Journal title PSICOTERAPIA E SCIENZE UMANE
Author/s Paolo Migone
Publishing Year 2013 Issue 2013/4 Language Italian
Pages 34 P. 567-600 File size 260 KB
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DSM-5, namely the Fifth Edition of the Diagnostic and Statistical Manual (DSM) of Mental Disorders of the American Psychiatric Association (APA) published in May 2013, is presented. After a discussion of five aspects of the DSMs ("atheoretical" approach, polithetic/monothetic, validity/reliability, and categorical/dimensional dichotomies, and multiaxial system - the latter abandoned in DSM-5), the critical debate that surrounded the DSM-5 process is described, and emphasized how lowered diagnostic thresholds might increase "false positive" diagnoses and use of medication. Also some critical comments made by Allen Frances (Chair of the DSM-IV Task Force) are reported. Finally, the DSM-5 structure is described, with some of its main innovations and a detailed illustration of the "Alternative DSM-5 model for personality disorders" which is included in Section III ("Emerging measures and models").
Keywords: DSM-5, psychiatric diagnosis, false positive diagnoses, diagnostic thresholds, dimensional model for personality disorders
Paolo Migone, Presentazione del DSM-5 in "PSICOTERAPIA E SCIENZE UMANE" 4/2013, pp 567-600, DOI: 10.3280/PU2013-004001