Advancing DSM: Dilemmas in Psychiatric Diagnosis

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Overview

In Advancing DSM, leading psychiatric clinicians and researchers contribute case studies that are unresolved, are rife with controversy, and illuminate limitations of the current diagnostic system. Along with analysis of clinical cases, the contributors recommend broad changes to DSM to incorporate new knowledge from psychiatry and neuroscience and findings from new methods of diagnostic testing.

Advancing DSM is a rich treasury of intriguing information for all clinicians and researchers. You will • Develop an understanding of some of the shortfalls of the current system that will help you make better clinical decisions. Accurate diagnosis is the foundation for selecting the best treatment, determining prognosis, and enhancing our understanding of patients. With the help of real-world case examples, you'll develop a solid understanding of the complexities involved in making clinical diagnoses.• Learn about developments that will advance future editions of DSM. Find out how new developments in psychiatry and neuroscience and new diagnostic testing tools such as functional MRI are changing the face of psychiatric diagnosis and will inform future editions of DSM.• Be alerted to some of the vital questions that must be answered before a new DSM is developed. Each chapter raises important questions to answer if we are to develop new, more accurate, and more reliable diagnoses. For example, how do we determine the causes of mental disorders? How do we define a mental disorder? How should the groupings of disorders be revised to reflect information on etiology and pathophysiology? What are the implications of laboratory testing and neuroimaging for psychiatric diagnosis and practice? and many more.

DSM has been a landmark achievement for the field. By allowing reliable diagnosis, it has brought order out of chaos and fostered groundbreaking advances in research and clinical care. Advancing DSM will brief you on exciting changes in psychiatry today that will impact the DSM of tomorrow.

American Psychiatric Publishing

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Editorial Reviews

Doody's Review Service
Reviewer: Michael Joel Schrift, D.O., M.A.(University of Illinois at Chicago College of Medicine)
Description: This book focuses on important scientific and theoretical issues regarding the validity of DSM diagnoses. Written and edited by nationally recognized researchers in the field, the book is an important and timely contribution to psychiatry.
Purpose: The purpose, according to the editors, is to outline the fundamental questions and controversies about the current classification of psychiatric disorders and to stimulate further research into these issues.
Audience: The intended audience, although not specifically stated, are researchers and clinicians in psychiatry and psychology. Anyone involved in the use of the DSM should be aware of the issues raised in this book.
Features: Topics covered include causation in psychiatry, distinguishing disorder from non-disorder, diagnostic groupings, neurobiological markers, the concept of schizotaxia, subthreshold disorders, multiaxial assessment, diagnostic dilemmas in classifying personality disorders, as well as the controversial topic of relationship disorders, which has a whole chapter devoted to it. Each chapter ends with current and relevant references.
Assessment: This is an excellent book on the critical conceptual issues of psychiatric diagnosis. I highly recommend it.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780890422939
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 10/28/2002
  • Edition description: 1ST
  • Pages: 264
  • Product dimensions: 6.00 (w) x 8.90 (h) x 0.60 (d)

Meet the Author

Katharine A. Phillips, M.D., is Associate Professor of Psychiatry and Human Behavior at Brown University School of Medicine and Director of the Body Dysmorphic Disorder Program at Butler Hospital in Providence, Rhode Island.

Michael B. First, M.D., is 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.

Harold Alan Pincus, M.D., is Professor and Executive Vice Chairman of the Department of Psychiatry in the Western Psychiatric Institute and Clinic at the University of Pittsburgh School of Medicine, and Senior Scientist and Director of RAND at the University of Pittsburgh Health Research Institute in Pittsburgh, Pennsylvania.

American Psychiatric Publishing

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Table of Contents

Foreword. Introduction. Determining causation in psychiatry. Clarifying the distinction between disorder and nondisorder: Confronting the overdiagnosis (false positives) problem in DSM-V. Should the DSM diagnostic groupings be changed? Laboratory testing and neuroimaging: implications for psychiatric diagnosis and practice. Concept of schizotaxia in the diagnosis of schizophrenia: insights from advances in neuroscience toward treatment and prevention. Subthreshold psychiatric disorders: nosological and research recommendations. Multiaxial assessment in the twenty-first century. Dilemmas in the classification of personality disorder. Relationship disorders are psychiatric disorders: five reasons they were not included in DSM-IV. Index.

American Psychiatric Publishing

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