Understanding the DSM-5 : stasis and change

Cooper, Rachel Valerie (2018) Understanding the DSM-5 : stasis and change. History of Psychiatry, 29 (1). pp. 49-65. ISSN 0957-154X

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This paper aims to understand the DSM-5 through situating it within the context of the historical development of the DSM series. When one looks at the sets of diagnostic criteria, the DSM-5 is strikingly similar to the DSM-IV. I argue that at this level the DSM has become ‘locked-in’ and difficult to change. At the same time, at the structural, or conceptual, level there have been radical changes, for example, in the definition of ‘mental disorder’, the role of theory and of values, and in the abandonment of multiaxial approach to diagnosis. The way that the DSM-5 was constructed means that the overall conceptual framework of the classification only barely constrains the sets of diagnostic criteria that it contains.

Item Type:
Journal Article
Journal or Publication Title:
History of Psychiatry
Additional Information:
The final, definitive version of this article has been published in the Journal, History of Psychiatry, 29 (1), 2018, © SAGE Publications Ltd, 2018 by SAGE Publications Ltd at the History of Psychiatry page: http://journals.sagepub.com/home/hpy on SAGE Journals Online: http://journals.sagepub.com/
Uncontrolled Keywords:
?? conceptual frameworkdsm-iiidsm-ivdsm-5lock-inpsychiatry and mental health ??
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Deposited On:
01 Feb 2017 13:08
Last Modified:
09 May 2024 00:46