Epistemological reflections about the crisis of the DSM-5 and the revolutionary potential of the RDoC project


Authors
Massimiliano Aragona
Università degli Studi di Roma La Sapienza
Abstract
This paper tests the predictions of an epistemological model that considered the DSM psychiatric classification (in the neopositivist and neo-Kraepelinian shape introduced by the DSM-III) as a scientific paradigm in crisis. As predicted, the DSM-5 did not include revolutionary proposals in its basic structure. In particular, the possibility of a dimensional revolution has not occurred and early proposals of etiopathogenic diagnoses were not implemented due to lack of specific knowledge in that field. However, conceiving the DSM-5 as a bridge between the present phenomenally based operational diagnostic criteria and the neuro-cognitively based RDoC criteria introduces an internal tension into the system. It is expected that a liberalization of the research criteria will occur, the DSM operational criteria being only one possible way to select research subjects.
Keywords philosophy of psychiatry  nosography  psychiatric classification  mental disorders
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The Concept of Mental Disorder and the DSM-V.Massimiliano Aragona - 2009 - Dialogues in Philosophy, Mental and Neuro Sciences 2 (1):1-14.

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