Diagnostic Issues and Controversies in DSM-5: Return of the False Positives Problem

Annual Review of Clinical Psychology - Tập 12 Số 1 - Trang 105-132 - 2016
Jerome C. Wakefield1,2
1Department of Psychiatry, NYU School of Medicine, New York University, New York, NY 10016;
2NYU Silver School of Social Work, New York University, New York, NY 10003

Tóm tắt

The fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was the most controversial in the manual's history. This review selectively surveys some of the most important changes in DSM-5, including structural/organizational changes, modifications of diagnostic criteria, and newly introduced categories. It analyzes why these changes led to such heated controversies, which included objections to the revision's process, its goals, and the content of altered criteria and new categories. The central focus is on disputes concerning the false positives problem of setting a valid boundary between disorder and normal variation. Finally, this review highlights key problems and issues that currently remain unresolved and need to be addressed in the future, including systematically identifying false positive weaknesses in criteria, distinguishing risk from disorder, including context in diagnostic criteria, clarifying how to handle fuzzy boundaries, and improving the guidelines for “other specified” diagnosis.

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Annual Review of Clinical Psychology

Tập 12 Số 1

105-132

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