Tuesday, May 14, 2013

Lieberman, Insel Issue Joint Statement About DSM-5 and RDoC


APA President-elect Jeffrey Lieberman, M.D., and National Institute of Mental Health (NIMH) Director Thomas Insel, M.D., issued a joint statement today about DSM-5 and NIMH's Research Domain Criteria (RDoC) project. In the statement, they acknowledged that along with the International Classification of Diseases, DSM "represents the best information currently available for clinical diagnosis of mental disorders" and that the two publications "remain the contemporary consensus standard to how mental disorders are diagnosed and treated."

"Yet, what may be realistically feasible today for practitioners is no longer sufficient for researchers," they said. "Looking forward, laying the groundwork for a future diagnostic system that more directly reflects modern brain science will require openness to rethinking traditional categories. It is increasingly evident that mental illness will be best understood as disorders of brain structure and function that implicate specific domains of cognition, emotion, and behavior," which is the focus of the RDoC initiative.

"All medical disciplines advance through research progress in characterizing diseases and disorders. DSM-5 and RDoC represent complementary, not competing, frameworks for this goal," they said. "DSM-5, which will be released May 18, reflects the scientific progress seen since the manual’s last edition was published in 1994. RDoC is a new, comprehensive effort to redefine the research agenda for mental illness. As research findings begin to emerge from the RDoC effort, these findings may be incorporated into future DSM revisions and clinical practice guidelines. But this is a long-term undertaking. It will take years to fulfill the promise that this research effort represents for transforming the diagnosis and treatment of mental disorders." Lieberman and Insel concluded the statement by saying APA and NIMH "are committed to improving the outcomes for people with some of the most disabling disorders in all of medicine."

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