Reconsidering the DSM-IV Diagnoses of Alzheimer's Disease : Behavioral and Psychological Symptoms in Patients With Dementia

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Abstract

In traditional medical use, a categorical diagnosis conveys essential (although stereotypic) information about the signs and symptoms of a disease, its treatment, and its prognosis. Its utility derives from its generalizability. However, many of the shortcomings of categorical classification also reflect these same qualities. Diagnoses too often fail to capture important qualities of a disorder or do not sufficiently characterize a patient's particular symptoms. Recent editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM), which have emphasized highly specific entry criteria to establish psychiatric conditions in a more homogeneous fashion, have sometimes resulted in enhanced reliability at the cost of diminished validity. The variability of psychiatric disorders often defies attempts to create strictly defined clusters amenable to syndrome classifications.

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Bibliographic Details
Authors: Eric D. Caine iD ORCID 0000-0002-4859-9679 (University of Rochester Medicine; University of Rochester); Anton P. Porsteinsson iD ORCID 0000-0002-0166-1738 (University of Rochester Medicine; University of Rochester); Jeffrey M. Lyness iD ORCID 0000-0003-1618-5209 (University of Rochester Medicine; University of Rochester); Michael B. First iD ORCID 0000-0002-8032-3947 (Columbia University)
Published in: International Psychogeriatrics, vol. 12, pp. 23-27
Publication date:01/07/2000
Publisher:Cambridge University Press
Document type:Article
Language:English
DOI: 10.1017/s1041610200006724
ISSN:1041-6102, 1741-203X
Open access: Open access Gold: open access journal – International Psychogeriatrics (license: CC-BY-NC-ND, published version)
Cited by:4
Subjects:
Dementia and Cognitive Impairment Research (Health Sciences > Medicine > Psychiatry and Mental health)
Mental Health and Psychiatry (Social Sciences > Arts and Humanities > Philosophy)
Psychological Testing and Assessment (Social Sciences > Psychology > Applied Psychology)
Identifiers: OpenAlex W1981417962

Central index data: OpenAlex (CC0 license).

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