Classification of mental disorders

There are currently two widely established systems for classifying mental disorders

For broader coverage of this topic, see Mental disorder.

Part of a series on

Psychology

* Outline
* History
* Subfields

Basic psychology

* Abnormal
* Affective neuroscience
* Affective science
* Behavioral genetics
* Behavioral neuroscience
* Behaviorism
* Cognitive/Cognitivism
* Cognitive neuroscience
* Social
* Comparative
* Cross-cultural
* Cultural
* Developmental
* Differential
* Ecological
* Evolutionary
* Experimental
* Gestalt
* Intelligence
* Mathematical
* Moral
* Neuropsychology
* Perception
* Personality
* Psycholinguistics
* Psychophysiology
* Quantitative
* Social
* Theoretical

Applied psychology

* Anomalistic
* Applied behavior analysis
* Assessment
* Clinical
* Coaching
* Community
* Consumer
* Counseling
* Critical
* Educational
* Ergonomics
* Feminist
* Forensic
* Health
* Humanistic
* Industrial and organizational
* Legal
* Media
* Medical
* Military
* Music
* Occupational health
* Pastoral
* Political
* Positive
* Psychometrics
* Psychotherapy
* Religion
* School
* Sport and exercise
* Suicidology
* Systems
* Traffic

Concepts

* Behavior
* Behavioral engineering
* Behavioral genetics
* Behavioral neuroscience
* Cognition
* Competence
* Consciousness
* Consumer behavior
* Emotions
* Feelings
* Human factors and ergonomics
* Intelligence
* Mental state
* Mind
* Psychology of religion
* Psychometrics
* Terror management theory

Lists

* Counseling topics
* Disciplines
* Organizations
* Outline
* Psychologists
* Psychotherapies
* Research methods
* Schools of thought
* Timeline
* Topics

* Psychology portal

* v
* t
* e

The classification of mental disorders, also known as psychiatric nosology or psychiatric taxonomy, is central to the practice of psychiatry and other mental health professions.

The two most widely used psychiatric classification systems are chapter V of the International Classification of Diseases, 10th edition (ICD-10), produced by the World Health Organization (WHO); and the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), produced by the American Psychiatric Association (APA).

Both systems list disorders thought to be distinct types, and in recent revisions the two systems have deliberately converged their codes so that their manuals are often broadly comparable, though differences remain. Both classifications employ operational definitions.[1]

Other classification schemes, used more locally, include the Chinese Classification of Mental Disorders.

Manuals of limited use, by practitioners with alternative theoretical persuasions, include the Psychodynamic Diagnostic Manual.

## Definitions

[edit]

In the scientific and academic literature on the definition or categorization of mental disorders, one extreme argues that it is entirely a matter of value judgments (including of what is normal) while another proposes that it is or could be entirely objective and scientific (including by reference to statistical norms);[2] other views argue that the concept refers to a "fuzzy prototype" that can never be precisely defined, or that the definition will always involve a mixture of scientific facts (e.g. that a natural or evolved function is not working properly) and value judgments (e.g. that it is harmful or undesired).[3] Lay concepts of mental disorder vary considerably across different cultures and countries, and may refer to different sorts of individual and social problems.[4]

The WHO and national surveys report that there is no single consensus on the definition of mental disorder, and that the phrasing used depends on the social, cultural, economic and legal context in different contexts and in different societies.[5][6] The WHO reports that there is intense debate about which conditions should be included under the concept of mental disorder; a broad definition can cover mental illness, intellectual disability, personality disorder and substance dependence, but inclusion varies by country and is reported to be a complex and debated issue.[5] There may be a criterion that a condition should not be expected to occur as part of a person's usual culture or religion. However, despite the term "mental", there is not necessarily a clear distinction drawn between mental (dys)functioning and brain (dys)functioning, or indeed between the brain and the rest of the body.[7]

Most international clinical documents avoid the term "mental illness", preferring the term "mental disorder".[5] However, some use "mental illness" as the main overarching term to encompass mental disorders.[8] Some consumer/survivor movement organizations oppose use of the term "mental illness" on the grounds that it supports the dominance of a medical model.[5] The term "serious mental impairment" (SMI) is sometimes used to refer to more severe and long-lasting disorders while "mental health problems" may be used as a broader term, or to refer only to milder or more transient issues.[9][10] Confusion often surrounds the ways and contexts in which these terms are used.[11]

Mental disorders are generally classified separately to neurological disorders, learning disabilities or intellectual disabilities.

## ICD-10

[edit]

The International Classification of Diseases (ICD) is an international standard diagnostic classification for a wide variety of health conditions. The ICD-10 states that mental disorder is "not an exact term", although is generally used "...to imply the existence of a clinically recognisable set of symptoms or behaviours associated in most cases with distress and with interference with personal functions." Chapter V focuses on "mental and behavioural disorders" and consists of 10 main groups:[12]

* F0 – F9: Organic, including symptomatic, mental disorders
* F10 – F-19: Mental and behavioural disorders due to use of psychoactive substances
* F20 – F25: Schizophrenia, schizotypal and delusional disorders
* F30 – F39: Mood [affective] disorders
* F40 – F49: Neurotic, stress-related and somatoform disorders
* F50 – F59: Behavioural syndromes associated with physiological disturbances and physical factors
* F60 – F69: Disorders of personality and behaviour in adult persons
* F70 – F79: Mental retardation
* F80 – F89: Disorders of psychological development
* F90 – 98: Behavioural and emotional disorders with onset usually occurring in childhood and adolescence
* In addition, a group of F99 "unspecified mental disorders".

Within each group there are more specific subcategories. The WHO has revised ICD-10 to produce the latest version, ICD-11, adopted by the 72nd World Health Assembly in 2019 and came into effect on 1 January 2022.[13]

## DSM-IV

[edit]

The DSM-IV was originally published in 1994 and listed more than 250 mental disorders. It was produced by the American Psychiatric Association and it characterizes mental disorder as "a clinically significant behavioral or psychological syndrome or pattern that occurs in an individual,...is associated with present distress...or disability...or with a significantly increased risk of suffering" but that "...no definition adequately specifies precise boundaries for the concept of 'mental disorder'...different situations call for different definitions" (APA, 1994 and 2000). The DSM also states that "there is no assumption that each category of mental disorder is a completely discrete entity with absolute boundaries dividing it from other mental disorders or no mental disorders."

