creators_name: Richters, John E. creators_name: Hinshaw, Stephen P. editors_name: Kazdin, Alan type: journalp datestamp: 2000-10-15 lastmod: 2011-03-11 08:54:24 metadata_visibility: show title: Psychiatry's Turbid Solution ispublished: pub subjects: clin-psy subjects: evol-psy full_text_status: public keywords: Mental Disorder, Psychopathology, Dysfunction, DSM, Classification, Evolutionary Psychology abstract: Psychiatry?s generic concept of disorder has long served an important legitimizing function for the broad array of conditions for which individuals seek mental health treatment, regardless of their presumed causes. Wakefield?s proposal to restrict the mental disorder concept to only a subset of these conditions has given rise to concerns about the uncertain consequences of classifying others as non-disorders. In Bergner?s recent counterproposal, this concern is masked in the form of a conspicuously overinclusive definition of mental disorder. Bergner?s resistance to Wakefield?s classification objective underscores an important, unmet, and often unacknowledged need within the clinical treatment community. The challenge ahead lies in finding ways to address this need without compromising the integrity of efforts to develop a more coherent concept of mental disorder. date: 1997 date_type: published publication: Clinical Psychology: Science and Practice volume: 4 pagerange: 276-280 refereed: TRUE referencetext: American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed., rev.). Washington, D.C.: American Psychiatric Association Bergner, R. M. (in press). What is psychopathology? And so what? Clinical Psychology: Science and Practice. Cicchetti, D. & Richters, J. E. (1993). Developmental considerations in the investigation of conduct disorder. Development and Psychopathology, 5, 5-29. Ludwig, A. M. (1975). Journal of the American Medical Association, 234, 603. Ossario, P. (1985). Pathology. In K. Davis & T. Mitchell (eds.), Advances in descriptive psychology. (Vol. 4, pp. 151-202). Greenwich, Conn.: JAP Press. Richters, J. E., & Cicchetti, D. (1993a). Editorial: Toward a developmental perspective on conduct disorder. Development and Psychopathology, 5, 1-4. Richters, J. E. & Cicchetti, D. (1993b). Mark Twain meets DSM-III-R: Conduct disorder, development, and the concept of harmful dysfunction. Development and Psychopathology, 5, 5-29. Szasz, T. S. (1960). The myth of mental illness: Foundations of a theory of personal conduct. New York: Harper & Row. Wakefield, J. C. (1992a). Disorder as harmful dysfunction: A conceptual critique of DSM-III-R's definition of mental disorder. Psychological Review, 99, 232-247. Wakefield, J. C. (1992b). The concept of mental disorder: On the boundary between biological facts and social values. American Psychologist, 47, 373-388. Zubin, J. (1978). But is it good for science? Clinical Psychologist, 31, 1-7. citation: Richters, John E. and Hinshaw, Stephen P. (1997) Psychiatry's Turbid Solution. [Journal (Paginated)] document_url: http://cogprints.org/1015/3/s_Turbid_Solution.pdf