Defining Psychopathology in the 21st Century: DSM-V and Beyond

Overview

Among today's astounding research discoveries, perhaps the most fascinating is the mapping of the human genome and its implications for a vastly improved understanding of how genes affect our physiology and behavior. With that understanding comes a critical need to establish a diagnostic taxonomy for psychiatric illness that is more precise but still clinically relevant.

This volume responds to that need. It highlights the shortcomings of current categorical diagnoses, such as ...

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Arlington, Virginia, U.S.A. 2002 Paperback New 1585620637. BRAND NEW, FLAWLESS COPY, NEVER OPENED--272 pages--Choose us, for the information you need. --DESCRIPTION: Highlights ... the shortcomings of current categorical diagnoses for future research needs in behavioral disorders in general and psychiatric genetics in particular. --"Developed from the 2000 annual meeting of the American Psychopathological Association, 15 studies further the development of approaches to classifying mental disease that will lead to more accurate diagnosis and treatment, and a broader range of taxonomic options for research. Representing mostly US academic institutions, the contributors recognize the inherent tension between the convenience of clinically derived categories and the rigor of empirically derived ones. -Book News. Read more Show Less

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Overview

Among today's astounding research discoveries, perhaps the most fascinating is the mapping of the human genome and its implications for a vastly improved understanding of how genes affect our physiology and behavior. With that understanding comes a critical need to establish a diagnostic taxonomy for psychiatric illness that is more precise but still clinically relevant.

This volume responds to that need. It highlights the shortcomings of current categorical diagnoses, such as those used in DSM-IV, for future research needs in behavioral disorders in general and psychiatric genetics in particular.

With a chapter by each distinguished neuroscientist who presented at the 2000 American Psychopathological Association (APPA) meeting, this volume is divided into four sections: Definitional Tensions, which discusses the difficulties with the current categorical diagnostic system; Imaging Psychopathology, which presents research demonstrating how imaging technologies can tremendously improve our illness definitions; Longitudinal Studies, which details what we can learn from epidemiological and other longitudinal studies; and Exploring Alternatives, which discusses the application of dimensional classification systems in genetics research in psychopathology, with a fascinating chapter on using new methodologies for treating subsyndromal or pre-schizophrenia, a taxonomic condition defined herein as "schizotaxia."

This unique collection represents a significant step in developing approaches to classification that will lead to more accurate diagnoses and treatments for patients and a broader range of taxonomic options for researchers. As such, it will also be welcomed by psychiatric clinicians and educators, as well as by anyone interested in genetics and how it governs human behavior.

American Psychiatric Publishing

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Editorial Reviews

Benjamin O'Brien

I would recommend Defining Psychopathology in the 21st Century to anyone interested in psychiatric research as well as to those who are concerned about and interested in the future of psychiatry. I believe that this book gave me a glimpse of where the field of psychiatry is headed, and I find this exciting.

Ronald M. Solomon

This book is an informative and provocative update for a clinician or student who cannot read all the journals all the time and might be wondering, 'How are scientific findings distilled into facts that produced the early DSM versions, and what will be the theoretical basis for the next DSM?'.

Joel Yager

[R]eaders wanting an exciting 'state of the art' collection about the sorts of studies and thinking likely to shape future editions of the DSM will find this volume to be extremely worthwhile.

Doody's Review Service
Reviewer: Konoy Mandal, MD (Rush University Medical Center)
Description: Material from the American Psychopathological Association's 2001 annual meeting has found its way into this wonderful, concise, and sharp book.
Purpose: The authors, leading thinkers and researchers in psychopathology, take aim at the most fundamental objective in psychiatry — improving mental illness taxonomy. Anyone who has worked in the field of mental illness has been faced with numerous instances where current classification has failed. This book describes the cutting-edge efforts to improve mental illness taxonomy.
Audience: The book is for anyone who has ever thought about the fundamental rigors placed on psychiatry because of psychiatry's lack of significant biological markers. The authors are all well-recognized researchers who seek to improve psychiatry as a science (e.g., via epidemiological data) despite current limitations and, more importantly, who describe promising techniques (e.g., genetic and neuroimaging data) that will undoubtedly improve psychiatric diagnoses.
Features: In four parts and 15 manageable chapters, this slim book gives a plenary view of the epidemiology, genetics, and neuroimaging that are helping to improve psychiatric taxonomy. The book is not Pollyanna-ish in its conclusions and the chapters are dense with the challenge, and promise, that comes with improving mental illness classification. Proposals for future research are presented.
Assessment: This is by far one of the best psychiatry books I have read. For clinicians who want to get a panoramic view of how psychiatric taxonomy is being refined, researched, and, hopefully, overhauled, this book provides a concise roadmap. Many, if not all, of these authors will be part of DSM-V. The reader gets a behind-the-scenes look at how bright the future looks for improving diagnostics, and therefore therapeutics, in psychopathology.
From The Critics
Developed from the 2000 annual meeting of the American Psychopathological Association, 15 studies further the development of approaches to classifying mental disease that will lead to more accurate diagnosis and treatment, and a broader range of taxonomic options for research. Representing mostly US academic institutions, the contributors recognize the inherent tension between the convenience of clinically derived categories and the rigor of empirically derived ones. Annotation c. Book News, Inc., Portland, OR (booknews.com)

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781585620630
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 2/28/2002
  • Series: American Psychopathological Association Series
  • Edition description: 1ST
  • Pages: 288
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.75 (d)

Meet the Author

John E. Helzer, M.D., is Professor of Psychiatry at the Health Behavior Research Center of the University of Vermont School of Medicine in Burlington, Vermont.

James J. Hudziak, M.D., is Associate Professor of Psychiatry and Medicine (Division of Human and Medical Genetics) and Director of Child Psychiatry at the University of Vermont School of Medicine in Burlington, Vermont.

American Psychiatric Publishing

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Table of Contents

Preface. Part I: Definitional Tensions. Five criteria for an improved taxonomy of mental disorders. Defining clinically significant psychopathology with epidemiologic data. Why requiring clinical significance does not solve epidemiology's and DSM's validity problem: a response to Regier and Narrow. Psychometric perspectives on comorbidity. Part II: Imaging Psychopathology. Toward a neuroanatomical understanding of psychiatric illness: the role of functional imaging. Neuroimaging studies of mood disorders. Genetic neuroimaging: helping to define phenotypes in affective disorders. Part III: Longitudinal Studies. Psychopathology and the life course. Detecting longitudinal patterns of alcohol use. Empirically based assessment and taxonomy across the life span. ADHD comorbidity findings from the MTA Study: new diagnostic subtypes and their optimal treatments. Part IV: Exploring Alternatives. Implications of genetic epidemiology for classification. Importance of phenotype definition in genetic studies of child psychopathology. Defining genetically meaningful classes of psychopathology. Schizotaxia and the prevention of schizophrenia. Index.

American Psychiatric Publishing

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