Diagnostic Issues and Controversies in DSM-5: Return of the False Positives Problem.

  title={Diagnostic Issues and Controversies in DSM-5: Return of the False Positives Problem.},
  author={Jerome C. Wakefield},
  journal={Annual review of clinical psychology},
  • J. Wakefield
  • Published 28 March 2016
  • Psychology
  • Annual review of clinical psychology
The fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was the most controversial in the manual's history. This review selectively surveys some of the most important changes in DSM-5, including structural/organizational changes, modifications of diagnostic criteria, and newly introduced categories. It analyzes why these changes led to such heated controversies, which included objections to the revision's process, its goals, and the content of altered criteria… 

Evaluating the Usefulness of DSM in Diagnosing Mental Health Problems: A Review of the Literature

The usefulness of DSM in diagnosing mental health problems by emphasizing it’s advantages and criticisms is discussed and conclusions have been made based on the literature review of this study.

Diagnosis pressure and false positives: Toward a non-reductionist, polytomic approach of child mental problems

ABSTRACT This paper discusses diagnosis pressure and false positives in child mental health care. Diagnosis pressure is the pressure to give a diagnosis even though the criteria for the diagnosis are

An evaluation of food addiction as a distinct psychiatric disorder.

The existing literature suggests that food addiction may warrant consideration as a proposed diagnostic category in the DSM, though future research is needed to fulfill Blashfield et al.'s (1990; Comprehensive Psychiatry, 31(1), 15-19) criteria.

Poor Separation of Clinical Symptom Profiles by DSM-5 Disorder Criteria

A quantitative analysis of the symptom heterogeneity and disorder comorbidity across a sample of 107,349 adult individuals from 8 English-speaking countries shows that DSM-5 disorder criteria do not separate individuals from random when the complete mental health symptom profile of an individual is considered.

Diagnostic classification of irritability and oppositionality in youth: a global field study comparing ICD-11 with ICD-10 and DSM-5.

Testing the accuracy with which a global, multilingual, multidisciplinary sample of clinicians were able to use the ICD-11 classification of chronic irritability and oppositionality shows evidence of clinical utility, supporting accurate diagnosis.

Mapping Research Domain Criteria using a transdiagnostic mini-RDoC assessment in mental disorders: a confirmatory factor analysis

This study aimed to build on the relationship of well-established self-report and behavioral assessments to the latent constructs positive (PVS) and negative valence systems (NVS), cognitive systems

A Moving Target: How We Define Avoidant/Restrictive Food Intake Disorder Can Double Its Prevalence.

Comparison of diagnostic definitions for ARFID among children, adolescents, and young adults confirmed a broad range of statistically distinct proportions within a single sample and support the need for additional contextual support and consensus among disciplines on operationalization in both research and clinical settings.

What Is Mental Illness?: A Defense of Anti-essentialism@@@反本質主義の擁護

The concept of mental illness has been challenged by various parties and with various background concerns. In this paper, I will discuss how mental illness is defined, as far as it is considered as a

Psychiatric epidemiology, conceptualisation of mental disorders and psychopathologisation: A critical analysis

The article states that the “cases” identification criteria used in the studies favour a psychopathologising view of human problems and the need for a different conceptual framework for community prevalence studies is suggested.



DSM-IV diagnostic criterion for clinical significance: does it help solve the false positives problem?

Whether the clinical significance criterion achieves its purpose and the broader impact on diagnostic validity of DSM-IV criteria for a wide range of disorders is considered.

A history of the DSM-5 scientific review committee

The SRC succeeded in increasing the focus on empirical standards for nosologic change and providing a greater degree of consistency and objectivity in the DSM review process.

Does the DSM-IV clinical significance criterion for major depression reduce false positives? Evidence from the National Comorbidity Survey Replication.

Findings support the redundancy thesis that distress is virtually redundant with symptoms of persistent sadness, even in the absence of major depression, and impairment is almost always entailed by major depression-level symptoms, which means the clinical significance criterion does not substantially reduce the prevalence ofmajor depression in the community.

Defining ‘mental disorder’ in DSM-V

The definition of mental disorder is important because it guides us in distinguishing normal distress from disorder and thus in deciding which conditions should be in the DSM, and also in helping to set the threshold within a category that represents the boundary between disorder and non-disorder.

False positives in psychiatric diagnosis: implications for human freedom

  • J. Wakefield
  • Psychology, Medicine
    Theoretical medicine and bioethics
  • 2010
The harmful dysfunction analysis of disorder is used to diagnose the sources of likely false positives, and propose potential remedies to the current weaknesses in the validity of diagnostic criteria.

Diagnostic Validity and the Definition of Mental Disorder: A Program for Conceptually Advancing Psychiatry

The definition of mental disorder remained in the DSM introduction over the following editions, with minor revisions intended to address specific problems, but the definition's use was again limited to the very narrow set of issues concerned with eliminating or introducing categories.

Limitations of diagnostic criteria and assessment instruments for mental disorders. Implications for research and policy.

The health policy implications of discrepant and/or high prevalence rates for determining treatment need in the context of managed care definitions of "medical necessity" are discussed.

Clarifying the Boundary between Normality and Disorder: A Fundamental Conceptual Challenge for Psychiatry

  • J. WakefieldM. First
  • Psychology, Medicine
    Canadian journal of psychiatry. Revue canadienne de psychiatrie
  • 2013
Guest EditorialThis issue inaugurates a 2-part In Review section focusing on the concept of mental disorder and the challenge of how to distinguish between normal human suffering and psychopathology,