The DSM-IV-TR (Text Revision, 2000) consisted of five axes (domains) on which disorder could be assessed. The five axes were:

Axis I: Clinical Disorders (all mental disorders except Personality Disorders and Mental Retardation)
Axis II: Personality Disorders and Mental Retardation
Axis III: General Medical Conditions (must be connected to a Mental Disorder)
Axis IV: Psychosocial and Environmental Problems (for example limited social support network)
Axis V: Global Assessment of Functioning (Psychological, social and job-related functions are evaluated on a continuum between mental health and extreme mental disorder)

The axis classification system was removed in the DSM-5 and is now mostly of historical significance.[14] The main categories of disorder in the DSM are:

DSM Group | Examples

|

Disorders usually first diagnosed in infancy, childhood or adolescence. *Disorders such as ADHD and epilepsy have also been referred to as developmental disorders and developmental disabilities. | ADHD
Delirium, dementia, and amnesia and other cognitive disorders | Alzheimer's disease
Mental disorders due to a general medical condition | AIDS-related psychosis
Substance-related disorders | Alcohol use disorder
Schizophrenia and other psychotic disorders | Delusional disorder
Mood disorders | Major depressive disorder, Bipolar disorder
Anxiety disorders | Generalized anxiety disorder, Social anxiety disorder
Somatoform disorders | Somatization disorder
Factitious disorders | Münchausen syndrome
Dissociative disorders | Dissociative identity disorder
Sexual and gender dysphoria | Dyspareunia, Gender dysphoria
Eating disorders | Anorexia nervosa, Bulimia nervosa
Sleep disorders | Insomnia
Impulse control disorders not elsewhere classified | Kleptomania
Adjustment disorders | Adjustment disorder
Personality disorders | Narcissistic personality disorder
Other conditions that may be a focus of clinical attention | Tardive dyskinesia, Child abuse

## Other schemes

[edit]

* The Chinese Society of Psychiatry's Chinese Classification of Mental Disorders (currently CCMD-3)
* The Latin American Guide for Psychiatric Diagnosis (GLDP).[15]
* The Research Domain Criteria (RDoC), a framework being developed by the National Institute of Mental Health
* The Hierarchical Taxonomy of Psychopathology (HiTOP), developed by the HiTOP consortium, a group of psychologists and psychiatrists who had a record of scientific contributions to classification of psychopathology.

## Childhood diagnosis

[edit]

Child and adolescent psychiatry sometimes uses specific manuals in addition to the DSM and ICD. The Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC:0-3) was first published in 1994 by Zero to Three to classify mental health and developmental disorders in the first four years of life. It has been published in 9 languages.[16][17] The Research Diagnostic criteria-Preschool Age (RDC-PA) was developed between 2000 and 2002 by a task force of independent investigators with the goal of developing clearly specified diagnostic criteria to facilitate research on psychopathology in this age group.[18][19] The French Classification of Child and Adolescent Mental Disorders (CFTMEA), operational since 1983, is the classification of reference for French child psychiatrists.[20]

## Usage

[edit]

The ICD and DSM classification schemes have achieved widespread acceptance in psychiatry. A survey of 205 psychiatrists, from 66 countries across all continents, found that ICD-10 was more frequently used and more valued in clinical practice and training, while the DSM-IV was more frequently used in clinical practice in the United States and Canada, and was more valued for research, with accessibility to either being limited, and usage by other mental health professionals, policy makers, patients and families less clear. .[21] A primary care (e.g. general or family physician) version of the mental disorder section of ICD-10 has been developed (ICD-10-PHC) which has also been used quite extensively internationally.[22] A survey of journal articles indexed in various biomedical databases between 1980 and 2005 indicated that 15,743 referred to the DSM and 3,106 to the ICD.[23]

In Japan, most university hospitals use either the ICD or DSM. ICD appears to be the somewhat more used for research or academic purposes, while both were used equally for clinical purposes. Other traditional psychiatric schemes may also be used.[24]

## Types of classification schemes

[edit]

### Categorical schemes

[edit]

The classification schemes in common usage are based on separate (but may be overlapping) categories of disorder schemes sometimes termed "neo-Kraepelinian" (after the psychiatrist Kraepelin)[25] which is intended to be atheoretical with regard to etiology (causation). These classification schemes have achieved some widespread acceptance in psychiatry and other fields, and have generally been found to have improved inter-rater reliability, although routine clinical usage is less clear. Questions of validity and utility have been raised, both scientifically[26] and in terms of social, economic and political factors—notably over the inclusion of certain controversial categories, the influence of the pharmaceutical industry,[27] or the stigmatizing effect of being categorized or labelled.

### Non-categorical schemes

[edit]

Some approaches to classification do not use categories with single cut-offs separating the ill from the healthy or the abnormal from the normal (a practice sometimes termed "threshold psychiatry" or "dichotomous classification"[28]).[29]

Classification may instead be based on broader underlying "spectra", where each spectrum links together a range of related categorical diagnoses and nonthreshold symptom patterns.[30]

Some approaches go further and propose continuously varying dimensions that are not grouped into spectra or categories; each individual simply has a profile of scores across different dimensions.[31] DSM-5 planning committees are currently seeking to establish a research basis for a hybrid dimensional classification of personality disorders.[32] However, the problem with entirely dimensional classifications is they are said to be of limited practical value in clinical practice where yes/no decisions often need to be made, for example whether a person requires treatment, and moreover the rest of medicine is firmly committed to categories, which are assumed to reflect discrete disease entities.[33] While the Psychodynamic Diagnostic Manual has an emphasis on dimensionality and the context of mental problems, it has been structured largely as an adjunct to the categories of the DSM. Moreover, dimensionality approach was criticized for its reliance on independent dimensions whereas all systems of behavioral regulations show strong inter-dependence, feedback and contingent relationships [34][35]

### Descriptive vs Somatic

[edit]

Descriptive classifications are based almost exclusively on either descriptions of behavior as reported by various observers, such as parents, teachers, and medical personnel; or symptoms as reported by individuals themselves. As such, they are quite subjective, not amenable to verification by third parties, and not readily transferable across chronologic and/or cultural barriers.

Somatic nosology, on the other hand, is based almost exclusively on the objective histologic and chemical abnormalities which are characteristic of various diseases and can be identified by appropriately trained pathologists. While not all pathologists will agree in all cases, the degree of uniformity allowed is orders of magnitude greater than that enabled by the constantly changing classification embraced by the DSM system. Some models, like Functional Ensemble of Temperament suggest to unify nosology of somatic, biologically based individual differences in healthy people (temperament) and their deviations in a form of mental disorders in one taxonomy.[35][36]

## Cultural differences

[edit]

Classification schemes may not apply to all cultures. The DSM is based on predominantly American research studies and has been said to have a decidedly American outlook, meaning that differing disorders or concepts of illness from other cultures (including personalistic rather than naturalistic explanations) may be neglected or misrepresented, while Western cultural phenomena may be taken as universal.[37] Culture-bound syndromes are those hypothesized to be specific to certain cultures (typically taken to mean non-Western or non-mainstream cultures); while some are listed in an appendix of the DSM-IV they are not detailed and there remain open questions about the relationship between Western and non-Western diagnostic categories and sociocultural factors, which are addressed from different directions by, for example, cross-cultural psychiatry or anthropology.

## Historical development

[edit]

See also: History of mental disorders

### Antiquity

[edit]

In Ancient Greece, Hippocrates and his followers are generally credited with the first classification system for mental illnesses, including mania, melancholia, paranoia, phobias and Scythian disease (transvestism). They held that they were due to different kinds of imbalance in four humors.

### Middle ages to Renaissance

[edit]

The Persian physicians 'Ali ibn al-'Abbas al-Majusi and Najib ad-Din Samarqandi elaborated upon Hippocrates' system of classification.[38] Avicenna (980−1037 CE) in the Canon of Medicine listed a number of mental disorders, including "passive male homosexuality".

Laws generally distinguished between "idiots" and "lunatics".

Thomas Sydenham (1624–1689), the "English Hippocrates", emphasized careful clinical observation and diagnosis and developed the concept of a syndrome, a group of associated symptoms having a common course, which would later influence psychiatric classification.

