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The six most essential questions in psychiatric diagnosis: a pluralogue. Part 4: general conclusion

Identifieur interne : 000255 ( Main/Exploration ); précédent : 000254; suivant : 000256

The six most essential questions in psychiatric diagnosis: a pluralogue. Part 4: general conclusion

Auteurs : James Phillips [États-Unis] ; Allen Frances [États-Unis] ; Michael A. Cerullo [États-Unis] ; John Chardavoyne [États-Unis] ; Hannah S. Decker [États-Unis] ; Michael B. First [États-Unis] ; Nassir Ghaemi [États-Unis] ; Gary Greenberg [États-Unis] ; Andrew C. Hinderliter [États-Unis] ; Warren A. Kinghorn [États-Unis] ; Steven G. Lobello [États-Unis] ; Elliott B. Martin [États-Unis] ; Aaron L. Mishara [États-Unis] ; Joel Paris [Canada] ; Joseph M. Pierre [États-Unis] ; Ronald W. Pies [États-Unis] ; Harold A. Pincus [États-Unis] ; Douglas Porter [États-Unis] ; Claire Pouncey [États-Unis] ; Michael A. Schwartz [États-Unis] ; Thomas Szasz [États-Unis] ; Jerome C. Wakefield [États-Unis] ; G Scott Waterman [États-Unis] ; Owen Whooley [États-Unis] ; Peter Zachar [États-Unis]

Source :

RBID : PMC:3563521

Abstract

In the conclusion to this multi-part article I first review the discussions carried out around the six essential questions in psychiatric diagnosis – the position taken by Allen Frances on each question, the commentaries on the respective question along with Frances’ responses to the commentaries, and my own view of the multiple discussions. In this review I emphasize that the core question is the first – what is the nature of psychiatric illness – and that in some manner all further questions follow from the first. Following this review I attempt to move the discussion forward, addressing the first question from the perspectives of natural kind analysis and complexity analysis. This reflection leads toward a view of psychiatric disorders – and future nosologies – as far more complex and uncertain than we have imagined.


Url:
DOI: 10.1186/1747-5341-7-14
PubMed: 23249629
PubMed Central: 3563521


Affiliations:


