Title |
Challenges and Strategies in Helping the DSM Become More Dimensional and Empirically Based
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Published in |
Current Psychiatry Reports, October 2014
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DOI | 10.1007/s11920-014-0515-3 |
Pubmed ID | |
Authors |
Robert F. Krueger, Christopher J. Hopwood, Aidan G. C. Wright, Kristian E. Markon |
Abstract |
The DSM-5 creation process and outcome underlines a core tension in psychiatry between empirical evidence that mental pathologies tend to be dimensional and a historical emphasis on delineating categorical disorders to frame psychiatric thinking. The DSM has been slow to reflect dimensional evidence because doing so is often perceived as a disruptive paradigm shift. As a result, other authorities are making this shift, circumventing the DSM in the process. For example, through the Research Domain Criteria (RDoC), NIMH now encourages investigators to focus on a dimensional and neuroscientific conceptualization of mental disorder research. Fortunately, the DSM-5 contains a dimensional model of maladaptive personality traits that provides clinical descriptors that align conceptually with the neuroscience-based dimensions delineated in the RDoC and in basic science research. Through frameworks such as the DSM-5 trait model, the DSM can evolve to better incorporate evidence of the dimensionality of mental disorder. |
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United Kingdom | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Spain | 1 | 2% |
Netherlands | 1 | 2% |
Denmark | 1 | 2% |
Unknown | 55 | 95% |
Demographic breakdown
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Student > Ph. D. Student | 11 | 19% |
Student > Bachelor | 8 | 14% |
Researcher | 8 | 14% |
Student > Master | 6 | 10% |
Student > Doctoral Student | 4 | 7% |
Other | 10 | 17% |
Unknown | 11 | 19% |
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Medicine and Dentistry | 6 | 10% |
Neuroscience | 3 | 5% |
Linguistics | 1 | 2% |
Business, Management and Accounting | 1 | 2% |
Other | 1 | 2% |
Unknown | 16 | 28% |