Lecture

Meyerhoff Lecture | DSM 5.1: Perspectives on Continuous Improvement in Psychiatric Diagnosis

The Meyerhoff Lecture: A special complimentary lecture hosted by Sheppard Pratt Health System and University of Maryland

Psychiatric diagnosis is a critical function of the mental health professions. In the U.S., criteria for psychiatric diagnosis are determined by the DSM, published by the American Psychiatric Association (APA). Many clinicians, however, are unaware of the changes in the way DSM categories will be revised and the role that they can play in the process. The purpose of this presentation is to review the APA’s vision for the future of the DSM, and the process that has been created to consider iterative changes to the DSM-5. The new process involves making changes on a rolling basis, as warranted by advances in the science of mental disorders. This approach differs from the previous mechanism for making changes to the DSM, which was to revise the manual in its entirety at variable intervals. Although the older approach had the advantage of facilitating standardized communication among users of the classification, it slowed the incorporation of new scientific knowledge into the manual as it emerged. This presentation will review the criteria by which proposed revisions will be judged, and the process that interested clinicians and researchers can follow to submit and respond to proposals for revisions.

Learning objectives:

  1. Recognize the vision for the future revisions of the DSM.
  2. Describe the criteria that must be met for changes to be made to the classification.
  3. Evaluate the process by which revisions will be undertaken.

This lecture is presented by Paul S. Appelbaum, M.D., the Elizabeth K. Dollard Professor of Psychiatry, Medicine, and Law, and Director, Center for Law, Ethics, and Psychiatry, Department of Psychiatry, College of Physicians and Surgeons, Columbia University. Dr. Appelbaum directs Columbia’s Center for Research on Ethical, Legal, and Social Implications of Psychiatric, Neurologic, and Behavioral Genetics. The author of many articles and books on law and ethics in clinical practice and research, Dr. Appelbaum is a Past President of the American Psychiatric Association and the American Academy of Psychiatry and the Law, and now chairs the APA’s DSM Steering Committee and co-chairs the Standing Committee on Ethics of the World Psychiatric Association. He has been elected to the National Academy of Medicine. Dr. Appelbaum is a graduate of Columbia College, received his MD from Harvard Medical School, and completed his psychiatry residency at the Massachusetts Mental Health Center/Harvard Medical School.


APPROVAL STATEMENTS

Physician Statement: Sheppard Pratt Health System is accredited by The Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. Sheppard Pratt Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s) TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse Statement: Sheppard Pratt Health System is an approved provider of continuing nursing education by Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity is approved for 1.0 contact hours for nurses.

Psychologist Statement: Sheppard Pratt Health System is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. Sheppard Pratt Health System designates this educational activity for a maximum of 1.0 CEU hours forPsychologists. Psychologists should claim credit commensurate with the extent of their participation in the activity.

Social Worker Statement: Sheppard Pratt Health System is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity is approved for 1.0 CEU contact hours in Category 1 credits for Social Workers.

Counselor Statement: Sheppard Pratt Health System has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098. Programs that do not qualify for NBCC credit are clearly identified. Sheppard Pratt Health System is solely responsible for all aspects of the program. This activity is available for 1.0 NBCC clock hours.

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