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dc.contributor.authorRobles, Rebeca
dc.contributor.authorFresan, Ana
dc.contributor.authorElena Medina-Mora, Maria
dc.contributor.authorSharan, Pratap
dc.contributor.authorRoberts, Michael C.
dc.contributor.authorMari, Jair de Jesus [UNIFESP]
dc.contributor.authorMatsumoto, Chihiro
dc.contributor.authorMaruta, Toshimasa
dc.contributor.authorGureje, Oye
dc.contributor.authorLuis Ayuso-Mateos, Jose
dc.contributor.authorXiao, Zeping
dc.contributor.authorReed, Geoffrey M.
dc.identifier.citationJournal of Clinical Psychology. Hoboken: Wiley-Blackwell, v. 71, n. 3, p. 267-281, 2015.
dc.description.abstractObjectiveTo explore the rationales of mental health professionals (mainly psychiatrists and psychologists) from 8 countries for removing specific diagnostic categories from mental disorders classification systems.MethodAs 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.ResultsThe 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.ConclusionImplications for development and dissemination of the classification of mental and behavioral disorders in WHO's ICD-11 are discussed.en
dc.description.sponsorshipInternational Union of Psychological Science
dc.description.sponsorshipNational Institute of Mental Health (USA)
dc.description.sponsorshipWorld Psychiatric Association
dc.description.sponsorshipSpanish Foundation of Psychiatry and Mental Health (Spain)
dc.description.sponsorshipSantander Bank UAM/UNAM endowed Chair for Psychiatry (Spain/Mexico)
dc.relation.ispartofJournal of Clinical Psychology
dc.rightsAcesso restrito
dc.subjectmental disordersen
dc.subjectInternational Classification of Diseases (ICD)en
dc.subjectDiagnostic and Statistical Manual of Mental Disorders (DSM)en
dc.subjectclinical utilityen
dc.titleCategories That Should Be Removed From Mental Disorders Classifications: Perspectives and Rationales of Clinicians From Eight Countriesen
dc.contributor.institutionNatl Inst Psychiat Ramon de la Fuente Muniz
dc.contributor.institutionAll India Inst Med Sci
dc.contributor.institutionUniv Kansas
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionTokyo Med Univ
dc.contributor.institutionUniv Ibadan
dc.contributor.institutionUniv Autonoma Madrid
dc.contributor.institutionShanghai Jiao Tong Univ
dc.description.affiliationNatl Inst Psychiat Ramon de la Fuente Muniz, Munich, Germany
dc.description.affiliationAll India Inst Med Sci, New Delhi 110029, India
dc.description.affiliationUniv Kansas, Lawrence, KS 66045 USA
dc.description.affiliationUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliationTokyo Med Univ, Tokyo 1608402, Japan
dc.description.affiliationUniv Ibadan, Ibadan, Nigeria
dc.description.affiliationUniv Autonoma Madrid, E-28049 Madrid, Spain
dc.description.affiliationShanghai Jiao Tong Univ, Shanghai 200030, Peoples R China
dc.description.affiliationWHO, CH-1211 Geneva, Switzerland
dc.description.affiliationUnifespUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.sourceWeb of Science

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