A Research Agenda for DSM-V

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Overview

In the ongoing quest to improve our psychiatric diagnostic system, we are now searching for new approaches to understanding the etiological and pathophysiological mechanisms that can improve the validity of our diagnoses and the consequent power of our preventive and treatment interventions -- venturing beyond the current DSM paradigm and DSM-IV framework.

This thought-provoking volume -- produced as a partnership between the American Psychiatric Association, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse -- represents a far-reaching attempt to stimulate research and discussion in the field in preparation for the eventual start of the DSM-V process, still several years hence. The book • Explores a variety of basic nomenclature issues, including the desirability of rating the quality and quantity of information available to support the different disorders in the DSM in order to indicate the disparity of empirical support across the diagnostic system.

• Offers a neuroscience research agenda to guide development of a pathophysiologically based classification for DSM-V, which reviews genetic, brain imaging, postmortem, and animal model research and includes strategic insights for a new research agenda.

• Presents highlights of recent progress in developmental neuroscience, genetics, psychology, psychopathology, and epidemiology, using a bioecological perspective to focus on the first two decades of life, when rapid changes in behavior, emotion and cognition occur.

• Discusses how to address two important gaps in the current DSM-IV: (1) the categorical method of diagnosing personality disorders and their relationship with Axis I disorders, and (2) the limited provision for the diagnosis of relational disorders -- suggesting a research agenda for personality disorders that considers replacing the current categorical approach with a dimensional classification of personality.

• Reevaluates the relationship between mental disorders and disability, asserting that research into disability and impairment would benefit from the diagnosis of mental disorders be uncoupled from a requirement for impairment or disability to foster a more vigorous research agenda on the etiologies, courses, and treatment of mental disorders as well as disabilities and to avert unintended consequences of delayed diagnosis and treatment.

• Examines the importance of culture in psychopathology and the main cultural variables at play in the diagnostic process, stating that training present and future professionals in the need to include cultural factors in the diagnostic process is a logical step in any attempt to develop comprehensive research programs in psychology, psychiatry, and related disciplines.

This fascinating work, with contributions from an international group of research investigators, reaches into the core of psychiatry, providing invaluable background and insights for all psychology and psychiatry professionals -- food for thought and further research that will be relevant for years to come.

American Psychiatric Publishing

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Editorial Reviews

Doody's Review Service
Reviewer: Raj Tummala, MD (Wyeth Pharmaceuticals)
Description: This book is made up of six "white papers" which represent the initial phase of the DSM-V planning process. These "white papers" also serve as a basis for research and discussion in preparation for DSM-V. Under collaboration between the American Psychiatric Association and the National Institute of Mental Health, the book tries to provide direction and potential incentives for the development of future scientific classifications.
Purpose: The purpose is to stimulate research that would lay the groundwork for developing an empirical database and to devise a research agenda "that would facilitate the integration of findings from research... - all of which would lead to the eventual development of an etiologically based, scientifically sound classification system." The book largely meets its overall objective.
Audience: This book is targeted towards research and clinical psychiatrists and other mental health professionals involved in research. The authors are extremely credible authorities in psychiatry.
Features: The book starts with a review of the basic nomenclature issues for DSM-V and talks about neuroscience research agenda for a more scientific classification system. Each chapter discusses the current knowledge and elaborates on what is in store for future research. The book in particular addresses crucial gaps in DSM for the classification of personality and relation disorders using a dimensional rather than a categorical approach to diagnosis. There is also work on disability and diagnosis. Research agendas on culture and its role in psychopathology is also addressed in detail. Each chapter has a detailed current and pertinent reference section.
Assessment: This is an important guide for anyone involved in psychiatric research as well as the general psychiatrist who wants to understand the history of the DSM system and wants to learn about proposed future classification systems. The book is easy to read and done in great detail.
From The Critics
This collection of six "white papers," contributed by 46 international researchers, completes the first phase of a DSM-V planning process, which began in 1999. It is intended to stimulate research and discussion in the fields of psychology and psychiatry, in preparation for the start of the DSM-V revision process, still several years in the future. Topics include nomenclature issues, developing a pathophysiologically based classification system for psychiatric disorders, advances in developmental science and DSM-V, personality disorders and relational disorders, mental disorders and disability, and culture and psychiatric diagnosis. For psychology and psychiatry professionals. Annotation c. Book News, Inc., Portland, OR

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780890422922
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 8/28/2002
  • Edition description: 1ST
  • Pages: 336
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.75 (d)

Meet the Author

Michael B. First, M.D., is a Research Psychiatrist at the New York State Psychiatric Institute and Associate Professor of Clinical Psychiatry at Columbia University College of Physicians and Surgeons in New York, New York.

David J. Kupfer, M.D., is Thomas Detre Professor and Chair of the Department of Psychiatry at Western Psychiatric Institute and Clinic at the University of Pittsburgh in Pittsburgh, Pennsylvania.

Darrel Regier, M.D., M.P.H., is Executive Director of the American Psychiatric Institute for Research and Education and Director of the Division of Research at the American Psychiatric Association in Washington, D.C.

American Psychiatric Publishing

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Table of Contents

Toward DSM-V: basic nomenclature issues. Proposed basic and clinical neuroscience research agenda to guide the development of a pathophysiologically-based classification. Report from developmental issues and diagnosis work group. A research agenda for addressing crucial gaps in the DSM: personality disorders and relational disorders. Mental disorders and disability: time to reevaluate the relationship? Beyond the funhouse mirrors: research agenda on culture and psychiatric diagnosis

American Psychiatric Publishing

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