Disorder as harmful dysfunction: A conceptual critique of DSM-III-R's definition of mental disorder.

Wakefield, Jerome C.

doi:10.1037/0033-295x.99.2.232

Cited by 638 publications

(420 citation statements)

References 44 publications

(49 reference statements)

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“…On the one hand, it is difficult not to accept that delusions are typically, if not always symptomatic of pathology -and even the least socially laden theories of mental disorder accept that the notion of harm should be understood in sociocultural terms (Wakefield, 1992). On the other hand, it is hard to avoid the conclusion that some, if not all, delusions are epistemically irrational -although whether norms of rationality are even partially socially constructed is much more controversial.…”

Section: The Ontology Of Delusionmentioning

confidence: 90%

The classification, definition, and ontology of delusion

Porcher

2016

Rev. latinoam. psicopatol. fundam.

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Although delusion is one of the central concepts of psychopathology, it stills eludes precise conceptualization. In this paper, I present certain basic issues concerning the classification and definition of delusion, as well as its ontological status. By examining these issues, I aim to shed light on the ambiguity of the clinical term ‘delusion’ and its extension, as well as provide clues as to why philosophers are increasingly joining the ranks of psychiatrists, psychologists, and neuroscientists in the effort to come to a comprehensive understanding of delusion.

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Section: The Ontology Of Delusionmentioning

confidence: 90%

The classification, definition, and ontology of delusion

Porcher

2016

Rev. latinoam. psicopatol. fundam.

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“…Wakefield advirtió tempranamente que el DSM-III y sus sucesivas ediciones no utilizaba de modo consistente un concepto explicitado de trastorno mental que ayudara a mejorar la validez conceptual de las categorías (esto es, su capacidad de diferenciar entre normalidad y trastorno) 6 . El problema no radicaría tanto en el concepto general de trastorno mental que el DSM-III y ediciones posteriores usan.…”

Section: Metodologíaunclassified

Sobrediagnóstico de trastornos mentales y criterios diagnósticos del DSM: la perspectiva de Jerome Wakefieldx

Cova

et al. 2017

Rev. chil. neuro-psiquiatr.

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“…In contrast, the RDoC framework is intended to drive research and provide a means to integrate internal mechanisms to clinical symptoms in order to improve future nosologies. Here it has been argued that clarifying connections with internal mechanisms will make the strides that Wakefield (1992) might have envisioned when he introduced the term internal mechanism to the definition of mental disorder. In the near term, structural models provide an improved organization of mental disorder symptoms.…”

Section: Rdoc and Meta-structure: Mission In Commonmentioning

confidence: 99%

Connecting psychopathology meta-structure and mechanisms.

Sanislow

2016

Journal of Abnormal Psychology

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A persistent challenge for the field of psychopathology has been how to best explain mental disorders and organize clinical symptoms into diagnoses. Meta-structural approaches have clarified fundamental problems and made substantial gains by using covariance structures to organize the nature of clinical symptom patterns. A remaining task is how to specify the connections between these patterns across behavioral, cognitive, and neural mechanisms. Together, meta-structural approaches and the National Institute of Mental Health (NIMH) Research Domain Criteria (RDoC) offer a means to parse out these connections. I comment on the included articles in this special section on psychopathology meta-structure and argue that core dimensions of psychopathology identified with meta-structural approaches can advance the RDoC initiative and that the RDoC framework, in turn, can strengthen structural approaches by providing an organizational scaffold to elucidate the relations of behavioral, cognitive, and neural mechanisms and to relate them to dimensions of human suffering and dysfunction. General Scientific SummaryThe Research Domain Criteria (RDoC) project was initiated by the National Institute of Mental Health to facilitate research on mental disorders by providing a new ways to understand connections of problems in the brain and body with clinical symptoms and distress. The aim is to improve the diagnosis of mental disorders, and facilitate the development of better treatments. In this commentary, ways that RDoC and statistical approaches to complement each other to better understand mental disorders complement are described.Keywords: RDoC, diagnosis, mechanisms, meta-structure, NIMH It is a pleasure to have the opportunity to comment on the articles included in this special section in Abnormal Psychology on the meta-structure of psychopathology. This is an important and timely topic. Structural approaches to psychopathology have been pivotal for moving clinical research forward, for helping to address the pervasive problem of comorbidity, and for moving the field toward dimensional conceptualizations of psychopathology. RDoC is of particular significance to this special section because findings from meta-structure studies of psychopathology were a cornerstone rationale for its development. In what follows, the theoretical perspective of the National Institute of Mental Health (NIMH) Research Domain Criteria (RDoC) is offered in the context of commentary on the special section articles.Both RDoC and structural approaches are motivated by problems with descriptively derived diagnoses (e.g., diagnostic overlap, comorbidity, narrow constraints, arbitrary cut points, heterogeneity), but RDoC expressly grapples with the problem that mechanisms from integrative neuroscience (e.g., cognitive control, emotion regulation, reward processing) did not map neatly onto clinical syndromes. Metastructural research has clarified broad (e.g., internalizing) and specific (e.g., fear) dimensions of psychological and behavioral problems usef...

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Disorder as harmful dysfunction: A conceptual critique of DSM-III-R's definition of mental disorder.

Cited by 638 publications

References 44 publications

The classification, definition, and ontology of delusion

The classification, definition, and ontology of delusion

Sobrediagnóstico de trastornos mentales y criterios diagnósticos del DSM: la perspectiva de Jerome Wakefieldx

Connecting psychopathology meta-structure and mechanisms.

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