Conceptualization of psychosis in psychiatric nosology

2020 ◽  
pp. 3-11
Author(s):  
Matcheri S. Keshavan ◽  
John Torous ◽  
Rajiv Tandon
Keyword(s):  
Statistical Manual ◽  
Classification Schemes ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Digital Phenotyping ◽  
Novel Approaches ◽  
Spectrum Disorders ◽  
Definition Of ◽  
Research Domain ◽  
Current Standards

The definition of psychotic spectrum disorders such as schizophrenia has evolved with changing nosology and scientific advancements over the last 200 years. Understanding both the historical evolution of the concept and recent changes reflected in the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM-5) and the National Institute of Health’s (NIH) Research Domain Criteria (RDOC) framework is critical for informing current efforts to further update and refine the nosology of psychotic spectrum disorders. This chapter offers an overview of past classification schemes, current standards, and novel approaches to further improve the validity of these definitions through use of biomarkers, reverse nosologies, and digital phenotyping tools like smartphones and sensors.

To ID or Not to ID? Changes in Classification Rates of Intellectual Disability Using DSM-5

2014 ◽  
Vol 52 (3) ◽  
pp. 165-174 ◽  
Author(s):  
Aimilia Papazoglou ◽  
Lisa A. Jacobson ◽  
Marie McCabe ◽  
Walter Kaufmann ◽  
T. Andrew Zabel
Keyword(s):  
Intellectual Disability ◽  
Clinical Judgment ◽  
Assessment System ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Adaptive Behavior Assessment System ◽  
Dsm Iv ◽  
Definition Of ◽  
Adaptive Skill

Abstract The Diagnostic and Statistical Manual of Mental Disorders—Fifth Edition (DSM-5) diagnostic criteria for intellectual disability (ID) include a change to the definition of adaptive impairment. New criteria require impairment in one adaptive domain rather than two or more skill areas. The authors examined the diagnostic implications of using a popular adaptive skill inventory, the Adaptive Behavior Assessment System–Second Edition, with 884 clinically referred children (ages 6–16). One hundred sixty-six children met DSM-IV-TR criteria for ID; significantly fewer (n  =  151, p  =  .001) met ID criteria under DSM-5 (9% decrease). Implementation of DSM-5 criteria for ID may substantively change the rate of ID diagnosis. These findings highlight the need for a combination of psychometric assessment and clinical judgment when implementing the adaptive deficits component of the DSM-5 criteria for ID diagnosis.

scholarly journals Can psychopathology and neuroscience coexist in psychiatric classifications?

2018 ◽  
Vol 20 (3) ◽  
pp. 155-160 ◽  
Keyword(s):  
Brain Research ◽  
18Th Century ◽  
Research Domain Criteria ◽  
Important Goal ◽  
Emil Kraepelin ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Late 18Th Century ◽  
Research Domain

A crisis of confidence was triggered by the disappointment that diagnostic validity, an important goal, was not achieved with the publication of Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The Research Domain Criteria (RDoC) project, which provides a framework for neuroscientific research, was initially conceptualized as an alternative to DSM. However, RDoC and DSM are complementary rather than mutually exclusive. From a historical perspective, this article argues that the debate opposing psychology and brain in psychiatric classification is not new and has an air of déjà vu. We go back to the first classifications based on a scientific taxonomy in the late 18th century with Boissier de Sauvages, which were supposed to describe diseases as they really existed in nature. Emil Kraepelin successfully associated psychopathology and brain research, prefiguring the interaction between DSM and RDoC. DSM symptoms remain valuable because they are the only data that are immediately and directly observable. Computational science is a promising instrument to interconnect psychopathological and neuroscientific data in the future.

Future of Classification in Posttraumatic Stress Disorder

2012 ◽  
pp. 53-66
Author(s):  
Terence M. Keane ◽  
Mark W. Miller
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Mental Disorders ◽  
Stress Disorder ◽  
Future Directions ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
The Status ◽  
History Of ◽  
Definition Of

This chapter reviews the status of modifications to the definition of PTSD and proposed changes for DSM-5. We include a brief history of the diagnosis and trace its evolution in the Diagnostic and Statistical Manual of Mental Disorders (DSM). We discuss some of the current controversies related to the definition of PTSD including its location among the anxiety disorders, the utility of Criterion A and its subcomponents, and the factor structure of the symptoms. We review the rationale for the addition of new symptoms and modifications to existing criteria now and conclude with comments on future directions for research on PTSD.

