DSM-IV and new diagnostic categories: holding the line on proliferation

Am J Psychiatry. 1992 Jan;149(1):112-7. doi: 10.1176/ajp.149.1.112.


The authors discuss aspects of the decision-making process for including "new" diagnostic categories in DSM-IV. They detail the different kinds of new categories proposed for inclusion in DSM-IV and discuss the risks and benefits of incorporating them. The authors comment on whether new diagnostic categories should be included in official nosologies as a stimulus for research or as a culmination of research. They also highlight problems with "sunsetting" diagnoses. The criteria for change in DSM-IV--a way to deal with the expanding array of proposals for additional diagnostic entities--are discussed. The authors also offer a series of specific examples of the different kinds of new categories being considered for inclusion in DSM-IV.

MeSH terms

  • Anxiety Disorders / classification
  • Anxiety Disorders / diagnosis
  • Decision Making
  • Depressive Disorder / classification
  • Depressive Disorder / diagnosis
  • Dissociative Disorders / classification
  • Dissociative Disorders / diagnosis
  • Humans
  • Mental Disorders / classification
  • Mental Disorders / diagnosis*
  • Personality Disorders / classification
  • Personality Disorders / diagnosis
  • Psychiatric Status Rating Scales / standards
  • Reproducibility of Results
  • Research
  • Risk
  • Sadism / classification
  • Sadism / diagnosis
  • Terminology as Topic*