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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Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Understanding the DSM-5
T2 - stasis and change
AU - Cooper, Rachel Valerie
N1 - 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/
PY - 2018/3/1
Y1 - 2018/3/1
N2 - 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.
AB - 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.
KW - Conceptual framework
KW - DSM-III
KW - DSM-IV
KW - DSM-5
KW - lock-in
U2 - 10.1177/0957154X17741783
DO - 10.1177/0957154X17741783
M3 - Journal article
VL - 29
SP - 49
EP - 65
JO - History of Psychiatry
JF - History of Psychiatry
SN - 0957-154X
IS - 1
ER -