Philosophical Issues in Psychiatry II: Nosology

Paperback | May 8, 2012

EditorKenneth S. Kendler, Josef Parnas

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Psychiatric and psychological practice and research is critically dependent on diagnosis. Yet the nature of psychiatric diagnosis and the rules by which disorders should be created and organized have been highly controversial for over 100 years. Unlike simple medical disorders (like infectiousdiseases), psychiatric disorders cannot be traced to one simple etiologic agent. The last two generations have seen major conceptual shifts in the approach to diagnosis with the rise of operationalized criteria and an emphasis on a descriptive rather than etiological approach to diagnosis. The interest in psychiatric diagnoses is particularly heightened now because both of themajor psychiatric classifications in the world - DSM and ICD - are now undergoing major revisions. What makes psychiatric nosology so interesting is that it sits at the intersection of philosophy, empirical psychiatric/psychological research, measurement theory, historical tradition and policy. Thismakes the field fertile for a conceptual analysis. This book brings together established experts in the wide range of disciplines that have an interest in psychiatric nosology. The contributors include philosophers, psychologists, psychiatrists, historians and representatives of the efforts of DSM-III, DSM-IV and DSM-V. Some of the questionsaddressed include i) what is the nature of psychiatric illness? Can it be clearly defined and if so how? ii) What is the impact of facts versus values in psychiatric classification? iii) How have concepts of psychiatric diagnosis changed over time? iv) How can we best conceptualize the central ideaof diagnostic validity? And v) Can psychiatric classification be a cumulative enterprise seeking improvements at each iteration of the diagnostic manual? Each individual chapter is introduced by the editors and is followed by a commentary, resulting in a dynamic discussion about the nature ofpsychiatric disorders. This book will be valuable for psychiatrists, psychologists and other mental health trainees and professionals with an interest in the questions and problems of psychiatric diagnosis, as well as philosophers and philosophy students interested in the problems posed by psychiatry, particularly thoseworking in the philosophy of science.

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Psychiatric and psychological practice and research is critically dependent on diagnosis. Yet the nature of psychiatric diagnosis and the rules by which disorders should be created and organized have been highly controversial for over 100 years. Unlike simple medical disorders (like infectiousdiseases), psychiatric disorders cannot be ...

The major focus of Kenneth's research is in the genetics of psychiatric and substance abuse disorders. Two major methodologies are used in this research. The first involves large population based twin samples. In these twins the aggregate role of genetic and environmental factors is addressed. The aim is to understand how these factor...

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Format:PaperbackDimensions:336 pages, 9.21 × 6.14 × 0.68 inPublished:May 8, 2012Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199642206

ISBN - 13:9780199642205

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Table of Contents

The Basics-The Definition of Psychiatric Illness and Rules for Classification1. Kenneth S. Kendler, and Derek Bolton, and Michael B. First: Classification and causal mechanisms - a deflationary approach to the classification problem2. Kenneth S. Kendler, Peter Zachar, and Rachel Cooper: Progress and the Calibration of Scientific Constructs: The Role of Comparative Validity3. Josef Parnas, S. Nassir Ghaemi, and Derek Bolton: Taking disease seriously: Beyond "pragmatic"nosology4. Kenneth S. Kendler, Rachel Cooper, and S. Nassir Ghaemi: Is psychiatric classification a good thing?The Historical Development of Modern Psychiatric Diagnoses5. Josef Parnas, Assen Jablensky, and Darrel A. Regier: The nosological entity in psychiatry: an historical illusion or a moving target?6. Kenneth S. Kendler, German E Berrios, and Josef Parnas: The 19th Century Nosology of Alienism: History and Epistemology7. Kenneth S. Kendler, Michael B. First, and Harold Alan Pincus: The Development of DSM-III From An Historical/Conceptual Perspective8. Kenneth S. Kendler, Harold Alan Pincus, and Mario Maj: Title: DSM IV: Context, Concepts and ControversiesApplication to Major Depression9. Josef Parnas, Kenneth F. Schaffner, and Peter Zachar: A philosophical overview of the problems of validity for psychiatric disorders10. Kenneth S. Kendler, Robert F. Krueger, Nicholas R. Eaton, and Paul R. McHugh: Structural Validity and the Classification of Mental DisordersApplication to Major Depression and Schizophrenia11. Josef Parnas and Mario Maj: When Does Depression become a Mental Disorder?12. Assen Jablensky, Josef Parnas, and Kenneth S. Kendler: The DSM-IV and the founding prototype of schizophrenia: are we regressing to a pre-Kraepelinian nosology?The Way(s) Forward13. Josef Parnas, Paul R. McHugh, and Assen Jablensky: Rendering Mental Disorders Intelligible: Addressing Psychiatry's Urgent Challenge14. Kenneth S. Kendler, Darrel A. Regier, Robert F. Krueger: Diagnostic Threshold Considerations for DSM-515. Josef Parnas and Kenneth S. Kendler: Epistemic Iteration as an Historical Model for Psychiatric Nosology: Promises and Limitations