Shirah Vollmer MD

The Musings of Dr. Vollmer

NIMH and DSM 5: Divorce!

Posted by Dr. Vollmer on May 6, 2013

2 Responses to “NIMH and DSM 5: Divorce!”

  1. Jon said

    NIMH Director Thomas Insel states “While DSM has been described as a ‘Bible’ for the field, it is, at best, a dictionary, creating a set of labels and defining each.” While both have their merits, one uses a dictionary much differently than a bible. Let us hope that general community understands these distinctions. It appears that the National Institute of Mental Health does. Continuing the quote… “Indeed, symptom-based diagnosis, once common in other areas of medicine, has been largely replaced in the past half century as we have understood that symptoms alone rarely indicate the best choice of treatment…. That is why NIMH will be re-orienting its research away from DSM categories.” NIMH is proceeding with its Research Domain Criteria (RDoC) project which is “for now, is a research framework, not a clinical tool.” However, this seems the correct next step in further advancing the state of the art.

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