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Controversies Associated With Changing Diagnostic Criteria

Updated: Jun 9, 2022

In their article “An Overview of the DSM-5: Changes, Controversy, and Implications for Psychiatric Nursing”, Halter, Rolin-Kenny, &Dzurec (2013 outline three controversies that were anticipated. These controversies include educational classification systems, treatment plans, and how insurance companies will determine the kind of services to be paid for (Halter et al., 2013)

Indeed these are legitimate concerns for a number of reasons. Firstly, given the fact that some conditions will be deleted and/ or rather evaluated on the basis of evidence-based research, it would lead to controversies on the educational classification system since it would be hard to tell where diagnosis for certain conditions fall (Halter et al., 2013). These will in-effect affect treatment plans. In addition, the revised copy of DSM-5 will have a great impact on the insurance companies because it would be hard to determine the kind of services to be paid for and which ones not to pay for.

One of the disorders identified as requiring significantly more research and study from the DSM-5 section is Attenuated Psychosis Syndrome. This is a type of disorder where an individual does not have a full blown Psychosis syndrome but rather exhibits minor versions of related symptoms. A research question that can be used to further research on the disorder is “what are the minor versions of psychosis symptoms?” (American Psychiatric Association, 2013).

One of the research methods that can be used to investigate the disorder is correlation research method. To begin with, the method will facilitate comparisons of the relevant symptoms of Attenuated Psychosis Syndrome and the disorder itself. This will be very important as it will show the possible cause and effect of the disorder. In other words, the method will help in the diagnosis of the disorder whereby proper identification of the relevant symptoms can facilitate early interventions.


American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, (DSM-5®). American Psychiatric Pub.

Halter, M. J., Rolin-Kenny, D., & Dzurec, L. C. (2013). An overview of the DSM-5: changes, controversy, and implications for psychiatric nursing. Journal of psychosocial nursing and mental health services, 51(4), 30-39.

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