Classification and Diagnosis of Psychopathology

Author(s):  
Peter Muris

This chapter deals with the classification and diagnosis of psychopathology in children and adolescents. An overview is given of the most prevalent mental health problems in youth that can be classified according to the Diagnostic and Statistical Manual of Mental Disorders (DSM). Methods are then described that can be employed to classify psychopathology in youth in terms of DSM nomenclature. Next, the pros and cons of the DSM classification system are discussed, after which a number of alternative ways that can be employed to classify psychopathology are addressed. These include the Research Domain Criteria framework and the complex network approach.

2012 ◽  
Vol 13 (3) ◽  
pp. 229-236 ◽  
Author(s):  
Niall McLaren

The US National Institute of Mental Health (NIMH) has recently declared a new research program for psychiatry, the Research Domain Criteria (RDoC), as the successor of the long-standing Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnostic program. However, the new program is based on a series of assumptions that, on analysis, lack any formal scientific standing. Essentially, as presently conceptualized, the RDoC program is no more than ideology masquerading as science, and thus cannot achieve its stated goals. It is argued that the program will lead psychiatry into intellectually sterile areas because it is in fact the wrong research program for the present state of our knowledge.


2021 ◽  
Vol 31 (3) ◽  
Author(s):  
Rogério da Silva Paes Henriques

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.


2019 ◽  
pp. 33-52
Author(s):  
Paul S. Nestadt ◽  
Karen E. Seymour ◽  
James B. Potash ◽  
Paul R. McHugh

This chapter introduces and compares three prominent systems for the classification of mental illness, recognizing that no one system is ideal for all purposes and that there is a complicated historical context for each. The Diagnostic and Statistical Manual of Mental Disorders arose in response to a troubling lack of consistent and reliable diagnostic definitions among both mental health researchers and clinicians. The Perspectives of Psychiatry framework represents a comprehensive approach to mental disorders that begins with the understanding that they can stem from combinations of one’s biology, behaviors, temperament, and personal experiences. The Research Domain Criteria framework is of particular value to scientists investigating the biological underpinnings of mental illness, arranging mental phenomenology along neuropsychological dimensions that can be broken down into proposed mechanisms building from genes to physiology to symptoms.


2021 ◽  
pp. 216770262198935
Author(s):  
Thomas A. Widiger

Wilshire, Ward, and Clark (this issue, p. ♦♦♦) critiqued the classification of psychopathology in the Diagnostic and Statistical Manual of Mental Disorders, offering as an alternative a “Cambridge model” that focuses on symptoms rather than syndromes. They compared their model with additional alternatives, such as the Research Domain Criteria, the Hierarchical Taxonomy of Psychopathology, and network analysis. In this commentary, I offer further comparisons, considering as well the five-factor model alternative to the DSM syndromal classification of personality disorder.


Author(s):  
Eyal Kalanthroff ◽  
Gideon E. Anholt ◽  
Helen Blair Simpson

This chapter discusses the Research Domain Criteria (RDoC) project, an initiative of the National Institutes of Mental Health (NIMH) of the United States to develop for research purposes new ways of classifying mental disorders based on dimensions of observable behavior and neurobiological measures, and explores how the hallmark symptoms of OCD (obsessions, compulsions, and anxiety) can be mapped onto RDoC domains. Unlike current categorical diagnostic systems (e.g., DSM), RDoC seeks to integrate many levels of information (from genomics to self-report) to validate dimensions defined by neurobiology and behavioral measures that cut across current disorder categories. The chapter explores, for heuristic reasons, how the RDoC matrix might be used to elucidate the neurobehavioral domains of dysfunction that lead to the characteristic symptoms of OCD. It then selectively reviews the OCD literature from the perspective of the RDoC domains, aiming to guide future transdiagnostic studies to examine specific neurobehavioral domains across disorders.


2016 ◽  
Vol 6 (1) ◽  
pp. 46-51
Author(s):  
Basak Baglama

Understanding the needs of indivudals with mental disabilities is really important in terms of improving quality of life, intervention and promotion. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is widely used book for mental health professionals in order to make diagnosis. The present study discusses the usefulness of DSM in diagnosing mental health problems by emphasizing it’s advantages and criticisms. This study used document analysis method in order to provide an overview and discussion of recent literature regarding advantages and criticisms of DSM. Various issues have been discussed and conclusions have been made based on the literature review of this study. 


2018 ◽  
Vol 20 (3) ◽  
pp. 155-160 ◽  

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.


Author(s):  
Luis Augusto Rohde ◽  
Christian Kieling ◽  
Giovanni Abrahão Salum

In this chapter we describe the history of ADHD diagnosis and how it is currently conceptualized in two main classificatory manuals: the Diagnostic and Statistical Manual for the Mental Disorders (DSM) and the International Classification of Diseases (ICD). We also outline differences between DSM and ICD manuals and review discussions in the realm of the 11th edition of the ICD, in its journey to increase clinical utility. Lastly, we discuss the research domain criteria and how this initiative might affect ADHD diagnosis in the future. We conclude by offering a perspective that acknowledges both the limitations of our current classificatory systems, but also points out their paramount importance to clinical practice. ADHD, as currently defined by DSM and ICD, is a well validated clinical category and a useful diagnosis for communication among practitioners, researchers, and for selecting treatments and care for patients.


Author(s):  
Esther D. Rothblum

The present chapter focuses on the mental health of individuals who identify as asexual, defined as not having feelings of sexual attraction for other people. It focuses on population-based studies of the prevalence of asexuality and demographic characteristics of asexual respondents in these surveys. The author describes the stigma of asexual identity as perceived by asexual individuals and by society, as well as the advantages that asexual individuals cite. The author also reviews how low sexual desire is described in the current Diagnostic and Statistical Manual of Mental Disorders. The chapter reviews the (scant) literature on asexual mental health and ends with some implications for future research.


Author(s):  
Theodore P. Beauchaine ◽  
Hunter Hahn ◽  
Sheila E. Crowell

This chapter discusses themes that emerged while editing the Oxford Handbook of Emotion Dysregulation and outlines directions for future research. Although the term emotion dysregulation has at times been used amorphously in the literature, most authors now define the phenomenon as experiences and expressions of emotion that interfere with situationally appropriate, goal-directed behavior. Situational embedding of emotion dysregulation is important given very different expectations of appropriate emotional expression across contexts and cultures. Despite emerging consensus regarding emotion dysregulation as a construct, several challenges lie ahead. Major tasks for the field are to (1) abandon implicit notions of emotion dysregulation in favor of formally operationalized definitions, such as that provided earlier; (2) maintain a clear distinction between emotion dysregulation versus mood dysregulation; (3) map transdiagnostic features of emotion dysregulation across functional domains of behavior such as those instantiated in the Research Domain Criteria matrix and, where appropriate, syndromes in the Diagnostic and Statistical Manual of Mental Disorders; (4) further develop prevention and treatment programs that systematically target emotion dysregulation across development; and (5) extend emotion dysregulation research to stigmatized groups in an effort to identify mechanisms of mental health disparities. Chapters in this volume address these issues and advance the science of emotion dysregulation in new and exciting ways.


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