The DSM's theory-neutral nosology is scientifically progressive: response to Follette and Houts (1996)

J Consult Clin Psychol. 1998 Oct;66(5):846-52. doi: 10.1037//0022-006x.66.5.846.

Abstract

W. C. Follette and A. C. Houts (1996) argued on philosophy-of-science grounds that the Diagnostic and Statistical Manual of Mental Disorders (DSM) is scientifically unprogressive and should be replaced by competing theory-laden manuals. The author responds to their various arguments as follows: (a) The ways things can go wrong with the mind are inherently diverse, so failure to reduce the DSM's categories to 1 parsimonious theory is not necessarily scientifically unprogressive; (b) it is empirically untrue that growth in the number of a taxonomy's categories is inconsistent with scientific progress; (c) progress in theoretically fragmented fields requires shared theory-neutral categories, not theory-laden definitions of basic concepts; (d) at present in the mental health field, theoretical integration is scientifically more progressive than competition, and integration is promoted by the DSM's theory-neutral nosology; and (e) Follette and Houts's proposed behaviorist alternative to the DSM is incoherent.

Publication types

  • Comment

MeSH terms

  • Humans
  • Manuals as Topic / standards*
  • Mental Disorders / classification*
  • Psychiatry / standards*
  • Terminology as Topic*
  • United States