### 18th century

[edit]

Evolution in the scientific concepts of psychopathology (literally referring to diseases of the mind) took hold in the late 18th and 19th centuries following the Renaissance and Enlightenment. Individual behaviors that had long been recognized came to be grouped into syndromes.

Boissier de Sauvages developed an extremely extensive psychiatric classification in the mid-18th century, influenced by the medical nosology of Thomas Sydenham and the biological taxonomy of Carl Linnaeus. It was only part of his classification of 2400 medical diseases. These were divided into 10 "classes", one of which comprised the bulk of the mental diseases, divided into four "orders" and 23 "genera". One genus, melancholia, was subdivided into 14 "species".

William Cullen advanced an influential medical nosology which included four classes of neuroses: coma, adynamias, spasms, and vesanias. The vesanias included amentia, melancholia, mania, and oneirodynia.

Towards the end of the 18th century and into the 19th, Pinel, influenced by Cullen's scheme, developed his own, again employing the terminology of genera and species. His simplified revision of this reduced all mental illnesses to four basic types. He argued that mental disorders are not separate entities but stem from a single disease that he called "mental alienation".

Attempts were made to merge the ancient concept of delirium with that of insanity, the latter sometimes described as delirium without fever.

On the other hand, Pinel had started a trend for diagnosing forms of insanity 'without delirium' (meaning hallucinations or delusions) – a concept of partial insanity. Attempts were made to distinguish this from total insanity by criteria such as intensity, content or generalization of delusions.[39]

### 19th century

[edit]

Pinel's successor, Esquirol, extended Pinel's categories to five. Both made a clear distinction between insanity (including mania and dementia) as opposed to mental retardation (including idiocy and imbecility). Esquirol developed a concept of monomania—a periodic delusional fixation or undesirable disposition on one theme—that became a broad and common diagnosis and a part of popular culture for much of the 19th century.[40] The diagnosis of "moral insanity" coined by James Prichard also became popular; those with the condition did not seem delusional or intellectually impaired but seemed to have disordered emotions or behavior.

The botanical taxonomic approach was abandoned in the 19th century, in favor of an anatomical-clinical approach that became increasingly descriptive. There was a focus on identifying the particular psychological faculty involved in particular forms of insanity, including through phrenology, although some argued for a more central "unitary" cause.[39] French and German psychiatric nosology was in the ascendency. The term "psychiatry" ("Psychiatrie") was coined by German physician Johann Christian Reil in 1808, from the Greek "ψυχή" (psychē: "soul or mind") and "ιατρός" (iatros: "healer or doctor"). The term "alienation" took on a psychiatric meaning in France, later adopted into medical English. The terms psychosis and neurosis came into use, the former viewed psychologically and the latter neurologically.[39]

In the second half of the century, Karl Kahlbaum and Ewald Hecker developed a descriptive categorizion of syndromes, employing terms such as dysthymia, cyclothymia, catatonia, paranoia and hebephrenia. Wilhelm Griesinger (1817–1869) advanced a unitary scheme based on a concept of brain pathology. French psychiatrists Jules Baillarger described "folie à double forme" and Jean-Pierre Falret described "la folie circulaire"—alternating mania and depression.

The concept of adolescent insanity or developmental insanity was advanced by Scottish Asylum Superintendent and Lecturer in Mental Diseases Thomas Clouston in 1873, describing a psychotic condition which generally impacts those aged 18–24 years, particularly males, and in 30% of cases proceeded to "a secondary dementia".[41]

The concept of hysteria (wandering womb) had long been used, perhaps since ancient Egyptian times, and was later adopted by Freud. Descriptions of a specific syndrome now known as somatization disorder were first developed by the French physician, Paul Briquet in 1859.

An American physician, Beard, described "neurasthenia" in 1869. German neurologist Westphal, coined the term "obsessional neurosis" now termed obsessive-compulsive disorder, and agoraphobia. Alienists created a whole new series of diagnoses that highlighted single, impulsive behavior, such as kleptomania, dipsomania, pyromania, and nymphomania. The diagnosis of drapetomania was also developed in the Southern United States to explain the perceived irrationality of black slaves trying to escape what was thought to be a suitable role.

The scientific study of homosexuality began in the 19th century, informally viewed either as natural or as a disorder. Kraepelin included it as a disorder in his Compendium der Psychiatrie that he published in successive editions from 1883.[42]

"Psychiatrists of Europe! Protect your sanctified diagnoses!" Cartoon by Emil Kraepelin, 1896.

In the late 19th century, Koch referred to "psychopathic inferiority" as a new term for moral insanity. In the 20th century the term became known as "psychopathy" or "sociopathy", related specifically to antisocial behavior. Related studies led to the DSM-III category of antisocial personality disorder.

### 20th century

[edit]

Influenced by the approach of Kahlbaum and others, and developing his concepts in publications spanning the turn of the century, German psychiatrist Emil Kraepelin advanced a new system. He grouped together a number of existing diagnoses that appeared to all have a deteriorating course over time—such as catatonia, hebephrenia and dementia paranoides—under another existing term "dementia praecox" (meaning "early senility", later renamed schizophrenia). Another set of diagnoses that appeared to have a periodic course and better outcome were grouped together under the category of manic-depressive insanity (mood disorder). He also proposed a third category of psychosis, called paranoia, involving delusions but not the more general deficits and poor course attributed to dementia praecox. In all he proposed 15 categories, also including psychogenic neurosis, psychopathic personality, and syndromes of defective mental development (mental retardation). He eventually included homosexuality in the category of "mental conditions of constitutional origin".[citation needed]

The neuroses were later split into anxiety disorders and other disorders.

Freud wrote extensively on hysteria and also coined the term, "anxiety neurosis", which appeared in DSM-I and DSM-II. Checklist criteria for this led to studies that were to define panic disorder for DSM-III.

Early 20th century schemes in Europe and the United States reflected a brain disease (or degeneration) model that had emerged during the 19th century, as well as some ideas from Darwin's theory of evolution and/or Freud's psychoanalytic theories.

Psychoanalytic theory did not rest on classification of distinct disorders, but pursued analyses of unconscious conflicts and their manifestations within an individual's life. It dealt with neurosis, psychosis, and perversion. The concept of borderline personality disorder and other personality disorder diagnoses were later formalized from such psychoanalytic theories, though such ego psychology-based lines of development diverged substantially from the paths taken elsewhere within psychoanalysis.

The philosopher and psychiatrist Karl Jaspers made influential use of a "biographical method" and suggested ways to diagnose based on the form rather than content of beliefs or perceptions. In regard to classification in general he prophetically remarked that: "When we design a diagnostic schema, we can only do so if we forego something at the outset … and in the face of facts we have to draw the line where none exists... A classification therefore has only provisional value. It is a fiction which will discharge its function if it proves to be the most apt for the time".[33]

Adolph Meyer advanced a mixed biosocial scheme that emphasized the reactions and adaptations of the whole organism to life experiences.

In 1945, William C. Menninger advanced a classification scheme for the US army, called Medical 203, synthesizing ideas of the time into five major groups. This system was adopted by the Veterans Administration in the United States and strongly influenced the DSM.

