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Making Sense of Historical Changes in the Diagnostic and Statistical Manual of Mental Disorders

Five Propositions

Bibliographic Data

ID2577005
AuthorsLloyd H Rogler (Fordham University, corresponding author)
Year1997
Volume38
Issue1
Pages9
Publication date1997-03-01
Open AccessNo
TypeARTICLE
VenueJournal of Health and Social Behavior (JOURNAL)
Journal identifiersISSN: 0022-1465 • E-ISSN: 2150-6000
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.2307/2955358
PMID9097505
OpenAlexW2077316575
LanguageEN
Citations received24
References cited4

From the first to the current fourth edition, the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) has grown considerably in size and complexity. The DSM-III (1980) represented a paradigm shift in psychiatric diagnoses and is the main focus of the article's five propositions attempting to make sense of basic historical changes in the manual. The first two propositions concern theoretical changes in the manual; they critically examine the effort to evict unverified etiological assumptions from diagnoses, the adoption of formulations of disorders as discretely constituted, and the role of the multiaxial context in diagnoses. The next two propositions attempt a new development: a set of concepts designating the structural changes in the DSM histories of individual disorders. The fifth proposition examines historical forces supporting the neo-Kraepelinian psychiatrists' efforts to produce the DSM-III. The conclusion brings the propositions together to explain the DSM's growth in size and complexity and to show that the general pattern of the DSM changes are aimed at remedicalizing the profession of psychiatry

Association (psychology) · Cognition · Cognitive psychology · Context (archaeology) · DSM-5 · Epistemology · Medical diagnosis · Proposition · Psychiatric diagnosis · Psychiatry · Psychotherapist · Set (abstract data type) · Academic and Historical Perspectives in Psychology · Computer Science · Medicine · Mental Health and Psychiatry · Psychology · Psychotherapy Techniques and Applications

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Citations per year0.89
Citation span1999 - 2023 (25)
Highly citedNo

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