DSM-IV: a nosology sold before its time?
OBJECTIVE
The purpose of this study was to determine whether American psychiatrists believe that DSM-IV is being published too soon after DSM-III-R.


METHODS
The authors conducted a mail survey of the attitudes of practicing psychiatrists (N = 454), residency program directors (N = 128), residents (N = 1,331), and researchers (N = 196) toward the scheduled publication of DSM-IV in the early 1990s.


RESULTS
They found that the majority of all four groups believed that DSM-IV is being published prematurely. In contrast to respondents who believed that the timing of DSM-IV is appropriate, those who indicated that it is being published too soon had more recently completed their residency training and also believed that DSM-III-R was published prematurely. There was no association between the psychiatrists' responses and their theoretical orientation, Board certification status, ownership of the DSM manuals, the length of time they had used DSM-III, and the diagnostic manual (DSM-III or DSM-III-R) they were currently using.


CONCLUSIONS
The belief that DSM-IV is being published too soon could contribute to underuse of DSM-IV by substantial numbers of psychiatrists. Thus, to foster compliance with it, APA must preserve in its efforts to demonstrate that the advantages of publishing it in 1993 outweigh the disadvantages of adopting yet another manual.
Zimmerman
M
M
Medical College of Pennsylvania Eastern Pennsylvania Psychiatric Institute, Philadelphia 19428.
Jampala
V C
VC
Sierles
F S
FS
Taylor
M A
MA
D000328:Adult; D001291:Attitude of Health Personnel; D005180:Faculty, Medical; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D001523:Mental Disorders / Q000145:classification* / Q000175:diagnosis; D008875:Middle Aged; D011570:Psychiatry / Q000193:education; D011594:Psychometrics; D011643:Publishing; D012108:Research Personnel / Q000523:psychology; D012955:Societies, Medical; D009626:Terminology as Topic; D014481:United States