2011
DOI: 10.1111/j.1469-7610.2011.02367.x
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Research Review: Child psychiatric diagnosis and classification: concepts, findings, challenges and potential

Abstract: The conceptual issues are briefly noted with respect to the distinctions between classification and diagnosis; the question of whether mental disorders can be considered to be 'diseases'; and whether descriptive psychiatry is outmoded. The criteria for diagnosis are reviewed, with the conclusion that, at present, there are far too many diagnoses, and a ridiculously high rate of supposed comorbidity. It is concluded that a separate grouping of disorders with an onset specific to childhood should be deleted, the… Show more

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Cited by 192 publications
(161 citation statements)
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References 72 publications
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“…1953)." As the release of DSM-5 approached, a variety of recommendations were made to increase the applicability of ADHD criteria across the lifespan (e.g., Barkley, 2010;Barkley et al, 2008;Bell, 2011;Coghill & Seth, 2011;Hechtman, French, Mongia, & Cherkasova, 2011;Kessler et al, 2010;McGough & Barkley, 2004;McGough & McCracken, 2006;Polanczyk et al, 2010;Ramtekkar, Reiersen, Todorov, & Todd, 2010;Rutter, 2011). Initial proposed changes to the DSM-5 included shifting the diagnostic symptom threshold to 4/9 symptoms of IA or H/I in individuals aged 17 or older (for rationale, see Heiligenstein, Conyers, Berns, & Miller, 1998;Kooij et al, 2005).…”
Section: Dsm-iv Adhd Diagnostic Limitations and Controversiesmentioning
confidence: 99%
“…1953)." As the release of DSM-5 approached, a variety of recommendations were made to increase the applicability of ADHD criteria across the lifespan (e.g., Barkley, 2010;Barkley et al, 2008;Bell, 2011;Coghill & Seth, 2011;Hechtman, French, Mongia, & Cherkasova, 2011;Kessler et al, 2010;McGough & Barkley, 2004;McGough & McCracken, 2006;Polanczyk et al, 2010;Ramtekkar, Reiersen, Todorov, & Todd, 2010;Rutter, 2011). Initial proposed changes to the DSM-5 included shifting the diagnostic symptom threshold to 4/9 symptoms of IA or H/I in individuals aged 17 or older (for rationale, see Heiligenstein, Conyers, Berns, & Miller, 1998;Kooij et al, 2005).…”
Section: Dsm-iv Adhd Diagnostic Limitations and Controversiesmentioning
confidence: 99%
“…Therefore, as suggested by Rutter (2011), and Uher & Rutter (2012), adding longitudinal course to characterization of participants is also likely to reduce etiological heterogeneity. Clinical course should include age of onset of symptoms in early childhood, as a third to a half of parents of children with autism recall abnormalities beginning in the first year (Yirmiya & Charman, 2010 Prospective longitudinal studies, such as the Norwegian mother and baby study of 100,000 individuals hold the greatest promise for shedding light on this question (Rønningen et al, 2006).…”
Section: When Considering the Need To Minimize Environmental Influencmentioning
confidence: 99%
“…Several aspects of clinical course have some specificity for autism (Rutter, 2011), including early regression of language or social milestones in approximately a quarter of cases Pickles et al, 2009), savant skills in approximately one third of cases (Howlin, 2010), early accelerated brain growth in a minority of cases (Libero, Nordahl, Li, & Amaral 2017;Woodhouse et al, 1996), onset of epilepsy at distinctive times in approximately one third of cases (Bolton et al, 2011), extreme variability in adult outcome (Howlin et al, 2004), with onset of psychiatric comorbidity at puberty in 20% of cases (Hutton et al, 2008), and loss of diagnosis in a significant minority . Therefore, as suggested by Rutter (2011), and Uher & Rutter (2012), adding longitudinal course to characterization of participants is also likely to reduce etiological heterogeneity.…”
Section: When Considering the Need To Minimize Environmental Influencmentioning
confidence: 99%
“…The basic unit of psychopathology: from diagnostic categories to reactive mental states Although it is widely believed that mental disorders have their origin in altered cerebral function, the widely criticized [1,2] disease categories as defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD) do not map on what the brain actually does: mediating the continuous flow of meaningful perceptions of the social environment that guide adaptive behaviour. The use of ex-cathedra static diagnostic categories appears distal from neural networks that mediate dynamic adaptation to social context, which is one of the reasons why diagnostic categories as the basic unit for research may hamper scientific progress [1,2].…”
Section: Introductionmentioning
confidence: 99%