Has the Diagnostic and statistical manual of mental illnesses (fifth edition) jumped the shark and is it now time for Australia to reconsider reliance on it?

Abstract

Objective:

The purpose of this article is to consider whether, in light of the significant controversy surrounding the Diagnostic and statistical manual of mental illnesses (fifth edition) (DSM-5), it may be time for Australia to reconsider the influence of, and its past reliance on, the DSM. Also considered is whether it is now time, with the imminent publication of the The international statistical classification of diseases and related health problems (eleventh edition) (ICD-11), to move to the ICD-11 as the primary instrument for diagnosis and research in Australia.

Conclusion:

That DSM-5 begins its life in an unprecedented plethora of criticism, not only from lay people but also from mental health professionals, which should sound a note of caution for continued reliance on it in Australia.

Keywords

DSM-5 ICD-11 influence criticism

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References

American Psychiatric Association. Diagnostic and statistical manual of mental illnesses. Fifth edition. Washington DC: American Psychiatric Publishing, 2013.

National Centre for Classification in Health. The international statistical classification of diseases and related health problems, 10th revision, Australian modification. Sydney: National Centre for Classification in Health, Faculty of Health Sciences, University of Sydney, 1998.

Dunlevy

Medical ‘bible’ squabble. The Weekend Australian, 19–20 May 2012.

Haslam

Modern madness: The labelling of mental illness gets a shakeup. The Monthly May 2013, pp. 32–36.

Ghaemi

SN.

The ‘pragmatic’ secret of DSM revisions. Aust N Z J Psychiatry 2014; 48: 196–197.

Government of Australia, Repatriation Medical Authority. Statements of principles, http://rma.gov.au (accessed 2 March 2014).

Veterans Review Board. Members’ Handbook.

Mellsop

Diesfeld

. Psychiatric diagnoses in legal systems: An issue of validity. Med Law 2011; 30: 517–527.

Parnell

. Warning on new guide to mental illness. The Australian, 18 May 2013.

10.

Dunlevy

. Psychologists fume over new diagnoses. The Australian, 7 November 2011.

11.

Belluck

Carey

. Psychiatry’s guide is out of touch with science, experts say. The New York Times, 6 May 2013.

12.

Stein

. What is a mental disorder? A perspective from cognitive-affective science. Can J Psychiatry 2013; 58: 656–661.

13.

Wakefield

First

. Clarifying the boundary between normality and disorder: A fundamental conceptual challenge for psychiatry. Can J Psychiatry 2013; 58: 603–605.

14.

Maj

. DSM-5, ICD-11 and ‘pathologization of normal conditions’. Aust N Z J Psychiatry 2014; 48: 193–194.

15.

Frances

. DSM-5 is guide not bible—ignore its 10 worst changes, http://m.psychologytoday.com/blog/dsm5-in-distress/201212/dsm-5-is-guide-not-bible-ignore-its-ten-worst-changes (2012, accessed 17 December 2012).

16.

Paris

Phillips

(eds) Making the DSM-5: Concepts and controversies. New York: Springer, 2013.

17.

Ben-Zeev

Young

Corrigan

. DSM-V and the stigma of mental illness. J Ment Health 2010; 19: 318–327.

18.

Pies

. Grief and depression: The sages knew the difference. Psychiatric Times, 29 April 2013. http://www.psychiatrictimes.com/display/article/10168/2140230 (2013, accessed 26 July 2014).

19.

Friedman

. Grief, Depression and the DSM-5. N Engl J Med 2012; 366: 1855–1857.

20.

Koulopoulos

Sani

Ghaemi

. Mixed features of depression: Why DSM-5 is wrong (and so was DSM-IV). Br J Psychiatry 2013; 203: 3–5.

21.

O’Connor

. Reflective accounts of psychiatry in Australasia, 1963–2000 (the 1980s). Australas Psychiatry 2013; 21: 101–103.

22.

Greenberg

. The book of woe: The DSM and the unmaking of psychiatry. New York: Blue Rider Press, 2013.

23.

O’Connor

. The book of woe: The DSM and the unmaking of psychiatry (book review). Australas Psychiatry 2014; 22: 90–92.

24.

Frances

Nardo

. ICD-11 should not repeat the mistakes made by DSM-5. Br J Psychiatry 2013; 203: 1–2.

25.

Goldberg

. What should ICD-11 do that DSM-5 did not? Aust N Z J Psychiatry 2014; 48: 87–88.

26.

Carroll

. Lessons for ICD-11 coming after DSM-5. Aust N Z J Psychiatry 2014; 48: 90–91.

27.

McGuffin

Farmer

. Moving from DSM-5 to ICD-11: A joint problem. Aust N Z J Psychiatry 2014; 48: 195–196.

28.

Reed

Correia Esparza

. The WPA-WHO global survey of psychiatrists’ attitudes towards mental disorders classification. World Psychiatry 2011; 10: 118–131.

29.

International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders. A conceptual framework for the revision of the ICD-10 classification of mental and behavioural disorders. World Psychiatry 2011; 10: 86–96.

30.

Innes

Peasley

Roberts

. Ten down under: Implementing ICD-10 in Australia. J AHIMA 2000; 1: 52–56.

31.

Roberts

Innes

Walker

. Introducing ICD-10-AM in Australian Hospitals. Med J Aust 1998; 169: 32–35.

32.

Carey

. The problem with the DSM-5 is the DSM not the 5. Australas Psychiatry 2013; 21: 409.

33.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th edn, text revision. Washington DC: American Psychiatric Association, 2000.