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The six most essential questions in psychiatric diagnosis: a pluralogue part 2: Issues of conservatism and pragmatism in psychiatric diagnosis.

Publication ,  Journal Article
Phillips, J; Frances, A; Cerullo, MA; Chardavoyne, J; Decker, HS; First, MB; Ghaemi, N; Greenberg, G; Hinderliter, AC; Kinghorn, WA; Martin, EB ...
Published in: Philos Ethics Humanit Med
July 5, 2012

In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM--whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part I of this article took up the first two questions. Part II will take up the second two questions. Question 3 deals with the question as to whether DSM-V should assume a conservative or assertive posture in making changes from DSM-IV. That question in turn breaks down into discussion of diagnoses that depend on, and aim toward, empirical, scientific validation, and diagnoses that are more value-laden and less amenable to scientific validation. Question 4 takes up the role of pragmatic consideration in a psychiatric nosology, whether the purely empirical considerations need to be tempered by considerations of practical consequence. As in Part 1 of this article, the general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances.

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Published In

Philos Ethics Humanit Med

DOI

EISSN

1747-5341

Publication Date

July 5, 2012

Volume

7

Start / End Page

8

Location

England

Related Subject Headings

  • Psychometrics
  • Psychiatry
  • Philosophy, Medical
  • Mental Disorders
  • Humans
  • Ethics, Medical
  • Diagnostic and Statistical Manual of Mental Disorders
  • Applied Ethics
  • 5001 Applied ethics
  • 2203 Philosophy
 

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Phillips, J., Frances, A., Cerullo, M. A., Chardavoyne, J., Decker, H. S., First, M. B., … Zachar, P. (2012). The six most essential questions in psychiatric diagnosis: a pluralogue part 2: Issues of conservatism and pragmatism in psychiatric diagnosis. Philos Ethics Humanit Med, 7, 8. https://doi.org/10.1186/1747-5341-7-8
Phillips, James, Allen Frances, Michael A. Cerullo, John Chardavoyne, Hannah S. Decker, Michael B. First, Nassir Ghaemi, et al. “The six most essential questions in psychiatric diagnosis: a pluralogue part 2: Issues of conservatism and pragmatism in psychiatric diagnosis.Philos Ethics Humanit Med 7 (July 5, 2012): 8. https://doi.org/10.1186/1747-5341-7-8.
Phillips J, Frances A, Cerullo MA, Chardavoyne J, Decker HS, First MB, et al. The six most essential questions in psychiatric diagnosis: a pluralogue part 2: Issues of conservatism and pragmatism in psychiatric diagnosis. Philos Ethics Humanit Med. 2012 Jul 5;7:8.
Phillips, James, et al. “The six most essential questions in psychiatric diagnosis: a pluralogue part 2: Issues of conservatism and pragmatism in psychiatric diagnosis.Philos Ethics Humanit Med, vol. 7, July 2012, p. 8. Pubmed, doi:10.1186/1747-5341-7-8.
Phillips J, Frances A, Cerullo MA, Chardavoyne J, Decker HS, First MB, Ghaemi N, Greenberg G, Hinderliter AC, Kinghorn WA, LoBello SG, Martin EB, Mishara AL, Paris J, Pierre JM, Pies RW, Pincus HA, Porter D, Pouncey C, Schwartz MA, Szasz T, Wakefield JC, Waterman GS, Whooley O, Zachar P. The six most essential questions in psychiatric diagnosis: a pluralogue part 2: Issues of conservatism and pragmatism in psychiatric diagnosis. Philos Ethics Humanit Med. 2012 Jul 5;7:8.
Journal cover image

Published In

Philos Ethics Humanit Med

DOI

EISSN

1747-5341

Publication Date

July 5, 2012

Volume

7

Start / End Page

8

Location

England

Related Subject Headings

  • Psychometrics
  • Psychiatry
  • Philosophy, Medical
  • Mental Disorders
  • Humans
  • Ethics, Medical
  • Diagnostic and Statistical Manual of Mental Disorders
  • Applied Ethics
  • 5001 Applied ethics
  • 2203 Philosophy