The Diagnostic And Statistical Manuals

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The Diagnostic and Statistical Manuals (DSMs) have long provided diagnostic guidelines for both clinical and research use in psychiatry and psychology all around the world. The tension between categorical and dimensional conceptualisations in assessing psychiatric syndromes and disorders is reflected in debate. Despite the ongoing concerns, recent discussions have argued for the implementation of a dimensional classification system, the categorical approach continues to dominate the field of psychology and psychiatry linked to clinical practice. This essay will present a comparison between categorical and dimensional approaches to the diagnostic of psychosis by highlighting advantage and disadvantages to each approach with respect to…show more content…
First and foremost, it is intended to provide a helpful guide to clinical practice. Proponents of categorical systems assert that clinical practice favours categorical characterisation; categories serve the practical aim of specifying the scope of clinically significant psychopathology in need of treatment, and of creating boundaries between syndromes in order to facilitate communication. There are numerous benefits to a categorical approach to psychiatric diagnoses in general and schizophrenia. Historically, psychiatry emerged as a discipline based on informal rules of categorisation of everyday experiences, developed to draw distinctions based on the healthy and the ill. This was used as attempt to introduce formal and universal diagnostic criteria guided to promote clear communication and reliability, validity and amongst clinicians whom held different view on disorders. Firstly, categorical diagnoses facilitate decision-making process regarding individuals who present clinically worth psychosis regarding treatments methods like antipsychotic drug therapy (Kraemer & O’Hara, 2004). Thus, it is particularly useful when a clinician is required to make a decision about diagnoses and treatment methods. The current categorical approaches provide clinicians with a framework of reference for treating patients with psychotic disorders. As
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