The term stress, having emerged from endocrinology work in the 1930s, was popularized with an increasingly broad biopsychosocial meaning, and was increasingly linked to mental disorders. The diagnosis of post-traumatic stress disorder was later created.[43]

Mental disorders were first included in the sixth revision of the International Classification of Diseases (ICD-6) in 1949.[44] Three years later, in 1952, the American Psychiatric Association created its own classification system, DSM-I.[44]

The Feighner Criteria group described fourteen major psychiatric disorders for which careful research studies were available, including homosexuality. These developed as the Research Diagnostic Criteria, adopted and further developed by the DSM-III.

The DSM and ICD developed, partly in sync, in the context of mainstream psychiatric research and theory. Debates continued and developed about the definition of mental illness, the medical model, categorical vs dimensional approaches, and whether and how to include suffering and impairment criteria.[45] There is some attempt to construct novel schemes, for example from an attachment perspective where patterns of symptoms are construed as evidence of specific patterns of disrupted attachment, coupled with specific types of subsequent trauma.[citation needed]

### 21st century

[edit]

The ICD-11 and DSM-5 are being developed at the start of the 21st century. Any radical new developments in classification are said to be more likely to be introduced by the APA than by the WHO, mainly because the former only has to persuade its own board of trustees whereas the latter has to persuade the representatives of over 200 countries at a formal revision conference. In addition, while the DSM is a bestselling publication that makes huge profits for APA, the WHO incurs major expense in determining international consensus for revisions to the ICD. Although there is an ongoing attempt to reduce trivial or accidental differences between the DSM and ICD, it is thought[by whom?] that the APA and the WHO are likely to continue to produce new versions of their manuals and, in some respects, to compete with one another.[33]

## Criticism

[edit]

See also: Controversies about psychiatry and Medicalization

There is some ongoing scientific doubt concerning the construct validity and reliability of psychiatric diagnostic categories and criteria[46][47][48] even though they have been increasingly standardized to improve inter-rater agreement in controlled research. In the United States, there have been calls and endorsements for a congressional hearing to explore the nature and extent of harm potentially caused by this "minimally investigated enterprise".[49][50]

Other specific criticisms of the current schemes include: attempts to demonstrate natural boundaries between related syndromes, or between a common syndrome and normality, have failed; inappropriateness of statistical (factor-analytic) arguments and lack of functionality considerations in the analysis of a structure of behavioral pathology;[34] the disorders of current classification are probably surface phenomena that can have many different interacting causes, yet "the mere fact that a diagnostic concept is listed in an official nomenclature and provided with a precise operational definition tends to encourage us to assume that it is a "quasi-disease entity" that can be invoked to explain the patient's symptoms"; and that the diagnostic manuals have led to an unintended decline in careful evaluation of each individual person's experiences and social context.[33]

Psychodynamic schemes have traditionally given the latter phenomenological aspect more consideration, but in psychoanalytic terms that have been long criticized on numerous grounds.

Some have argued that reliance on operational definition demands that intuitive concepts, such as depression, need to be operationally defined before they become amenable to scientific investigation. However, John Stuart Mill pointed out the dangers of believing that anything that could be given a name must refer to a thing[citation needed] and Stephen Jay Gould and others have criticized psychologists for doing just that. One critic states that "Instead of replacing 'metaphysical' terms such as 'desire' and 'purpose', they used it to legitimize them by giving them operational definitions. Thus in psychology, as in economics, the initial, quite radical operationalist ideas eventually came to serve as little more than a 'reassurance fetish' (Koch 1992, 275) for mainstream methodological practice."[51] According to Tadafumi Kato, since the era of Kraepelin, psychiatrists have been trying to differentiate mental disorders by using clinical interviews. Kato argues there has been little progress over the last century and that only modest improvements are possible in this way; he suggests that only neurobiological studies using modern technology could form the basis for a new classification.[52]

According to Heinz Katsching, expert committees have combined phenomenological criteria in variable ways into categories of mental disorders, repeatedly defined and redefined over the last half century. The diagnostic categories are termed "disorders" and yet, despite not being validated by biological criteria as most medical diseases are, are framed as medical diseases identified by medical diagnoses. He describes them as top-down classification systems similar to the botanic classifications of plants in the 17th and 18th centuries, when experts decided a priori which visible aspects of plants were relevant. Katsching notes that while psychopathological phenomena are certainly observed and experienced, the conceptual basis of psychiatric diagnostic categories is questioned from various ideological perspectives.[44]

Psychiatrist Joel Paris argues that psychiatry is sometimes susceptible to diagnostic fads. Some have been based on theory (overdiagnosis of schizophrenia), some based on etiological (causation) concepts (overdiagnosis of post-traumatic stress disorder), and some based on the development of treatments. Paris points out that psychiatrists like to diagnose conditions they can treat, and gives examples of what he sees as prescribing patterns paralleling diagnostic trends, for example an increase in bipolar diagnosis once lithium came into use, and similar scenarios with the use of electroconvulsive therapy, neuroleptics, tricyclic antidepressants, and SSRIs. He notes that there was a time when every patient seemed to have "latent schizophrenia" and another time when everything in psychiatry seemed to be "masked depression", and he fears that the boundaries of the bipolar spectrum concept, including in application to children, are similarly expanding.[53] Allen Frances has suggested fad diagnostic trends regarding autism and Attention deficit hyperactivity disorder.[54]

Since the 1980s, psychologist Paula Caplan has had concerns about psychiatric diagnosis, and people being arbitrarily "slapped with a psychiatric label". Caplan says psychiatric diagnosis is unregulated, so doctors are not required to spend much time understanding patients situations or to seek another doctor's opinion. The criteria for allocating psychiatric labels are contained in the Diagnostic and Statistical Manual of Mental Disorders, which can "lead a therapist to focus on narrow checklists of symptoms, with little consideration for what is causing the patient's suffering". So, according to Caplan, getting a psychiatric diagnosis and label often hinders recovery.[55]

The DSM and ICD approach remains under attack both because of the implied causality model[56] and because some researchers believe it better to aim at underlying brain differences which can precede symptoms by many years.[57]

## See also

[edit]

* Abnormal psychology
* Diagnosis
* Diagnostic classification and rating scales used in psychiatry
* Medical classification
* DSM-IV codes
* Structured Clinical Interview for DSM-IV (SCID)
* Nosology
* Operationalism
* Psychopathology
* Relational disorder (proposed DSM-5 new diagnosis)

## References

[edit]

