The five-year process of preparing for the revision of the
Diagnostic and Statistical Manual (DSM) has been organized around a
series of conferences convened by the American Psychiatric
Association, in collaboration with the World Health Organization
and the U.S. National Institutes of Health, to address the future
of psychiatric diagnosis. Obsessive-Compulsive Spectrum Disorders:
Refining the Research Agenda for DSM-V is the fruit of one of those
conferences and presents the most academically sound,
thought-provoking, and timely papers from the proceedings.
As the conference and book demonstrate, recent advances in
psychiatric diagnosis suggest a new approach to
obsessive-compulsive disorder (OCD) classification: - Research into
the pathogenesis of OCD increasingly supports reclassification out
of the anxiety disorders and into a separate group of
obsessive-compulsive-related disorders (OCRDs). - The relationships
among OCRDs may be better defined, delineated, and understood if
the current categorical diagnostic approach is supplemented with a
dimensional approach which assesses obsessive-compulsive symptom
domains.- Obsessive-compulsive disorders are believed to be
underdiagnosed in patients who complain of broad symptoms of
anxiety, and reclassification of OCD as an OCRD would promote more
careful examination of distinct obsessive-compulsive symptoms,
yield more accurate diagnosis, and result in more effective
treatments.- Reclassification may facilitate future research
directions in examining the biological underpinnings of these
disorders.
In addition to examining the genetic, neurological, and
ethno-cultural bases for OCRDs, the book gives special attention to
disorders that cross current diagnostic categories, including: -
Body dysmorphic disorder (BDD)- Tourette's syndrome and
trichotillomania- Impulse-control disorders
The process leading to publication of DSM-V is by its nature an
exhaustive and complex one, and the conferences play a critical
role in reviewing relevant research, assessing the status of
scientific knowledge, and advancing that knowledge base.
Obsessive-Compulsive Spectrum Disorders: Refining the Research
Agenda for DSM-V represents the cutting-edge thinking that will
culminate in new diagnoses, classifications, and standards of
practice for this debilitating set of disorders. Clinicians and
academicians will be fascinated by this glimpse into the next
generation of the DSM-V.
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