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<nlm:aff id="I4">Department of History, University of Houston, 524 Agnes Arnold, Houston, 77204, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<nlm:aff id="I8">Department of Linguistics, University of Illinois, Urbana-Champaign, 4080 Foreign Languages Building, 707 S Mathews Ave, Urbana, IL, 61801, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Linguistics, University of Illinois, Urbana-Champaign, 4080 Foreign Languages Building, 707 S Mathews Ave, Urbana, IL, 61801</wicri:regionArea>
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<name sortKey="Kinghorn, Warren A" sort="Kinghorn, Warren A" uniqKey="Kinghorn W" first="Warren A" last="Kinghorn">Warren A. Kinghorn</name>
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<nlm:aff id="I2">Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, 508 Fulton St, Durham, NC, 27710, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, 508 Fulton St, Durham, NC, 27710</wicri:regionArea>
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<nlm:aff id="I9">Duke Divinity School, Box 90968, Durham, NC, 27708, USA</nlm:aff>
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<wicri:regionArea>Duke Divinity School, Box 90968, Durham, NC, 27708</wicri:regionArea>
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<name sortKey="Lobello, Steven G" sort="Lobello, Steven G" uniqKey="Lobello S" first="Steven G" last="Lobello">Steven G. Lobello</name>
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<nlm:aff id="I10">Department of Psychology, Auburn University Montgomery, 7061 Senators Drive, Montgomery, AL, 36117, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychology, Auburn University Montgomery, 7061 Senators Drive, Montgomery, AL, 36117</wicri:regionArea>
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<name sortKey="Martin, Elliott B" sort="Martin, Elliott B" uniqKey="Martin E" first="Elliott B" last="Martin">Elliott B. Martin</name>
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<nlm:aff id="I1">Department of Psychiatry, Yale School of Medicine, 300 George St, Suite 901, New Haven, CT, 06511, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Yale School of Medicine, 300 George St, Suite 901, New Haven, CT, 06511</wicri:regionArea>
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<name sortKey="Mishara, Aaron L" sort="Mishara, Aaron L" uniqKey="Mishara A" first="Aaron L" last="Mishara">Aaron L. Mishara</name>
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<nlm:aff id="I11">Department of Clinical Psychology, The Chicago School of Professional Psychology, 325 North Wells Street, Chicago, IL, 60654, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Clinical Psychology, The Chicago School of Professional Psychology, 325 North Wells Street, Chicago, IL, 60654</wicri:regionArea>
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<author>
<name sortKey="Paris, Joel" sort="Paris, Joel" uniqKey="Paris J" first="Joel" last="Paris">Joel Paris</name>
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<nlm:aff id="I12">Department of Psychiatry, Institute of Community and Family Psychiatry, SMBD-Jewish General Hospital, McGill University, 4333 cote Ste. Catherine, Montreal, QC, H3T1E4, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Psychiatry, Institute of Community and Family Psychiatry, SMBD-Jewish General Hospital, McGill University, 4333 cote Ste. Catherine, Montreal, QC, H3T1E4</wicri:regionArea>
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<name sortKey="Pierre, Joseph M" sort="Pierre, Joseph M" uniqKey="Pierre J" first="Joseph M" last="Pierre">Joseph M. Pierre</name>
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<nlm:aff id="I13">Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, 760 Westwood Plaza, Los Angeles, CA, 90095, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, 760 Westwood Plaza, Los Angeles, CA, 90095</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:aff id="I14">VA West Los Angeles Healthcare Center, 11301 Wilshire Blvd, Los Angeles, CA, 90073, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>VA West Los Angeles Healthcare Center, 11301 Wilshire Blvd, Los Angeles, CA, 90073</wicri:regionArea>
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<author>
<name sortKey="Pies, Ronald W" sort="Pies, Ronald W" uniqKey="Pies R" first="Ronald W" last="Pies">Ronald W. Pies</name>
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<nlm:aff id="I6">Department of Psychiatry, Tufts Medical Center, 800 Washington Street, Boston, MA, 02111, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Tufts Medical Center, 800 Washington Street, Boston, MA, 02111</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:aff id="I15">Department of Psychiatry, SUNY Upstate Medical University, 750 East Adams St., #343CWB, Syracuse, NY, 13210, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, SUNY Upstate Medical University, 750 East Adams St., #343CWB, Syracuse, NY, 13210</wicri:regionArea>
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</author>
<author>
<name sortKey="Pincus, Harold A" sort="Pincus, Harold A" uniqKey="Pincus H" first="Harold A" last="Pincus">Harold A. Pincus</name>
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<nlm:aff id="I5">Department of Psychiatry, Columbia University College of Physicians and Surgeons, Division of Clinical Phenomenology, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Columbia University College of Physicians and Surgeons, Division of Clinical Phenomenology, New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032</wicri:regionArea>
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<nlm:aff id="I16">Irving Institute for Clinical and Translational Research, Columbia University Medical Center, 630 West 168th Street, New York, NY, 10032, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Irving Institute for Clinical and Translational Research, Columbia University Medical Center, 630 West 168th Street, New York, NY, 10032</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:aff id="I17">New York Presbyterian Hospital, 1051 Riverside Drive, Unit 09, New York, NY, 10032, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>New York Presbyterian Hospital, 1051 Riverside Drive, Unit 09, New York, NY, 10032</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:aff id="I18">Rand Corporation, 1776 Main St Santa Monica, California, 90401, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Rand Corporation, 1776 Main St Santa Monica, California, 90401</wicri:regionArea>
