The Conceptual Evolution of DSM-5

Overview

The Conceptual Evolution of DSM-5 highlights recent advances in our understanding of cross-cutting factors relevant to psychiatric diagnosis and nosology. These include developmental age-related aspects of psychiatric diagnosis and symptom presentation; underlying neuro-circuitry and genetic similarities that may clarify diagnostic boundaries and inform a more etiologically based taxonomy of disorder categories; and gender/culture-specific influences in the prevalence of and service for psychiatric disorders. ...

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The Conceptual Evolution of DSM-5

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Overview

The Conceptual Evolution of DSM-5 highlights recent advances in our understanding of cross-cutting factors relevant to psychiatric diagnosis and nosology. These include developmental age-related aspects of psychiatric diagnosis and symptom presentation; underlying neuro-circuitry and genetic similarities that may clarify diagnostic boundaries and inform a more etiologically based taxonomy of disorder categories; and gender/culture-specific influences in the prevalence of and service for psychiatric disorders. This text also considers the role of disability in the diagnosis of mental disorders and the potential utility of integrating a dimensional approach to psychiatric diagnosis.

A powerful reference tool for anyone practicing or studying psychiatry, social work, psychology, or nursing, The Conceptual Evolution of DSM-5 details the proceedings from the 2009 American Psychopathological Association's Annual Meeting. In its chapters, readers will find a thorough review of the empirical evidence regarding the utility of cross-cutting factors in nosology, as well as specific suggestions for how they may be fully integrated into the forthcoming fifth edition of Diagnostic and Statistical Manual of Mental Disorders.

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Editorial Reviews

Doody's Review Service
Reviewer: Bradley R. Cutler, MD (Edward Hospital and Health Services)
Description: This examination of the evolution of DSM-5 is edited by leaders in psychiatry with contributions from nearly 70 influential scholars of mental health.
Purpose: The purpose is to highlight proceedings from the 2009 American Psychopathological Association's Annual Meeting describing the conceptual evolution of the DSM-5, which is to be published in May 2013.
Audience: Targeted specifically at those practicing or studying psychiatry, psychology, nursing, or social work, this book will be extraordinarily useful to those interested in the future of mental health.
Features: The 15 chapters are grouped into five main parts. Part 1 focuses on diagnostic spectra and discusses both reliability and validity. Part 2 highlights the integration of dimensional concepts into a categorical system and discusses key dimensional measures. Part 3 emphasizes the assessment of functional impairment and discusses assessment and measurement of disability. Part 4 illustrates important culture- and gender-related expression of disorders and discusses this expression throughout the world. Part 5 deals with disorders across the lifespan and discusses these disorders from childhood through later life.
Assessment: Since the publication of the DSM-IV-TR in 2000, significant progress has occurred in both psychiatric research and clinical practice. The DSM-IV-TR, however, has remained unchanged. With the beginning of a new decade, the time has come to combine years of scientific and clinical advances into a dynamic book of psychiatric diagnosis and nosology. This book brilliantly explains the manner in which this evolution will take place. In the current diagnostic system, for example, validity gives way to reliability and dimensional measures are rarely employed. This book provides well-thought-out solutions for combining reliability and validity as well as using dimensional measures in diagnosis. Important questions are being postulated. How can genetics be used in diagnosis? What is the clinical utility of age, culture, and gender? The answers are carefully considered. It should not go unnoticed that altering the classification of psychiatric diagnoses may alter as well the disorders which "belong" to psychiatry. And only a careful examination of mental illness in combination with other illnesses will produce a book that is respected by psychiatrists and nonpsychiatrists alike. This book superbly contributes to this task.
Michael H. Ebert

The Conceptual Evolution of DSM-5 is an outstanding book that provides the reader with an in-depth understanding of the complexities of developing a new DSM that is clinically useful and yet also reflects the most current research findings in the field. The book is highly recommended, as it will provide an excellent platform to "jump" into DSM-5.

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Product Details

  • ISBN-13: 9781585623884
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 11/4/2010
  • Pages: 389
  • Product dimensions: 6.00 (w) x 8.90 (h) x 1.00 (d)

Meet the Author

Darrel A. 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 Arlington, Virginia, and Vice-Chair of the DSM-5 Task Force.

