The Conceptual Evolution of DSM-5

There is a need to refine our current psychiatric nosology to produce diagnostic criteria and disorder categories that keep pace with advances in neuroscience while at the same time enhance clinical utility. Furthermore, dimensional aspects of psychiatric disorders require greater recognition so as to improve our understanding of boundaries between disorders and underscore the heterogeneous nature of psychopathology. The Conceptual Evolution of DSM-5 provides a framework for the evolution of the forthcoming diagnostic system in the fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which will help advance clinical practice and facilitate ongoing development of diagnostic criteria. This manual: ¿ Highlights recent progress in our understanding of cross-cutting factors relevant to psychiatric diagnosis and symptom presentation¿ Includes detailed discussions on the role of factors such as age, gender, culture, and disability in the expression of mental disorders¿ Provides a review of genetic evidence supporting a cross-cutting approach to nosology¿ Offers suggestions for integrating cross-cutting factors with DSM-5.

ContributorsIntroductionPART I: Diagnostic Spectra: Assessing the Validity of Disorder GroupingsChapter 1. Diagnosis of Mental Disorders in Light of Modern GeneticsChapter 2. Integration of Dimensional Spectra for Depression and Anxiety Into Categorical Diagnoses for General Medical PracticeChapter 3. One Way Forward for Psychiatric Nomenclature: The Example of the Spectrum Project ApproachChapter 4. Meta Effects of Classifying Mental DisordersPART II: Integrating Dimensional Concepts Into a Categorical SystemChapter 5. A Proposal for Incorporating Clinically Relevant Dimensions Into DSM-5Chapter 6. Empirically Derived Personality Disorder Prototypes: Bridging Dimensions and Categories in DSM-5Chapter 7. Options and Dilemmas of Dimensional Measures for DSM-5: Which Types of Measures Fare Best in Predicting Course and Outcome?PART III: Assessing Functional Impairment for Clinical Significance and DisabilityChapter 8. Clinical Significance and Disorder Thresholds in DSM-5: The Role of Disability and DistressChapter 9. Assessing Activity Limitations and Disability Among AdultsChapter 10. Measuring Disability Across Physical, Mental, and Cognitive DisordersPART IV: Identifying Important Culture- and Gender- Related Expressions of DisordersChapter 11. Assessing Mental Disorders and Service Use Across Countries: The WHO World Mental Health Survey InitiativeChapter 12. The Intersection of Race, Ethnicity, Immigration, and Cultural Influences on the Nature and Distribution of Mental Disorders: An Examination of Major DepressionChapter 13. Gender and Gender-Related Issues in DSM-5PART V: Incorporating Developmental Variations of Disorder Expression Across the LifespanChapter 14. Increasing the Developmental Focus in DSM-5: Broad Issues and Specific Potential Applications in AnxietyChapter 15. Diagnostic Issues Relating to Lifespan From Adulthood Into Later LifeIndex