1. ^ Robin Murray (Md, M Phil; Murray, Robin (1997-10-28). The essentials of postgraduate psychiatry. Cambridge University Press. ISBN 978-0-521-57801-1.
2. ^ Berrios G E (April 1999). "Classifications in psychiatry: a conceptual history". Australian & New Zealand Journal of Psychiatry. 33 (2): 145–60\. doi:10.1046/j.1440-1614.1999.00555.x. PMID 10336212. S2CID 25866251. Archived from the original on 2012-06-04.145-60&rft.date=1999-04&rft_id=https://api.semanticscholar.org/CorpusID:25866251#id-name=S2CID&rft_id=info:pmid/10336212&rft_id=info:doi/10.1046/j.1440-1614.1999.00555.x&rft.au=Berrios+G+E&rft_id=http://www3.interscience.wiley.com/resolve/openurl?genre=article&sid;=nlm:pubmed&issn;=0004-8674&date;=1999&volume;=33&issue;=2&spage;=145&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
3. ^ Perring, C. (2005) Mental Illness Stanford Encyclopedia of Philosophy
4. ^ Giosan C, Glovsky V, Haslam N (2001). "The Lay Concept of 'Mental Disorder': A Cross-Cultural Study". Transcultural Psychiatry. 38 (3): 317–32\. doi:10.1177/136346150103800303. S2CID 145652607.317-32&rft.date=2001&rft_id=info:doi/10.1177/136346150103800303&rft_id=https://api.semanticscholar.org/CorpusID:145652607#id-name=S2CID&rft.aulast=Giosan&rft.aufirst=C&rft.au=Glovsky,+V&rft.au=Haslam,+N&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
5. ^ a b c d World Health Organization (2005). WHO Resource Book on Mental Health: Human rights and legislation (PDF). World Health Organization. ISBN 978-92-4-156282-9. Archived from the original (PDF) on July 16, 2005.
6. ^ Peck MC, Scheffler RM (September 2002). "An analysis of the definitions of mental illness used in state parity laws". Psychiatr Serv. 53 (9): 1089–95\. doi:10.1176/appi.ps.53.9.1089. PMID 12221306.1089-95&rft.date=2002-09&rft_id=info:doi/10.1176/appi.ps.53.9.1089&rft_id=info:pmid/12221306&rft.aulast=Peck&rft.aufirst=MC&rft.au=Scheffler,+RM&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
7. ^ Widiger TA, Sankis LM (2000). "Adult psychopathology: issues and controversies". Annu Rev Psychol. 51: 377–404\. doi:10.1146/annurev.psych.51.1.377. PMID 10751976.377-404&rft.date=2000&rft_id=info:doi/10.1146/annurev.psych.51.1.377&rft_id=info:pmid/10751976&rft.aulast=Widiger&rft.aufirst=TA&rft.au=Sankis,+LM&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988"> PDF Archived 2003-10-24 at the Wayback Machine
8. ^ Office of the Surgeon General and various United States Government agencies (1999) Mental Health: A report of the Surgeon General
9. ^ US Department of Health and Human Sciences (2007) Mental Health & Mental Disorders: Terminology Archived 2007-08-20 at the Wayback Machine
10. ^ Parabiaghi A, Bonetto C, Ruggeri M, Lasalvia A, Leese M (June 2006). "Severe and persistent mental illness: a useful definition for prioritizing community-based mental health service interventions". Soc Psychiatry Psychiatr Epidemiol. 41 (6): 457–63\. doi:10.1007/s00127-006-0048-0. PMID 16565917. S2CID 10031938.457-63&rft.date=2006-06&rft_id=https://api.semanticscholar.org/CorpusID:10031938#id-name=S2CID&rft_id=info:pmid/16565917&rft_id=info:doi/10.1007/s00127-006-0048-0&rft.aulast=Parabiaghi&rft.aufirst=A&rft.au=Bonetto,+C&rft.au=Ruggeri,+M&rft.au=Lasalvia,+A&rft.au=Leese,+M&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
11. ^ Economic and Social Research Council Mental Health and Mental Illness in the UK Archived 2007-12-12 at the Wayback Machine
12. ^ The ICD-10 Classification of Mental and Behavioural Disorders (WHO, 1992): Clinical descriptions and diagnostic guidelines). " "Disorder" is not an exact term, but it is used here to imply the existence of a clinically recognizable set of symptoms or behaviour associated in most cases with distress and with interference with personal functions. Social deviance or conflict alone, without personal dysfunction, should not be included in mental disorder as defined here." (p.11)
13. ^ "classification-of-diseases". www.who.int. Retrieved 14 April 2022.
14. ^ "Archived copy" (PDF). www.psychiatry.org. Archived from the original (PDF) on 26 February 2015. Retrieved 12 January 2022.`{{cite web}}`: CS1 maint: archived copy as title (link)
15. ^ Berganza CE, Mezzich JE, Jorge MR (2002). "Latin American Guide for Psychiatric Diagnosis (GLDP)". Psychopathology. 35 (2–3): 185–90\. doi:10.1159/000065143. PMID 12145508. S2CID 23151327.2–3&rft.pages=185-90&rft.date=2002&rft_id=https://api.semanticscholar.org/CorpusID:23151327#id-name=S2CID&rft_id=info:pmid/12145508&rft_id=info:doi/10.1159/000065143&rft.aulast=Berganza&rft.aufirst=CE&rft.au=Mezzich,+JE&rft.au=Jorge,+MR&rft_id=https://www.karger.com/Article/PDF/65143&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
16. ^ Zero to Three. (1994). Diagnostic classification: 0–3: Diagnostic classification of mental health and developmental disorders in infancy and early childhood. Washington, DC.
17. ^ "DC:0–5™ Manual and Training". ZERO TO THREE.
18. ^ Task Force on Research Diagnostic Criteria: Infancy Preschool (December 2003). "Research diagnostic criteria for infants and preschool children: the process and empirical support". J Am Acad Child Adolesc Psychiatry. 42 (12): 1504–12\. doi:10.1097/00004583-200312000-00018. PMID 14627886.1504-12&rft.date=2003-12&rft_id=info:doi/10.1097/00004583-200312000-00018&rft_id=info:pmid/14627886&rft.au=Task+Force+on+Research+Diagnostic+Criteria:+Infancy+Preschool&rft_id=https://zenodo.org/record/1003135&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
19. ^ "RDC-PA Online (PDF)". Archived from the original on 2007-09-30. Retrieved 2007-05-01.
20. ^ Mises R, Quemada N, Botbol M, et al. (2002). "French classification for child and adolescent mental disorders". Psychopathology. 35 (2–3): 176–80\. doi:10.1159/000065141. PMID 12145506. S2CID 24657982.2–3&rft.pages=176-80&rft.date=2002&rft_id=https://api.semanticscholar.org/CorpusID:24657982#id-name=S2CID&rft_id=info:pmid/12145506&rft_id=info:doi/10.1159/000065141&rft.aulast=Mises&rft.aufirst=R&rft.au=Quemada,+N&rft.au=Botbol,+M&rft_id=http://content.karger.com/produktedb/produkte.asp?typ=fulltext&file;=psp35176&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
21. ^ Mezzich JE (2002). "International surveys on the use of ICD-10 and related diagnostic systems". Psychopathology. 35 (2–3): 72–5\. doi:10.1159/000065122. PMID 12145487. S2CID 35857872.2–3&rft.pages=72-5&rft.date=2002&rft_id=https://api.semanticscholar.org/CorpusID:35857872#id-name=S2CID&rft_id=info:pmid/12145487&rft_id=info:doi/10.1159/000065122&rft.au=Mezzich+JE&rft_id=https://www.karger.com/Article/PDF/65122&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
