Diagnostic and statistical manual‑5: Position paper of the Indian psychiatric society

Jacob, KS ; Kallivayalil, RA ; Mallik, AK ; Trivedi, JK ; Praveenlal, K ; Vahia, V ; Sathyanarayana Rao, TS ; Gupta, N ; Gangadhar, BN (2013) Diagnostic and statistical manual‑5: Position paper of the Indian psychiatric society Indian Journal of Psychiatry, 55 (1). p. 12. ISSN 0019-5545

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Official URL: http://doi.org/10.4103/0019-5545.105500

Related URL: http://dx.doi.org/10.4103/0019-5545.105500


The development of the Diagnostic and Statistical Manual-5 (DSM-5) has been an exhaustive and elaborate exercise involving the review of DSM-IV categories, identifying new evidence and ideas, field testing, and revising issues in order that it is based on the best available evidence. This report of the Task Force of the Indian Psychiatric Society examines the current draft of the DSM-5 and discusses the implications from an Indian perspective. It highlights the issues related to the use of universal categories applied across diverse cultures. It reiterates the evidence for mental disorders commonly seen in India. It emphasizes the need for caution when clinical categories useful to specialists are employed in the contexts of primary care and in community settings. While the DSM-5 is essentially for the membership of the American Psychiatric Association, its impact will be felt far beyond the boundaries of psychiatry and that of the United States of America. However, its atheoretical approach, despite its pretensions, pushes a purely biomedical agenda to the exclusion of other approaches to mental health and illness. Nevertheless, the DSM-5 should serve a gate-keeping function, which intends to set minimum standards. It is work in progress and will continue to evolve with the generation of new evidence. For the DSM-5 to be relevant and useful across the cultures and countries, it needs to be broad-based and consider social and cultural contexts, issues, and phenomena. The convergence and compatibility with International Classification of Diseases-11 is a worthy goal. While the phenomenal effort of the DSM-5 revision is commendable, psychiatry should continue to strive for a more holistic understanding of mental health, illness, and disease.

Item Type:Article
Source:Copyright of this article belongs to Indian Psychiatric Society.
Keywords:Culture; Diagnostic And Statistical Manual-5; India.
ID Code:118746
Deposited On:28 May 2021 10:06
Last Modified:28 May 2021 10:06

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