Abstract

ALARCON G, Renato D.  and  FREEMAN III, Arthur M.. Ontological routes of psychiatric nosology: How did DSM-5 arrive?. Rev Neuropsiquiatr [online]. 2015, vol.78, n.1, pp.35-45. ISSN 0034-8597.

The main ontological features of the elaboration and development of a nosological system, from an ontological perspective, are examined and applied to the recent publication of the fifth edition of APA’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5). After a brief historical description, the article reviews contributions from different authors and discusses topics such as definition of mental disorder, etiopathogenesis, reliability and validity, justification and objectives of eventual changes, ethical links and tensions between science and humanism, heuristic theories in psychiatry and concrete aspects of clinical practice. The hope is to reach a desirable convergence of viewpoints and beneficial results from the process in favor of patients, families, professionals and society as a whole

Keywords : Ontology; psychiatric nosology; diagnosis; DSM-5.

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