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The six most essential questions in psychiatric diagnosis: a pluralogue part 3: issues of utility and alternative approaches 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
May 23, 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 1 of this article took up the first two questions. Part 2 took up the second two questions. Part 3 now deals with Questions 5 & 6. Question 5 confronts the issue of utility, whether the manual design of DSM-III and IV favors clinicians or researchers, and what that means for DSM-5. Our final question, Question 6, takes up a concluding issue, whether the acknowledged problems with the earlier DSMs warrants a significant overhaul of DSM-5 and future manuals. As in Parts 1 & 2 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

May 23, 2012

Volume

7

Start / End Page

9

Location

England

Related Subject Headings

  • Psychometrics
  • Psychiatry
  • Philosophy, Medical
  • Mental Disorders
  • Humans
  • Diagnostic and Statistical Manual of Mental Disorders
  • Applied Ethics
  • 5001 Applied ethics
  • 2203 Philosophy
  • 2201 Applied Ethics
 

Citation

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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 3: issues of utility and alternative approaches in psychiatric diagnosis. Philos Ethics Humanit Med, 7, 9. https://doi.org/10.1186/1747-5341-7-9
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 3: issues of utility and alternative approaches in psychiatric diagnosis.Philos Ethics Humanit Med 7 (May 23, 2012): 9. https://doi.org/10.1186/1747-5341-7-9.
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 3: issues of utility and alternative approaches in psychiatric diagnosis. Philos Ethics Humanit Med. 2012 May 23;7:9.
Phillips, James, et al. “The six most essential questions in psychiatric diagnosis: a pluralogue part 3: issues of utility and alternative approaches in psychiatric diagnosis.Philos Ethics Humanit Med, vol. 7, May 2012, p. 9. Pubmed, doi:10.1186/1747-5341-7-9.
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 3: issues of utility and alternative approaches in psychiatric diagnosis. Philos Ethics Humanit Med. 2012 May 23;7:9.
Journal cover image

Published In

Philos Ethics Humanit Med

DOI

EISSN

1747-5341

Publication Date

May 23, 2012

Volume

7

Start / End Page

9

Location

England

Related Subject Headings

  • Psychometrics
  • Psychiatry
  • Philosophy, Medical
  • Mental Disorders
  • Humans
  • Diagnostic and Statistical Manual of Mental Disorders
  • Applied Ethics
  • 5001 Applied ethics
  • 2203 Philosophy
  • 2201 Applied Ethics