22. ^ Jenkins R, Goldberg D, Kiima D, et al. (2002). "Classification in primary care: experience with current diagnostic systems". Psychopathology. 35 (2–3): 127–31\. doi:10.1159/000065132. PMID 12145497. S2CID 19664541.2–3&rft.pages=127-31&rft.date=2002&rft_id=https://api.semanticscholar.org/CorpusID:19664541#id-name=S2CID&rft_id=info:pmid/12145497&rft_id=info:doi/10.1159/000065132&rft.aulast=Jenkins&rft.aufirst=R&rft.au=Goldberg,+D&rft.au=Kiima,+D&rft_id=https://www.karger.com/Article/PDF/65132&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
23. ^ López-Muñoz F, García-García P, Sáiz-Ruiz J, et al. (2008). "A bibliometric study of the use of the classification and diagnostic systems in psychiatry over the last 25 years". Psychopathology. 41 (4): 214–25\. doi:10.1159/000125555. PMID 18408417. S2CID 36846667.214-25&rft.date=2008&rft_id=https://api.semanticscholar.org/CorpusID:36846667#id-name=S2CID&rft_id=info:pmid/18408417&rft_id=info:doi/10.1159/000125555&rft.aulast=López-Muñoz&rft.aufirst=F&rft.au=García-García,+P&rft.au=Sáiz-Ruiz,+J&rft_id=https://www.karger.com/Article/PDF/000125555&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
24. ^ Nakane Y, Nakane H (2002). "Classification systems for psychiatric diseases currently used in Japan". Psychopathology. 35 (2–3): 191–4\. doi:10.1159/000065144. PMID 12145509. S2CID 32794796.2–3&rft.pages=191-4&rft.date=2002&rft_id=https://api.semanticscholar.org/CorpusID:32794796#id-name=S2CID&rft_id=info:pmid/12145509&rft_id=info:doi/10.1159/000065144&rft.aulast=Nakane&rft.aufirst=Y&rft.au=Nakane,+H&rft_id=https://www.karger.com/Article/PDF/65144&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
25. ^ Rogler LH (March 1997). "Making sense of historical changes in the Diagnostic and statistical manual of mental disorders: five propositions". J Health Soc Behav. 38 (1): 9–20\. doi:10.2307/2955358. JSTOR 2955358. PMID 9097505.9-20&rft.date=1997-03&rft_id=info:pmid/9097505&rft_id=https://www.jstor.org/stable/2955358#id-name=JSTOR&rft_id=info:doi/10.2307/2955358&rft.au=Rogler+LH&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
26. ^ James J. Hudziak; Helzer, John E. (2002). Defining Psychopathology in the 21st Century: Dsm-V and Beyond. American Psychopathological Association Series (1st ed.). Washington, DC: American Psychiatric Association. ISBN 978-1-58562-063-0. Archived from the original on 2007-06-07. Retrieved 2007-04-23.
27. ^ Cosgrove L, Krimsky S, Vijayaraghavan M, Schneider L (2006). "Financial ties between DSM-IV panel members and the pharmaceutical industry". Psychother Psychosom. 75 (3): 154–60\. doi:10.1159/000091772. PMID 16636630. S2CID 11909535.154-60&rft.date=2006&rft_id=https://api.semanticscholar.org/CorpusID:11909535#id-name=S2CID&rft_id=info:pmid/16636630&rft_id=info:doi/10.1159/000091772&rft.aulast=Cosgrove&rft.aufirst=L&rft.au=Krimsky,+S&rft.au=Vijayaraghavan,+M&rft.au=Schneider,+L&rft_id=http://content.karger.com/produktedb/produkte.asp?typ=fulltext&file;=PPS2006075003154&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
28. ^ Craddock, N., Owen, M. (2007) Rethinking psychosis: the disadvantages of a dichotomous classification now outweigh the advantages World Psychiatry v.6(2); Jun
29. ^ Sulis, W (2018). "Assessing the continuum between temperament and affective illness: Psychiatric and mathematical perspectives". Philosophical Transactions of the Royal Society B: Biological Sciences. 373 (1744): 20170168. doi:10.1098/rstb.2017.0168. PMC 5832692. PMID 29483352.
30. ^ Maser JD, Akiskal HS (December 2002). "Spectrum concepts in major mental disorders". Psychiatr. Clin. North Am. 25 (4): xi–xiii. doi:10.1016/S0193-953X(02)00034-5. PMID 12462854.xi-xiii&rft.date=2002-12&rft_id=info:doi/10.1016/S0193-953X(02)00034-5&rft_id=info:pmid/12462854&rft.aulast=Maser&rft.aufirst=JD&rft.au=Akiskal,+HS&rft_id=http://psych.theclinics.com/issues/contents?volume=25&issue;=4&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
31. ^ Krueger RF, Watson D, Barlow DH, et al. (November 2005). "Introduction to the Special Section: Toward a Dimensionally Based Taxonomy of Psychopathology". Journal of Abnormal Psychology. 114 (4): 491–3\. doi:10.1037/0021-843X.114.4.491. PMC 2242426. PMID 16351372.491-3&rft.date=2005-11&rft_id=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2242426#id-name=PMC&rft_id=info:pmid/16351372&rft_id=info:doi/10.1037/0021-843X.114.4.491&rft.aulast=Krueger&rft.aufirst=RF&rft.au=Watson,+D&rft.au=Barlow,+DH&rft_id=http://content.apa.org/journals/abn/114/4&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
32. ^ Widiger TA, Simonsen E, Krueger R, Livesley WJ, Verheul R (June 2005). "Personality Disorder Research Agenda for the DSM–V". J. Pers. Disord. 19 (3): 315–38\. doi:10.1521/pedi.2005.19.3.315. PMC 2242427. PMID 16175740.315-38&rft.date=2005-06&rft_id=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2242427#id-name=PMC&rft_id=info:pmid/16175740&rft_id=info:doi/10.1521/pedi.2005.19.3.315&rft.aulast=Widiger&rft.aufirst=TA&rft.au=Simonsen,+E&rft.au=Krueger,+R&rft.au=Livesley,+WJ&rft.au=Verheul,+R&rft_id=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2242427&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
33. ^ a b c d Dalal PK, Sivakumar T. (2009) Moving towards ICD-11 and DSM-V: Concept and evolution of psychiatric classification. Indian Journal of Psychiatry, Volume 51, Issue 4, Page 310-319.
34. ^ a b Trofimova, I.N.; Robbins, T.W.; W., Sulis; J., Uher (2018). "Taxonomies of psychological individual differences: biological perspectives on millennia-long challenges". Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences. 373 (1744): 20170152. doi:10.1098/rstb.2017.0152. PMC 5832678. PMID 29483338.
35. ^ a b Trofimova, IN (2018). "Functionality vs dimensionality in psychological taxonomies, and a puzzle of emotional valence". Philosophical Transactions of the Royal Society B: Biological Sciences. 373 (1744): 20170167. doi:10.1098/rstb.2017.0167. PMC 5832691. PMID 29483351.
36. ^ Trofimova, I; Sulis, W. (2018). "There is more to mental illness than negative affect: Comprehensive temperament profiles in depression and generalized anxiety". BMC Psychiatry. 18 (1): 125. doi:10.1186/s12888-018-1695-x. PMC 5946468. PMID 29747614.
