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Diagnostic categories or dimensions? A question for the Diagnostic and statistical manual of mental disorders--fifth edition.
Abstract
The question of whether mental disorders are discrete clinical conditions or arbitrary distinctions along dimensions of functioning is a long-standing issue, but its importance is escalating with the growing recognition of the frustrations and limitations engendered by the categorical model. The authors provide an overview of some of the dilemmas of the categorical model, followed by a discussion of research that addresses whether mental disorders are accurately or optimally classified categorically or dimensionally. The authors' intention is to document the importance of this issue and to suggest that future editions of the Diagnostic and Statistical Manual of Mental Disorders give more recognition to dimensional models of classification. They conclude with a dimensional mental disorder classification that they suggest provides a useful model.
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“The juxtaposition of categorical and dimensional approaches to mental health and related challenges has led historically to strong debates about which approach best characterizes a given phenomenon or set of phenomena such as mental disorders”
From Reconciling Contemporary Approaches to School Attendance and School Absenteeism: Toward Promotion and Nimble Response, Global Policy Review and Implementation, and Future Adaptability (Part 1) (2019) · cites this paper as Widiger and Samuel, 2005
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Lawrence, A. E., & Brown, T. A. (2009) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3181c29992 · Cited by 21
Forbes, M. K., Baillie, A., & Schniering, C. A. (2014) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2014.996928 · Cited by 24
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Metadata
- Authors
- Widiger, T. A., & Samuel, D. B.
- Affiliations
- University of Kentucky (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 2005-11
- Volume
- 114
- Issue
- 4
- Pages
- 494-504
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W2125664898
- Cited by
- 752
- References
- 136
- Citations by year
- 2026: 18 · 2025: 28 · 2024: 20 · 2023: 20 · 2022: 30 · 2021: 42 · 2020: 34 · 2019: 34 · 2018: 30 · 2017: 75 · 2016: 25 · 2015: 56 · 2014: 50 · 2013: 31 · 2012: 50
- FWCI
- 35.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- dimensional classification, categorical classification, DSM-5, mental disorder classification, dimensional models of psychopathology, diagnostic categories, psychopathology
- MeSH terms
- Mental Disorders, Humans, Reproducibility of Results, Diagnostic and Statistical Manual of Mental Disorders
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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