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Categories that should be removed from mental disorders classifications: perspectives and rationales of clinicians from eight countries

dc.creatorRobles, Rebeca
dc.creatorFresán, Ana
dc.creatorMedina-Mora, María Elena
dc.creatorSharan, Pratap
dc.creatorRoberts, Michael C
dc.creatorJesus, Mari Jair de
dc.creatorMatsumoto, Chihiro
dc.creatorMaruta, Toshimasa
dc.creatorGureje, Oye
dc.creatorAyuso-Mateos, José Luís
dc.creatorXiao, Zeping
dc.creatorReed, Geoffrey M.
dc.date.accessioned2017-06-29T03:42:53Z
dc.date.available2017-06-29T03:42:53Z
dc.date.issued2015es_ES
dc.identifier2586es_ES
dc.identifier.issn0021-9762es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4435
dc.identifier.urihttps://doi.org/10.1002/jclp.22145es_ES
dc.language.isoenges_ES
dc.publisherHoboken, N.J. : Wileyes_ES
dc.relation71(3) 267-281p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.titleCategories that should be removed from mental disorders classifications: perspectives and rationales of clinicians from eight countrieses_ES
dc.typeartículoes_ES
dc.contributor.affiliationNational Institute of Psychiatry Ramón de la Fuente Muñíz.es_ES
dc.relation.jnabreviadoJ CLIN PSYCHOLes_ES
dc.relation.journalJournal of Clinical Psychologyes_ES
dc.identifier.placeEstados Unidoses_ES
dc.date.published2015es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1097-4679es_ES
dc.identifier.doi10.1002/jclp.22145es_ES
dc.description.monthMares_ES
dc.description.abstractotrodiomaOBJECTIVE: To explore the rationales of mental health professionals (mainly psychiatrists and psychologists) from 8 countries for removing specific diagnostic categories from mental disorders classification systems. METHOD: As part of a larger study, 505 participants indicated which of 60 major disorders should be omitted from mental disorders classification systems and provided rationales. Rationale statements were analyzed using inductive content analysis.RESULTS: The majority of clinicians (60.4%) indicated that 1 or more disorders should be removed. The most common rationales were (a) problematic boundaries between normal and psychopathological conditions (45.9% of total removal recommendations), (b) problematic boundaries among mental disorders (25.4%), and (c) problematic boundaries between mental and physical disorders (24.0%). The categories most frequently recommended for deletion were gender identity disorder, sexual dysfunction, and paraphilias, usually because clinicians viewed these categories as being based on stigmatization of a way of being and behaving. A range of neurocognitive disorders were described as better conceptualized as nonpsychiatric medical conditions. Results were analyzed by country and country income level. Although gender identity disorder was the category most frequently recommended for removal overall, clinicians from Spain, India, and Mexico were most likely to do so and clinicians from Nigeria and Japan least likely, probably because of social and systemic factors that vary by country. Systematic differences in removal rationales by country income level may be related to the development, structure, and functioning of health systems. CONCLUSION: Implications for development and dissemination of the classification of mental and behavioral disorders in WHO's ICD-11 are discussed.es_ES
dc.subject.koDiagnostic and Statistical Manual of Mental Disorders (DSM)es_ES
dc.subject.koInternational Classification of Diseases (ICD)es_ES
dc.subject.koClassificationes_ES
dc.subject.koClinical utilityes_ES
dc.subject.koMental disorderses_ES
dc.subject.koPsychiatristses_ES
dc.subject.koPsychologistses_ES
dc.subject.koStigmaes_ES


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