The APA Classification of Mental Disorders: Future Perspectives

  title={The APA Classification of Mental Disorders: Future Perspectives},
  author={Darrel A. Regier and William E. Narrow and Michael First and Tina Marshall},
  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
Reports from the DSM-V Work Group on Sexual and Gender Identity Disorders
  • K. Zucker
  • Psychology, Medicine
  • Archives of sexual behavior
  • 2010
Since the first edition of the Diagnostic and Statistical Manual: Mental Disorders was published in 1952 by the American Psychiatric Association (APA), the manual has gone through a series ofExpand
Broadening the international base for the development of an integrated diagnostic system in psychiatry.
  • C. Berganza
  • Medicine
  • World psychiatry : official journal of the World Psychiatric Association
  • 2003
The increase in international communications and the direct influence of projects such as the WPA's International Guidelines for Psychiatric Diagnosis have provided an opportunity for a more assertive incorporation of the views of practitioners from the developed and the developing world to the process of production of knowledge concerning the multidimensional nature of mental illness. Expand
Disorders without borders: current and future directions in the meta-structure of mental disorders
A dimensional-spectrum model which organizes mental disorders in an empirically based internalizing–externalizing model of psychopathology is reviewed, which provides a parsimonious means of addressing comorbidity and recommendations for future research endeavors are put forward. Expand
Psychopathology: Terms and Trends
Determination of the dividing line between mental health and mental illness is a complex task, resulting in a system of classification of disorders. Isolated symptoms must be assembled intoExpand
Diagnostic understanding and diagnostic explanation in psychiatry
Purpose of review To examine ways in which the validity of psychiatric diagnoses could be improved. Recent findings Genetic and neuroscientific explanations about the aetiology of psychiatricExpand
Perfectionism as an Explanatory Construct in Comorbidity of Axis I Disorders
Understanding comorbidity is an important challenge for psychopathology researchers and diagnostic systems given the repeated finding of very high comorbidity rates among Axis I disorders inExpand
A bibliometric analysis of the current status of psychiatric classification: the DSM model compared to the spectrum and the dimensional diagnosis Un'analisi bibliometrica sull'attuale situazione della nosografia psichiatrica: un confronto tra DSM, Spettro e Diagnosi Dimensionale
Methods The degree of empirical and theoretical attention that problems of classification as well as alternative approaches to the DSMs have received in the scientific community was studied by meansExpand
Towards DSM-V: ‘Shadow Syndrome’ symptom patterns among pathological gamblers
Objective: By comparing the co-occurring symptoms instead of co-occurring diagnoses, we will determine if there are symptoms independent of DSM diagnoses that are capable of differentiating betweenExpand
Precursors for schizophrenia : are schizotaxia and schizotypy related?
Meehl's (1962, 1989, 1990b) schizotypy and Tsuang et al.'s (1999b, 2000a, 2000b) schizotaxia are fundamentally different notions of the schizophrenia precursor. Both represent a categorical precursorExpand
Impairment and distress associated with symptoms of male-typed and female-typed DSM-IV Axis-I disorders.
Impairment and distress were associated with male-typed and female-typing Axis-I disorders in the same manner as personality disorders. Expand


Toward DSM-V and the classification of psychopathology.
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
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.
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.
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.
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.
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.
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.
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.
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.
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