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Br J Psychiatry. 2010 Oct;197(4):263-5. doi: 10.1192/bjp.bp.109.076794.

Alternative futures for the DSM revision process: iteration v. paradigm shift.

The British journal of psychiatry : the journal of mental science

Kenneth S Kendler, Michael B First

Affiliations

  1. Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University Medical School, Box 980126, 800 E. Leigh Street, Room 1-123, Richmond, VA 23298-0126, USA. [email protected]

PMID: 20884947 DOI: 10.1192/bjp.bp.109.076794

Abstract

Two major approaches can be used for the up-coming revisions of DSM-V and ICD-10: an 'iterative model' in which incremental changes are made or a 'paradigm shift model' in which the existing approach is jettisoned in favour of a new nosological model. We explore each of these two approaches and conclude that although they both have strengths and limitations, our field is not currently ready for a paradigm shift.

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