Rationales, values, and DSM-IV: The case of 'medication-induced movement disorders'

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3 Citations (Scopus)

Abstract

The DSM-IV has improved psychiatric diagnostic classification through initiating, among other things, the open disclosure of rationales for nosologic changes. It will be argued that a consideration of values is necessary in justifying nosologic changes, considerations missing from the DSM-IV rationales. In illustration of this, I examine the reasons for including the medication-induced movement disorders (MIMDs) on axis I by using a literature review, then compare the published rationales for including the MIMDs with the DSM-IV Task Force's own guidelines for including categories. Discrepancies are found between the Task Force's guidelines for including categories and the published rationales for including MIMDs. Strict adherence to the Task Force guidelines more strongly supports placing MIMDs in axis III. Discussion emphasizes the importance of value commitments in nosology development.

Original languageEnglish (US)
Pages (from-to)441-451
Number of pages11
JournalComprehensive Psychiatry
Volume37
Issue number6
DOIs
StatePublished - Nov 1996

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Movement Disorders
Diagnostic and Statistical Manual of Mental Disorders
Advisory Committees
Guidelines
Disclosure
Psychiatry

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry
  • Psychology(all)

Cite this

Rationales, values, and DSM-IV : The case of 'medication-induced movement disorders'. / Sadler, John Z.

In: Comprehensive Psychiatry, Vol. 37, No. 6, 11.1996, p. 441-451.

Research output: Contribution to journalArticle

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