Alternative futures for the DSM revision process: iteration v. paradigm shift.
Two major approaches can be used for the up-coming revisions of DSM-V and ICD-10: an 'iterative model' in which incremental changes are made or a 'paradigm shift model' in which the existing approach is jettisoned in favour of a new nosological model. We explore each of these two approaches and conclude that although they both have strengths and limitations, our field is not currently ready for a paradigm shift.
Kendler
Kenneth S
KS
Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University Medical School, Box 980126, 800 E. Leigh Street, Room 1-123, Richmond, VA 23298-0126, USA. kendler@hsc.vcu.edu
First
Michael B
MB
D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D038801:International Classification of Diseases / Q000592:standards; D001523:Mental Disorders / Q000145:classification* / Q000175:diagnosis; D011570:Psychiatry / Q000639:trends*