William E. Narrow, M.D., M.P.H., is Associate Director of the Division of Research at the American Psychiatric Association and the American Psychiatric Institute for Research and Education in Arlington, Virginia, and Research Director of the DSM-5 Task Force.

Emily A. Kuhl, Ph.D., is a science writer in the Division of Research at the American Psychiatric Association in Arlington, Virginia.

David J. Kupfer, M.D., is Thomas Detre Professor in the Department of Psychiatry at the University of Pittsburgh and Western Psychiatric Institute & Clinic in Pittsburgh, Pennsylvania, and Chair of the DSM-5 Task Force.

American Psychiatric Publishing

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Table of Contents

Contributors xi

Introduction Darrel A. Regier William E. Narrow Emily A. Kuhl David J. Kupfer xxi

Part I Diagnostic Spectra: Assessing the Validity of Disorder Groupings

1 Diagnosis of Mental Disorders in Light of Modern Genetics Steven E. Hyman 3

2 Integration of Dimensional Spectra for Depression and Anxiety Into Categorical Diagnoses for General Medical Practice David Goldberg Leonard J. Simms Richard Gater Robert F. Krueger 19

3 One Way Forward for Psychiatric Nomenclature: The Example of the Spectrum Project Approach Ellen Frank Paola Rucci Dr.Stat. Giovanni B. Cassano 37

4 Meta Effects of Classifying Mental Disorders Norman Sartorius F.R.C.Psych 59

Part II Integrating Dimensional Concepts Into a Categorical System

5 A Proposal for Incorporating Clinically Relevant Dimensions Into DSM-5 John E. Helzer 81

6 Empirically Derived Personality Disorder Prototypes: Bridging Dimensions and Categories in DSM-5 Robert F. Krueger Nicholas R. Eaton Susan C. South Lee Anna Clark Leonard J. Simms 97

7 Options and Dilemmas of Dimensional Measures for DSM-5: Which Types of Measures Fare Best in Predicting Course and Outcome? Hans-Ulrich Wittchen Michael Höfler Andrew T. Gloster Michelle G. Craske Katja Beesdo 119

Part III Assessing Functional Impairment for Clinical Significance and Disability

8 Clinical Significance and Disorder Thresholds in DSM-5: The Role of Disability and Distress William E. Narrow Emily A. Kuhl 147

9 Assessing Activity Limitations and Disability Among Adults Michael Von Korff Gavin Andrews Madeleine Delves 163

10 Measuring Disability Across Physical, Mental, and Cognitive Disorders Martin Prince Nick Glozier Renata Sousa Michael Dewey 189

Part IV Identifying Important Culture- and Gender-Related Expressions of Disorders

11 Assessing Mental Disorders and Service Use Across Countries: The Who World Mental Health Survey Initiative Philip S. Wang Sergio Aguilar-Gaxiola Jordi Alonso Sing Lee Michael Schoenbaum T. Bedirhan Üstün Ronald C. Kessler Ronny Bruffaerts Guilherme Borges Giovanni de Girolamo Oye Gureje Josep Maria Haro Stanislav Kostyuchenko Viviane Kovess Masféty Daphna Levinson Herbert Matschinger Zeina Mneimneh Mark Oakley Browne Johan Ormel José Posada-Villa Soraya Seedat Hisateru Tachimori Adley Tsang 231

12 The Intersection of Race, Ethnicity, Immigration, and Cultural Influences on the Nature and Distribution of Mental Disorders: An Examination of Major Depression James S. Jackson Jamie M. Abelson Patricia A. Berglund Briana Mezuk Myriam Torres Rong Zhang 267

13 Gender and Gender-Related Issues in DSM-5 Kimberly A. Yonkers Diana E. Clarke 287

Part V Incorporating Developmental Variations of Disorder Expression Across the Lifespan

14 Increasing the Developmental Focus in DSM-5: Broad Issues and Specific Potential Applications in Anxiety Daniel S. Pine E. Jane Costello Ron Dahl Regina James James F. Leckman Ellen Leibenluft Rachel G. Klein Judith L. Rapoport David Shaffer Eric Taylor Charles H. Zeanah 305

15 Diagnostic Issues Relating to Lifespan From Adulthood Into Later Life Warachal Eileen Faison Susan K. Schultz 323

Index 343

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