James Phillips, Allen Frances, Michael A. Cerullo, John Chardavoyne, Hannah S. Decker, Michael B. First, Nassir Ghaemi, Gary Greenberg, Andrew C. Hinderliter, Warren A. Kinghorn, Steven G. LoBello, Elliott B. Martin, Aaron L. Mishara, Joel Paris, Joseph M. Pierre, Ronald W. Pies, Harold A. Pincus, Douglas Porter, Claire Pouncey, Michael A. Schwartz, Thomas Szasz, Jerome C. Wakefield, G. Scott Waterman, Owen Whooley & Peter Zachar
Philosophy, Ethics, and Humanities in Medicine 7:1-29 (2012)
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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 will take up the first two questions. With the first question, invited commentators express a range of opinion regarding the nature of psychiatric disorders, loosely divided into a realist position that the diagnostic categories represent real diseases that we can accurately name and know with our perceptual abilities, a middle, nominalist position that psychiatric disorders do exist in the real world but that our diagnostic categories are constructs that may or may not accurately represent the disorders out there, and finally a purely constructivist position that the diagnostic categories are simply constructs with no evidence of psychiatric disorders in the real world. The second question again offers a range of opinion as to how we should define a mental or psychiatric disorder, including the possibility that we should not try to formulate a definition. 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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DOI | 10.1186/1747-5341-7-3 |
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References found in this work BETA
A Rebuttal on Health.Christopher Boorse - 1997 - In James M. Humber & Robert F. Almeder (eds.), What is Disease? Humana Press. pp. 1--134.
Disorder as Harmful Dysfunction: A Conceptual Critique of DSM-III-R's Definition of Mental Disorder.Jerome C. Wakefield - 1992 - Psychological Review 99 (2):232-247.
The Concepts of Health and Illness Revisited.Lennart Nordenfelt - 2006 - Medicine, Health Care and Philosophy 10 (1):5-10.
Defining Mental Disorder. Exploring the 'Natural Function' Approach.Somogy Varga - 2011 - Philosophy, Ethics, and Humanities in Medicine 6:1-.
What's Wrong with 'Mental' Disorders?Matthew Broome & Lisa Bortolotti - 2010 - Psychological Medicine.
View all 9 references / Add more references
Citations of this work BETA
The Six Most Essential Questions in Psychiatric Diagnosis: A Pluralogue Part 3: Issues of Utility and Alternative Approaches in Psychiatric Diagnosis. [REVIEW]Peter Zachar, Owen Whooley, GScott Waterman, Jerome C. Wakefield, Thomas Szasz, Michael A. Schwartz, Claire Pouncey, Douglas Porter, Harold A. Pincus, Ronald W. Pies, Joseph M. Pierre, Joel Paris, Aaron L. Mishara, Elliott B. Martin, Steven G. LoBello, Warren A. Kinghorn, Andrew C. Hinderliter, Gary Greenberg, Nassir Ghaemi, Michael B. First, Hannah S. Decker, John Chardavoyne, Michael A. Cerullo, Allen Frances & James Phillips - 2012 - Philosophy, Ethics, and Humanities in Medicine 7 (1):9-.
Placing Pure Experience of Eastern Tradition Into the Neurophysiology of Western Tradition.Andrew And Alexander Fingelkurts - 2019 - Cognitive Neurodynamics 13 (1):121-123.
Working Towards a New Psychiatry - Neuroscience, Technology and the DSM-5.Sabina Alam, Jigisha Patel & James Giordano - 2012 - Philosophy, Ethics, and Humanities in Medicine 7:1-.
Brain Space and Time in Mental Disorders: Paradigm Shift in Biological Psychiatry.Andrew And Alexander Fingelkurts - 2019 - International Journal of Psychiatry in Medicine 54 (1):53-63.
Towards a socially constructed and objective concept of mental disorder.Anne-Marie Gagné-Julien - 2021 - Synthese 198 (10):9401-9426.
View all 8 citations / Add more citations
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