"Every time the DSM is revised it gets bigger and there seem to be more and more disorders, and new ones seem to be invented," said James Maddux, a professor of psychology at George Mason University in Fairfax, Va. "There has been a gradual psychopathologizing of everyday problems in living."
The DSM-5, however, might escape such criticisms, Maddux conceded.
"Any movement towards a dimensional model is a move in the direction of being consistent with the research," he said. "Any change that reduces the probability that someone with a normal, expected problem in living is going to be said to have a mental disorder is also a move in the right direction."
View and comment on the proposed changes by visiting the American Psychiatric Association.
SOURCES: James Maddux, Ph.D., professor, psychology, George Mason University, Fairfax, Va.; Feb. 9, 2010, teleconference with: Darrel A. Regier, M.D., vice chair, DSM-5 Task Force, and director, research, American Psychiatric Association; Charles P. O'Brien, M.D., Ph.D., chair, Substance-Related Disorders Work Group, and professor, psychiatry, University of Pennsylvania School of Medicine, Philadelphia; David Shaffer, M.D., member, Disorders in Childhood and Adolescence Work Group, and Irving Philips Professor of Child Psychiatry and professor of pediatrics, Columbia University, New York City; and B. Timothy Walsh, M.D., chair, Eating Disorders Work Group and W&J Ruane Professor of Pediatric Psychopharmacology (in Psychiatry), New York State Psychiatric Institute
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