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Can J Psychiatry. 1996 Aug;41(6):325-9.

A participant's observations: preparing DSM-IV.

Author information

1
Irving Philips Professor of Child Psychiatry, Columbia University, College of Physicians and Surgeons, New York State Psychiatric Institute, New York 10032, USA.

Abstract

OBJECTIVE:

To provide an overview of the process of creating the DSM-IV from a participant's perspective.

METHOD:

Narrative review.

RESULTS:

In its attempt to address the perceived weaknesses of both the content and development of the DSM-III and DSM-III-R, the DSM-IV development was based on commissioned reviews for sets of diagnoses, especially designed field trials and a transparent decision-making process.

CONCLUSIONS:

Nosology is an ambitious and complicated enterprise. Classification systems must evolve as new empirical evidence is presented. Many of the obstacles faced by the DSM-IV work groups, therefore, may be moot for those formulating DSM-V. The DSM-IV development process was carefully planned, and the profession is indebted to the American Psychiatric Association (APA) for its initiative and effort in producing this system.

PMID:
8862851
DOI:
10.1177/070674379604100602
[Indexed for MEDLINE]

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