Critics of
psychiatric nosology may argue that the very existence of different approaches to classification implies failures in the field.
Whereas there is increasing evidence of somatic comorbidity in several major psychiatric disorders, present
psychiatric nosology does not include specific psychiatric illnesses associated with medical conditions other than organic dementias and secondary psychiatric conditions.
However, as psychiatric comorbidities, traumatic biographies are not routinely investigated when subjects consult for depression [55, 56] and the recognition of the deleterious consequences of child maltreatment is not even incorporated in
psychiatric nosology [56].
Therefore, it is key to reappraise
psychiatric nosology. In fact, a recurring suggestion has been that
psychiatric nosology should be based on the etiology of mental disorders, similarly to mainstream medicine (8).
Editorial: Research Domain Criteria (RDoC): a new
psychiatric nosology whose time has not yet come.
The Diagnostic and Statistical Manual has been a revolutionary development in
psychiatric nosology. Before the DSM, it was not clear if what was considered major depression in one country was the same as major depression in another country.
When our patient was evaluated for current
psychiatric nosology co-existence of borderline personality disorder and dissociative personality disorder may have been considered.
However, much more research is needed to improve the mapping of the 'brain pathology-psychological symptoms-clinical diagnosis' matrix before it will be possible to propose a new
psychiatric nosology that captures the complexity of these relationships.
Homosexuality and
psychiatric nosology. Australian and New Zealand Journal of Psychiatry, 37, 678-683.
This began the modern era of
psychiatric nosology in North America.
Towards a genuinely medical model for
psychiatric nosology. BMC Medicine 2012;10:5.
Psychiatric nosology is ready for a paradigm shift in DSM-V.