37. ^ Munro, Alistair; Bhugra, Dinesh (1997). Troublesome disguises: underdiagnosed psychiatric syndromes. Oxford: Blackwell Science. ISBN 978-0-86542-674-0.
38. ^ Murthy, R. Srinivasa; Wig, Narendra N. (2002-04-22). "Psychiatric Diagnosis and Classification in Developing Countries". In Mario Maj (ed.). Psychiatric Diagnosis and Classification. Wiley. ISBN 0471496812.
39. ^ a b c Berrios GE (July 1987). "Historical aspects of psychoses: 19th century issues". Br. Med. Bull. 43 (3): 484–98\. doi:10.1093/oxfordjournals.bmb.a072197. PMID 3322481.484-98&rft.date=1987-07&rft_id=info:doi/10.1093/oxfordjournals.bmb.a072197&rft_id=info:pmid/3322481&rft.au=Berrios+GE&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
40. ^ Bolme, A (1991). "Portraying Monomaniacs to Service the Alienist's Monomania: Gericault and Georget". Oxford Art Journal. 14 (1): 79–91\. doi:10.1093/oxartj/14.1.79. JSTOR 1360279.79-91&rft.date=1991&rft_id=info:doi/10.1093/oxartj/14.1.79&rft_id=https://www.jstor.org/stable/1360279#id-name=JSTOR&rft.au=Bolme,+A&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
41. ^ O'Connell P, Woodruff PW, Wright I, Jones P, Murray RM (February 1997). "Developmental insanity or dementia praecox: was the wrong concept adopted?". Schizophr. Res. 23 (2): 97–106\. doi:10.1016/S0920-9964(96)00110-7. PMID 9061806. S2CID 6781094.97-106&rft.date=1997-02&rft_id=https://api.semanticscholar.org/CorpusID:6781094#id-name=S2CID&rft_id=info:pmid/9061806&rft_id=info:doi/10.1016/S0920-9964(96)00110-7&rft.aulast=O'Connell&rft.aufirst=P&rft.au=Woodruff,+PW&rft.au=Wright,+I&rft.au=Jones,+P&rft.au=Murray,+RM&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
42. ^ Mendelson G (December 2003). "Homosexuality and psychiatric nosology". Aust N Z J Psychiatry. 37 (6): 678–83\. doi:10.1111/j.1440-1614.2003.01273.x. PMID 14636381. Archived from the original on 2013-01-05.678-83&rft.date=2003-12&rft_id=info:doi/10.1111/j.1440-1614.2003.01273.x&rft_id=info:pmid/14636381&rft.au=Mendelson+G&rft_id=http://www3.interscience.wiley.com/resolve/openurl?genre=article&sid;=nlm:pubmed&issn;=0004-8674&date;=2003&volume;=37&issue;=6&spage;=678&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
43. ^ Viner R (June 1999). "Putting Stress in Life: Hans Selye and the Making of Stress Theory". Social Studies of Science. 29 (3): 391–410\. doi:10.1177/030631299029003003. JSTOR 285410. S2CID 145291588.391-410&rft.date=1999-06&rft_id=https://api.semanticscholar.org/CorpusID:145291588#id-name=S2CID&rft_id=https://www.jstor.org/stable/285410#id-name=JSTOR&rft_id=info:doi/10.1177/030631299029003003&rft.au=Viner+R&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
44. ^ a b c Katsching, Heinz (February 2010). "Are psychiatrists an endangered species? Observations on internal and external challenges to the profession". World Psychiatry. 9 (1): 21–28\. doi:10.1002/j.2051-5545.2010.tb00257.x. PMC 2816922. PMID 20148149.21-28&rft.date=2010-02&rft_id=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2816922#id-name=PMC&rft_id=info:pmid/20148149&rft_id=info:doi/10.1002/j.2051-5545.2010.tb00257.x&rft.aulast=Katsching&rft.aufirst=Heinz&rft_id=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2816922&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
45. ^ Masten AS, Curtis WJ (2000). "Integrating competence and psychopathology: pathways toward a comprehensive science of adaptation in development". Dev. Psychopathol. 12 (3): 529–50\. doi:10.1017/S095457940000314X. PMID 11014751. S2CID 27591546.529-50&rft.date=2000&rft_id=https://api.semanticscholar.org/CorpusID:27591546#id-name=S2CID&rft_id=info:pmid/11014751&rft_id=info:doi/10.1017/S095457940000314X&rft.aulast=Masten&rft.aufirst=AS&rft.au=Curtis,+WJ&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
46. ^ Kendell, R.; Jablensky, A. (January 2003). "Distinguishing between the validity and utility of psychiatric diagnoses". Am J Psychiatry. 160 (1): 4–12\. doi:10.1176/appi.ajp.160.1.4. PMID 12505793. S2CID 16151623.4-12&rft.date=2003-01&rft_id=https://api.semanticscholar.org/CorpusID:16151623#id-name=S2CID&rft_id=info:pmid/12505793&rft_id=info:doi/10.1176/appi.ajp.160.1.4&rft.aulast=Kendell&rft.aufirst=R.&rft.au=Jablensky,+A.&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
47. ^ Baca-Garcia, E.; et al. (March 2007). "Diagnostic stability of psychiatric disorders in clinical practice". Br J Psychiatry. 190 (3): 210–6\. doi:10.1192/bjp.bp.106.024026. PMID 17329740. S2CID 4888348.210-6&rft.date=2007-03&rft_id=https://api.semanticscholar.org/CorpusID:4888348#id-name=S2CID&rft_id=info:pmid/17329740&rft_id=info:doi/10.1192/bjp.bp.106.024026&rft.aulast=Baca-Garcia&rft.aufirst=E.&rft.au=Perez-Rodriguez,+M.+M.&rft.au=Basurte-Villamor,+I.&rft_id=https://doi.org/10.1192%2Fbjp.bp.106.024026&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
48. ^ Pincus, H. A.; et al. (1998). ""Clinical Significance" and DSM-IV". Arch Gen Psychiatry. 55 (12): 1145, author reply 1147–8. doi:10.1001/archpsyc.55.12.1145. PMID 9862559.
49. ^ "Caplan Calls for Congressional Hearing".
50. ^ "PsychDiagnosis.net - Endorsers for Congressional Hearings on Psychiatric Diagnosis".
51. ^ DW Hands (2004) On Operationalisms and Economics Journal of Economic Issues
52. ^ Kato, Tadafumi (October 2011). "A renovation of psychiatry is needed". World Psychiatry. 10 (3): 198–199\. doi:10.1002/j.2051-5545.2011.tb00056.x. PMC 3188773. PMID 21991278.198-199&rft.date=2011-10&rft_id=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3188773#id-name=PMC&rft_id=info:pmid/21991278&rft_id=info:doi/10.1002/j.2051-5545.2011.tb00056.x&rft.aulast=Kato&rft.aufirst=Tadafumi&rft_id=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3188773&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">
53. ^ Joel Paris, MD (2004) Psychiatric Diagnosis and the Bipolar Spectrum CPA Bulletin; 36[3]:3
54. ^ Psychiatric Fads and Overdiagnosis: Normality is an endangered species. Published on June 2, 2010 by Allen J. Frances, M.D. in DSM5 in Distress
55. ^ Paula J. Caplan (April 28, 2012). "Psychiatry's bible, the DSM, is doing more harm than good". Washington Post.
56. ^ Doward, Jamie (May 12, 2013). "Medicine's big new battleground: does mental illness really exist?". The Guardian. London.
57. ^ "NIMH · Mental Disorders as Brain Disorders: Thomas Insel at TEDxCaltech". Archived from the original on 2013-05-07. Retrieved 2013-05-13.

