical evidence” for “natural boundaries between major syndromes” and that “the categorical approach is fundamentally flawed” (pp.

In comparison with a clinician interview to diagnose according to DSM-IV criteria, these tests offer advantages in reducing requirements for staff time and clinical judgment and in improving accurate reporting through such devices as use of multiple items to cover each diagnostic criterion, use of items that disguise the face validity of questions, and use of lie scales. In addition, most such scales yield a rating of symptom severity that can be used to determine treatment needs and to assess treatment response.

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