PsychiatricTimes Members: Login | Register

|     

PsychiatricTimes SearchMedica Medline Drugs

Powered by SearchMedica

 
Risk Assessment
News
Current Issues
Blogs
Special Reports
CME
Conferences
Resources
Careers
Multimedia
About Us
 

Home » Blogs » DSM-5 Blog

Psychiatric Times.
On DSM-5 

AAPP Bulletin: Recent Issues Devoted to Conceptual Questions in DSM-5

By James Phillips, MD | November 3, 2010

The project culminating in the 2 issues of the Bulletin of the Association for the Advancement of Philosophy and Psychiatry (the Bulletin) included in PDF format with this introduction has its own history. As you all know, Allen Frances, chair of the DSM-IV Task Force, has for some time been conducting an ongoing critique of the DSM-5 process. His primary venue has been articles and online space in Psychiatric Times. Since the purpose of the AAPP Bulletin is to provide a forum for conceptual issues in the interface of philosophy and psychiatry, I approached Allen last winter about the possibility of carrying his critique into the pages of the Bulletin, where we could develop a symposium on DSM-5, with commentaries on his critique, along with his response to the commentaries. He responded enthusiastically to this proposal, and we proceeded. The spring issue of the Bulletin (Vol 17 #1) contains a series of commentaries on Dr Frances’ published DSM-5 pieces. For that Bulletin issue he chose to write 1 extensive response, entitled “DSM in Philosophyland: Curiouser and Curiouser.”

Following publication of the spring issue, we decided to do a second with a different format. We would spread a wider net for commentators, they would all do commentaries on “DSM in Philosophyland,” and Allen would write individual responses to each of the commentaries. He came up with the further idea that each commentator would have the opportunity for a ‘final word’, following his response. The invitation to comment was met with enthusiasm, and what we have in Vol 17 #2 is a symposium that extends to almost 70,000 words. Since the DSM-5 Task Force declined to act on a proposal to establish a Conceptual Issues Work Group, we like to think of these 2 issues of the Bulletin as the work of the missing conceptual issues group. (Let me add that while the PDFs of the 2 Bulletin issues are included here, there is a Web site that includes both issues, as well as Word files of the individual pieces from the second issue.

In conjunction with introducing these 2 issues of the AAPP Bulletin, let me take the opportunity to introduce the parent organization, the Association for the Advancement of Philosophy and Psychiatry (AAPP). AAPP is an organization of clinicians and philosophers who share an interest in the interface of philosophy and psychiatry, each side feeling that its specialty would benefit from dialogue with other. In the past 20 years the interdisciplinary field of philosophy and psychiatry has developed into a distinct, integrated discipline, separate from the 2 specialties that join to constitute it. A number of landmarks can be cited to highlight the evolution of the new discipline. First, and most dramatic, was the formation in 1989 of 2 new groups devoted to the dialogue of philosophy and psychiatry, each forming in ignorance of the other: in the US the Society for the Advancement of Philosophy and Psychiatry (later renamed the Association for the Advancement of Philosophy and Psychiatry), and in the UK the Interest Group of the British Medical Society. In the following couple years the founders of the 2 groups became aware of one another, and we began an ongoing collaboration around our shared interest.

In the ensuing years 4 further developments marked the evolution of the new field. First, clinicians and philosophers from other countries who shared the philosophy/psychiatry interest became aware of the new groups and began attending meetings in the US and UK - and then began forming, with varying degrees of formality, their own societies of philosophy and psychiatry. Second, the journal, Philosophy, Psychiatry, Psychology (PPP), was launched in 1994. Cosponsored by the British and American groups, with co-editors Bill Fulford (UK) and John Sadler (US), and published by the Hopkins Press, the journal has enjoyed a successful career and has continued into the present as a quarterly publication.

Third, in 1998 the first international meeting was held, drawing participation from clinicians and philosophers from all over the world. These meetings have been held annually since then. In 2002 the International Network for Philosophy and Psychiatry was formed to coordinate the international meetings, as well as to assume other functions such as coordinating the network of the various national groups and disseminating information about other meetings, publications, and other relevant areas of mutual interest. Finally, in recent years 2 book series have been developed with prominent publishers (MIT and Oxford). In 2003 the Oxford University Press launched a series entitled International Perspectives in Philosophy and Psychiatry, with series editors drawn from the PPP and INPP groups. Over 20 volumes have been published in the series at the moment of this writing.

AAPP holds it annual meeting as an Affiliated Group on the opening weekend of the annual meeting of the American Psychiatric Association. The organization continues to welcome new members, and an application form can be found at the back of either of the Bulletin issues included with this announcement.

AAPP Bulletin Vol 17 #1, 2010.pdf
AAPP Bulletin Vol 17 #2, 2010.pdf

 

Join the Conversation

Want to join the conversation? If you're a healthcare professional, we'd like to hear your comments. Just sign in or register today to become part of our growing, online community.

  • Oldest First
  • Newest First

by Andrew Hinderliter | November 07, 2010 5:29 PM EST

I found these a fascinating and very informative read, but one thing that troubled me was Dr. Phillips statement "We like to think of these 2 issues of the Bulletin as the work of the missing conceptual issues group."