## External links

[edit]

* Dalal PK, Sivakumar T. (2009) Moving towards ICD-11 and DSM-V: Concept and evolution of psychiatric classification. Indian Journal of Psychiatry, Volume 51, Issue 4, Page 310–319.
* King LJ (March 1999). "A brief history of psychiatry: millennia past and present". Ann Clin Psychiatry. 11 (1): 3–12\. doi:10.3109/10401239909147041. PMID 10383169.3-12&rft.date=1999-03&rft_id=info:doi/10.3109/10401239909147041&rft_id=info:pmid/10383169&rft.au=King+LJ&rfr_id=info:sid/en.wikipedia.org:Classification+of+mental+disorders" class="Z3988">

* v
* t
* e

Mental disorders (Classification)

Adult personality and behavior

| Sexual|

* Ego-dystonic sexual orientation
* Paraphilia
* Fetishism
* Voyeurism
* Sexual anhedonia
* Sexual anorexia
* Sexual maturation disorder
* Sexual relationship disorder

|

Other|

* Factitious disorder
* Munchausen syndrome
* Fear of intimacy
* Gender dysphoria
* Intermittent explosive disorder
* Dermatillomania
* Kleptomania
* Pyromania
* Trichotillomania
* Personality disorder

Childhood and learning

| Emotional and behavioral|

* ADHD
* Conduct disorder
* ODD
* Emotional and behavioral disorders
* Separation anxiety disorder
* Movement disorders
* Stereotypic
* Social functioning
* DAD
* RAD
* Selective mutism
* Speech
* Cluttering
* Stuttering
* Tic disorder
* Tourette syndrome

|

Intellectual disability|

* X-linked intellectual disability
* Lujan–Fryns syndrome

Psychological development
(developmental disabilities)|

* Pervasive
* Specific

Mood (affective)

* Bipolar
* Bipolar I
* Bipolar II
* Bipolar NOS
* Cyclothymia
* Depression
* Atypical depression
* Dysthymia
* Major depressive disorder
* Melancholic depression
* Seasonal affective disorder
* Mania

Neurological and symptomatic

| Autism spectrum|

* Autism
* Asperger syndrome
* High-functioning autism
* PDD-NOS
* Savant syndrome

|

Dementia|

* AIDS dementia complex
* Alzheimer's disease
* Creutzfeldt–Jakob disease
* Frontotemporal dementia
* Huntington's disease
* Mild cognitive impairment
* Parkinson's disease
* Pick's disease
* Sundowning
* Vascular dementia
* Wandering

Other|

* Delirium
* Organic brain syndrome
* Post-concussion syndrome

Neurotic, stress-related and somatoform

| Adjustment|

* Adjustment disorder with depressed mood

|

Anxiety|

| Phobia|

* Agoraphobia
* Childhood phobia
* Social anxiety
* Social phobia
* Anthropophobia
* Specific social phobia
* Specific phobia
* Claustrophobia

|

Other|

* Generalized anxiety disorder
* OCD
* Panic attack
* Panic disorder
* Paranoia
* Stress
* Acute stress reaction
* PTSD

Dissociative|

* Depersonalization-derealization disorder
* Dissociative identity disorder
* Dissociative amnesia
* Dissociative fugue
* Dissociative disorder not otherwise specified
* Other specified dissociative disorder

Somatic symptom|

* Body dysmorphic disorder
* Conversion disorder
* Ganser syndrome
* Globus pharyngis
* Psychogenic non-epileptic seizures
* False pregnancy
* Hypochondriasis
* Mass psychogenic illness
* Nosophobia
* Psychogenic pain
* Somatization disorder

Physiological and physical behavior

| Eating|

* Anorexia nervosa
* Bulimia nervosa
* Rumination syndrome
* Other specified feeding or eating disorder

|

Nonorganic sleep|

* Hypersomnia
* Insomnia
* Parasomnia
* Night terror
* Nightmare
* REM sleep behavior disorder

Postnatal|

* Postpartum depression
* Postpartum psychosis

Sexual desire|

* Hypersexuality
* Hypoactive sexual desire disorder

Psychoactive substances, substance abuse and substance-related

* Drug overdose
* Intoxication
* Physical dependence
* Rebound effect
* Stimulant psychosis
* Substance dependence
* Withdrawal

Schizophrenia, schizotypal and delusional

| Delusional|

* Delusional disorder
* Folie à deux

|

Psychosis and
schizophrenia-like|

* Brief reactive psychosis
* Schizoaffective disorder
* Schizophreniform disorder

Schizophrenia|

* Childhood schizophrenia
* Disorganized (hebephrenic) schizophrenia
* Pseudoneurotic schizophrenia
* Simple-type schizophrenia

Other|

* Catatonia

Symptoms and uncategorized

* Impulse-control disorder
* Klüver–Bucy syndrome
* Psychomotor agitation
* Stereotypy
* Caregiver burden

Category

* v
* t
* e

Psychiatry

Subspecialties|

* Addiction psychiatry
* Biological psychiatry
* Child and adolescent psychiatry
* Cognitive neuropsychiatry
* Cross-cultural psychiatry
* Developmental disability
* Descriptive psychiatry
* Eating disorder
* Emergency psychiatry
* Forensic psychiatry
* Geriatric psychiatry
* Immuno-psychiatry
* Liaison psychiatry
* Military psychiatry
* Nutritional psychiatry
* Narcology
* Neuropsychiatry
* Palliative medicine
* Pain medicine
* Psychotherapy
* Sleep medicine
* Telepsychiatry

Organizations|

* American Academy of Child and Adolescent Psychiatry
* American Board of Psychiatry and Neurology
* American Neuropsychiatric Association
* American Psychiatric Association
* Campaign Against Psychiatric Abuse
* Chinese Society of Psychiatry
* Democratic Psychiatry
* European Psychiatric Association
* Global Initiative on Psychiatry
* Hong Kong College of Psychiatrists
* Independent Psychiatric Association of Russia
* Indian Psychiatric Society
* National Institute of Mental Health
* Philadelphia Association
* Royal Australian and New Zealand College of Psychiatrists
* Royal College of Psychiatrists
* Taiwanese Society of Child and Adolescent Psychiatry
* Working Commission to Investigate the Use of Psychiatry for Political Purposes
* World Psychiatric Association

Related topics|

* Behavioral medicine
* Clinical neuroscience
* Controversies about psychiatry
* Anti-psychiatry
* Biopsychiatry controversy
* Electroconvulsive therapy
* Insulin shock therapy
* Political abuse of psychiatry
* Psychiatric survivors movement
* Imaging genetics
* Neuroimaging
* Neurophysiology
* Pentylenetetrazol
* Philosophy of psychiatry
* Psychiatric epidemiology
* Psychiatric genetics
* Psychiatric hospital
* Psychiatrist
* Psychoanalysis
* Psycho-oncology
* Psychopharmacology
* Psychosomatic medicine
* Psychosurgery

Lists|

* Counseling topics
* Neurological conditions and disorders
* Psychiatric medications
* by condition treated
* Psychiatric survivors movement
* Psychiatrists
* Psychotherapies

* Portal
* Outline

*[v]: View this template
*[t]: Discuss this template
*[e]: Edit this template