Why Are We Rushing to Publish DSM-IV?

Mark A. Zimmerman

74 citations0/0 files storedArchives of General Psychiatry

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Mental Health and Psychiatry Psychology and Mental Health Medical Research and Practices

Abstract

DSM-IIIwas published in 1980.1Seven years later,DSMIII-Revised (DSM-III-R) was published.2Less than one year after the publication ofDSM-III-R, the American Psychiatric Association (APA) announced its intention to publishDSM-IVby the end of 1992 (Psychiatric News, Jan 15, 1988, p 1). Thus, a five-year interval will separate the publication ofDSM-III-RandDSM-IV. The thesis of this essay is that five years is insufficient for the accumulation of an adequate database to guide the developers ofDSM-IV. Moreover, the publication of threeDSMeditions within 12 years will result in diagnostic subdivisions within both the research and clinical communities, which will impair progress in the development of a valid classification. DSM-IV: THE GOAL AND ITS FULFILLMENT The chairperson of the task force for the development ofDSM-IV, Allen Frances, MD, is advocating a conservative approach toward changing theDSM-III-Rcriteria such that only those changes

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References

1972Diagnostic Criteria for Use in Psychiatric Research 1986A Self-Report Scale to Diagnose Major Depressive Disorder 1987The Inventory to Diagnose Depression (IDD): A self-report scale to diagnose major depressive disorder.1925CLASSIFICATION OF MENTAL DISORDERS.1989Melancholia: from DSM-III to DSM-III-R

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