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Schizophrenia and Its TreatmentWhere Is the Progress?$
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Matthew M. Kurtz

Print publication date: 2015

Print ISBN-13: 9780199974443

Published to Oxford Scholarship Online: December 2015

DOI: 10.1093/acprof:oso/9780199974443.001.0001

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The Diagnosis of Schizophrenia

The Diagnosis of Schizophrenia

(p.31) 3 The Diagnosis of Schizophrenia
Schizophrenia and Its Treatment

Matthew M. Kurtz

Oxford University Press

Philosophers of science have long argued that establishment of reliable classificatory schemes is a crucial first step in the beginning of measurement in any science. This survey of the emergence of diagnostic practices around schizophrenia in the 20th and 21st centuries supports the highly provisional nature of the diagnosis and its susceptibility to a variety of intellectual, social, and cultural forces in the profession of psychiatry and beyond. The field of psychiatry, although largely deemphasizing the role of classification over the first half of the 20th, has placed increased emphasis on the reliability of classificatory schemes over the past 60 years. Although the goal of enhanced reliability since DSM-III has clearly been successful, accompanying incremental validation of psychiatric classifications remains largely absent, with specific findings from neurobiology or psychological science largely unable to support these diagnostic distinctions.

Keywords:   schizophrenia, diagnosis, psychiatric classifications, function of diagnosis, DSM-5

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