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 e-book is made of six "white papers" which characterize the preliminary section of the DSM-V making plans procedure. those "white papers" additionally function a foundation for learn and dialogue in practise for DSM-V. lower than collaboration among the yankee Psychiatric organization and the nationwide Institute of psychological wellbeing and fitness, the ebook attempts to supply path and power incentives for the improvement of destiny clinical classifications.

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Issues related to diagnostic thresholds are particularly pertinent in nonspecialty settings. Patients treated in mental health settings represent only a more severely affected minority of those in the general community whose symptoms meet criteria for mental disorders (Regier et al. 1993). In contrast, patients in primary care settings with undiagnosed mental disorders are likely to be those with earlier or milder manifestations. Changes in diagnostic criteria could facilitate detection and treatment of mild or subthreshold cases either through reductions in severity thresholds for selected disorders or through the development of alternative, simplified, less severe criteria sets specially designated for use in primary care and other nonspecialty settings.

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. There would be some obvious attractions in doing so (Kendell 1975b).

However, many small and large differences persist at both syndrome and criterion levels. These persistent discrepancies suggest the need for a program of research to compare and reconcile the minor differences and, in the case of major differences, to explore the validity of the alternative constructs. When DSM-III was published in 1980, one of its most important advantages was a radical improvement in the reliability of psychiatric diagnosis by virtue of its provision of operational criteria for each diagnosis.

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