The Initial Field Trials of DSM-5: New Blooms and Old Thorns
Abstract
Three articles in this issue detail the process and results of reliability tests for proposed DSM-5 diagnoses and cross-diagnosis symptom domains. The editorial highlights the good reliability of borderline personality disorder and relates the questionable reliability of major depressive disorder to its heterogeneity. The editorial is also available in Spanish, Traditional Chinese, and Simplified Chinese.
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The weaknesses of the ICD-11 and DSM-5 systems are debatable and unavoidable given the lack of any objective pathophysiological compass and the limited specificity of most currently available biomarkers in mental illness.
“The weaknesses of the two systems are both debatable and unavoidable [43, 44] given the lack of any objective pathophysiological compass and the limited specificity of most currently available biomarkers in mental illness [45].”
From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [43]
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Self-citation
- Authors
- Freedman, R., Lewis, D. A., Michels, R., Pine, D. S., Schultz, S. K., Tamminga, C. A., Gabbard, G. O., Gau, S. S.-F., Javitt, D. C., Oquendo, M. A., Shrout, P. E., Vieta, E., & Yager, J.
- Affiliations
- From the Editors’ Office of The American Journal of Psychiatry.
- ORCID
- Venue
- American Journal of Psychiatry
- Published
- 2013-01
- Volume
- 170
- Issue
- 1
- Pages
- 1-5
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2017854344
- Cited by
- 295
- References
- 8
- Citations by year
- 2026: 11 · 2025: 15 · 2024: 12 · 2023: 23 · 2022: 16 · 2021: 24 · 2020: 40 · 2019: 22 · 2018: 15 · 2017: 22 · 2016: 22 · 2015: 24 · 2014: 27 · 2013: 21 · 2012: 1
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- DSM-5, diagnostic reliability, borderline personality disorder, major depressive disorder, diagnostic heterogeneity, psychiatric diagnosis, field trials
- MeSH terms
- Adult, Mental Disorders, Child, Data Interpretation, Statistical, Humans, Reproducibility of Results, Randomized Controlled Trials as Topic, Diagnostic and Statistical Manual of Mental Disorders
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