Wednesday, September 18, 2013

How does a set of conditions and behaviors become classified as an official mental disorder in the DSM?

The DSM initially started by taking information from census-type information from psychiatric wards and an early United States Army manual. Revisions to the DSM add new mental disorders and also remove conditions that are no longer recognized as mental disorders, such as homosexuality. The International Statistical Classification of Diseases and Related Health Problems (ICD), a document that was produced by the World Health Organization (WHO), is an alternative common manual used for mental disorder diagnoses, and also includes a code used to determine the criteria for a mental disorder, which is generally shared with the DSM, although there are some slight differences since the two are not revised simultaneously.

New disorders are determined acceptable additions to the DSM and ICD by subjective decisions from two groups known as the Mortality Reference Group and the Updating and Revision Committee. The URC considers different proposals and submits recommendations about updates to the Heads of Collaborating Centres who then make recommendations to the WHO.

1) World Health Organization, Classifications: Updating Process; http://www.who.int/classifications/icd/updates/en/index.html; September 18, 2013

Michael M.

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