Classification of Psychiatric Disorders

Yong Ku Kim, Seon Cheol Park

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Because of the poor link between psychiatric diagnosis and neurobiological findings, it is difficult to classify mental disorders. The changes made to psychiatric diagnostic systems over the years can be understood in terms of “practical conservatism.” The Diagnostic and Statistical Manual of Mental Disorders (DSM)-I and DSM-II were theoretically supported by the psychoanalytic and psychodynamic approach. Subsequently, psychiatric diagnoses of this kind were opposed by the anti-psychiatry movement, as well as by the findings of the Rosenhan experiment. Thus, the DSM-III revolution contained more empiricism, aligning psychiatry with biomedicine. Psychiatric diagnoses are classified and defined in terms of Kraepelinian dualism, using a categorical approach. The empirical trend was continued in the DSM-IV. To overcome the limitations of current psychiatric diagnostic systems and integrate fundamental genetic, neurobiological, behavioral, environmental, and experimental components into psychiatry, the Research Domain Criteria (RDoC) were established. To overcome the limitations of the categorical approach, psychiatrists have considered adopting a dimensional approach. However, their efforts were frustrated in the DSM-5 revision process. Thus, the DSM-5 is characterized by the rearrangement of psychiatric diagnoses, the partial adoption of a dimensional approach, the introduction of new diagnoses, and harmonization with the International Classification of Diseases.

Original languageEnglish
Title of host publicationAdvances in Experimental Medicine and Biology
PublisherSpringer New York LLC
Pages17-25
Number of pages9
DOIs
Publication statusPublished - 2019 Jan 1

Publication series

NameAdvances in Experimental Medicine and Biology
Volume1192
ISSN (Print)0065-2598
ISSN (Electronic)2214-8019

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Keywords

  • Categorical approach
  • Dimensional approach
  • DSM
  • Psychiatric diagnosis
  • Research domain criteria (RDoC)

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Kim, Y. K., & Park, S. C. (2019). Classification of Psychiatric Disorders. In Advances in Experimental Medicine and Biology (pp. 17-25). (Advances in Experimental Medicine and Biology; Vol. 1192). Springer New York LLC. https://doi.org/10.1007/978-981-32-9721-0_2