Research Plan Hints at DSM-V's Future. (from Syndromal to Etiologic)

By Sullivan, Michele G. | Clinical Psychiatry News, August 2002 | Go to article overview

Research Plan Hints at DSM-V's Future. (from Syndromal to Etiologic)


Sullivan, Michele G., Clinical Psychiatry News


The American Psychiatric Association hopes its new research agenda for the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders will help rectify some of the problems that have plagued DSM-IV, and begin a revolutionary change in the way psychiatric problems are diagnosed.

Right now, said Dr. Michael First, a coeditor of the Research Agenda for DSM-V, the research necessary for those kinds of changes, although promising, is still very limited. If, over the next 5-10 years, researchers focus on the validity of psychiatric diagnosis and the etiology of mental illness, DSM diagnostic criteria could evolve from syndromal to etiologic.

"The DSM is a reflection of the state of the art of psychiatry," Dr. First said, "and at this point, it's a measure of the limitation of our knowledge. We still rely on symptoms for diagnosis. But ultimately, the goal is to learn the causes of these disorders. Our ope is this agenda will stimulate research in specific areas and bring an entirely new database to future editions of the DSM."

The DSM-III, published in 1980, reflected a surge of research in psychiatry. Considered a landmark departure from the previous manuals, it imposed a descriptive diagnostic method based on observable and reportable symptoms.

But the DSM-IV published in 1994, was based on literature reviews, which, while extensive, offered to clinicians little new knowledge about the underlying etiology or pathophysiology of mental disorders.

In 1999, APA leaders sponsored a research-planning conference, foreseeing that the coming explosion of genetic, psychiatric, and neurobiologic research could be the basis of another landmark DSM revision. The conference resulted in the creation of six workgroups, each of which addressed an area crucial to improving the manual: developmental science, culture and psychiatric diagnosis, gaps in the manual's treatment of personality and relational disorders, nomenclature issues, neuroscience and genetics, and disability and impairment.

"This was kind of a fresh-start approach," said Dr. First of Columbia University New York. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Research Plan Hints at DSM-V's Future. (from Syndromal to Etiologic)
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.