Compulsivity, impulsivity, and the DSM-5 process

CNS Spectrums ◽  
2013 ◽  
Vol 19 (1) ◽  
pp. 62-68 ◽  
Author(s):  
Gregory S. Berlin ◽  
Eric Hollander
Keyword(s):  
International Classification Of Diseases ◽  
Field Trials ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Literature Reviews ◽  
Symptom Domains ◽  
Classification Of Diseases ◽  
Research Domain

Compulsivity and impulsivity are cross-cutting, dimensional symptom domains that span traditional diagnostic boundaries. We examine compulsivity and impulsivity from several perspectives and present implications for these symptom domains as they relate to classification. We describe compulsivity and impulsivity as general concepts, from the perspectives of the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) Research Planning Agenda, and from the DSM-5 workgroups, literature reviews, and field trials. Finally, we detail alternative modes of classification for compulsivity and impulsivity in line with the Research Domain Criteria (RDoC) and International Classification of Diseases (ICD-11).

Exclusion of overlapping symptoms in DSM-5 mixed features specifier: heuristic diagnostic and treatment implications

CNS Spectrums ◽  
2016 ◽  
Vol 22 (2) ◽  
pp. 126-133 ◽  
Author(s):  
Gin S Malhi ◽  
Yulisha Byrow ◽  
Tim Outhred ◽  
Kristina Fritz
Keyword(s):  
Future Research ◽  
Mixed States ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Mixed Features ◽  
Definition Of ◽  
Compare And Contrast ◽  
Current Classification System

This article focuses on the controversial decision to exclude the overlapping symptoms of distractibility, irritability, and psychomotor agitation (DIP) with the introduction of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) mixed features specifier. In order to understand the placement of mixed states within the current classification system, we first review the evolution of mixed states. Then, using Kraepelin’s original classification of mixed states, we compare and contrast his conceptualization with modern day definitions. The DSM-5 workgroup excluded DIP symptoms, arguing that they lack the ability to differentiate between manic and depressive states; however, accumulating evidence suggests that DIP symptoms may be core features of mixed states. We suggest a return to a Kraepelinian approach to classification—with mood, ideation, and activity as key axes—and reintegration of DIP symptoms as features that are expressed across presentations. An inclusive definition of mixed states is urgently needed to resolve confusion in clinical practice and to redirect future research efforts.

Extraordinary Science and Psychiatry

2017 ◽  
Keyword(s):  
Mental Illness ◽  
Scientific Research ◽  
Mental Health Research ◽  
Current Crisis ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
The Subject ◽  
Scientific Research Program ◽  
Research Domain

The subject of the book is the culture of crisis and controversy that exists in contemporary mental health research, following the publication of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the National Institute of Mental Health’s declaration of it as unfit for guiding research in psychiatry. The book explores both the nature and sources of the crisis as well as whether and, if so, how, it can be overcome. It brings together a collection of original articles that develop and apply various analytical ideas and strategies from the philosophy of science, and from other relevant areas of philosophy and science, with the aim of clarifying some aspects of the current crisis and the associated extraordinary science. The themes of the chapters include understanding the research domain of mental illness, clarifying the nature of the problems that constitute the current crisis, identifying key substantive and methodological assumptions concerning classification and research focused on the domain of mental illness, identifying ideas bearing on how best to respond to the current crisis with respect to the scientific research agenda, and constructively addressing the tension between pursuing a progressive scientific research program concerning mental illness and maintaining a place of prominence for individual persons and their contexts.

