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  • historypsychiatrystasisandchange

    Rights statement: 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/

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Understanding the DSM-5: stasis and change

Research output: Contribution to journalJournal article

Published
<mark>Journal publication date</mark>1/03/2018
<mark>Journal</mark>History of Psychiatry
Issue number1
Volume29
Number of pages17
Pages (from-to)49-65
StatePublished
Early online date29/11/17
Original languageEnglish

Abstract

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.

Bibliographic note

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/