Delusions and disorders of self-experience

Connors, Michael H and Halligan, Peter W ORCID: https://orcid.org/0000-0003-2784-6690 2021. Delusions and disorders of self-experience. The Lancet Psychiatry 8 (9) , pp. 740-741. 10.1016/S2215-0366(21)00244-3

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Abstract

Diagnosis and classification have long been contentious issues in psychiatry. In the absence of clearly defined biological causes and mechanisms, classification has tended to rely on observable features—self-reported symptoms, discernible signs, and time course—to distinguish disorders. 1 Originally proposed by Emil Kraepelin, this approach was operationalised in criterion-based schemes, 1 such as the Diagnostic and Statistical Manual of Mental Disorders (DSM) 2 and International Classification of Diseases (ICD). 3 These criteria provide checklists of features, agreed upon by experts, to define disorders for research and wider communication. Although these criteria have improved diagnostic reliability, their validity remains more contentious. 1 , 4 This approach has also had the unintended effect of narrowing clinical assessment to only the features contained within the relevant checklist and reifying criteria, such that disorders are effectively presumed to be nothing more than the criteria themselves. 1 , 4

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Psychology
Publisher:	Elsevier
ISSN:	2215-0366
Last Modified:	09 Nov 2022 11:33
URI:	https://orca.cardiff.ac.uk/id/eprint/143774

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