The APA Classification of Mental Disorders: Future Perspectives

@article{Regier2002TheAC,
  title={The APA Classification of Mental Disorders: Future Perspectives},
  author={Darrel A. Regier and William E. Narrow and Michael First and Tina Marshall},
  journal={Psychopathology},
  year={2002},
  volume={35},
  pages={166 - 170}
}
After 8–10 years of experience with the fourth edition of the Diagnostic and Statistical Manual (DSM-IV) and the tenth edition of the International Classification of Diseases (ICD-10), it is an ideal time to begin looking at the clinical and research consequences of these diagnostic systems. The American Psychiatric Association, in conjunction with the National Institutes of Health, has initiated a research development process intended to accelerate an evaluation of existing criteria while… Expand
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References

SHOWING 1-10 OF 20 REFERENCES
Toward DSM-V and the classification of psychopathology.
TLDR
The authors discuss issues that cut across individual diagnostic categories and that should receive particular attention in DSM-V: (a) the process by which the diagnostic manual is developed, (b) the differentiation from normal psychological functioning, (c) the differentiated among diagnostic categories, (d) cross-sectional vs. longitudinal diagnoses, and (e) the role of laboratory instruments. Expand
Culture and psychiatric diagnosis. Impact on DSM-IV and ICD-10.
  • R. Alarcón
  • Psychology, Medicine
  • The Psychiatric clinics of North America
  • 1995
TLDR
The effect of culture on the two best-known diagnostic and classificatory systems: the DSM-IV and the ICD-10 Section V are examined. Expand
SCAN. Schedules for Clinical Assessment in Neuropsychiatry.
TLDR
The new system, known as SCAN (Schedules for Clinical Assessment in Neuropsychiatry), includes the 10th edition of the PSE as one of its core schedules, preliminary tests of which have suggested that reliability is similar to that of PSE-9. Expand
Progress toward achieving a common language in psychiatry. Results from the field trial of the clinical guidelines accompanying the WHO classification of mental and behavioral disorders in ICD-10.
TLDR
The trial demonstrated that the ICD-10 chapter dealing with mental and behavioral disorders is on the whole suitable for general use and provided valuable indications about changes needed for subsequent versions and demonstrated the feasibility of large-scale international research on classification and diagnosis in psychiatry. Expand
Limitations of diagnostic criteria and assessment instruments for mental disorders. Implications for research and policy.
TLDR
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. Expand
The International Personality Disorder Examination. The World Health Organization/Alcohol, Drug Abuse, and Mental Health Administration international pilot study of personality disorders.
TLDR
It is possible to assess personality disorders with reasonably good reliability in different nations, languages, and cultures using a semistructured clinical interview that experienced clinicians find relevant, meaningful, and user-friendly. Expand
Exclusion criteria of DSM-III. A study of co-occurrence of hierarchy-free syndromes.
TLDR
There was a general tendency toward co-occurrence, so that the presence of any disorder increased the odds of having almost any other disorder, even if DSM-III does not list it as a related disorder. Expand
The Composite International Diagnostic Interview. An epidemiologic Instrument suitable for use in conjunction with different diagnostic systems and in different cultures.
TLDR
The design and development of the CIDI is described and the current field testing of a slightly reduced "core" version is described, allowing investigators reliably to assess mental disorders according to the most widely accepted nomenclatures in many different populations and cultures. Expand
Subthreshold psychiatric symptoms in a primary care group practice.
TLDR
In these primary care patients, the morbidity of subthreshold symptoms was often explained by confounding mental, physical, or demographic factors, but depressive symptoms and, to a lesser extent, panic symptoms were disabling even after controlling for these factors. Expand
Disorder as harmful dysfunction: a conceptual critique of DSM-III-R's definition of mental disorder.
TLDR
The definition of disorder operationally fails to capture the idea of "dysfunction" and so fails to validly distinguish disorders from nondisorders, leading to invalidities in many of DSM-III-R's specific diagnostic criteria. Expand
...
1
2
...