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<author>
<name sortKey="Porter, Douglas" sort="Porter, Douglas" uniqKey="Porter D" first="Douglas" last="Porter">Douglas Porter</name>
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<nlm:aff id="I19">Central City Behavioral Health Center, 2221 Philip Street, New Orleans, LA, 70113, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Central City Behavioral Health Center, 2221 Philip Street, New Orleans, LA, 70113</wicri:regionArea>
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<name sortKey="Pouncey, Claire" sort="Pouncey, Claire" uniqKey="Pouncey C" first="Claire" last="Pouncey">Claire Pouncey</name>
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<nlm:aff id="I20">Center for Bioethics, University of Pennsylvania, 3401 Market Street, Suite 320, Philadelphia, PA, 19104, USA</nlm:aff>
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<wicri:regionArea>Center for Bioethics, University of Pennsylvania, 3401 Market Street, Suite 320, Philadelphia, PA, 19104</wicri:regionArea>
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<name sortKey="Schwartz, Michael A" sort="Schwartz, Michael A" uniqKey="Schwartz M" first="Michael A" last="Schwartz">Michael A. Schwartz</name>
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<nlm:aff id="I21">Department of Psychiatry, Texas A & M College of Medicine, 4110 Guadalupe Street, Austin, TX, 78751, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, Texas A & M College of Medicine, 4110 Guadalupe Street, Austin, TX, 78751</wicri:regionArea>
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<name sortKey="Szasz, Thomas" sort="Szasz, Thomas" uniqKey="Szasz T" first="Thomas" last="Szasz">Thomas Szasz</name>
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<nlm:aff id="I15">Department of Psychiatry, SUNY Upstate Medical University, 750 East Adams St., #343CWB, Syracuse, NY, 13210, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, SUNY Upstate Medical University, 750 East Adams St., #343CWB, Syracuse, NY, 13210</wicri:regionArea>
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<name sortKey="Wakefield, Jerome C" sort="Wakefield, Jerome C" uniqKey="Wakefield J" first="Jerome C" last="Wakefield">Jerome C. Wakefield</name>
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<nlm:aff id="I22">Silver School of Social Work, New York University, 1 Washington Square North, New York, NY, 10003, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Silver School of Social Work, New York University, 1 Washington Square North, New York, NY, 10003</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:aff id="I23">Department of Psychiatry, NYU Langone Medical Center, 550 First Ave, New York, NY, 10016, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, NYU Langone Medical Center, 550 First Ave, New York, NY, 10016</wicri:regionArea>
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<name sortKey="Waterman, G Scott" sort="Waterman, G Scott" uniqKey="Waterman G" first="G Scott" last="Waterman">G Scott Waterman</name>
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<nlm:aff id="I24">Department of Psychiatry, University of Vermont College of Medicine, 89 Beaumont Avenue, Given Courtyard N104, Burlington, VT, 05405, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychiatry, University of Vermont College of Medicine, 89 Beaumont Avenue, Given Courtyard N104, Burlington, VT, 05405</wicri:regionArea>
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<name sortKey="Whooley, Owen" sort="Whooley, Owen" uniqKey="Whooley O" first="Owen" last="Whooley">Owen Whooley</name>
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<nlm:aff id="I25">Institute for Health, Health Care Policy, and Aging Research, Rutgers, the State University of New Jersey, 112 Paterson St, New Brunswick, NJ, 08901, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Institute for Health, Health Care Policy, and Aging Research, Rutgers, the State University of New Jersey, 112 Paterson St, New Brunswick, NJ, 08901</wicri:regionArea>
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<author>
<name sortKey="Zachar, Peter" sort="Zachar, Peter" uniqKey="Zachar P" first="Peter" last="Zachar">Peter Zachar</name>
<affiliation wicri:level="1">
<nlm:aff id="I10">Department of Psychology, Auburn University Montgomery, 7061 Senators Drive, Montgomery, AL, 36117, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Psychology, Auburn University Montgomery, 7061 Senators Drive, Montgomery, AL, 36117</wicri:regionArea>
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<series>
<title level="j">Philosophy, Ethics, and Humanities in Medicine : PEHM</title>
<idno type="eISSN">1747-5341</idno>
<imprint>
<date when="2012">2012</date>
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<p>In the conclusion to this multi-part article I first review the discussions carried out around the six essential questions in psychiatric diagnosis – the position taken by Allen Frances on each question, the commentaries on the respective question along with Frances’ responses to the commentaries, and my own view of the multiple discussions. In this review I emphasize that the core question is the first – what is the nature of psychiatric illness – and that in some manner all further questions follow from the first. Following this review I attempt to move the discussion forward, addressing the first question from the perspectives of natural kind analysis and complexity analysis. This reflection leads toward a view of psychiatric disorders – and future nosologies – as far more complex and uncertain than we have imagined.</p>
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<name sortKey="Porter, Douglas" sort="Porter, Douglas" uniqKey="Porter D" first="Douglas" last="Porter">Douglas Porter</name>
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