Diagnostic and Statistical Manual (DSM)

2014 ◽  
Author(s):  
Thomas A. Widiger ◽  
Whitney L. Gore
Keyword(s):  
Empirical Support ◽  
Dimensional Model ◽  
Fourth Edition ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
History Of ◽  
Dsm Iv ◽  
Definition Of

This chapter provides a discussion of the American Psychiatric Association’s classification of mental disorders (DSM-I through DSM-5), with a particular emphasis on mood disorders and their classification and diagnosis. It begins with the rationale for having an official, authoritative diagnostic manual and then traces the history of the development of the first edition through the fourth edition (DSM-IV-TR, 2000). The authors then discuss fundamental issues concerning the fifth edition (DSM-5, 2013), including the definition of mental disorder, the empirical support for proposed revisions, the shift toward a dimensional model of classification, and the shift toward a neurobiologically-based classification.

scholarly journals Classificação psiquiátrica: tensionamento atual entre realismo e nominalismo

2021 ◽  
Vol 31 (3) ◽  
Author(s):  
Rogério da Silva Paes Henriques
Keyword(s):  
Mental Disorders ◽  
Research Domain Criteria ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Research Domain

Resumo Apresenta-se o “nominalismo dinâmico” de Hacking, aplicado à classificação psiquiátrica, como exemplo ilustrativo de síntese entre realismo e nominalismo. Expõem-se as perspectivas realistas inscritas tanto moderadamente na proposta híbrida do Diagnostic and Statistical Manual of Mental Disorders (DSM-5), quanto fortemente na proposta naturalista de seus concorrentes: Research Domain Criteria (RDoC) e Hierarchical Taxonomy of Psychopathology (HiTOP). Aponta-se o principal efeito do naturalismo aplicado à classificação psiquiátrica, que consiste no abandono do hibridismo entre realismo e nominalismo, em prol de uma cartografia do mental que, com recurso à matemática, reivindica-se estritamente realista, respondendo a demanda por maior precisão da bipsiquiatria.

scholarly journals THE DSM-5 AND THE ROLE OF PERSONALITY DISORDERS UNDER THE CRIMINAL LAW

Obiter ◽  
2014 ◽  
Vol 35 (2) ◽  
Author(s):  
Charnelle van der Bijl ◽  
Letitia Pienaar
Keyword(s):  
Mental Disorders ◽  
Personality Disorders ◽  
Criminal Law ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Dsm Iv ◽  
Definition Of ◽  
Axial System

The DSM-5 Diagnostic and Statistical Manual of Mental Disorders was published in 2013. This manual replaced and significantly revised the former DSM IV-TR, as it abolishes the Multi-Axial system that distinguished between personality and otherdisorders, which system had an impact on the disorders that were considered legally significant from those that were not. Owing to its recent publication, the DSM-5 Diagnostic and Statistical Manual of Mental Disorders, was not judicially considered in a criminal-law context. This article examines the role that personality disorders in the DSM-5 will play on the possible future of Criminal Law jurisprudential literature. Personality disorders are examined in the context of their classification, the definition of mental illness and pathological criminal incapacity. Possible solutions are suggested on how these mental disorders may be accommodated in the Criminal Law context.

Comparison of Alcohol Use Disorders in DSM and ICD

2020 ◽  
Vol 66 (3) ◽  
pp. 143-153
Author(s):  
Jessica W. M. Wong ◽  
Friedrich M. Wurst ◽  
Ulrich W. Preuss
Keyword(s):  
Alcohol Use Disorders ◽  
International Classification Of Diseases ◽  
Clinical Use ◽  
Diagnostic Systems ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Classification Of Diseases ◽  
Historical Developments

Abstract. Introduction: With advances in medicine, our understanding of diseases has deepened and diagnostic criteria have evolved. Currently, the most frequently used diagnostic systems are the ICD (International Classification of Diseases) and the DSM (Diagnostic and Statistical Manual of Mental Disorders) to diagnose alcohol-related disorders. Results: In this narrative review, we follow the historical developments in ICD and DSM with their corresponding milestones reflecting the scientific research and medical considerations of their time. The current diagnostic concepts of DSM-5 and ICD-11 and their development are presented. Lastly, we compare these two diagnostic systems and evaluate their practicability in clinical use.

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