• Soc Psychiatry Psychiatr Epidemiol · Jan 2015

    Review

    Psychopathology and classification in psychiatry.

    • David Goldberg.
    • Institute of Psychiatry, King's College, London, UK, davidpgoldberg@yahoo.com.
    • Soc Psychiatry Psychiatr Epidemiol. 2015 Jan 1;50(1):1-5.

    IntroductionThe strengths and weaknesses of the 5th edition of the Diagnostic and Statistical Manual of the American Psychiatric Association are considered, and the likely form of the revised version of the International Classification of Disease, due to be released in the future is briefly considered.CommentaryIt is argued that there are a number of problems in the checklist approach to diagnosis: there are no points of rarity between common disorders, and that many disorders are rough groupings containing highly heterogeneous syndromes. The tendency to reify these disorders and to view them as independent entities, and to stretch the concept of co-morbidity to cover individuals who satisfy more than one of the diagnostic checklists is seen as being misleading as it gives a false air of precision.ConclusionTwo broadly similar solutions are proposed for an alternative approach to common mental disorders.

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