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Philosophical Issues in Psychiatry IV - Psychiatric Nosology (Paperback)
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Philosophical Issues in Psychiatry IV - Psychiatric Nosology (Paperback)
Series: International Perspectives in Philosophy and Psychiatry
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The revisions of both DSM-IV and ICD-10 have again focused the
interest of the field of psychiatry and clinical psychology on the
issue of nosology. This interest has been further heightened by a
series of controversies associated with the development of DSM-5
including the fate of proposed revisions of the personality
disorders, bereavement, and the autism spectrum. Major debate arose
within the DSM process about the criteria for changing criteria,
leading to the creation of first the Scientific Review Committee
and then a series of other oversight committees which weighed in on
the final debates on the most controversial proposed additions to
DSM-5, providing important influences on the final decisions.
Contained within these debates were a range of conceptual and
philosophical issues. Some of these - such as the definition of
mental disorder or the problems of psychiatric "epidemics" - have
been with the field for a long time. Others - the concept of
epistemic iteration as a framework for the introduction of
nosologic change - are quite new. This book reviews issues within
psychiatric nosology from clinical, historical and particularly
philosophical perspectives. The book brings together a range of
distinguished authors - including major psychiatric researchers,
clinicians, historians and especially nosologists - including
several leaders of the DSM-5 effort and the DSM Steering Committee.
It also includes contributions from psychologists with a special
interest in psychiatric nosology and philosophers with a wide range
of orientations. The book is organized into four major sections:
The first explores the nature of psychiatric illness and the way in
which it is defined, including clinical and psychometric
perspectives. The second section examines problems in the
reification of psychiatric diagnostic criteria, the problem of
psychiatric epidemics, and the nature and definition of individual
symptoms. The third section explores the concept of epistemic
iteration as a possible governing conceptual framework for the
revision efforts for official psychiatric nosologies such as DSM
and ICD and the problems of validation of psychiatric diagnoses.
The book ends by exploring how we might move from the descriptive
to the etiologic in psychiatric diagnoses, the nature of progress
in psychiatric research, and the possible benefits of moving to a
living document (or continuous improvement) model for psychiatric
nosologic systems. The result is a book that captures the dynamic
cross-disciplinary interactions that characterize the best work in
the philosophy of psychiatry.
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