TY - JOUR
T1 - Rationales, values, and DSM-IV
T2 - The case of 'medication-induced movement disorders'
AU - Sadler, John Z.
N1 - Funding Information:
From the Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas, Dallas, TX. Supported by the Charles E. Culpeper Foundation Scholarship in Medical Humanities. Address reprint requests to John Z. Sadler, M.D., Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas, TX 75235-9O70. Copyright © 1996 by W.B. Saunders Company 0010-440X/96/3706-0002503.00/0
PY - 1996
Y1 - 1996
N2 - 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.
AB - 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.
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U2 - 10.1016/S0010-440X(96)90028-0
DO - 10.1016/S0010-440X(96)90028-0
M3 - Article
C2 - 8932969
AN - SCOPUS:0029803571
SN - 0010-440X
VL - 37
SP - 441
EP - 451
JO - Comprehensive Psychiatry
JF - Comprehensive Psychiatry
IS - 6
ER -