In this newsmaking report of the largest study to date of mental illness in America, Robins and Regier and a roster of leading psychiatrists and epidemiologists document the true dimensions of the various psychiatric disorders afflicting millions of contemporary Americans.

Psychiatric Disorders in America: The Epidemiologic Catchment Area Study

Health, Fitness & Dieting

Darrel A. Regier

Lee N. Robins

Psychology & Counseling

Free Press

In the ongoing quest to improve our psychiatric diagnostic system, we are now searching for new approaches to understanding the etiological and pathophysiological mechanisms that can improve the validity of our diagnoses and the consequent power of our preventive and treatment interventions -- venturing beyond the current DSM paradigm and DSM-IV framework.
This thought-provoking volume -- produced as a partnership between the American Psychiatric Association, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse -- represents a far-reaching attempt to stimulate research and discussion in the field in preparation for the eventual start of the DSM-V process, still several years hence. The book Explores a variety of basic nomenclature issues, including the desirability of rating the quality and quantity of information available to support the different disorders in the DSM in order to indicate the disparity of empirical support across the diagnostic system.
Offers a neuroscience research agenda to guide development of a pathophysiologically based classification for DSM-V, which reviews genetic, brain imaging, postmortem, and animal model research and includes strategic insights for a new research agenda.
Presents highlights of recent progress in developmental neuroscience, genetics, psychology, psychopathology, and epidemiology, using a bioecological perspective to focus on the first two decades of life, when rapid changes in behavior, emotion and cognition occur.
Discusses how to address two important gaps in the current DSM-IV: (1) the categorical method of diagnosing personality disorders and their relationship with Axis I disorders, and (2) the limited provision for the diagnosis of relational disorders -- suggesting a research agenda for personality disorders that considers replacing the current categorical approach with a dimensional classification of personality.
Reevaluates the relationship between mental disorders and disability, asserting that research into disability and impairment would benefit from the diagnosis of mental disorders be uncoupled from a requirement for impairment or disability to foster a more vigorous research agenda on the etiologies, courses, and treatment of mental disorders as well as disabilities and to avert unintended consequences of delayed diagnosis and treatment.
Examines the importance of culture in psychopathology and the main cultural variables at play in the diagnostic process, stating that training present and future professionals in the need to include cultural factors in the diagnostic process is a logical step in any attempt to develop comprehensive research programs in psychology, psychiatry, and related disciplines.
This fascinating work, with contributions from an international group of research investigators, reaches into the core of psychiatry, providing invaluable background and insights for all psychology and psychiatry professionals -- food for thought and further research that will be relevant for years to come.

A Research Agenda for DSM-V

Michael B. First

David J. Kupfer

Mental Health

American Psychiatric Publishing

Part of the new series Advancing the Research Agenda for DSM-V, Diagnostic Issues in Dementia comprises nine chapters with research suggestions for consideration for the upcoming DSM-V process, reflecting the nascent effort toward a new diagnostic nomenclature in the still rapidly evolving field of dementia. Here, 18 experts provide critical pieces of the dementia diagnostic story: Alzheimer's disease and the aging brain, the challenges of changing our general definition of dementia, diagnostic nomenclature, the growing evidence for mild cognitive impairment as an identifiable entity suitable for inclusion in DSM-V, neuropsychological testing, behavioral syndromes and the need to better focus appropriate therapy, biomarkers in dementia for inclusion in diagnostic criteria, specific imaging modalities, and the sobering assertion that, despite the tremendous explosion of information in this field, genetic profiles except for rare Mendelian disorders are not yet ready to make substantial contributions to nosology. Within the vast and rapidly expanding literature of dementia, this remarkably concise and insightful collection reviews today's and suggests directions for tomorrow's important diagnostic and research issues in dementia, and as such is a "must read" for clinicians and researchers alike.

Diagnostic Issues in Dementia: Advancing the Research Agenda for DSM-V

Dilip V. Jeste

Trey Sunderland

Olusegun Baiyewu

Paul J. Sirovatka

This volume summarizes current research to determine whether a specific group of stress-induced and fear-based disorders form a distinct syndrome independent from other anxiety disorders. Intended to contribute to DSM-V revisions regarding classification of these disorders, Stress-Induced and Fear Circuitry Disorders reflects findings that may lead to more refined treatments for these conditions based on a better understanding of the biological and environmental factors that contribute to their development. Thirty international authorities clarify how these disorders develop and what factors contribute to symptomatology. Focusing on posttraumatic stress disorder, panic disorder and agoraphobia, social phobia, and specific phobia, the authors explore the possibility of linking the classification and etiology of these conditions by showing that they may be closely related in terms of brain pathophysiology. Specific coverage ranges from consideration of the disorders among minorities to the effects of stress and psychosocial factors, to the contribution of substance abuse. By offering important new ways of thinking about these disorders, the book not only allows researchers to more accurately assess these diagnostic classifications but also can help clinicians more effectively communicate with patients regarding the nature of their illness and its treatment.

Stress-induced and Fear Circuitry Disorders: Refining the Research Agenda for DSM-V

Dennis S. Charney

Gavin Andrews

American Psychiatric Publishing, Inc.

"Public Health Aspects of Diagnosis and Classification of Mental and Behavioral Disorders: Refining the Research Agenda for DSM-5 and ICD-11" provides a comprehensive summary of the current state of mental health classification in the United States and internationally, fostering a better understanding of primary research and clinical needs and facilitating the efforts of service planners, researchers and trainees to address current use of psychiatric diagnosis in the public health sector. The volume reflects the proceedings of a research planning conference convened by the APA and World Health Organization (WHO) that focused on public health aspects of the diagnosis and classification of mental disorders. Highly relevant to the ongoing development of DSM-5 and ICD-11, the book includes the background papers prepared and presented by the Conference Expert Groups. The resulting collection: - Discusses the current state of mental illness prevention efforts and the role of public health in supporting them--critical topics, given that development of effective strategies to reduce mental illness around the world depends on the accuracy with which risk and protective factors can be identified, defined, and understood. - Features international perspectives on public health implications of psychiatric diagnosis, classification, and service, providing viewpoints that are broad and more globally relevant. - Views mental health education, and awareness on a macro level, including its impact on social and economic policy, forensics and the legal system, and education. This approach facilitates the continued development of a research base in community health and promotes the establishment of programs for monitoring, treating, and preventing mental illness. - Addresses many fascinating and clinically relevant issues, such as those raised by the concept and the definition of mental disorders and how these impact psychiatric services and practice by individual providers. This collection should prove useful to the advisory groups, task forces, and working groups for the revision of these two classifications, as well as for researchers in the area of diagnosis and classification, and more generally in public health.

Public Health Aspects of Diagnosis and Classification of Mental and Behavioral Disorders: Refining the Research Agenda for Dsm-5 and ICD-10

Medical Books

Shekhar Saxena

Patricia Esparza

Benedetto Saraceno

Norman Sartorius

Medicine

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Books by Darrel A. Regier