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Analysis of Improvements from DSM IV to DSM 5

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The Diagnostic and Statistical Manual for Mental Disorders (DSM) provides standard criteria for diagnosing mental disorders. It serves numerous purposes and delineates a common language for researchers, clinicians, educators and students. The APA released the fifth edition of its Diagnostic and Statistical manual of mental disorders in May 2013 after 12 years of research involving a diverse range of 400 experts from 12 countries worldwide (Kuhl, Kupfer, & Reiner, 2013). While the release of the new DSM 5 has caused much controversy in the field of psychiatry, specifically for its changes in specific diagnosis and new disorders, the structural changes that have been made seem to be an improvement from the previous DSM IV and will help …show more content…

These include an emotional cluster that includes disorders like anxiety, depressive, and somatic disorders because research has shown that they often co-occur. Other clusters were defined as a neurocognitive cluster, neurodevelopmental cluser, psychosis cluster, and externalizing cluster (Andrews et al., 2009). The main goals of this metastructure were increased utility by simplifying the current system to make it less complex for routine care and primary care physicians, increased validity by moving away from symptomatology to the current understanding of mutual underlying risk, and increased homogeneity within clusters, which emphasize similarities rather than differences between diagnoses (Wittchen, Beesdo, & Gloster, 2009). The clusters could be very useful to clinicians because they could view their patient’s disorders within a broader context and better understand the epidemiology of risk factors to come up with treatment plans that minimize these shared risk factors (Andrews et al., 2009). However, despite these important advantages of having a five-cluster metastructure, there were many problems with this proposal mostly due to insufficient research. The proposed clusters were not based on systematic reviews, metaanalyses, or statistical approaches. They were merely based on informed expert opinion and selective

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