While these articles are extremely valuable work, my own feeling is that one of the most important jobs for a "conceptual issues group"is to have some philosophically inclined individuals good at thinking up hypotheticals to apply that ability to specific proposals for DSM-5 to see if they can "break the system."

An number of authors discuss the problems with leaving decisions to the experts in a given field, with their attachment to their own pet proposals and often lack of attention to certain big picture issues.  Addressing this, Dr. Frances writes:

"[T]he DSM-IV Task Force was encouraged to shoot down all low flying work group suggestions. The DSM-IV leadership was ever alert to the risks in new diagnoses and eagerly disposed to find their fatal flaws."

In my own view, there is still great need to have people interested in the big conceptual issues to apply that to the many specific proposals for DSM-5

by Ronald Pies | November 03, 2010 8:38 PM EDT

  • I believe the field owes a debt of gratitude to Dr. Phillips, for his work on the spring issue of the Bulletin. I would urge anyone with an interest in the conceptual foundations of psychiatric diagnosis to peruse this document. Kudos, Jim!---Best, Ron Pies






 
TOPIC INDEX

Addiction Medicine
Alzheimer Disease
Anxiety Disorders
ADHD
Bipolar Disorder
Child & Adolescent Psychiatry
Dementia
Depression
DSM-5
Geriatric Psychiatry

 

Health Care Reform
Major Depressive
Disorder
OCD
Personality Disorders
Schizoaffective Disorder
Schizophrenia
Sleep Disorders
Somatoform Disorders
All Topics

 


 
FROM PHYSICIANS PRACTICE
Five Steps to Improving Patient Access
Judy Capko,  May 21, 2013
Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.
Growing HIPAA Threat – Ignore Windows XP at Your Own Peril
Marion K. Jenkins,  May 21, 2013
Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.
Finding Physician Work-Life Balance in the Small Moments
Jennifer Frank, MD,  May 21, 2013
At my practice and at home, things are always busy. There's laundry or homework, or a patient with needs.
Three Areas to Reduce Costs at Your Medical Practice
Greg Mertz,  May 19, 2013
By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.
Dos and Don’ts for Starting a Physician Blog
Michael Woo-Ming, MD,  May 18, 2013
Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.
 

 

 
MOST POPULAR
  • Most Popular
  • Most Emailed
  • Most Recent
  • Developmental Psychopathology Comes of Age
  • The Moral Struggles of Practicing Psychiatrists
  • Grief and Depression: The Sages Knew the Difference
  • Update on Mental Health Benefits and Substance Use Disorder Services Under the Affordable Care Act
  • Synthetic Cathinones: Signs, Symptoms, and Treatment
  • Grief and Depression: The Sages Knew the Difference
  • Successful Aging: Strategies to Help Maintain and Nurture a Healthy Brain
  • Synthetic Cathinones: Signs, Symptoms, and Treatment
  • Developmental Psychopathology Comes of Age
  • Psychiatry and the Myth of “Medicalization”
  • Experts Discuss Changes, Updates in DSM-5
  • The Paradox of Choice: When More Medications Mean Less Treatment
  • Will Your Clinical Records Support You in Court?
  • Refinements in ECT Techniques
  • Successful Aging: Strategies to Help Maintain and Nurture a Healthy Brain
Click here to subscribe to our newsletter
 
COMMENTS
  • Most Commented
  • Most Recent
  • Grief and Depression: The Sages Knew the Difference
  • Psychiatry and the Myth of “Medicalization”
  • Is it Time for a Treatment Manual to Complement DSM-5?
  • NIMH vs DSM 5: No One Wins, Patients Lose
  • DSM-5 Won’t Solve the Overdiagnosis Problem—But Clinicians Can
  • Experts Discuss Changes, Updates in DSM-5
  • New Insight Into the Neurobiology of Depression
  • Tie One On for Patients
  • NIMH vs DSM 5: No One Wins, Patients Lose
  • Psychiatry and the Myth of “Medicalization”
Click here to subscribe to our newsletter


 
CAREER CENTER

  •   Featured Jobs  
  •    Resources   
  • Psychiatry and Nurse Practitioner Opportunities
  • Associate Medical Director - Psychiatrist Delray Beach, Florida
  • Retiring Child Psychiatrist Seeks Replacement August 2010 or Before
  • Chairperson, Dept of Psychiatry Needed
  • FT Staff Psychiatrist - Excellent Benefits
  • BC Adult and Child Psychiatrits - PT and FT Positions Available
  • Managing Risks When Practicing in Three-Party Care Settings
  • 12 Tips for Making Your Practice Greener
  • Keys to Avoiding Malpractice: Standard of Care in Psychiatric Practice
  • Take This Job and Shove It
  • Merging Administrative and Academic Careers in Psychiatry

CancerNetwork | ConsultantLive | Diagnostic Imaging | Musculoskeletal Network | OBGYN.net | PediatricsConsultantLive |
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources

© 1996 - 2013 UBM Medica LLC, a UBM company
Privacy Statement - Terms of Service - Advertising Information - Editorial Policy Statement - UBM Medica Network Privacy Policy