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The five-year process of preparing for the revision of the Diagnostic and Statistical Manual (DSM) has been organized around a series of conferences convened by the American Psychiatric Association, in collaboration with the World Health Organization and the U.S. National Institutes of Health, to address the future of psychiatric diagnosis. Obsessive-Compulsive Spectrum Disorders: Refining the Research Agenda for DSM-V is the fruit of one of those conferences and presents the most academically sound, thought-provoking, and timely papers from the proceedings.
As the conference and book demonstrate, recent advances
in psychiatric diagnosis suggest a new approach to obsessive-compulsive
disorder (OCD) classification:
• Research into the pathogenesis of OCD increasingly supports
reclassification out of the anxiety disorders and into a separate group of
obsessive-compulsive-related disorders (OCRDs).
• The relationships
among OCRDs may be better defined, delineated, and understood if the current
categorical diagnostic approach is supplemented with a dimensional approach
which assesses obsessive-compulsive symptom domains.
•
Obsessive-compulsive disorders are believed to be underdiagnosed in patients
who complain of broad symptoms of anxiety, and reclassification of OCD as an
OCRD would promote more careful examination of distinct obsessive-compulsive
symptoms, yield more accurate diagnosis, and result in more effective
treatments.
• Reclassification may facilitate future research directions
in examining the biological underpinnings of these disorders.
In
addition to examining the genetic, neurological, and ethno-cultural bases
for OCRDs, the book gives special attention to disorders that cross current
diagnostic categories, including:
• Body dysmorphic disorder (BDD)
• Tourette's syndrome and
trichotillomania
• Impulse-control disorders
The process leading to publication of DSM-V is by its nature an exhaustive and complex one, and the conferences play a critical role in reviewing relevant research, assessing the status of scientific knowledge, and advancing that knowledge base. Obsessive-Compulsive Spectrum Disorders: Refining the Research Agenda for DSM-V represents the cutting-edge thinking that will culminate in new diagnoses, classifications, and standards of practice for this debilitating set of disorders. Clinicians and academicians will be fascinated by this glimpse into the next generation of the DSM-V.
The book provides an organized and well-written reflection of the conference proceedings concerning OCD and obsessive-compulsive spectrum disorders for DSM-5. The chapters give a comprehensive and up-to-date review of a large body of literature and flow easily.
— Jessica Rasmussen, Ph.D. and Sabine Wilhelm, Ph.D.
Eric Hollander, M.D., is on the faculty in the Department of Psychiatry and Behavioral Sciences at Montefiore Medical Center and Albert Einstein College of Medicine in Bronx, New York.
Joseph Zohar, M.D., is Professor of Psychiatry in the Department of Psychiatry at Chaim Sheba Medical Center in Tel-Hashomer, Israel; and International Editor of CNS Spectrums.
Paul J. Sirovatka, M.S. (1947–2007), was Director of Research Policy Analysis in the Division of Research and American Psychiatric Institute for Research and Education at the American Psychiatric Association in Arlington, Virginia.
Darrel A. Regier, M.D., M.P.H., is Executive Director of the American Psychiatric Institute for Research and Education and Director of the Division of Research at the American Psychiatric Association in Arlington, Virginia.
Contributors
Disclosure
Statement
Preface
Introduction: Cross-Cutting Issues and Future
Directions for the Obsessive-Compulsive Spectrum Disorders
Chapter 1.
Obsessive-Compulsive Disorder: Boundary Issues
Chapter 2. Relationship
Of Body Dysmorphic Disorder and Eating Disorders to Obsessive-Compulsive
Disorder
Chapter 3. Tourette's Syndrome, Trichotillomania, and
Obsessive-Compulsive Disorder: How Closely Are They Related?
Chapter 4.
Relationship Between Impulse-Control Disorders and Obsessive-Compulsive
Disorder: A Current Understanding and Future Research Directions
Chapter
5. Symptom Dimensions in Obsessive-Compulsive Disorder: Implications for
DSM-V
Chapter 6. Overview Of Genetics and Obsessive-Compulsive
Disorder
Chapter 7. Neurological Considerations: Autism and Parkinson's
Disease
Chapter 8. Cross-Species Models of Obsessive-Compulsive Spectrum
Disorders
Chapter 9. Obsessive-Compulsive Spectrum Disorders:
Cross-National and Ethnic Issues
Index