Advancing DSM: Dilemmas in Psychiatric

In this book, leading clinicians and researchers present diagnostic dilemmas from clinical practice that are intriguing, controversial, unresolved, and remarkable in their theoretical and scientific complexity. Chapters present a specific case study of a disorder or an area of diagnosis that illuminates the need for a revised diagnostic system. Chapter by chapter, Advancing DSM raises important, clinically relevant questions about the nature of diagnosis under the current DSM system and recommends new approaches.

Katharine A. Phillips, M.D., is Associate Professor of Psychiatry and Human Behavior at Brown University School of Medicine and Director of the Body Dysmorphic Disorder Program at Butler Hospital in Providence, Rhode Island.

Michael B. First, M.D., is Research Psychiatrist at the New York State Psychiatric Institute and Associate Professor of Clinical Psychiatry at Columbia University College of Physicians and Surgeons in New York, New York.

Harold Alan Pincus, M.D., is Professor and Executive Vice Chairman of the Department of Psychiatry in the Western Psychiatric Institute and Clinic at the University of Pittsburgh School of Medicine, and Senior Scientist and Director of RAND at the University of Pittsburgh Health Research Institute in Pittsburgh, Pennsylvania.

Contributors

vii

Foreword

xi

Steven E. Hyman

Acknowledgments

xxiii

Introduction

xxv

Katharine A. Phillips

Michael B. First

Harold Alan Pincus

Determining Causation in Psychiatry

1

(22)

Eric D. Caine

Clarifying the Distinction Between Disorder and Nondisorder: Confronting the Overdiagnosis (False-Positives) Problem in DSM-V

23

(34)

Jerome C. Wakefield

Michael B. First

Should the DSM Diagnostic Groupings Be Changed?

57

(28)

Katharine A. Phillips

Lawrence H. Price

Benjamin D. Greenberg

Steven A. Rasmussen

Laboratory Testing and Neuroimaging: Implications for Psychiatric Diagnosis and Practice

85

(20)

David C. Steffens

K. Ranga Rama Krishnan

Insights From Neuroscience for the Concept of Schizotaxia and the Diagnosis of Schizophrenia

105

(24)

Ming T. Tsuang

William S. Stone

Sarah I. Tarbox

Stephen V. Faraone

Subthreshold Mental Disorders: Nosological and Research Recommendations

129

(16)

Harold Alan Pincus

Laurie E. McQueen

Lynn Elinson

Multiaxial Assessment in the Twenty-First Century

145

(8)

Alan M. Gruenberg

Reed D. Goldstein

Diagnostic Dilemmas in Classifying Personality Disorder

153

(38)

W. John Livesley

Relationship Disorders Are Psychiatric Disorders: Five Reasons They Were Not Included in DSM-IV

191

(34)

David Reiss

Robert N. Emde

Index

225

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Advancing DSM: Dilemmas in Psychiatric Diagnosis

Summary

Author Biography

Table of Contents

Supplemental Materials