Cited by 129Mental Health and PsychiatryPersonality Disorders and PsychopathologyPsychology and Mental Health

DSM-5: a collection of psychiatrist views on the changes, controversies, and future directions

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Nemeroff, Charles B, Weinberger, Daniel, Rutter, Michael, MacMillan, Harriet L, Bryant, Richard A, Wessely, Simon, Stein, Dan J, Pariante, Carmine M +6 more·2013·BMC Medicine

Abstract

The recent release of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) by the American Psychiatric Association has led to much debate. For this forum article, we asked BMC Medicine Editorial Board members who are experts in the field of psychiatry to discuss their personal views on how the changes in DSM-5 might affect clinical practice in their specific areas of psychiatric medicine. This article discusses the influence the DSM-5 may have on the diagnosis and treatment of autism, trauma-related and stressor-related disorders, obsessive-compulsive and related disorders, mood disorders (including major depression and bipolar disorders), and schizophrenia spectrum disorders.

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Crossref · 10.1186/1741-7015-11-202

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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 [44]

    The Introduction describes DSM-5 as controversial and says current psychiatric research lacks the tools for a major biologically grounded revision; it also reports that hoped-for diagnostic biomarkers have not materialized. The Autism section criticizes DSM-5’s failure to harmonize with ICD-11, but does not establish that ICD-11’s own weaknesses are unavoidable. In the citing sentence, the biomarker explanation is separately attributed to [45]. No page numbers are available in our copy. (LLM, conf=0.84)

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  1. Goldman Fraser J Lloyd SW Murphy RA Crowson MM Casanueva C Zolotor A Coker-Schwimmer M Letourneau K Gilbert A Swinson Evans T Crotty K Viswanathan M Exposure to Trauma: Comparative Effectiveness of Interventions Addressing Maltreatment. Comparative Effectiveness Review No. 89. (Prepared by the RTIUNC Evidence-based Practice Center under Contract No. 290-2007-10056-I.) AHRQ Publication No. 13-EHC002-EF 2013 Rockville, MD: Agency for Healthcare Research and Quality http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=1463 23700635
  2. Fabrega H Jr Phylogenetic and Cultural Basis of Mental Illness 2002 New Brunswick: Rutgers University Press
  3. Slade M Personal Recovery and Mental Illness: A Guide for Mental Health Professionals 2009 NY, NY: Cambridge University Press
  4. Lysaker PH Bob P Pec O Hamm J Kukla M Vohs J Popolo R Salvatore G Dimaggio G Metacognition as a link which connects brain to behavior in schizophrenia Translational Neurosci In press

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Authors
Nemeroff, C. B., Weinberger, D., Rutter, M., MacMillan, H. L., Bryant, R. A., Wessely, S., Stein, D. J., Pariante, C. M., Seemüller, F., Berk, M., Malhi, G. S., Preisig, M., Brüne, M., & Lysaker, P.
Affiliations
  • University of Miami (US)
  • Johns Hopkins University (US)
  • King's College London (GB)
  • McMaster University (CA)
  • UNSW Sydney (AU)
  • University of Cape Town (ZA)
  • Ludwig-Maximilians-Universität München (DE)
  • Barwon Health (AU)
  • The University of Sydney (AU)
  • Centre Hospitalier Universitaire Vaudois (CH)
  • University Hospitals of the Ruhr-University of Bochum (DE)
  • Richard L. Roudebush VA Medical Center (US)
Venue
BMC Medicine
Published
2013-09-12
Volume
11
Issue
1
Pages
202-202
ISSN
1741-7015 (ISSN-L)
OpenAlex
W2032302431
Cited by
128
References
72
Citations by year
2026: 4 · 2025: 2 · 2024: 15 · 2023: 12 · 2022: 7 · 2021: 4 · 2020: 16 · 2019: 7 · 2018: 8 · 2017: 12 · 2016: 6 · 2015: 12 · 2014: 22 · 2013: 1
FWCI
99.77
Type
journal article
Language
en
Open access
Locations
  • BMC Medicine (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • SERVAL (Université de Lausanne) (publishedVersion, other-oa)
  • IUScholarWorks (Indiana University) (submittedVersion, cc-by)
  • IRIS (submittedVersion)
  • Research Portal (King's College London) (submittedVersion, other-oa)
  • Open access LMU (Ludwid Maxmilian's Universitat Munchen) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
  • Minerva Access (University of Melbourne) (submittedVersion, cc-by)
  • Open University of Cape Town (University of Cape Town) (submittedVersion, cc-by)
Topics
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Keywords
DSM-5, psychiatric diagnosis, diagnostic classification, autism spectrum disorder, obsessive-compulsive and related disorders, mood disorders, major depressive disorder, bipolar disorder, schizophrenia spectrum disorders, clinical practice, psychiatrists' perspectives
MeSH terms
Humans, Psychiatry, Diagnostic and Statistical Manual of Mental Disorders

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