Psychometric perspectives on diagnostic systems
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The author identifies four conceptualizations of the relation between symptoms and disorders as utilized in diagnostic systems such as the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM‐IV; American Psychiatric Association, 1994): A constructivist perspective, which holds that disorders are conveniently grouped sets of symptoms; a diagnostic perspective, which holds that disorders are latent classes underlying the symptoms; a dimensional perspective, which holds that symptoms measure latent continua; and a causal systems perspective, which holds that disorders are causal networks consisting of symptoms and direct causal relations between them. Advantages and disadvantages of these conceptualizations are discussed. The author concludes that the psychometric analysis of diagnostic systems is not settled, and that these systems require deeper psychometric analysis than they currently receive. © 2008 Wiley Periodicals, Inc. J Clin Psychol 64: 1089–1108, 2008.
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Diagnostic disorder categories and the associated single-cause disease model do not adequately capture the diversity of psychopathology.
“This diversity is not adequately captured by diagnostic disorder categories or the associated disease model, which holds that a given pathology can be explained by a single underlying cause [9].”
From Using person-specific networks in psychotherapy: challenges, limitations, and how we could use them anyway (2020) · cites this paper as [9]
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- Authors
- Borsboom, D.
- Affiliations
- University of Amsterdam (NL)
- Corresponding author
- Borsboom, Denny
- ORCID
- Borsboom, Denny
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2008-08-06
- Volume
- 64
- Issue
- 9
- Pages
- 1089-1108
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W2064794182
- Cited by
- 691
- References
- 48
- Citations by year
- 2026: 53 · 2025: 72 · 2024: 82 · 2023: 82 · 2022: 62 · 2021: 73 · 2020: 67 · 2019: 40 · 2018: 33 · 2017: 27 · 2016: 27 · 2015: 14 · 2014: 11 · 2013: 14 · 2012: 15
- FWCI
- 8.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (451-03-068)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- diagnostic systems, DSM-IV, constructivist approach, latent class models, dimensional models, causal systems, psychiatric classification
- MeSH terms
- Mental Disorders, Humans, Psychological Theory, Psychometrics, Psychopathology
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