Diagnosing DSM-IV - Part I: DSM-IV and the concept of disorder

Jerome C. Wakefield

    Research output: Contribution to journalArticle

    Abstract

    In this first article in a two-article series, I 'diagnose' a problem with DSM-IV, specifically, the overinclusiveness of its diagnostic criteria. Using the harmful dysfunction analysis of the concept of disorder as a framework, I argue that DSM-IV criteria for many diagnostic categories fail to satisfy the analysis' 'dysfunction' requirement, that is, the criteria do not distinguish harmful conditions due to internal dysfunctions from harmful conditions that are nondisordered 'problems in living'. The overinclusiveness problem, I suggest, can be partly dealt with by giving up purely symptomatic criteria and contextualizing diagnosis to take into account the relationship between triggering causes and resulting symptoms. In Part II, I examine Eysenck's proposal for a dimensional diagnostic system to supplant DSM-IV.

    Original languageEnglish (US)
    Pages (from-to)633-649
    Number of pages17
    JournalBehaviour Research and Therapy
    Volume35
    Issue number7
    DOIs
    StatePublished - Jul 1 1997

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    Diagnostic and Statistical Manual of Mental Disorders

    ASJC Scopus subject areas

    • Experimental and Cognitive Psychology
    • Clinical Psychology
    • Psychiatry and Mental health

    Cite this

    Diagnosing DSM-IV - Part I : DSM-IV and the concept of disorder. / Wakefield, Jerome C.

    In: Behaviour Research and Therapy, Vol. 35, No. 7, 01.07.1997, p. 633-649.

    Research output: Contribution to journalArticle

    Wakefield, Jerome C. / Diagnosing DSM-IV - Part I : DSM-IV and the concept of disorder. In: Behaviour Research and Therapy. 1997 ; Vol. 35, No. 7. pp. 633-649.
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