Conclusions

The modern effort to demarcate a taxonomy of distinct clinical conditions is often traced to Kraepelin (1917). Kraepelin, however, had himself acknowledged that wherever we try to mark out the frontier between mental health and disease, we find a neutral territory, in which the imperceptible change from the realm of normal life to that of obvious derangement takes place (p. 295). The DSM-IV diagnostic categories do provide valid and useful information (as indicated in the chapters included...

Frances Widiger And Sabshin 1991

Personality dimensions across cultures. Journal of Personality Disorders, 19, 212-232. Alper, J. S. (1998). Genes, free will, and criminal responsibility. Social Science and Medicine, 46, 1599-1611. American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC Author. American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev. ed.). Washington, DC Author. American...

Epidemiology

There are several methodological issues to consider when evaluating the literature on the epidemiology of dual diagnosis. First, data come from both epidemiological and clinical studies. Several large-scale epidemiological studies examining rates of dual diagnosis in general population samples have been carried out since the mid-1980s. These studies provide representative information on rates of mental illness and substance use disorders, use structured diagnostic interviews, and generate...

Boundaries Among Mental Disorders

A concern that predominates attention of many clinicians and researchers is the excessive comorbidity among mental disorders Caron amp Rutter, 1991 Clark et al., 1995 Krueger amp Markon, in press Widiger amp Clark, 2000 . A fundamental question is whether this apparent comorbidity is the co-occurring presence of multiple mental disorders or the presence of one disorder that is being given multiple diagnoses. DSM-IV provides diagnostic criterion sets to help guide the clinician toward a...

Rationale And Justification For Categorical Model

There are a number of reasons that diagnostic categories are used rather than clinical spectra or dimensions of functioning Kendell, 1975 , including simplicity, tradition, credibility, utility, and validity. Each of these will be considered in turn. It is human nature to categorize De Boeck, Wilson, amp Acton, 2005 . It is difficult to be cognizant of all shades of gray. Typologies are created in large part to render information into simpler, more succinct formats, and proponents of...