Tuesday, 7 May 2013

Days Numbered, DSM?

Published: 05/03/2013 03:43 PM EDT

National Institute Of Mental Health To Drop DSM Use

"The National Institute of Mental Health is moving away from the Diagnostic and Statistical Manual of Mental Disorders, sometimes known as the psychiatrist's "bible," saying that patients deserve better.

The change won't alter the way patients get diagnosed and treated in the clinic -- at least not for many years. Instead, researchers seeking to study mental disorders with National Institute of Mental Health (NIMH) funding will be required to look at patients across traditional diagnoses, rather than limiting their studies to a single DSM diagnosis such as depression, for example.

"Studies of biomarkers for 'depression' might begin by looking across many disorders with anhedonia or emotional appraisal bias or psychomotor retardation to understand the circuitry underlying these symptoms," NIMH director Thomas Insel wrote in a statement.

The DSM's fifth revision, the DSM-5, is due out in May. The book, published by the American Psychiatric Association, classifies mental disorders, and the revisions have spurred controversy. Particular disorders, such as sexual fetishes, are contested by those who would like to see them removed from the book and those who would like to see those diagnoses remain available.

Compared with the NIMH's shift, however, the DSM changes are minor. The agency is looking to improve the way mental disorders are identified in general.

"Unlike our definitions of ischemic heart disease, lymphoma or AIDS, the DSM diagnoses are based on a consensus about clusters of clinical symptoms, not any objective laboratory measure," Insel wrote.

As an alternative, the NIMH is launching the Research Domain Criteria Project. The goal, according to the agency, is "to transform diagnosis by incorporating genetics, imaging, cognitive science and other levels of information to lay the foundation for a new classification system."

The decade-long project will require researchers to include patients across DSM categories, or to subdivide the categories, when conducting research trials.

"We need to begin collecting the genetic, imaging, physiologic and cognitive data to see how all the data - not just the symptoms - cluster and how these clusters relate to treatment response," Insel wrote."


Monday, May 6, 2013 05:06 PM +0100

Beginning of the end of the DSM-IV?

"The National Institute of Mental Health has announced it will reorient its research away from DSM categories

What is mental illness? Schizophrenia? Autism? Bipolar disorder? Depression? Since the 1950s, the profession of psychiatry has attempted to provide definitive answers to these questions in the Diagnostic and Statistical Manual of Mental Disorders. Often called The Bible of psychiatry, the DSM serves as the ultimate authority for diagnosis, treatment and insurance coverage of mental illness."


Mental Health Researchers Reject Psychiatry’s New Diagnostic ‘Bible’


DSM-5: A Manual Run Amok



New edition of Psychiatric bible


Normal behaviour defined as mental illness


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